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HomeMy WebLinkAboutCONTOUR ACRES BLK 1 LT 4Contour Acres Block 1 Lot 4 #017-451-05 r Municipality of Anchorage Development Services Department Building Safety DMsion O on -Site Water and Wastewater Program. 4700 S. Bragaw St. P.O. Boz 196050 Anchorage. AK 99519-8650 Page / of 4 www.d.anchorage.ek.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW060235 PID Number. 017-451-05 Rre. James R. & Beth A. Bysheim Wastewater System: ❑ New ❑ Upgrade A""a 5301 Country Club Lane, Anchorage, AK ABSORPTION FIELD Froar krnborao.noaes 4 ODs.PTnnch 7&W wTmm❑a.d ❑ta-4 ❑otos W RWq Taal DOM tmtd apnal Vbd LEGAL DESCRIPTION 5.0 DpPF E=2.5/ W=2.45 Ft. La �mP"E=015 ��W��s•IW=1.5 010 1 4 CONTOUR ACRES W==0.95 Ft. n TV-av Range s.cean Fr ad"d ae"e alp"I pe" &V Lrgal 2 X 50 Absorption E•1.8I yV11.1 Ft. Ft. darJPrMte Gma aan Mn.+ar a erre Dutriu erw.an al Well• El New ❑ Upgrade E=5.0 / W=5.0 FI, 2 14 FT Cwaa +aen(Pmre. A b. C). Tar D.an Ce"dn Tar awaalwa.« 402• Pq. Mates HDPE.PVC 236' n, a FT 90 12 ga. steel on. Dnu.d soot Wr.r ua _. arWMr A+ Home Services Date Mir.dad 1 812912006 r.M Pu Sr r. c"'n'H.,'"'m°'"" TANK GPM FL FL SEPARATION DISTANCES ❑Septic []Holding El S.T.E.P.❑dr. To Sa 1c Absorption Ldt darJPrMte '�"" Anchorage Tank & Welding 1500 O.t Fmm Tank Field Station Tank Tank Sewer Lka .—.— of ca�yene.a" 114.3' 236' 132' — 100.3' 90 12 ga. steel 2 wed >100' >100' — LIFT STATION suteoewry >100' La Line 89, 32'88' — 100 Da, Anchorage Tank & Welding 'PNIVW M.ar Punp dr MNI.t HNn wMe!r/mr FaM.Dan 10.5' 135' 27.1' — 32 „ zz ., I. Cuba Dm — — — — V OSI -20 MOA Remarks Old tank was abandoned in place, per MOA code. BENCH MARK r ao- Old 1983 bed was abandoned in place. *East trench Garage Slab installed 8128106 had only 40% effective absorption 98.17 Ft area due to poor soil quality. Only 1 ft effective depth Engineer's Stamp considered on west trench, due to change in soil strata. Changed design to AdvanTexAX-20. Tank is standard 12 ga. 1500 gal STEP. Inspections performed by: Cindy W. Ellis, P.E. Dates: 1r 823106 2nd =4106 Development Services Department Approval Conditional Approval by: Date: Reviewed and Approved by: Date: 07 ew Iwo! 49LH 11dY W. Ellis CE. tos77 12/20/2006 10:43 3491934 WATKINS ENGR PAGE 01 Watkins En %neer%n In 907-349.1851 F.O. Box 110443 9 g, 907-349-1934 fax Anchorage. AK 99511-0443 Email: cwelfiisMod.net Fax a: oe Goodall 1 MOA Onsite ram: �Iroy^ Ellis, P.E. ax: 49 7847 ages: LJtticWing cover hone: 3-7908 2006 Another design change for Contour Acres Bk 1 Lot C: As per our phone conversation today, we are changing the design of the septic system for the subject property to be an AdvanTex AX 20 with a 1500 gallon steel tank. We have installed 2-50 It log trenches with 1.5 It effective depth and 2.5 ft maximum depth near best hole #2. When we dug the last of the 3 trenches, we could not find suitable soils. We then dug outside the 30 It radius of best hole #2, looking for suitable soils, with the Mention of digging another test hole. We were unable to find suitable soils. Therefore, we will Install an AdvanTex advanced wastewater treatment system. The 2 trenches that we have already installed will provide more than adequate absorption area. The 1993 trench will be retained for future use. The proposed 15 It extension will not be required to provide sufficient absorption area for 4 bedrooms, considering the increased application rate far the AdvanTex I appreciate your prompt consideration of this design change. This letter will serve to document our phone conversation and the verbal approval. Please call me If you have any questions or concerns. Thank you, Cindy Ellis 12/20/2006 10:43 3491934 WATKINS ENGR PAGE 02 1993 trench WELL 100' to be retained I for future use. Lateral pipe to be leveled. OM / \ + ASPHALT DRNEWAY \ o P N C All $ Existing 1250 gal a \ steel septic tanko (1983)tobe DESIGN DETAILS \ �Ct abandoned in plod 5.0 g.6GPD 0 / CO Requires ShallowTrench chh Proposed AdvanTex AX -20 with 1.5 It effective 1500 gal steel tank RF = 0.78 and pump vault. Requires 19 It length ,gyp Max 2.5 ft deep TH1oQ D� O TH4 io � rI 15 S g I m O TH3 I 1 2 trenches installed 11x28/06 50 ft long, 1.5 ft effective \ 0 max depth 2.5 ft. / (Approximate locations) TH2 East trench: Soil quality only / ° 40% effective. Actual absorption area ■ 128 f12. \� West trench: Sal quality good. Absorption area = 32o U. DESIGN CHANGE ProLine Contour Acres Bik 1 Lot 4 Proposed AdvanTex Septic System James R & Beth A Byshelm Watkins Engineering, Inc. Parcel ID 017-451-05 9' Q Permit Na SW060235 : ' 491r Y. Cindy W. Ellis, RE P.O. Box 110443 `,� wmnue August 29, 2006 Anchorage, Alaska 99511-04430 Sple 1 Inch - 40 ft Phone: (907) 349-1851, Fax: (907) 349-1934e�o........ `°•• ,(� J 44.5' to Property line I F o WELL I CD o I E �pJ ASPHALT DR VEWAY W' CO2 MT5 b ST1 Advan Tex AX-20 with o 1 MH T2 1500 gal 12 ga. steel tank o , Pump Vault Z Based upon a survey U by Shane Holt, LS-6914 , September 20, 2006 (2) 5-wide trenches 50 ft long. 1.5 ft effective. T T3 TH T2 T4 AS-BUILT D = Property Comer S 89°59'00"E Contour Acres Blk 1 Lot 4 0 00000O Record Drawingof Septic Upgrade QE.A p pg Watkins En ineerin , Inc. o cq o James R.& Beth A Bysheim g g ParcellD:017-451-05 �" 49 L">�o Permit No: SW060235'1�/Jr ' A...... cnio. w eu ...... . Cindy W. Ellis, P.E. P.O. Box 110443 C( - 10577 .00� September 25, 2006 Anchorage, Alaska 99511-0443 �Oo.,; .......•••.',�� Scale 1 Inch - 40 ft Phone: (907) 349-1851, Fax: (907) 349-1934 °4D000�o"� A B C D FCO — 8.5 8.9 _ ST1 — 12.7 25.5 _ ST2 — 18.9 33.5 — MH — 20.4 35.2 — PV — 26.8 42.3 — 001 28.3 41.2 — _ CO2 43.2 80.7 — — MT1 — 137.2 — 111.0 MT2 _ 182.4 — 62.2 MT3 — 136.4 — 123.4 MT4 _ 181.2 — 74.7 MTS 35.3 72.9 — — TH — 161.9 — 87.9 FINAL GRADE= STI 98.51 97.00 M77 ADVANTEX 92.40 JAX-20 POD 1500 GALLON 91.78 12 GA. STEEL TANK N.T.S. Final Grade = 98.59 HOLE FILTER FABRIC + INSULATION Bottom of" —, " ` ench= 94.78 Sewer Rock Bottom of ' West Trench MT1=94.78 Note: Test Hole Relative Depth: 82.23 Water @ 90.73 Bottom of Trench = 95.71 Bottom of MT3 = 95.71 -,- AS -BUILT Final Grade = 99.97 FILTER FABRIC + INSULATION Sewer Rock East Trench Note: Test Hole Relative Depth: 83.21 Water @ 91.71 Contour Acres Bik 1 Lot 4 Septic Upgrade Record Drawing Parcel ID: 017-051-05 Permit No. SW060235 Cindy W. Ellis, P.E. October 9, 2006 Scale: N.T.S. 95.19 PUMP VAULT 1.25" HDPE Can change to 1993 trench in Pump Vault of Pipe = 96.38 NOTE Original Grade 9716- 97.23 Bottom of MT2 = 94.78 Invert of Pipe = 96.28 of Pioe = 97.36 Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax (907) 349-1934 Original Grade = 98.16 -98.21 Bottom of MT4 = 95.71 SEPTIC SECTION N.T.S. EDS ELECTRIC INC 907 272 4590 08/30/06 11801mm P. 001 Y From +10078308507 Tue Aug 20 05:54:43 2006 Page 1 of 1 INSPECTION REPORT MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW INSPECTION INFORMATION &HELP: 343-7962 INSPECTION: VOICE 343-0300 INSPECTION. FAX (907)249-7777 w .muni.orglBSDAnspecilons.c'm NAME: EdsElect PERMIT#: 06-7414 COMPANY: INSPECT DATE: 6129/2006 AM PHONE #: 272-4591 PHONE#: PHONE #: ADDRESS: 5301 COUNTRY CLUB LN LOT BLOCK 1 SUBDIVISION: CONTOUR ACRE'S GRID*: SW2837 COMMENTS or DIRECTIONS Septic Lift / call to meet TYPE OF INSPECTION: Olner Electrical COMMENTS: (FOR INSPECTOR USE ONLY) PRINTED NAME DATE:,' EASEMENT ------------------------ Omu � /nTul Foo - FVIovAUT PR ABAPLT ORNEYMY OF.Ak"NN 3 49 ............................... 0 SHANE A. HOLT ° •' LS -6914 ��e!d, ..... '•'A9'YOG THE IIIFDRMATION HERECN ffi fOR THE URE Of LENdNO SMRTRITIDNR BPEOFKALIY TO SHCAV ANY COIFUCTB BETWEEN EAIRTNO STRUCTURE$ AND RUTTED LOT LNES OR EASEMENTS AND M HOT TO BE USED FOR POSITIONNO ADDRKINAL STRUCTURESORFENCEUNES. EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED PUT, ARE NOT SHOWN HEREM NOTE :A "Y ELNESBW MARELOCATEDAPPROKSMTELYA AREM TOBEUREOTODETER PROPERTYLNES OR LOCATE STRUCTURES. ANY PAYNO NDWII WY BE ARPROKSMTE DDE TO B COHORHONB. 1-'I+R1# I HEREBY CERTIFY THAT I IWVE PERFORMED A MORTGAGEES INSPECTION OF THE FOLLOVANG DESCRIBED PROPERTY. LOT 4. BLOCK 1. CONTOUR ACRES SUB. ANCHORAGE RECORDING DISTRICT. ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND THAT NO VISIBLE ENCROACHMENTS EAIST OTHER THAN NOTED. DATED AT ANCHORAGE. ALASKA THIS —2fITH_ DAY OF SEPTEMBER 2_. HOLT LAN008 D SURVEYING 10025. FB 121-60.12582 TEL 9454517 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE AND TAMES + QtiH VSHEIM THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this ,Tdayof Atl GusT of200(,byandbetween TAMES + BETH 6MEINI herein the "OWNER," 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: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as A dyar1Tex AX -a0 located at -5-301 iounlr� C Lar "vie 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, "AMC') 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 AMC 15.65. (1 q s) 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 the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of Z e rO ($Oj-.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 Municipality of installed system. 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 AWWTS 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 will all applicable ordinance, 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: Q h rl U Q C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. (3ofs) 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 system. 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 of 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 party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum 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 changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. 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: J Ct wie S 4 - Anchorage: Anchorage: Purchasing Officer SAe'm 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. OWNER: /1 By: U - Date: R /a 9 l0 (o STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITN': By: Title: Date: ) ss. The foregoing instrument was acknowledged before me this day of 20 ,, by 10i Ahit the oof rj30c oh behalf of the Municipality of Anchorage. N T Y FOR L SI My of mion ssion a Aires: rt Notary Public PAUL JACOB HURLEY State of Alaska My Commwsion E*m Aw.16. 2W Municipality of Anchorage Development Services Department • i+ Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.8850 www.muni.orgfonsite (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Watkins Engineeft Legal description: Contour Acres. Block 1 Lot 4 The attached paperwork has been reviewed and Is being returned for the following reasons: ❑ Original signature or stamp missing on ❑ Calculation error in design. _ ❑ Additional soils information needed. _ ❑ Water monitoring results Inadequate. ❑ Discrepancy in information submitted. ❑ Topographic information missing or inadequate. ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils information submitted. ❑ Well tog required. _ f �39 Omission in narrative. The ins2letion report is missing the number o ❑ Insufficient fill over tank or field. ® Other. 1. An effective depth 14- '15 #VWLC Name of reviewer: Deb Woekerfuss S` -t- Date: 12/27/06 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK z Absefp4icn,4rea,: W.ret : RF --0.8'7; 5x50' 250; 26v/g7= 2g7 -k y Ecm.t : 4090 cP z8�- I15:41 Told = 402 -Al- t 60, MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Permit Number: SW060235 Legal Description: CONTOUR ACRES BLK 1 LT 4 Design Engineer: 0844 WATKINS ENGINEERING Owner Name: JAMES & BETH BYSHEIM Owner Address: 5301 COUNTRY CLUB LANE ANCHORAGE. AK 99516-3013 This permit is for the construction of: ❑✓ Disposal Field ❑Q Septic Tank Upgrade Date Issued: Jul 31, 2006 Expiration Date: Jul 31, 2007 Parcel ID: 017-451-05 Site Address: 005301 COUNTRY CLUB LN Lot Size: 91200 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 ❑ 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: Date: 3 Issued By: (J(/ Date: 7 r 7y Municipality of Anchorage • Development Services Department _Building Safety Division On-Sfte Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsfte (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-451-05 Property owner(s) James & Beth Bysheim Day phone Mailing address 5301 Country Club Lane, Anchorage Zip Code 99516 Site address same Zip Code Legal description (Sub'd., Block & Lot) Contour Acres Blk 1 Lot 4 Legal description (Township, Range & Section) Lot Size 91.200 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field 0 Septic Tank 0 Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage U Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade 0 Renewal ❑ 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. 1vw�, n�_ (Signature of property ownetdor authorized agent) Date of Payment: Receipt Number. 83:we Receipt Number. (Rev. 17105) Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net July 25, 2006 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Contour Acres Blk 1 Lot 4 Proposed Septic System Upgrade To Whom It May Concern: Attached please find the application and supporting documentation to upgrade the septic system for the referenced house, upgrading from 3 bedrooms to 4 bedrooms. There are currently two drainfields serving the property: a bed installed in 1983 and a trench installed in 1993. It is proposed to retain the trench and abandon the bed. The trench was designed for 3 bedrooms, so an additional section of trench is proposed to upgrade it to 4 bedrooms. The trench addition is based upon a test hole dug and evaluated by Tobben Spurkland, P.E., on July 27, 1993. A copy of the soil log is attached. The trench addition will be based upon the original design criteria. The absorption area of the existing trench is 600 ft', and the soil rating was 0.8 gpd/ft' . Four bedrooms will require 750 ft', so an additional 150 ft' is proposed by adding 15 ft of length with 5 ft effective depth. The 4" distribution pipe will be at the same elevation as that in the original trench. The proposed new drainfield is based upon Test Hole #2 dug on June 30, 2006. The hole was dug to 15.0 ft with no water encountered. After a 7 day monitoring period, no water was detected. The proposed drainfield will be installed in a silty sand layer between 2 ft and 8 ft. Two percolation tests were performed at depths of 3.5 to 4 and 7.5 to 8. The upper interval had a percolation rate of 7.5 minutes per inch, and the lower was 40 minutes per inch. An average application rate of 0.62 gpd/ft' is used in the design. Other test holes were excavated and had poor soil quality. The soil logs for TH#1 and TH#2 are attached. Test holes #3 and #4 were visually inspected and not fully evaluated. Sewer Upgrade Permit Application for Contour Acres Blk 1 Lot 4 Watkins Engineering, Inc.; July 25,2006; page 2 Proposed Soil Absorption System: 4 Bedrooms x 150 GPD/BR = 600 GPD System Type: Deep trench Application rate: 0.62 gpd/ ft' 600 GPD / 0.62 gpd1W = 968 ftrequired Maximum Depth: 9 ft Effective Depth: 6.0 ft Proposed Length: 2 x 50 ft Absorption Area: 1200 ff There are no surface waters or private wells within 100 ft of the proposed septic system. There are no slope concerns. I am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Yours truly, 4,de W �� Cindy Ellis, P.E. President Contour Acres Contour Acres t Contour Acres Block 1 Lot 5 Block I Lot 3 / I Block 2 Lot I / t II \ I Approximate kxation / of well t IWELL t � � t WELL ISII�s • WELLI I t Contour Acres Contour Acres\ / t Block 2 Lot 2 , Block I Lot 6 Tit by T / 'Existing m Seplic 1110.1. / / \ system pp'e- t� 'J / ° J I� \ nI / nu \ o I t Ej 'WELL n13 O I WELL I n12 Proposed Septic System s Contour Acres t Block 2 Lot 3 Contour Acres Block 2 Lot 4 t / \ 100' well red/ Contour Acres Bik1 Lot 4 Site Plan for Septic Upgrade James R & Beth A Bysheim Parcel ID: 017-451-05 Cindy W. Ellis, P.E. July 20, 2006 Scale 1 Inch -100ft Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 �Qq OF q...10 a�' 4.. rH� .•;y„ GU........ CIN W. ELLIS 10577 0� a, .•. 10' UTILITY EASEMENT _ nGerrrnl nr-TA11 e ` Need additional 1 1 150 sq. ft Deep Trench WELL 100' _ I 5.0 ft effective 15 long Maxx 10.0 ft deep Contour Acres Blk 1 Lot 4 Proposed Septic System Upgrade James R & Beth A Byshelm Parcel ID: 017-451-05 Cindy W. Ellis, P.E. July 20, 2006 Scale 1 Inch — 40 ft Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 OF At -N E.......�....... qs poo 491HSv„ CIN -1os77 5n ' �•� ,.'o / 1993 trel1ch to be retaliiinnl ON pSCJASPHALT DRIVEWAY for futurettrr��e. C Lateral to �o C pipe _, be leveled. y.?AQP / rX Existing 1250 gal 2MT steel septic tank Tobbe COL Sobbe n o (1983) to be F �� abandoned in places DESIGN DETAILS TM,1993 C i 4 BR, 600 GPD PfOposed 15'x5 AVG 0.62 gpolft2 eff�L trench, adde . CO Requires 968 ft2 Lateral at sameDeep elevation. gal Trench 6.0 ft effective STEP , w1 STEP tank, 2@50 ft long outlet &check valve. ve. Max 9.0 ft deep d0• O TH4 6 Q °y O TH3 Q 000 Q 1 N zO (b ,�• y Test Hole #2 Proposed 2 trenches: 6t30t2DD6 Proposed Trenches 50' long, 6' effective, /Max depth 9. Organics ML 0.5 l Fabric. lnsulatro� 1.25 PVC w1V.25' t.s 2.o 1.25• Pvc holes, 18' OC. SM wro.zs Was MT ��_ 0 TH2 MT s.o 6.0 ft savver \ MT �I e.s 8.0 M ML 12.2 yG�� BOH 's.oG�O� OyG� No Water �O Contour Acres Blk 1 Lot 4 Proposed Septic System Upgrade James R & Beth A Byshelm Parcel ID: 017-451-05 Cindy W. Ellis, P.E. July 20, 2006 Scale 1 Inch — 40 ft Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 OF At -N E.......�....... qs poo 491HSv„ CIN -1os77 5n ' �•� ,.'o Performed For. Municipality of Anchorage Development Services Department Building Safety Division a1 On -Site Water and Wastewater Program 4700 South Bragaw St P.O. Box 1966W Anchorage, AK 99519.6650 www ci enchoraae.ek.us (907) 343.7904 Soils Log - Percolation Test James & Beth Bysheim Date Performed: June 30, 2UW— Legal Description: Contour Acres Blk 1 Lot 4 Township, Range, Section:"- -- TN? Depth (Feet) or9ania5 1 rML 0Coarct /.5 snA p Pgza 14- Reading Date Gross Time WAS GROUND WATER 9- Net Drop 1 ENCOUNTERED? NO 3:25/3:55 MLa 6"-1.75" 4.25" 1f)_ 6/30106 3:58/4:28 IF VES, AT WHAT DEPTH? — 0 6"-2.0" 4.0" 3 Depth to Water After 11- 30min 6"-2.0" Monhodng? Dry E 12- Date: 7-7-06 14- Reading Date Gross Time Net Time Depth to Water Net Drop 1 6/30106 3:25/3:55 30min 6"-1.75" 4.25" 2 6/30106 3:58/4:28 30min 6"-2.0" 4.0" 3 6/30/06 4:2914:59 30min 6"-2.0" 4.0" PERCOLATION RATE 7.5 PERO HOLE DL4METER TEST RUN BETWEEN 3.5 FT AND 4.0 FT COMMENTS 4 hr presoak prior to test. PERFORMED BY: Rocky Trainor / Cindy W. Ellis 1 6a oa4; CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDE INES IN EFFECT ON THIS DATE. DATE: 7-215-06' Municipality of Anchorage Development Services Department Budding Safety Division a1 On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 9951g-6650 www.cl.anchoraae ak.us (907)343.7904 Solis Log - Percolation Test Performed For. James & Beth Bysheim Date Performed: June 30, 2006 Legal Description: Contour Acres Blk 1 Lot 4 Township, Range, Section: Depth 01 an res 45 t.5 Ped Lo4rn 4-15m r4re- 10-I try L 11- 15 X5.0 16- SDN 17- 18 - WAS GROUND WATER ENCOUNTERED? No S IF YES, AT WHAT DEPTH? — L Depth to Water After O Monitoring? Dry e Date: 7-7-06 Reading Date Gross Time Net Time Depth to Water Net Drop 1 6/30/06 3:26-3:56 30min 6"-5.25" 0.75" 2 6130/06 3:57-4:27 30min 6"-5.25" 0.75" 3 6/30/06 4:28-4:58 30min 6"-5.25" 0.75" PERCOLATION RATE 40 (eenLt"Awn) PERC HOLE DIAMETER TEST RUN BETWEEN 7.5 FT AND8.0 Fr COMMENTS 4 hr presoak prior to test. PERFORMED BY: Rocky Trainor / Cindy W. Bills I Vi"X IV GGCc- CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDE ES IN EFFECT ON THIS DATE. DATE: 12J'b�O Municipality of Anchorage Development Services Department Building Safety Division �r On-site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www el anchoreae ek.us (907) 3437904 Soils Log - Percolation Test Performed For. James & Beth Bysheim Date Performed: June 30, 2006 Legal Description: Contour Acres Blk 1 Lot 4 Township, Range, Section: ^u ^ Depth (Feet) D rga„ i cs 9to M L to"" 4- bond4ax 5- MDISf• 6- 5rou foe" 7- of 5a" s- rW+ Con'finuDU5 16- 17.0 WAS GROUND WATER NO ENCOUNTERED? IF YES, AT NMAT DEPTH? Depth to Water After Moottodng4 Dry Date: 77/06 Reading Date Gross Time Net Time Depth to WaterHNODmop1 6/30/O6 3:24 30min 6" 2 6/30/06 3:54 30min 6" 3 6/30/O6 4:24 30min 6^4 6130/06 4:54 30min 6^ PERCOLATION RATE >120 (e+ ) PERO HOLE DIAMETER 6 - TEST RUN BETWEEN 5.5 Fir AND6.0 Fr COMMENTS 4 hr presoak prior to test. Did not take water. PERFORMED BY: fiOCky Trainor/ Cindy W. EIIIS ( 4%7lt`y N/ MG, CERTIFY THATTHIS ST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: , 25 O & I -- Municipality of Anchorage Page I of 3 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: PID Number: D 17 —0S Name` Wastewater System: ❑ New (Upgrade Address: ABSORPTION FIELD Phone: No. of Bedrooms: {Deep Trench ElShallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: p Total Depth from original grade: • G GPD/Sq. Ft. to Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe B w V Ft. =3 Ft. Township: Range: 1 I Section: 7 Fill added above original grade: Gravel length: O MN 3 VX/ X Ft. k Ft. WELL: ❑ New ❑ Upgrade Gravel d&W:AA Number of lines: Distance between lines: �^ ems+ Ft. Ft. Classification'(Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. 010 So. I. r_ ts it 6 Driller: Date Drilled: Static Water Level: Installer: Date i1 [led: Ft. �� YGL Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines Well135 t Material: Number of Compartments: Surface LIFT STATION Water r4o tt Q, Lot Size in gallons: Manufacturer: Line 15 1 Foundation "Pump on" level at: "Pump off' level at: High water alarm at: Curtain Pump Make & Model Electrical Inspections performed by: I Drain No 1144L L Remarks: BENCH MARK Location and Description: Assumed Elevation: dLp iso -ENGINEER'S.SEAL f� S Inspections performed by: I ' Dates: 1st 2nd_ `14i1q.3 Department of Heal and Human Services approval Reviewed and approved by: Date: d" 7--�_' 72-013 (1/91) MOA 26 I I ----I------ ---------------- ---� -A ------------------ -- �tiF I cr FFcl I +'• Well GAS .. 4 . . ♦ • . , ♦ t ♦ ♦ ♦ ♦ ♦ i +t♦ ♦ ♦ ♦ t r ♦ t ♦ + + • + • • • r ♦ ♦ ♦ ♦ f ♦ + f + ♦ + + ♦ �1+i ♦ ♦ ♦ ♦ ♦ ♦ i + f ♦ ♦ ♦ 4 ♦ + ♦ + f + ♦ ! r ♦ ♦ ♦ . ♦ t i • f a • •. + ♦ ♦ r ♦ ♦*..+.+++.+ + ♦ • ♦ ♦ f + ♦ +++++++++ ♦ •i ♦f ri + ♦ ♦ ♦ r + f • ♦ ♦ t • •♦ r r. +♦ •♦ ♦ } + r + ♦ ♦ a r ♦ ♦ r + + + r ♦ + ♦ + ♦ ♦ ♦ + + r a ♦ + • . ♦ ♦ ♦ ♦ ♦ + • ♦ ♦ f + + . + a .14 +'+++♦++'++ I o I EXIST, 1250 GAL TANK i i I i I 1 ll I � � l l 25 0 25 50 75 / 100 125 150 I / SCALE,'! "' - 0 FT, TOBBEN SPURKLAND P.E. LOT 4 BLOCK 1 CONTOUR ACRES SEPTIC SYSTEM AS BUILT 203 W 15TH. AVENUE DATE, SEPT. 29, 1993 ANCH, AK. 99501 SEC 27, T12N R3W ANC AK, ,L .XTSEPH CALBARER4 5301 COUNTRY CLUB LANE SHEETi 2/3 GRID, 2837 Mira F1' 140 5 Feet of Sep tic UNDER PIPE 60 wool Monitor Clean Out Clean Out Standard Trench. 60' LONG TOTAL ank 10' DEEP 5' OF SEWER ROCK 4' mm, Co ver 81,5 rBM, .- BOTTOM OF SIDING 100,OOFT TQBBEN SPURKLAND RE, LOT 4 BLOCK 1 CONTOUR ACRES S,WPMCSSSSESMABEBMT 203 W15TH, AVENUE JOSEPH CALDARERA DATE, OCT, 4, 1993 ANCH^,AK. - 99501 5301 COUNTRY CLUB LANE SHEET, 313 GRID, 2837 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE n ULDI DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 X1-11 X13 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930311 DATE ISSUED: 8/20/93 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. EXPIRATION DATE: 8/20/94 OWNER NAME:CALDARERA JOSEPH H & OWNER ADDRESS:5301 COUNTRY CLUB LN ANCHORAGE, AK 99516 PARCEL ID:01745105 LEGAL DESCRIPTION: CONTOUR ACRES BLK 1 LT 4 LOT SIZE: 91200 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD 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 PR RECEIVED B ISSUED BY: DATE: _:%' J /13 DATE: 413 -F _ E31=�U f -C 1< L i=% IN -1 I> 1=- - E 203 W 15th. Avenue, Suite 206 ANCHORAGE, ALASKA 99501 (907) 279-3916 SEPTIC SYSTEM DESIGN LOT 4. BECICK i CONTDLJR ChCRES JOSEPH CALDARERA No Ground Water or Impervious Layer to 16 ft. Use Standard Trench Soil mating. From test 7/27193 10 min/in = .€3 gal/min Required Area per Bedroom: 150/.8 = 187.5 sq.ft.. Testhole Total Depth 16 Less 6 feet 10 Less 5 feet Cover 5 ROCS Depth Number of Bedrooms 3 Length of Trench 187.5 x 3 1 10 = 56.215 SYSTEM CON I GURAT I ON i STANDARD TRENCH �� � d.� r `e ► - ' TOTAL LENGTH �OF T . gjrt I TOTAL WIDTH 2---€ T. i i�y > TOTAL DEPTH 10 FT. r a' ,? ROCK DEPTH 5 FT. COVER 5 FT_ ! EXISTING SEPTIC TANK CHECK INTEGRITY ABANDON EXISTING SYSTEM REPAIR STANDPIPES INSTALL DIVERTER VALVE 'The installation of this septic system will not prevent wells from be installed on the adjacent lots. 'There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. �, r•.:;� �::; tt:.:i. � :: .:, y <s � -. e:;r i n .t.i c � �::>'.r, r.;(r � 4 HUFFMAN ROAD ��►�`o�@e�i a. 9& •, — I� a�`niosy� O C -j ae' I 6o t� I O I ®3 wa•s ea aLa oalo•e+• �/y Yr s !Oi iJ C'1 Ji" ur'::iG ��%\C'`.'ao., cae^^e �•`, war Lar 3 `I I car 1 I I � I I LOT 5 Q I J j 50 0 50 100 150 200 250 30) I V SCAL E. 1' = 100 7 T, j — -------A— — — — — — — —— — --------0�--——--——— — — — - -I 0 O i LOT 6 Well I I I J I R W. PI I I LOT 2 a o R a 0 --_ LOT 4 / (� TRY CL UB L ANE IV LOT 3 4 \ 2 I UBBLN SFUKKLANU F.E. LOT 4 BLOCK 1 CONTOUR ACRES SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE ANCH, AK, 99501 SEC 27, T12N R3W DATE AUG 12, 1993 e0n7% 0'7o_.3a14 JOSEPH CALBAR£RR 5301 COUNTRY CLUB LANE SHEET, 113 GRID- 2837 cc ��FCl es,tnote I '------ - - - - -- - - -- — — — — — — — — — — — — — - - I •;••- Wel( GAS a r + ♦• ♦ r ♦+a r ! e a ♦ ♦ r ! r i + a ♦+a ♦ + + + ♦ ♦++ + i ♦ ♦ a a •♦aa t a f ♦ ! a♦ ♦h r ++aa ♦aa♦♦ i + 1a++ ♦• i ♦ + + a♦♦ i ♦ ♦ ♦ ♦ i ♦ + ♦ a r ♦ + a ♦♦♦ ♦ • ♦ a ♦ ♦ ♦♦ a ♦ a ♦ ♦ a ♦ a}♦♦ t ♦ f a+F♦+ h+♦ fafa aa++l+r+f ♦+♦+f♦f !♦4♦+ ! + f t+! + + ♦ f ♦ f ♦ ! 4 t h f ♦ a ! h f + f ♦ ! ♦ ♦ t ♦ ♦ + + ♦ + ♦ ♦ a a + i ♦ a ♦ ♦ a ♦ • • a ♦ ♦ • a• a + ♦ ♦ ♦ ••+ ++ f a a t•♦♦ ♦ e f t t + a♦♦ i! a f a • a s♦♦♦♦♦+f+ f rf♦ t a + i ♦ ♦ ♦+♦ ++♦ a r+ ♦ • a ♦ a t + a t f ♦ +r I I EXIST, 1250 GAL TANK o EXIST, BED PREPESED TRENCH N O ' yrd 114i1 L' 3i � � ✓ / / 25 0 25 50 75 i 100 125 150 / SCAL E, 1 " - 0 FT, TOBBEN SPURKLAND P•E. LOT 4 BLOCK 1 CONTOUR ACRES SEPTIC SYSTEM DESIGN 203 W 15TH, AVENUE DATE. AUG. 12 1993 ANCH, AK. 99501 SEC 27, T12N R3W _ f„1 JOSEPH CALDARERA, 5301 COUNTRY CLUB LANE SHEET 1/3 GRIDi 2837 — 60 Monitor Clean Out Standard Trench,, 60' LONG TOTAL 10' DEEP 5' OF SEWER ROCK 4' min. Co ver Clean Bu DIVER TER VAL VE 1250 gal Septic tank r EXIS TING Mlro FI 140 5 Fee t o F Sep tic UNDER PIPE TO EXIS T BED 1e,)U VAL 3tt'111-: 114NK INSTALL CLEAN OUTS AS REQUIRED IIUBEEN SF'UKKLANU F.E. LOT 4 BLOCK 1 CONTOUR ACRES SEPTIC SYSTEM DESIGN 203 W15TH, AVENUE JOSEPH CALDARERA DATE- AUG, 12, 1993 ANC1-1 -A K,^99501 5301 COUNTRY CLUB LANE SHEET- 3/3 GRID- 2837 (Elf t EEW&S&AI�)' 9 ° v , r r ` eon iR � 4 4 rk1 e Municipality of AnchorageTO DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650�y.` SOILS LOG — PERCOLATION TEST PERFORMED FOR: cbe ,212-CY" DATE PERFORMED: 'LEGAL DESCRIPTION: L-0 Township, Range, Section: SLOPE SITE PLAN C0" A e� 1 \ C✓i � i��/ �o ave... N 2 Net Time ENCOUNTERED? ,�L7 • -� >A 911-4.6 S 4- L IF YES, AT WHAT 5 DEPTH? P 6 Depth to Water fter Monitoring? �' '" -7� Date: 7 8 .. 9 �. 10 • �� 11 '• 0 12 i w 13- 314 1,9,0 I 10 14- t0 b1-0 15 15- 16 y 40 7'/ 3*/ %A0I 17- 18 19 20 COMMENTS WAS GROUND WATER Net Time ENCOUNTERED? ,�L7 • -� >A 911-4.6 S L IF YES, AT WHAT O DEPTH? P E Depth to Water fter Monitoring? �' '" -7� Date: 7 Reading Date Gross Time Net Time Depth to Water Net Drop • -� >A 911-4.6 Prc.. ��;0� e-� .. y O 15.0 r1 0 1.10 w tO 1,9,0 I 10 t0 b1-0 6 40 7'/ 3*/ PERCOLATION RATE 10 (minutes/inch)RC HOLE DIAMETER ��ff / TEST RUN BETWEEN 7 FT AND / 2—f -T PERFORMED BY: Q r Jc- CERTIFY THAT T S TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 72-013 (Rev. 3/78) CS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL" PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street_- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPI?§AL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ®1TE-W L 5j(0';>_0Q E:1 UPGRADE MAILING ADDRESS ` 5-:5722--B LEGAL DESCRIPTION L o i `i �t_pCI i t.1 Tr S LOCATION NO. OF BEDR OMS i DISTANCE TO: Well Absorption area Dwelling PERMIT NO. 30 Z V t 0 aZ Manufacturer G ZF_E.c2 Material sT>cE� No. of compartments W 9 Liq. capacity in gall ns a2SO , IF HOMEMADE: Inside length Width Liquid depth C Y DISTANCE TO: Well Dwelling PERMIT NO. Jaz 2 Z � Manufacturer Material Liquid capacity in gallons j DISTANCE TO: Well , ot7 Foundations Nearest lot line �t PERMIT NO Q,,ZQ W C7 J LL No. of lines Length of each line Total lengt of lines Trench width ' Distance between lines ? 60 'L X it as q..5 Q Q i Top of tile to finish grade Material belheath tile � Total effective abs ption are Q inches ( Length Width Depth PERMIT NO. W C7 aF Type of crib Crib diameter Crib depth Total effective absorption area Wa LU Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J W 3: DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER 1 PIPE MATERIALS >, r Cpisc- IVb(51f+P-0,,rs T,�e SOIL TEST RATING 3-5 fl /� O INSTALLER � E12 2 i REMARKS QS 2 ' APPROVED DATE LEGAL t,, . 2 - Q L 1-/ a 4Co N-r 72-013 (Rev. 3/78) CS Date Drilleds 5-29-84 Static Water Level 208 feet Draw Down N/A feet Type Material Drilleds 0 feet to 40 Sanc'y clay w/roc.ks 40 feet to 52 Sand 52 feet to 55 Sandv clay 55 feet to 60 Snml wlr/ ,navel .?ve Calderera Lot 4 Rl.k 1. Contour Acres Subd Gallons Per Minute 1.3.5 Total Feet of G"asing '32 60 f. e e t to 1.00 Silty clay 1„614II . ripen iTv QF ANCHORAGN DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION 100 feet to 1.1.5 Sand 115 feet 120 feet to to 120 135 `'pndv clay w/Travel.._._.. Sand JAN ,_.. " �D 135 feet to 180 Sand w/�ravel. Hefty Drilling 180 feet to 220 May wlf/ ravel S.R.A. Box 1553 H Anchorage,Alaska 9950? 1 9200 L 220 feet to 232 Gravel w/wa.ter -- ' �11 r-4 I CZ: I ' K_ I _r�e Cl F= F� N���0��0�� DEPHRTMEN. . [ HEALTH AND ENVIRONMENT' ' TTECTION .-- 825 'LSTREET, ANCHORAGE. -HK. 99-11 /-' 264_47220 6� WEEL-L- F:4ND -FE-= ' ������� �F=Fe_M I� `ePERMITNO. � ��5� ' -'& HNN W%NDF CIRCLE 99�0 562-0942 ' HPPLICHNT JOSEPH S. ��'f�*��� ����-� �vw�n | LOCHTIONLOT 4 BLOCK 1' CONTOUR ACRES 5/D. I' ^ LEGAL T14N RaW SFC 26 LOT 5IZE -�58050 SQUARE FEET � ____ ` TYPE OF SOILABSORPTION SYSTEM MAXIMUM NUMBER OF BEDROOMS = 3. IS:, TRENCH SOIL RATING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: �� �� ����H = �� ������= ��� ����a � �����= ' ` .HE LENGTH DIl"IENSION IS THE LENGTH (IN BET) OF THE TRENCH OR DRAINFIEUl ' 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 THEMINIm«M DEPTH OF GRAVEL BETWEEN THE OUTFHLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). �F:�r-4K JLC -71C -31D ������­"-= / ` PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. < 2' ":F. F=FE C _r I ID F� Fe E: FR a Q U I F -C FE C' BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN WELL HND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL ' MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED HND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS � OF THE WELL COMPLETION. i'OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. �F;;?- M I -T �X F� I F= -H. F= M E --r- FE�� ` I- CERTIFY THAT i: I HM FAMILIAR WITH THE REQUIREMENTS FOR um -SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2' I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ' 2' I UNDERSTAND THAT THE ON-5ITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS. ROOM5 ` . . '--- �� y / | .0 �SIGNED: & ANNIE CHLDT PH S. _H_R_E_R_H 5 o , ISSUED -BY - ^� _~_DHTEu/�_(a _______ \d�� � --V4.0 ~���� , � -~ ����'�� �� ` ��~ �..~ � y� w~ v�°�� xSOI LS LOG MUNICIPALITY OF ANCHORAGE EPT. OF HEALTH A MUNICIPALITY OF ANCHORAGE ENTAL PROTEGT66ARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION • TEST G 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST RECEIVE. _ -71 /03PERFORMED FOR: d R��� DATE PERFORMED: s2S LEGAL DESCRIPTION: Loa 4 B V, I CON 1 0O R. ANLR E..S S F—: C_ .2(..7lyM, lea W -ro I' L SLOPE SITE PLAN P sa l„aavh 1 n 2 3� 11111 G1L<T H L 4 5 6 7 8 9 -10 11 12 13 14 15 or- F} C)1-1 - 16 ,� O �t a�qit s Net Time :4 ,... 0-,�00 71L M 'Wafter •7 /2 19 ' �Q 2225-S :� �'i /2-0 s'a'• U E 25, 19A : 20 � �y;• �t ••���id �•E��� NAL ? NAL 3o#-ei;q� % ~� COMMENTS WAS GROUND WATERS ENCOUNTERED? b L O V P E IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Net Drop 0-,�00 71L 'Wafter •7 /2 a; v -n /20 /2-0 Z 'a.o 30 16 0 3o#-ei;q� % 0.5 3; rro f i o -bo % �l Z >- PERCOLATION RATE i6 0 (minutes/inch) TEST RUN BETWEEN /20 FT AND 1-�; FT PERFORMED BY: � CERTIFIED BY: / • s DATE: t-3 72-008 (6/79) �t, �. ��4:._, �� ,� 4 Ii/ /' S' � .. � � .t � �.� _y i ,�. _.. ,_ .• �, �" � 1 i �e _�, ;.a f � x +� ,� s_.. � i �_ �� �a ,.. j�°'y. A r %�� l V "'�'::/ i f�' ��`�J Municipality of Anchorage e° ' Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 / Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. n 1 -7 - 4.49' I- b b COSA# O G 0 0 5 7 1. GENERAL INFORMATION Expiration Date: _r3,- -.P- 7 - O w Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address CONTOUR ACRES SUBDIVISION; LOT 4. BLOCK 1. 5301 COUNTRY CLUB LANE • ANCHORAGE. AK 99516 NICK TRAWINSKI Day'phone 348-6094 5301 COUNTRY CLUB LANE * ANCHORAGE. AK 99516 DEBBIE CLOUTIER w/ REMAX Day phone Dayphone 242-9131 110 WEST 38TH AVENUE * ANCHORAGE, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well N Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the 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 COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems 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. I further verify that based on the information obtained from the Municipality of Anchorage riles 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Lt D. attempted to provide a thorough, conscientious engineering analysis of the system to accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readilyldentifiable 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 performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for :3 bedrooms. Disapproved. Conditional approval for Phone 337-6179 Date 7�Li/C6 bedrooms, with the Mowing stipulations: ................ ey Garness: CE -795) 2, ;1WO cgPQv proressi0��oo Septic System Advisory Maintenance Agreements Well Flow Advisory Nitrate Advisory Supplemental Engineer's Reort Other By: Original Certificate Date: 2— 27-06 IF. IIASI Municipality of Anchorage Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragsw Street P.O. Box 196650 Anchorage, AK 995198650 www.muni.orglonsits (907)343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: CONTOUR ACRES SUBDIVISION: LOT 4. BLOCK 1, Parcel ID: 0 /7- 45-1-.OS- A. s1-O.- A. WELL DATA Wen type PMVAIE If A, B, or C provide PWSID# N/A Date completed 5/29/1984 Sanitary seal (Y/N) YES Total depth 232 ft, Cased to 232 ft. FROM WELL LOG Date of test 5/29/1984 Static water level 208 ft. Well production 13.5 g.p.m. Well Log (YM) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 1/31/2006 212 ft. 3.4 g.p.m. Coliform 0 colonies/100 ml. Nitrate O.603 mg./L. Other bacteria _ 0 colonies/100 ml. Arsenic: cs.o ug./L. Date of sample: 1/31/2006 Cone«ed by; GEG. Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Data installed 11/2/1983 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping 2/9/2006 Pumper MCDONALDS PUMPING C. ABSORPTION FIELD DATA TESTED OLD BED Date Installed 11/2/1983 Soil rating (g.p.d./ t'orl�d 330 System type BED Length 65 ft. Width 23 ft. Gravel below pipe 0.5 ft. Total depth 04•e -e• 1 ft. Eff. absorption area7 495 ft' Monitoring tube YES Depression over field NO Date of adequacy test '2/10/2006 Results (Pass/Fan) PASS For 3 bedrooms Fluid depth in absorption field before test 2_5 in. Water added 1002 gal. New depth 6 in. Elapsed Time: 205 min. Final fluid depth • 5.5 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) NONE KNOWN If yes, give date - •PRESOAKEO WITH 1003 GALLONS ON 2/9/2005. ••0.5" BELOW INVERT OF DISTRIBUTION LINE. D. LIFT STATION Date installed Size in gallons "Pump on" level at _in. E. SEPARATION DISTANCES High water alarm level at Cycles tested Meets alarm & circuit requirements?, SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAifi station on lot 100'+ Absorption field on lot 100'+ Public sewer main 100'+ On adjacent lots 100'+ On adjacent lots Public sewer manhole/cleanout 100'+ 100'+ Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 50+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line t0!+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain 25'+ Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field insperdfons and e! review of Municipal records that the above systems are In conformance with MOA COSA guideAnes in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 21zZ/04 COSA Fee S Y 47 4� Date of Payment Receipt Number t7 2 (P V.Ivo5) Waiver Fee $ Date of Payment Receipt Number .... ./.... ........:**, am ess: CE -7 3 X171 W, c� GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS February 13, 2006 Municipality of Anchorage Department of Development Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: IiAA for Private Well & Septic System. Lot 4, Block 1, Contour Acres Subdivision. To whom it may concern: The subject lot has a 3 bedroom house on it which is served by a private well and septic system. A site visit was made to the property on 1/31/2006 to test the well and septic system. At this time it was noted that the drainfield that was installed 9/17/1993 was surcharged and was not testable. On 2/6/2006 the bed that was installed on 11/2/1983 was connected to the septic tank. The bed is 23 feet wide, 65 feet long, and has an effective depth of 0.5 feet. The bed was presoaked with 1003 gallons of water on 2/9/2006. Prior to starting the adequacy test the drainfield had 2.5 inches of liquid in the monitoring tube. A total of 1002 gallons of water was added to the drainfield which caused the liquid level to rise 3.5 inches to 6 inches (liquid at invert). The drainfield was then checked 205 minutes later and found the liquid level to have dropped 0.5 inches. Based upon this data, it was determined that the absorption rate of the bed exceeds 450 gallons per day, as required for a 3 bedroom house. If you have any questions, please contact us at 337-6179. P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.com N 1Or UTI$lW CAS C M C NT OWCLL V V 1 p sdS0O I ZI e cp 3 <1 0 ml ..�. ❑ J Ol 1 �I �I r' I 000000pp� � o •cF!•�F'A•L'9��0 o Q�P•.• S Z' 491-H* Aupo r....:............................D AS -BUILT SU Y 44 SCALE : 1• 40• A a SHANE A. HOLT: QQ oo•A Y Q' L6:6914 If , MORTGAGEE'S INS INSPECTION HAVE PERFORMED 440''••••• d MOCRIBED RINSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. OgY0w4 uOw,L ✓oo LGN, BLOCK 1, CONTOUR ACRES SUB. S Ei9 5900E 120.00 ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE THE INFORMATXNN HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIRCALLY TO SNOW ANY CONFLICTS BETWEEN WITHIN THE PROPERTY LINES AND THAT NO VISIBLE EXISTING STRMMRES ANO PUTTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL ENCROACHMENTS EXIST OTHER THAN NOTED. STRUCTURES OR FENCEUNES. DATED AT ANCHORAGE, ALASKA THIS _ITT"_ EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED PUT, ARE NOT SHOWN HEREON. DAY OF _FEBRUARY 2008 NOTE'. ANY FENCEIINES SHOWN ME LOCATED APPROXIMATELY AND ME NOT TO BE USED TO DETERMINE PROPERTY LINES HOLT LAND SURVEYING W025. FB121E OR LOCATE STRUCTURES TEL 945-0515 ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. Location (site address or directions) 30! CQ0N7A%Y GLaB L&NI- Property owner CfAL bA fzg ►2 A<.T s i� p 1-I Day phone Mailing address Lending agency Day phone Mailing address Agent kle400 P vG:5:�U �.-aLA UlIL44e- Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. ' NUMBER OF BEDROOMS: — ? 3. TYPE OF WATER SUPPLY: Individual well 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 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 k21 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. l 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 complianipe with all Municipal and State codes, ordinances, and regulations in'effect on the'date of this inspection. Name of Firm urV la k.al P = Phone A79 - B'l �6 Address :W is, Engineer's signature Date 3�g19? AW 74 /.rypyP�y, w•� tl � �i..•.'rA etfYt�•� t r ©tl eUJJ32il' fi59 tlf' ` Ar 2 otl�tltl •tlse ea uca oo 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional' Comments _ 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. 72-025 (Rev. 1/91) Back MOA 021 D. LIFT STATION,/ Date installed Size in gallons Manhole/Access (Y/N) "Pump on level at* "Pump off' level at* High water alarm level at* *Datum Cycles tested E. SEPARATIONDISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/lig tank on lot IQ ; On adjacent lots !fes Absorption field on lot /-35+ Ft ; On adjacent lots Si / 6ae7 Public sewer -main NIA- Public sewer manhole/cleanout M/At Sewer /septic service line 7 i Da G,!~ Lift station ov,e- SEPARATION DISTANCES FROM -SEPTICS TANK ON LOT TO: Building foundation 17 P Property line 5 /'0 P Absorption field /D P/ -- Water main/service line —Surface water/drainage Nl o Wells on adjacent lots 7� /yo P& SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO; Building foundation l e2 r—& Water main/service line '> 50 lC t Surface water %D Driveway, parking/vehicle storage area 7.? -r FLS Curtain drain N/ D Wells on adjacent lots Property line /5 IC76 F. ENGINEER'S CERTIFICATION 1 certify that I have determined thru field inspections and review of Municipal records r c terh� in conformance with MOA HAA guidelines in effect on this date.°4: Signature OPN :_^+ Engineer's Name be� 5��raae `Q�.•�G•j �.� e•!e er bfcr S rkkm d ��sA CE -1 144 • `R° s .� _ Erni J_ Fjlw HAA Fee , $ lt1J . fj Waiver Fee $ Date of Payment G / Date of Payment Receipt NumberReceipt Number Rev, 8/95 OSS- haa.wk.doc 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 I.D.# 01% qJ I-D_�; HAA #1�`i?)UQlro 1. GENERAL INFORMATION Complete legal description Lo Y 3 K C-0 u, o�.�-�c' �c�-•� Location (site address or directions) 5 3D 1 C" La. 6 1)._3( Property owner ti i' _ !�' Day phone Mailing address 5 Lending agency AIA4L, US A D401- X94-+ V-4nour54Day phone 79-6 -21`lo L( Mailing address Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 �( 3. TYPE OF WATER SUPPLY: Individual well 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 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 N21 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 invnntin_n+in of +hio Wnol+_k ALi+hnri+v AnnrnwoI onnlirnotinn chninec th2t_tha nn_cito uio+or ci i-n-nI and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify 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 o e- t4 _1� P u La�vL9 -I > Lz Phone 2-7q-&91.6 Address Engineer's signature I/,/ Ls— l- I--( 2a 3 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Date 1" I l a3 l ".) bedrooms, with the following stipulations: Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L4 B k 4 covto,, r lures Parcel I.D. 017 " L461 - 0-5 A. Well Data Well type If A, B, or C, attach ADEC letter. ADEC water system number N,,///A Log present (Y/N) �� Date completed 5129' 1,6 y �l�t Driller * Total depth c 3Z Cased to 3Z Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG Date of test ,1�i 9 / S- y Static water level 20 g Well flow 13.s- 9 -p -m Pump levell Go SEPARATION DISTANCES FROM WELL TO: AT INSPECTION 71;L7 /f s MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION 7 5� 9-p.mOCT 0 5 1993 RECEIVED Septic/holding tank on lot 1 DSD + ; On adjacent lots i� 1 C?'tD �I,� . Absorption field on lot 4, 1°t q 3 On adjacent lots > / S o Public sewer main Public sewer manhole/cleanout N/A til 1 O Sewer service line > Petroleum tank WATER SAMPLE RESULTS: Coliform 6J Nitrate O / 1 Other bacteria 4� Date of sam le: 8 A g 3 Collected by: - g B. SEPTIC/HOLDING TANK DATA Date installed 1 1 • Z. -e95 Tank size Compartments o2- Cleanouts (Y/N) Foundation cleanout (Y/N) Depression (Y/N) N1 High water alarm (Y/N) NSA Alarm tested (Y/N) �I,� . Date of pumping ("� !4 4, 1°t q 3 Pumper z to SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 16.0 t- On adjacent lots >� t at--> Foundation 161 l Ofl fi —Absorption t To property line ption field � o �' Water main/service line > X O Surface water/drainage X10 72-026 (3/93)' Front LJ"Ov, "CSX pa A CONTINUED ON BACK PAGE C. LIFT STATIONfit% Date installed ,, Size in gallons Vent (Y/N) High water alarm level _ "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested Surface water Date installed 17 q 3 Soil rating (GPD/Ft2) e 0 SystemtYP e Length 10.0 Width 2- Gravel thickness Total depth Total absorption area to &-C�l Cleanout present (Y/N) ` Depression over field (Y/N) Date of adequacy test tq1/, Results (pass/fail) for 3 Bedrooms Water level in absorption field before test N /,4, After test Peroxide treatment (past 12 months) (Y/N) N If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 1 3 -15 On adjacent lots > /3-0 Property line To building foundation A iv To existing or abandoned system on lot d 0 : On adjacent lots > 30 Cutbank N o vt C Water main/service line Surface water N0 ,n -e—Driveway, parking/vehicle storage area b O + Curtain drain 'l`4 o 0 e - E. ENGINEER'S CERTIFICATION 1 certify that l have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. HAA Fee $ J66, a O Date of Payment Receipt Number's J 1 72-026 (3/93)" Back Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information (a) Legal,pescription,(include lot, block, Location (address or directions) �v c_%U J / (b) Applicants Name _ A 0 V1 Applicants AddressS7-3(;"160(-104'y Application Date �Z(lq �g-N .vision, section, township, range) A Telephone - Home .s4�73 Business '55" 1, (c) Applicant is (check one) Lending Institution Ra ; Owner/builder = ; Buyer ; Other E'�:l (explain); -h (d) Lending Institution SA J ptt4;, Telephone AdbssC- (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. ape of Residence Single -Family 5Q Multi -Family Number of Bedrooms 3 3. Water Supply Individual Well M Community = Other (describe) Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite �z Public = Community = Holding Tank = Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] S. Engineering Firm Providing Inspections, Tests, File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of 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 regula- tions in effect on the date of this inspection. Name of Firm Telephone 979 -34 �, Address 3 1,r/ ! "f Date /��1�- �'�% = 4�.. G�..�'.�` tA�4 4 l' i (ENGINEER SEAL) r Oro�`: 1H got 6. DEEP Approval Approved for 3 bedrooms Approved Disapproved Terms of Conditional Approval r.. ••.........-...... -! .a o. 2225-E "r Pr '1 .• JUNE 25. 1971 a • •P, �x By Conditional CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP 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. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 390 Type of System Design as c) Date Installed 1111-183 Length of Field a 3 x6 Width of Field ----� Depth of Field y 5 - Gravel Bed Thickness Square Feet of Absorption Area Q�� Standpipes Present (YM) 'T1X/y Depression over Field (YIN) N Date of Last Adequacy Test Results of Last Adequacy lost _N/A Separation Distance from Absorption Field: To Water -Supply Well 175 r.•+' To Property Line 30 To Building Foundation 55 To Existing or Abandoned System cn Lot N 014 E On Adjoining Lots N Q lei To Water Main/Service Line 10 '�' To Cutbank(if present) N ON e To Stream/Pond/Lake/or Major Drainage Course N Q N ; To Driveway, Parking Area, cr Vehicle Storage Area O 'i Comments D. LIFT STATION N o N C Date Installed Dimensions Size in, Gallons Manhole/Access (YM) "pump On" Level at "Pump Off" Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes(YM) Congnents ** Check Permitted Bedroom Ranting Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. Signed Date /2.-/94 7 Company H p MOA No 907-011 KB1/d5/s (Page 2 of 21 �• ♦•• • SZ'LAL...... �. • • i • •.. . • • • 7 • • •• . 2225-E. NE 25, 1971 ..ti 2-15-84 ALA$KA LoInOMMAL COnTROL �Cr��� C�, Inc. engineerinq & 6nuironmental Studies /') January 25, 1984 f Cory Willis Department of Health and Environmental Protection 825 L Street Anchorage, Alaska Dear Mr. Willis: With reference to the inspection conducted by AECS for Lot 4, Block 1 of Contour Subdivision, I attempted to contact Mr. Joe Caldra to confirm that his home was indeed a three bedroom. I was unable to reach him but his realtor, Mr. Alan Loveland, had a floor plan of the hoarse, and verbally verified that it was indeed a three bedroom hone. The number of bedrooms noted in the inspection report is in error. However, the as -built for the system is correct and appropriately sized for a three bedroom hone. In addition, I noted the legal description in the approved space at the bottom of the form is incorrect, and should read "Lot 4, Block 1", as in the upper section of the report. Thank you for calling this matter to our attention, and I hope that we may minimize such errors in the future. Should you require any additional clarification, please feel free to contact me. HRE/cad Harald R. Ehlers Environmental Engineer 1200 West 33rd Auenue, Suite B • Anchorap, Alaska 99503 • (907) 276-1361