HomeMy WebLinkAboutNARNIA LT 2��51- 30a-1�V"Nk
Municipality of Anchorage ;;gig '•.
Development Services Department : "' '•t
Building Safety Division • •. • ..
On -Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page I Of
www.ci.anchorage.sk.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PermitNumber: :5W63016"3 PID Number: 1 -30 --?-69
1I //
Name C i 1 �Gl� i55a ii(L e
Wastewater System: ❑ New Upgrade
Ad ss
Cr^s i�nle,/ LuP -7
ABSORPTION FIELD
Phone Number of Bearoornr
(3Deep Trench 0Shallow Trench O Bed ClMound 0( Other: >r1r�^
�
LEGAL DESCRIPTION
Sot RaIN
Total Depth from original grade:
a P IFta
Ft.
Block Lot: Subdivision: ��� /
Depth to pipe bottom horn original grade:
119"
Gravel depth beneath pipe: 3 `L
IVS
'aL
Township. Range: Section:
Fit added above original grade:
Gravel Length:
19
FI.
Ft.
Well: ❑ New ❑ Upgrade
Grevel width
DO
Number flkves:
Distance be en tin ea:
FI.
<. r FL
ClassiRtalron (Private, , Ck Total Dept: Cased to:
Total absaplan area
P Melenel:
FL
ner. Dale D Stacie Water LeveF.
In en t
VO
Insletled:
Dat �- -� 3
rt
„teed�x� ,
Vield:
Pump Sel al: Caning IfeigN ADwa Gard.
A NK
GPM
FI. F
SEPARATION DISTANCES
O(Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Lift
Holding
Public/Private
M a11°' t
capecey:
0
From
Tank
Field
Station
Tank
Sewer Line
em /e/ 7 14,41 (
cal.
Well
l(✓%^,
t
:J
material.
PE-
Nmber or eompartmenu•
Surface Water
,f-
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1(,�-h
LIFT STATION
Lot Line
a -.'t
�S ^ `
, 71
S'ze. �
MarMacturer /',��M/e0� �Q S
al
/ ic
Found~
1'fl
I
I (,i(
/ In.
'Pump or level Si- :5g
(5/[ in
Wgh water alarm at
'�'� in.
Curtain Drain
�U, !%
yj/ G� h
PVnr Make d Model
Electrf{y,��I hspevbons pedonned by:
1\ l S�%� �i Fled I e -
Remarks:
BENCH MARK
Locauon w D.smpbm
7o d k_
P o ee--
Elevation:
11 Aal uoL
OO FL
E f�k p
H:.
"-` OF A i
AIC It
✓, ° :' 1
t t
5 8 5 ENGINEERING
No.
17034 Eagle River Loop Road, No 204 ' 1
`03
Inspections performed by:Eagle ver1't e[ �"
�' •••••- •'"'
a
2nd 6 -a.....:
:...... »' .. .......... .
Develo men Services Department Approval
P P PP
4, ROBERdT G CO
C..-8801 �•�'r
�'?f �o�
✓fi•P�OP»_,...••
Reviewed and approved by: Date:
(Rev. 12m)
;;,
`
PERMIT No. SWO30163
PACE 2 OF 3
Municipalityof Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 •Anchorage, Alaska 99519-6650 Te'I hone 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LECAL LOT 2, NARNIA S/D P.I.D. NO. 051-302-69
100,
k'F<<
R�Oj°S
LOT 1
I
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a
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p
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FCO
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ST1
ST u*AT*H
D.S.F.
NEW 1300 CALLON
HDPE SEPTIC TANK
a MT
MT(FLUSHING
DVALVES)
FAT ALBERT ST.E.P ATANK
MHrI
ALT.--------
SITE
� ;
—
20' Util Esmt
-----------
----------------------------
—
SCALE: 1. 40'
CASPIAN
COURT
R.O.
(NOT
IN)
30'
�
At :fit P
ROBERT C. COWAN �?
CE -8801
i;lf �v ..............` r
..
,x11*d1;_
PERMIT NO. SW0301 63 PACE 3 OF 3
Municipalityof Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 •Anchorage, Alaska 99519-6650Te'I hone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 2, NARNIA S/D P.I.D. No, 051-302-69
FINAL GRADE
r--100.5'
INSULATION
100.8
100.5
�
CONDUIT
--/ I NEW 1300 GAL. I\ / D I� Ip III \ply'' DISCHARGE PIPE
96.9' I Il la
POLY. TANK
•..
550 GALLON FAT ALBERT
WITH PUMP ASSEMBLY
MTI=101.4' MTI FINAL GRADE
ORIGINAL GRADE
INSULATION
►d GRAVEL
LTeRR.°u S
MTER-4
lIR' 1GR PRE " • .,` ,.•d�''
MT1=98.3'- J
DIST. LINE=98.6'
140 GROUNDWATER .FvvrJb
87.2' B.O.H.
BOTTOM OF SAND=96.2'
N. T. S.
Rising Son Electric, Inc.
1.4916 \\1,oaJLand Drive
9AAe River. A4 99577
(907) 622-6777
June 27, 2003
Re: Lot 2 Narnla
To Whom It May Concern:
The lift station at the above referenced property has been wired In accordance with NEC
and State/Local codes.
Thank you.
Sincerely
/
Kevin S. Hornbuckle, Owner
Administration License Number 1284
Specialty Contractor License Number 27285
10Z'd azilso Eo/LZ/90 GLL9 ZZ9 406 '»1=144DO13 UCS 6u1s1b
� 1 z lo3
MUNICIPALITY OF ANCHORAGE
Development Services Department l 5 r f G G �ipvu
On -Site Water& Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jun 02, 2003
Expiration Date: Jun 01, 2004
Permit Number: SW030163 Parcel ID: 051-302-69
Legal Description: 'NARNIA LT 2
Design Engineer: 0003 S & S Engineering Site Address: 018625 CASPIAN CT
Owner Name: MATTHEW G. & MELISSA R. HICKEY Lot Size: 40099 SQ. FT.
Owner Address: 18625 CASPIAN COURT Total Bedrooms: 4 Permit Bedrooms: 4
EAGLE RIVER, AK 99577 -
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 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:
Issued By:
Date: 17 2-
b3
Date: 4 % 2 /O
Municipality of Anchorage
• --r Development Services Department 4!5
Building Safety Division ="•i w ��
On -Site Water and Wastewater Program
S 1'
9 • crr
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 03-1-302 — 6q
Permit Number SWO301C 3
Property owner(s) MAL fLCk
Day phone
s ddress (1) I862Cfi:Mt9N
Mailing address (2)
Zip Code ? .S 77
Legal description (Lot, Block & Sub'd.) ���
z. N A&0J A' 6 U0 fl %V ISL04
Legal description (Section, Township & Range)
Lot Size 0%q ' MrmB //Sq.Ft.
Number of Bedrooms �o LkA_
THIS APPLICATION IS FOR:
Sewer Only ❑
Well Only ❑
Sewer and Well ❑
Water Storage ❑
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub ❑
Jacuzzi ❑
Swimming Pool ❑
Water Softening Unit ❑
Therapy Pool ❑
I certify that the above-finformatio is correct.
I further certify that this application is being made for a
Single Family Dwelling and is i ccordance with applicable Municipal Codes.
or authorized agent)
Permit Fees: l(oo.
rj
Date of Payment:
S_ /if. /0 5
Waiver Fees:
Date of Payment:
Receipt Number: O 3 S -S' c i Receipt Number:
(Rev. 12i00t uo-
S&S
FEALTHAUTHORITY
APPROVALS
SEWER iWATER
MM EXTENSIONS
sEwER6wATER
INSPECTION
ENGINEERING STUDIES
ANDREPORTS
WELL INSPECTION
& PLOW TEST
SITE PLANS
ROAD DESIGN
SM TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
WPECTIONS
ONSITE
WASTEWATER
DISPOBALSMEM
DESIGN
ROBERT C. COWAN, P.E.
CML ENGINEERS
(907) 694-2979
FAX(907)694-1211
May 29, 2003
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 2, Narnia'Subdivision
It is requested that you issue a permit to upgrade a septic system to serve the existing
four bedroom dwelling on the referenced property.
Due to limited area available on the property an I.D.S.F. has been designed for this
upgrade. At such time an alternate site may be needed in the future, -the bottom of the
sand filter would be just below the sewer rock in the old bed (excavate old sewer rock).
One test hole was excavated and a percolation test was performed on 5/3/03. The
approximate location of the test hole & other information is located on the attached site
plan & soils log.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/jhm
Enclosure
17034 h0RTI4 tAGLE RIVER LOOP 1. SUITE 204 i EAGLE RIVER, ALASKA 99577
rSEnqineexinG
ROBERT C. COWAN, P.E.
ROBERTA. SHAFER, P.E.
CIVIL ENGINEERS
(907) 694-2979
FAX(907)694-1211
HEALTHA RHORITr
MPRCNALS
SEWER d WATER
MAIN EXTENSIONS
SEWERBWATER
INSPECTION
ENGINEERWGSTLIDIES
AND REPORTS
WELLwPECTION
&FLOWTEST
SITE PLANS
ROADDESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL 6
MECH NCAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
May 13, 2003
MUNICIPALITY OF ANCHORAGE
Development Service's Department
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 2, Namia Subdivision
It is requested that you issue a permit to upgrade a septic system to serve the existing
four bedroom dwelling on the referenced property.
Due to limited area available on the property, an I.D.S.F. has been designed for this
Upgr4dC Ar J-tx Tlhf AN ALrcit 4rt. Sir -,L /hAy 131 NktQlq pr 714m F -writ.,,
porso,a of 7N4- 5;A,r01 F111-TriA I..avA.4 191 Tarr ot-"6rrr,(- siwE< RooK
,N TF{6 IL-6 134-0 C1)If4v,4r4 oM f4,ws.L Aue.e).
One test hole was excavated and a percolation test was performed on 5/3/03. The
approximate location of the test hole & other information is located on the attached site
plan & soils log.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage pattems by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you require
/ .---
Sh�E.
information, please contact us.
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577
SITE PLAN I DESIGN I C = 60-
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Municipality of Anchorage
r,
Development Services Department
L Z��F:
Building Safety Division
l* -v
On -Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
_.
www. ci. a n chorage.ak. us
(907)343-7904
SoilsLoge- Percolation Test
M1
1raA
CK «
e Date Performed:
Performed For: �/ /� l/
3o bi ; t -f
Legal Description: C 7 /✓n / 1 CC Township, Range, Section:
Wep+W
2-
3-
4-
5 -4r
-3-45-r
• �r
6- �.
5-o
6-
k
v
10: fo
11-
12-
13-
14-
15-
16-
17-
18-1 19-
COMMENTS
1•12-1314-
15-
16-
17-
16-
19-
COMMENTS
6511"
g .ok\
WAS GROUND WATER AlENCOUNTERED? A
s
IF YES. AT WHAT DEPTH? L
Depth to Water After P
Monitoring? Q 2 g
Dates 03
socri It. EN...'� s
fit:. 1457 -LI
Site Plan
Reading
Date
•�"T�:r •fy
'
L Z��F:
^;•" ,.tib
;:-, �'Y.: Q-
socri It. EN...'� s
fit:. 1457 -LI
Site Plan
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
It
_.
7 3
3
3o bi ; t -f
30;)1 i h
,
3 /r
PERC LATION RATE C� (m nutesAnch) PERC HOLE DIAMETER
TEST UN BETWEEN ,3 FT AND FT
PERFORMED BY: // %_�— CERTIFY THAT THIS TEST WAS
PERFORMED IN A1jtOKDANCeWA ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
ROBERTC. COWAN, P.E.
ROBERTA. SHAFER, P.E.
CIVIL ENGINEERS
(907)694-2979
FAX(907)694-1211
INTERMITTANT DOSING SAND FILTER SPECIFICATIONS
HEALTNATRHawTY
Lot 2, Narnia Subdivision
APPROVALS
May 9, 2003
GENERAL STATEMENT OF WORK
SEWER 6 WATER
MAW EXTENSgNS
The work and plans covered by these specifications consist of furnishing all labor,
materials, tools, transportation, and equipment necessary to complete an Intermittent
Dosing Sand Filter system as described herein and on the attached drawings.
SEWERaWATER
rsPECTIGN
All work under this project shall comply with current Municipality of Anchorage (MOA)
Regulations.
ENGNEERINGSTLOIES
4 Bedroom House 600 GPD
ANDREPORTS
Use 18' x 20' Bottomless Sand Filter and absorption area (360 S.F. required)
Sand filter to be constructed on accepting soil with all organics removed. (bottomless
only.)
WELL NSPECTION
6 FLOW TEST
SITE INVESTIGATION
The Contractor must carefully examine the project documents, have full knowledge thereof,
SITE PLANS
have investigated the site, and be satisfied with the conditions affecting the work.
Conditions include, but are not limited to those bearing upon transportation, disposal,
handling and storage of materials, Availability of labor, water, electric power, roads, and
ROAODESIGN
uncertainties of weather, physical conditions at the site including all underground utilities,
the conformation and condition of the ground, the character of equipment and facilities
needed preliminary to and during prosecution of the work. The Contractor must be satisfied
with the character, quality and quantity of surface and subsurface materials or obstacles to
SOIL TEST
be encountered. Any failure by the Contractor to become acquainted with the available
information will not relieve him/her from responsibility of performing the work as stated in
these specifications and drawings.
PERCGLATIGN
TEST
Location of utilities will be the contractor's responsibility.
STRLCTUiALB
MECHANICAL
NJSPECTIONS
ONSITE
WASTEWATER
09SPOSALSYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP 9 SURE 204 • EAGLE RIVER. ALASKA 99571
Page 2
Lot 2, Narnla S/D
May 9, 2003
SEPTIC TANK / LIFT STATION / AIR COMPRESSOR
A. General
The work under this section consists of the performance of all operations pertaining to
furnishing and installing the septic tank/lift station, air compressor and piping to the sand
filter.
B. Materials
1. Tank
a. Septic tank shall be a two compartment tank of at least the minimum size
indicated on the drawings and MOA approved.
b. First compartment shall have a separate 4" pump -out riser. The second compartment
shall have a separate 4" pump -out riser.
2. Manhole Riser or Lift Station Tank
a. An additional second compartment manhole riser shall be capable of being equipped with
the following:
1. A junction (Nema 4x) box or equal, bonded or attached to
the pump basin.
2. UL listed electrical cord grips, installed in the J -box.
b. An additional tank (M.O.A. approved) may be provided for the
effluent pumping assembly and the items in (a.) above.
3. Effluent Pumping Assembly, Controls, Alarm & Piping
a. Effluent pumping assembly shall be of approved materials, including the following:
1. A 110 volt or equal U.L. Listed effluent pump.
r
Page 3
Lot 2, Narnia SID
May 9, 2003
2. High-density PVC cylinder housing the pump, with level
controls and screen, serving as a baffle to prevent the screen
from clogging.
3. All piping shall be PVC or other non -corroding material.
b. Pump controls and alarm system shall be an approved system with the following options
consisting of:
1. Event counter
2. Elapsed time meter
3. Program timer
4. 10 watt heater
5. Remote alarm panel option with a minimum of 80 DB
sound pressure at 24", operating temperature 30AC to
65AC, continuous sound to be located in the home.
6. Oil -tight visual alarm with push -to -silence feature.
Automatic audio -alarm reset.
7. 15 amp motor rated toggle switch, double pole, double
throw with three positions; manual (man), automatic (auto)
and center (off) (H.O.A.).
8. Nema 4x -rated, fiberglass, or equal, enclosure with hinged
cover.
9. All controls to be installed as per manufacturer's
recommendations.
10. Control panel to be installed on outside wall of home within
sight of septic tank/lift station.
c. Piping from the septic tank to the sand filter is to be 1 1/4" PVC schedule 40 solvent weld
piping properly bedded as described in Materials Specifications and sloped to drain back
to the lift station. Insulation board 2" thick and 2' wide centered over pipe is to be placed
where soil cover is less than 4' depth over pipe.
1
Page 4
Lot 2, Namia SID
May 9, 2000
d. The air line from the house to the filter is to be HDPE arctic insulated pipe 3/4"-2" SDR -
11. The compressor will have a gauge (0-10 psi) and be installed in a heated area, crawl
space, or garage.
4. Air Compressor
a. Air compressor shall be a THOMAS LINEAR SERIES model number 5060-A or 5070V -A or
M.O.A. approved equal.
CONSTRUCTION SEQUENCE
In order to insure proper installation, the system is recommended to be installed in the following order:
I. Sewer line from house to tank
II. Septic tank/lift station
III. Sand filter
IV. Leachfield bed (if required)
V. Final grading
CONSTRUCTION
1. Construction Instruments
Contractor shall provide instruments such as transits, or levels, for establishing proper
elevations and levelness of pipe or materials.
2. Pipe Laying
All pipe shall be laid with material free of large or sharp rocks and organic matter.
Each section of pipe shall be handled carefully and placed accurately. The spigot end
shall be fully inserted pointing in the direction of flow and glued in place to make a water
tight seal.
Page 5
Lot 2, Narnia SID
May 9, 2003
Each section of pipe shall be properly supported to insure true alignment and an invert
which is smooth and free from roughness or irregularity.
At all times, when work is not in progress, open ends of pipe and fittings shall be closed
so that no undesirable substance will enter the end of the pipe or fittings.
3. Bedding of Pipe for Sewer Lines
The pipe should be bedded with materials free of large or sharp rocks and organic matter,
compacted. Native materials may be used as back fill material above the pipe, provided it is
free of large rocks and organic matter.
All lift stations shall be installed in accordance with the manufacturer's recommendations
and standards. Electrical installation is to be in accordance with the National Electric Code
(latest adopted edition) by a licensed electrical contractor, with M.O.A. inspection where
required. If MOA inspection is not required, a licensed electrician is to provide a letter to the
Engineer stating that the system meets or exceeds all applicable codes.
4. Excavation
Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot, on
undisturbed or compacted classified sand fill material.
Create a level sand surface over the tank and add 2" burial foam +35 PSI directly over
tank. Mound unclassified soil over tank with a minimum of 2 feet of cover and anti -flotation
weights that may be required in areas of shallow ground water.
5. Connections
All connections to be as per MOA requirements, PVC 3034 piping with Caulder or
equivalent couplings for inlet riser pipes.
All tank connections are to be completely water tight.
SAND FILTER
The work under this section consists of the performance of all operations pertaining to fumishing and
installing the sand filter.
Page 6
Lot 2, Narnia SID
May 9, 2003
A. Materials
1. Sand Filter
a. Liner (if required - not required for bottomless sand filter) - OSI Model LI or
equivalent. 30 mil PVC cut and fabricated to provide water tight enclosure of filter
sand volume. Seams to be permanent as per Manufacturer's recommendations. All
connections, such as boot flanges, through sand filter to be permanently bonded to the
liner.
b. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand
Specifications with the additional requirement that all but 1% of the materials
passing the #100 sieve be removed. All aand shall be approved for use by the
Municipality of Anchorage (M.O.A.). If the sample does not meet specifications,
all sand will be removed and replaced.
c. The Contractor shall be responsible for providing pea gravel that shall be a
washed material containing no fines (0% passing the #100 sieve) and a maximum
size of 114" diameter.
d. The Contractor shall provide the manifold assembly. The manifold assembly
shall be of approved materials with orifice shields and flushing assembly. All
drilled holes to be cleaned of burrs and pipes flushed, prior to assembly. Flushing
valve to include riser to finish grade. Lateral distribution piping is to be laid level
(@ t 0.05').
e. Side walls and top of the filter box to be insulated with 2" direct burial polystyrene
insulation.
f. The Contractor shall be responsible for providing filter fabric.
g. Air coil in sand filter to be geoflow WF16-4-24 150 LF placed 6" above bottom
of sand.
Construction of Sand Filter
The sand filter construction is to follow procedures as outlined below, as applicable to this
design.
Page 7
Lot 2, Narnia S/D
May 9, 2003
Pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.05
feet) in filter, taking care not to allow mud or fine soil material into the filter or gravel layer.
This would include any soil material picked up by excavation machinery buckets while
loading specified material. The Contractor should estimate filter material volumes such that
allowance is made for wastage of material in contact with the ground at site.
The area over the sand filter to be finish graded with a minimum of 2 feet of cover and to
prevent ponding of surface water run off. Side slopes shall not exceed 3:1.
The Engineer will reject any sand or pea gravel that does not meet specifications or is
contaminated in transit or while handling. If such material is placed in the filter, all soil
material may be required to be removed and replaced with new material.
CONTRACTOR/INSTALLER
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MU IP LI O ANCHORAGE
AND `c
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this 2f
day of 2003 , by and between `C. , herein the
"ONVNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In
consideration of the mutual covenants contained herein, the parties to this Memorandum of
Understanding agree as follows:
I. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants
permission to Owner to utilize and operate an Advanced Wastewater Treatment System
(AWWTS), described as ..70 ,5 T located at L 2 /Va rm j Q V6
Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an AWWTS that
includes the installation or removal of any parts, components or pieces
not included in the original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "ASIC") 15.65
B. Certificate of On -Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with ASIC
Pace l of 5
15.65. These approvals certify that the systems are adequate for the
homes that they support and meet the codes that were in place at the time
of system construction.
C. Damage. Any man-made or natural change in a system that would
inhibit the system from performing as designed.
D. Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included
in the original design which would allow the AWWTS to continue to
perform as designed.
E. Permit (Construction). An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating). An Advanced Wastewater Treatment System
Operating Permit. An annual permit, issued by the Municipality, that
allows the Owner to operate an AWWTS, upon meeting all requirements
of this agreement, the conditions of the Operating Permit, the
requirements of the On -Site Wastewater System Construction Permit
and all relevant provision's of AMC 15.65.
3.
Fee.
Owner
shall pay to
ivlunicipality
an annual fee of
(S
.00),
payable
on or before
the issuance
of the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date of the approval by the
klunieipality of installed system.
Paye 2 of 5
4. Term. The term of this Memorandum of Understanding shall be for the life of the
AWWTS. The term begins on the date of approval by the Municipality of the installed system
and shall continue while the ANVWTS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of on site approval is issued to the
new owner or transferee of the property.
5. Alterations, Installation and Removal of Additional Equipment. Owner agrees not
to make any alterations, removal of parts or additions to the AWWTS without a Construction
Permit from the Municipality.
6. Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding, the Owner shall
maintain AWWTS in good repair. In addition, it shall be the responsibility of the Owner
during the term of this Memorandum of Understanding, and any extensions or renewals
thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3)
adjustment(s), (4) replacement costs, and (5) inspection costs. Further, owner agrees to
comply with all applicable ordinances, laws, regulations, rules and orders for the AWWTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the terms and
conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be
submitted to the Municipality annually upon the renewal of the permit. The schedule of
maintenance and repair contained in the Owner's AWWTS Operating Permit is:
Pace 3 of 5
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
D. Owner agrees that only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the systems.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate cf On -Site Systems Approval.
G. Owner agrees that the relevant provisions of the standard specification
guidebook for AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7. Nonwaiver. The failure of either parry at any time to enforce a provision of this
iVlemorandum of Understanding shall in no way constitute a waiver of the provisions, nor in
any way affect the validity of this iVlemorandum of Understanding or'any part hereof, or the
right of such party thereafter to enforce each and every provision hereof.
8. Amendment.
A. This ;Memorandum of Understanding shall only be amended, modified or
chan_ed by a writing, executed by authorized representatives of the parties, with the same
formality as this iNlemorandum of Understanding was executed and such writing shall be
attached to this Memorandum of Understanding as an amendment.
PaL,e 4 of 5
B. For the purposes of any amendment modification or change to the terms and
conditions of this contract, the only authorized representatives of the parties are:
Owner:
Anchorage: Purchasing Officer
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding 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 Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed invalid
by a court of competent jurisdiction shall not invalidate the remaining provisions of the
Memorandum of Understanding.
MUNICIPALITY:
By '
Title: tf II Ea iu�=FR
Date: SJ2 9.103
STATE OF ALASKA )
ss.
THIRD JUDICIAL DISTRICT )
The for going inst ment .vas acknowledged before me thQ da of , 200/ by
e d NA) of . on beh f of
ivlumctpal;t o ave., J /
rr
c3iAR) .e'- 311A
—
'ARY PUBLIC FOR ASK_A
PUg4NG
~ g 7'
Crr
''������i�ilt►t����,,\ Page 5 of 5
Vh _3 o?
Municipality of Anchorage Page I of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SL) 97>66(�Z' PID Number: 051307 7,4
Name
Wastewater System: Nr New 11 Upgrade
AddreN)�L G4 0494
ABSORPTION FIELD
Phone`:'
No. of Bedrooms.
3
C Deep Trench El Shallow Trench '/Bed ^.. Mound ❑ Other
LEGAL DESCRIPTION
Soil Rating
n'
Total Depth from original grade
3"
GPD/Sq Ft.
Lot: Block: * Subdivision:
Z.
Depth to pipe bottom from original grade-
Gravel depth beneath pipe
5
Int �Vn\ Z
Z S Ft,
C Ft,
Township
Range.
Secti�,/�
FII added above original grade:
o
Gravel length:
_ '
'
I.i 4c Z E Ft.
Ft.
WELL: 1-1 New ❑Upgrade
Gravel width.
1
Number of lines:
5
Distance between lines
1
FL
Ft.
Classification (Private. A,B.C):
Total Depth.
Cased To:
Total absorption area:
Pipe material:
•PR VPS
Fl
Ft
15to SO. Ft,
T;VC D303g
Driller:
Date Drilled:
Sialic water Level.
Installer.
Cm„
Date installed:
lo- 8.1993
Ft.
(1010
Yield:
Pump Set at:
Casmg Height Above Ground:
TANK
GPM
FI.
FI.
SEPARATION
DISTANCES
Septic D Holding ❑ S.T.E.P.
To
Septic
Absorption
Lm
Holding
Public private
Mafr),ufacturer.
l.K.C4-E
Capacity/in gallons:
From
Tank
Field
Station
Tank
Sewer Lines
• `1
evo
Well
Material
Number of Compartments:
Z,
Water Surface
-fi
4 )CC'
+tin
LIFT STATION
LotSize
•�`'C
4'7S'
_--
`"
in gallons:
Manufacturer
Line
•1-$O�
Foundation
8'
qr
�-
"Pump on level at.
'Pum level at.
High water alarm at
Curtain
d1.GZ'
1�^
Pum Make&
Electrical Inspections performed by:
Drain
/
Remarks:
BENCH MARK
Location and Description:
acv l t�q n
cfae0'*',t sLAs
� N`i•���7 i lJcvs� t.r Lt y�,t N o LUmB ham'
Assume,j Elevation
�' F�F-,tiL� 'C� 5�$T��-�{�rJ.!
ENGINEER'S SEAL
�+�;, '�Eti
w 1Lt q(��n•�`7 ,
�
tri'( is.J ri• ��ig R3 �,II 9f4@ vr'd-P 1
i�.
b
���
Inspections performed by. Dates: Dates: 1st 1°'�-13
Ary ✓�.-� AHo � t < s3 n0 LW
ia..oei"
2nd
`r'r r, itl 14.5. 63P•G? ,Y j�
Department of Health and Human Services approval
`' `"°� aures 99,1s*"
Reviewed and approved by: Date: /2 - 2 - 93
72-013 (Rev. 9191) MOA 25
Permit No. j�,93ocEz
Page
Z of 7-
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: L-LNa-h,1 S
PID No.: o5'1 3oz34
OQ1GiNPt
G��POE
TwfPC
Z'�MO �r�sU-RTW
P
°° y ye d° p �'
0 _ I n^ IOOG i�.0 �1j q�jr¢Vaa��w4yC�O CF4lbz�:nPrq.°°G°ei'u .3
4 Ptaw o, � �, _ ,,��`! �•a 3sna P�, its »:K{/;�
-T ESr No LE 910 of S. r'•`^x F' 'cid
C � Gc2och
72013 A (1193) -
PAGE 1 OF .._._1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW930062 DATE ISSUED: 4/21/93
DESIGN ENGINEER:S & S ENGINEERING EXPIRATION DATE: 4/21/94
OWNER NAME:VANCE GREGORY & JANICE 50% &
OWNER ADDRESS:P. 0. BOX 670494
CHUGIAK, ALASKA 99567 P� �C61 �p1 1..
PARCEL ID:05130234
LEGAL DESCRIPTION: T15N R1W SEC 30 SW4SE4NW4SW4
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONTRUCTION OF:
DISPOSAL FIELD / WELL SYSTEM
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 343-4329 OR 343-4681 AFTER BUSINESS HOURS
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
1. THIS PERMIT IS TIED TO SW930051; THE WELLS ADJACENT TO
THE RESERVE AREA FOR THE SOUTH HALF OF THIS LOT MUST BE
PROPERTY ABANDONED BY JUNE,15, 1993.
RECEIVED BY:�/ 1� 66 _ DATE: 2
ISSUED BY: G� �� � DATE: IZ
00
/0C rL-L A/0T �f 1f3�A/6, 19 LEFT 5THJ'�on, oR 1
%� f� �e�rssu,er-
I I9C/1 7 Y IF If .
ROBERT SHAFER, P E
TO T -- ---
ROGER SHAFER, P.E.
April 8 1993 CIVIL. ENGINEERS
A � P r (907)694-2979
FAX 694 12t'
HEALTH AUTHORITY
Municipality of Anchorage
APPROVALS
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. Box 196650
Anchorage, Alaska 99519-6650
SEWER & WATER
MAIN EXTENSIONS
REFERENCE: SW 1/4, SE 1/4, NW 1/4, SW 1/4,
SEC. 30, T15N, R1W, SM.
Proposed Lot 2, Narnia Subdivision
SEWER d WATER
INSPECTION
Request you issue a permit to drill a well to serve the 3
bedroom house proposed for the referenced property.
Although a septic system is proposed to be installed in
accordance with our attached design, only a well permit is
ENGINEERING STUDIES
AND REPORTS
requested at this time.
As seen from our attached site plan, the soil test used in
the septic system design was performed for the subdivision
process. The proposed and alternate leachfield sites do not
WELL INSPECTION
& FLOW TEST
fall within a 30 ft. radius of the test hole thus, we
propose an additional test hole be performed prior to
construction. A soil test performed to the north on the
proposed Lot 2 shows consistent soils with a deeper bedrock
depth of 14 ft.
SITE PLANS
We do not anticipate any adverse effects on neighboring
properties by the development of the referenced property as
Shown.
ROAD DESIGN
If you have any questions or require additional information
for your review, please contact us.
SOIL TEST
Sincerely,
PERCOLATION
TEST
ROGER J. SH FER, P.E.
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTE WATER
DISPOSAL SYSTEM
DESIGN
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
a
m
I" = 50SITE PLAN
T SCALE
m
m A Y O
IN y n
PROPOSED 30' ROADWAY
y •A
y
I
a
r;
SOI
I�
n
m
r
rTl
Orp (f)
rT
O
n yyOLN l7r�ay.o
ii °(n Qrz? �''
asci ~
yo
QD
g rn 11 m Z y
11 y
PRO!
4
I
a
m
r
rTl
Orp (f)
rT
O
n yyOLN l7r�ay.o
ii °(n Qrz? �''
asci ~
yo
QD
g rn 11 m Z y
11 y
PRO!
4
V
(-c ,S cr r, C -)S 4-1 c< / I-
C) )� i'.
Munlclpallty of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
625 "U' Street, Anchorage, Alaska 99502-0650
-SOILS LOG - PERCOLATION TEST
PERFORMED FOR: ,/K~e- Y 64DATE I
LEGAL DESCRIPTION:gJ— � 1/A r.IW1/h e7YI �1/4 Township, Range, SeC�
12
13
14
15
16-
17
18-
19-
20-
COMMENTS
81920COMMENTS
SLOPE
WAS GROUND WATER
<P -FAT)
�-
b -A ta
N
S
2
o
DEPTH?
3
' o %
E
Depih to Waler Aller
Moniloring7�_Q�y
4
�„ 1
6-
-7
r
7
_oma
H
�r
6
s: o
9
a
e!Y
12
13
14
15
16-
17
18-
19-
20-
COMMENTS
81920COMMENTS
SLOPE
WAS GROUND WATER
Date
ENCOUNTERED?
b -A ta
Depth to
Water
S
IF YES, AT WHAT
L
O
DEPTH?
P
E
Depih to Waler Aller
Moniloring7�_Q�y
Dale:
SITE PLAN
i -I
30
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
r
3
_oma
H
s: o
—t%
a
4
N
PERCOLATION RATE !10(minuses/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN �72 FT AND 4'_ FT
PERFORMED BY: S & S ENGINEERING I ] L—'1L� CERTIFY THAT THIS fEST WAS PERFORMED IN
17034 Eagle RlYer��L,�oto'�7I Road No. 20R V ► �, _2 1k -111--
ACCORDANCE Wirl�i%�1¢1Qd'9�5S�AL GUIDELI f S IN EFFECT ON THIS DATE. DATE: —.
l
U
1��
NE
(C) `)1- '�D D -Lo `�
ROBERT SHAFER, P.E.
ROGER SHAFER, P.E.
Apv:t 4, 1994 CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
DECEIVED
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
APR 8 1994
HEALTHAUTHORITY
MUNICIPALITY OF ANCHORAGE
APPROVALS
Department o6 Heakth and Human Seay.iee.6 MUnic;paihty of Anchorage
P.O. Box 196650 Dept. Health 8. HUrnan S01 -vices
Anchorage, AK 99519
REFERENCE: Stv4, SE4, Nw4 SU14 Sec. 30, T15N, RIW
SEWER &WATER
MAIN EXTENSIONS
Pro pob ed Lot 2, Nakn ca
S R S Eng.ineen.ing pm6onmed de6ign and eng.inee ing o6 the on -,site
wa.6te wa.teA disposae system conth.ucted on the 4e6erenee property.
SEWER&WATER
Speei6.icatiow provided by S 9 S Eng.ineeting were made a condition o6
INSPECTION
M.U.A. permit #51930062 dated Apkit 21, 1993 and required
.inbpect%ons/documentation o6 .the system when con.6tructed.
The owner. contracted with an excavator to per6oim the wo4k as outune
ENGINEERING STUDIES
AND REPORTS
in aur 6p eci� p icationz and ptau 1 however. S 9 S Engineering was not the
owner'4 reprebentative and did not iupect the contractou aetiv,itia.
Furthermore .it appears Gram the u-buiPt inspection report that the
in6peeting engineer may have eomptetety 4ede6igned the system 6rom a
WELL INSPECTION
pre66ure dtibtr.cbutc.on bed system to a gravity 6tow 'sy'stem.
& FLOW TEST
It i6 our opinion that a pre44ure di4tr.ibutui.on 6 y6.tem is 6upeAior to
a gravity 6tow sy.6tem, there6ore, S 9 S Engineering shah have no
t iab.i tity to the owner. or to others 6or aet6 or omi6,s io" o6 the
SITE PLANS
contractor or any other persons per6o4m.in.g work, on this project or the
6a,iture o6 the contractok to carry out .the wo4k .in accordance with om
construction documents.
ROAD DESIGN
16 you require additi.on.a2 .in6ormati.on ptease contact cup.
Since y,
SOIL TEST
—._/--
4RA
OB T A. SHAFER, P.E.
/gk
PERCOLATION
TEST
E CLOSURES
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
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Work completed under permit.
As required in the AO 15.50.50(b), we attest that the water
storage facility under our DHHS approved permit is completed as
required by the "Water Storage Facility specifications" in
15.50.070(C) on page 17:
1. Our Water Storage Tank bladder was installed by a licensed
plumber, R & S Plumbing that meets National Standards Foundation
and U.S. Food and Drug Administration standards.
2. All components of this water storage facility comply with the
latest Uniform Plumbing Code.
3. Our Water Storage Facility has a minimum of 1,000 gallons
capacity (its a 1140 gallon bladder) for this 3 Bedroom house, as
required by section 70.0 4.
4. The water Storage tank/bladder is located inside the house in a
fully heated storage room as marked on the attached Site plan/as-
built survey.
5. Access to the water storage tank/bladder is clearly and
permanently marked "potable water".
6. Water delivery to the storage facility was supplied by "Pure
Glacier Bottled Water" company who is DEC certified, as required in
this ordinance section 070(C)6 & 7.
7. The former well is temporarily decommissioned.
Attached is the Site plan/ as -built which shows all the
additional required information for .050(B) a -h.
date_
roperty wne
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM (UPGRADE) PERMIT
PERMIT NUMBER:SW960376
DESIGN ENGINEER:DUMMY COMPANY
OWNER NAME:DOUGHERTY KEVIN & DOREEN
OWNER ADDRESS:18625 CASPIAN CT
EAGLE RIVER, ALASKA 99577
PARCEL ID:05130269
LEGAL DESCRIPTION:
NARNIA LT 2
LOT SIZE: 40099 (SQ. FT.)
NUMBER OF BEDROOMS: 3 THIS PERMIT: 3
THIS PERMIT IS FOR THE CONSTRUCTION OF:
WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF 1
DATE ISSUED:12/16/96
EXPIRATION DATE:12/16/97
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 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:-�E
ISSUED BY:
DATE: /1)"- - / 7_ 14
1 t
DATE: 42 /�' /
As required in the AO 15.50.050b, we attest that the water
storage facility shall be completed as required by the "Water
Storage Facility specifications" in 15.50.070(C) on page 17:
1. The Water Storage Tank shall have National Sanitation
Foundation (NSF) approval.
2. All components of our water storage facility shall comply with
the latest Uniform Plumbing Code.
3. The Water Storage Facility shall a minimum of 1,000 gallons
capacity (a 1140 gallon bladder) for this 3 bedroom house, as
required in section C.4.
4.The Water storage tank/bladder shall. be located inside the house
in a fully heated storage room as marked iin the attached 'Site
plan/As-built survey'. \
5. Access to the water storage tank/bladder shall be clearly and
permanently marked "potable water".
6. Water delivery to the storage facility shall be accomplished as
stated in this ordinance section 070(C)6 & 7.
7. The existing well shall be temporarily decommissioned.
Attached to this application is our "Site Plan"/As-Built
survey which shows all the additional required information for the
application under .050(B) a -h.
Property Owner / date:
a
,50
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of
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Lot 2 Block ��,/ DECc� 4199�q
lop
AlQr is Jud/ vis �� nt, , ea tcica �.t�=y`+�-r vice
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Anchorage Recording District, Alaska Easement. of record other than tho sh = LS -1 19 4' o
the plat of record are not .horn hereon �� '• •'��
otherwise noted. `•�,c •'+. ' "•
LOT SURVEY CERTIFICATION LEGEND gra°goo,--Es;,cu��`� Y
I twreby certify that (hove surveyed the property shown and described Pj Brass or Aluminum capped monument recoJrea:u."b"'�e'
hereon, and that the Improvements situated thereon are within the prop- O Iron pipe and/or rebar recovered.
arty lints and do not overlop or encroach on adjacent property and that O 2 x 2 hub & tack recovered
no Improvements on adjacent property overlap or encroach on the premises • 5/8° x 30° rebar set this survey
In Question and that there are no roadways, utility Ilnee, or other visible �f ggg
easements on sold property except as Indicated hereon. (Q �S �J,� r ,1-, tn+� �k, •+n� .��
Scale ��_ Date Prepared by: �1 R. L. BUTTON
Registered Land Surveyor
✓� (907)279-6200 5/9 W. Eighth Ave. Anchorage A/oska 9950/
Ref. Nov 6 F B. No. Property of:
4/-�O Ke v11r7
MUNICIPALITY OF ANCHORAGE
• DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
- APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel LD, # C55 i — 30 Z- 1n1� HAA # � a11LOLL,
1. GENERAL INFORMATION
Complete legal description LOT Z , NA-2r.J iA S!D
Location (site address or directions) �'� Z� C�SPra,,j e'ou a3:;—
Property owner v I, J Db(z� �.1 �°'^'�,'�'�ay phone 4- " 50$�
Mailing address IS9IDS tn0rNASiy 2a� 1E'�
Lending agency tj �4_ Day phone—
Mailing
hone Mailing address tj IP"
Agent ��� h'l�E Q"i-' Day phoneAddress
Unless
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Mftd+v�e S -ca ct � S cAs�QFJ�
�1cn.� 1... 51-I S"1�J� •
Community well
Public water
NOTE: If community well system, provide written confirmation from State-ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site 1
Holding tank
Community on-site
Public sewer
NOTE: If community' wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA 021
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/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm Ar(— 1` ��"�L phone _??-74/75
Address 84-11 oA,e, 9c) 5Z¢
Engineer's signature Date 3/ 9
r!
6. DHHS S16NATURE
Approved for bedrooms.
By:
Disapproved.
go
sSs OP���
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
V`
CAUTION
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 courtesyto purchasers of homes
and theirlending institutions in order to satisfy certain federal and state requirements. Employeesof 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.
72-M (Rev. 1M) Back MOA #21
MUN UVIALITY Or ANLMOAon
�� CNVIRONMENTAL SERVICES DI N
Z— Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES DEC 31 199
Environmental Services Division
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 34RECH I Y
Health Authority Approval Checklist
Legal Description: L-0 _r Z; NDN/fa S�0 Parcell.D.:
A. WELL DATA 'pF I s S I oN F_.;.D
Log present
Total depth
Sanitary seal (Y/N)
Date of test
Static water level
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed
to Casing hei
FROM WELL LOG
Well pro Ion
WATER SAMPLE RESULTS:
Coliform
ground)
protected (Y/N)
AM
F42_o,"i Nr-_� s-rUrC 9t��Dc-2 &Y
Nitrate Other bacteria
Date of sample: 12�ZG P Collected by:
B. SEPTIC/HOLDING TANK DATA
rsr-!j4E.SS
Date installed �O /13 Tank size �0 00 Number of Compartments 2 -
Foundation cleanout (Y/N) Depression (Y/N) IQ
Date of Pumping -7 S t; Pumper �S
1�
C. ABSORPTION FIELD DATA
I,�/�
Date installed 3 _ Soil rating (g.p.d.ff or ft2/bdrm)
r
Cleanouts
High water alarm (Y/N) �J 1-k
3 _ System type
�I .9 Length 50 Width 30 Gravel thickness below pipe
M=0
5-' —Total depth
5 1d:
J Effective absorption area 1 1�5"007 Monitoring Tube present (Y/N)_ V Depression over field (Y/N) N b
t1.1
Date of adequacy test -7 1 S Results (Pass/Fail) PPr-&S For _ 3 bedrooms
A 1�
Fluid depth in absorption field before test (in.); 9l4 Immediately after4� gal. water added (in.):
M Fluid depth 9 Y4, (ins) Minutes later: t 3a� Absorption rate =.-450 _g.p.d.
Peroxide treatment (past 12 months) (Y/N) If yes, give date _ r`f _
k_�.Jtvw "i
72-026 (Rev. 3/96)"
D. LIFe TION
Datinstalled
Manhole/Access (Y/N)
High water alarm level at* _
s ed
E. SEPARATION DISTANCES
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding talk -ea
Absorption field on lot
Public sewer main
Sewer /seaUc-se e
Size in
at*
"Pump off" level at*
v,1Ml S $I
_ On adjacent lots
On adjacent lots
ublic se ole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
� �
Foundation Cd I ± Property line 50 + Absorption field
tJN
Water main/service line /O urface water/drainage loo Wells on adjacent lots
pa.9— t iJ SR RJ—PVw
r
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
pr ---o- ,,asp, ' . l�of� a to' Propertyline � �orT' Building foundation t� Water main/service line
Surface water 7 t oO/ Driveway, parking/vehicle storage area I o r
Curtain drain w+J Wells on adjacent lots y 10o�
F. ENGINEER'S CERTIFICATION
I certify that I
In conforman,
inspections and review of Municipal reco
�s in effect on this date.
Signature `+' \
Engineer's Na e ��F�"I A' L S
Date I'L/31 �91, �� �F9F '•° o° °°�r��
Q ner ea �- as
HAA Fee $ v,3(YD `
Date of Payment
Receipt Number Ao—i2
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
84711 Rroolcridge. Drive — Anchorage — Alaska 99504
Phone (907) 337-61719 - Fax (907) 338-3246
Consulting Engineers
July 21, 1996
ReMax Properties
16600 Centerfield Drive
Suite 201
Eagle River, Alaska 995 % 7
Attn: Joe Perozzi
OF 41 e
O
io
•D•0• e . •• °. bon• 3^en N'
a
• •• °vv9 �a ee � ,.
h y A. Garness - -�
CE -7953 •� ao
"ROFESS1�e
Ref: Well and Septic Evaluation for Imt 2, Ntu•nia SID. Kevin & Doreen Dougherty
Property.
Dear Joe:
Per your request, 1 tested the subject well and septic system on 7/15/96. The results are
summarized as follows: slc>al�-7-p
WELI�X1 ST: The static water level in the well was determined to be 35 feet below the top of
the casing.. W ,"-tui1L ed at a rate of 4.29 gpm for a total of 105 minutes (450 gallons).
During that period, the water leve c 42 feet, to a total depth of 177 feet. The recovery
was monitored for 120 minutes, during which time ter level rose to 92 feet (85 foot
recovery). Assuming 1.46 gallons per foot of casing, this corres IQ as recovery of 124
gallons in 120 minutes, 0" 1 gallon per minute. Rased upon this data, it was Bete' eF Ytr t the
;'clL is adequate for (7 3 1)cclrooui house (4 5i� ,�/Y(0.
WAT i 'IS: Water samples were taken from the hose bibb on 7/15/96. The sample
tested negative for colic rm \,.Eich is satisfactory. Unfortunately, the samples tested
IS. nrg.l for nitrates, it hich e.\ceecic rhe MOXI oirahle limit,of 10 mg/l. The municipality
it ani issue a Health for ibis properly un... ate problem is resolved.
SEPTIC SYSTEM ` F,,` : The initial liquid depth in the monitoring tube was 9.75 inches. I
shot the elevation difference between the drainpipe invert, and the bottom of the monitoring tube,
and found the difference to he approximately I1 inches. In short, the drainfield was not
surcharged. Water was introduced into the bed clean -outs at a rate of 4.29 gpm, for a total of
105 minutes (450 gallons). The liquid level in the monitoring tube rose to approximately 11
P�r ,'17,
inches (just at the drainpine invert), which corresponds to 360 gallons/inch. The recovery of the
system was checked 23 hours later, and the level had dropped back down to 9.75 inches (the tank
was empty during this time period). Based upon the data , the drainfield was deemed to ,be
adequate for a 3 bedroom house (450 gallons per day); however, it should be noted that the
system had to be filled slightly above the drainpipe invert in order to accomplish this.
NOTE: The adequacy cel' a septic system is influenced by numerous factors, including, but not
limited to, seasonal smfacc water i,rfiltralion, groundwater variations, . septic system
r77audenance (frequency of septic tali/ pumping, usage of biological additives), condition of
drain pipe and pipe joiner (which can be damaged by seismic. activity and deteriorate -with -age),
type of substances deposited in septic system (cigarette butts, sanitary napkins, mise. objects),
and the amount of water heing iniroclrtced on a continual basis, Consequently, the results of this
adequacy test are 01713) volid for the specific defy of the test. furthermore, because of the limited
nature of this investigatirm, it is possible that there are hidden defects which may not have been
detected. No warrantee is made regardirrr> thr firorre performance of this well or septic system
CLOSING: It is my understanding that you are going to hire Dave Harper, at Alpine Drilling, to
try and seal a portion of flie well casing oft', in an effort to correct the nitrate problem. Following
the work, Mr. I-Tarper could pull water samples, and submit a copy of the results to me. If this
does not reduce the nii , Ic levels, perhaps the municipality will allow us to install a treatment
system. If you have any questions, please contact me at 337-6179, or on my pager at
1-800-481-1162. Think vnti for your bu:inc ;
Sincerely,
le A. Garn P. ivl.S.
0 r /Consultant
Kevin Dougherty Report \vps
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302
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Lot 2 , Block
IVQa -niq Q5LI&vision (,93-//3)
.l. Bu!ton • � �
Anchorage Recording District, AIOSkO Easements of record other than tho sh= LS.1192 F'
the plat of record are not shown hereon
otherwise noted. y `'�F�•'+., •••�U ,,,,
LOT SURVEY CERTIFICATION LEGEND �® nr��FEs:;!rl: `- S�
I hereby certify that I have surveyed the property shown and described 0 Brass or Aluminum capped monument recohredaa:++. '� �
hereon, and that the Improvements situated [hereon are within the prop- O Iron pipe and/or rebar recovered.
arty lines and do not overlap or encroach on adjacent property and that O 2 x 2 hub & tack recovered
no Improvements on adjacent property overtop or encroach on the pr,emlees 0 5/8° x 30° rebar set this survey
In question and that there are no roadways, ullllty Un", or other visible
easements on sold property except as indlcated hereon.
U X11
Scale a Date Prepared by: R. L. BUTTON
An Registered Surveyor
`--��J
(907)279-6200 5 W. /9 Eighth Ave.. Afl Anchcroye A/asko 9950/
Ref. NW 6_"51-4-r
F. B. No. 41-60
Property of: //Cv%n
TO
TERMS:
11723 01D GLENN HIGHWAY
E,dam1_i MV -11R, ALASKA 99577
(907) 694-664ti
1+ ' 9 +i : )
t
PHONE
MATERIAL
3()15v w Coj f OCv+ vr��
DATEOFORDER
ORDER T,
EN BY
CUSTOMER'S ORDER NUMBER
DAY WORK J CONTRACT ❑ EXTRA
JOB M
UMBER
JOBPIT12
�As
JOB /P NE
C..
_
_ cJ L)�✓
STARTINO DATE/
(/J _IJP
QTY,
f
MATERIAL
3()15v w Coj f OCv+ vr��
PRICE
j°
AMOUNT
hi"
DESCRIPTION OF WORK
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AC)
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_ {a-vn "�CJ— lam(. /~ c.i f P, ✓ GLi f'
OTHER CHARGES
°0
r'
1,10
—
I"- Q vV-\y l C-
L-1) (t—
TOTAL OTHER
a LABOR - MRS. RATE
C\ e\ �S 3, C�5
AMOUNT
in)C9' I
>
t
TOTAL LABOR
U
DATE COMPLETED
TOTAL MATERIALS
'� !�;-
MATERIALS
^•`� f
Work ordered by
Signature
I hereby acknowledge the satisfactory completion of the above described work.
-TOTAL
TOTAL OTHER
TAX
—
TOTAL
(�
R 'it SI
u,ggested List
wa PSheet
618 tat Avenue North, Fort Dodge
,645Q1
rice
Phone 615/573-4136
FAX. 1515-573-11138
V 21 TR J21.2514 Of stJ
of --tic, Fc,(, l Additive Regulal:ionr making it: safe for ctink) -rrt.,
Usc"d for human consumpt'icm.
kjq j,p!-'FfFNT PARTS
No. 11,000 Repair Kit.. . . . . . . .$4i..
No. 2,005 Gate Valve. . . . . . . . . . . 27.30
N,,-). 1508 1-1/2" x 8" NiPPIR . . . . . . . 6.5
No. 1416 1-1-12" IC,11-k Fitt-ing . . . . . . 24. `r
C ns
25% REPACKING & vY'11MNCjj-r1s; 1:HA!,l-,'F (,:I 1,1,f, W--,Tj17ZNP;0 'R N, PIS
-
Minimum Billing $25.00
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;rt4mC1 to Change wif';i4 llotioo.
LITFPS
Vol,
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13
276
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V 21 TR J21.2514 Of stJ
of --tic, Fc,(, l Additive Regulal:ionr making it: safe for ctink) -rrt.,
Usc"d for human consumpt'icm.
kjq j,p!-'FfFNT PARTS
No. 11,000 Repair Kit.. . . . . . . .$4i..
No. 2,005 Gate Valve. . . . . . . . . . . 27.30
N,,-). 1508 1-1/2" x 8" NiPPIR . . . . . . . 6.5
No. 1416 1-1-12" IC,11-k Fitt-ing . . . . . . 24. `r
C ns
25% REPACKING & vY'11MNCjj-r1s; 1:HA!,l-,'F (,:I 1,1,f, W--,Tj17ZNP;0 'R N, PIS
-
Minimum Billing $25.00
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;rt4mC1 to Change wif';i4 llotioo.
IIJ�
20o
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Customer Order No.
Phan .
Date of Completigri
- i G
x
!:..
Alaska
Qty.
Description
Distributor
- - --
COMPLETE WATER SYSTEMS SALES 8 SERVICE
"-mp>
Jim Sullivan
688-2510
ARCTIC
PUMP MPWELL .
P.O. Box 197
or
SUPPLY ;
Eagle River, Alaska
2510
99577
745-
745-2510
N
Fax 688-2543
NWWACERTIFIED PUMP INSTALLER No
6398
Payment clue on receipt of invoice unless other arranaements
made.
IIJ�
20o
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Customer Order No.
Phan .
Date of Completigri
- i G
Name
Address
Qty.
Description
Price Amount
�(
/-I•tA' !:/.r fir' ?1C i
1141
r
Received in Satisfactory Coj dition
TOTAL"—
_
• Please pay by Invoice, Alf account Past Due will be charged 11/2%.
$25 second billing charge
THANK YOU