HomeMy WebLinkAboutFIREWEED HILL BLK 1 LT 3015 42 mo?5
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://wvvw.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP221451
Work Type: Septic Renewal
Tax Code Number: 01527125000
Site Legal Address: FIREWEED HILL BLK 1 LT 3 G:2634
Site Mailing Address: 10901 LIVINGSTON ST, Anchorage
Owner: MCCARTY NICHOLAS ANDREW &
Design Engineer: C&M ENGINEERING SERVICES
This permit is for the construction of:
Effective Date
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
„t
Is,
c ;�L•It
Departinent
10/31/2022
10/31/2023
12600
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
5
Special Provisions:
1. An additional test hole is required to be done prior to the construction of the septic field. Construction may
proceed at your own risk before the 7 day water monitoring is complete. Please submit stamped and
signed results with the As -built Inspection Report. If the results require a design change, construction of
the system will stop pending On -Site review and approval.
2. The crib and part of the existing trench are to be decommissioned.
3. An Encroachment Permit from ROWfor the existing trench is required prior to Inspection Report approval.
ReeeivedZy: 1_55C eCA /O C4M hGflP f/✓lA
Issued By: kal_461c'_ e
Date:
Date: 10 3 2 Z_
MUNICIPALITY OF ANCHORAGE
Development Services Department r Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 01.5-2,71--Z5
Property owner(s) BRELSFORD
Mailing address 1901 LIVINGSTON
Site address 1901 LIVINGSTON
Day phone
Legal description (Sub'd., Block & Lot) FIREWEED HILL BLOCK 1 LOT 3
Legal description (Township, Range & Section)
Lot Size 12600 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
0
Initial ❑
Single Family (SF) El
(w/wo ADU)
Septic Tank
ElUpgrade
ElDuplex
(D) ElHolding
Tank
ElRenewal
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: $ 232
Date of Payment: _/O/_-� (/-a2
Receipt Number: O d 15 OD
Permit No.
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
C&M ENGINEERING SERVICES
Ph: 907-854-5558
Municipality of Anchorage
Onsite Water & Wastewater Program
4700 Elmore Rd Anchorage, Ak 99507
RE: Proposed Septic System for Fireweed Hills Block 1 Lot 3
Dear Reviewer,
We are requesting renewal of the permit for the subject property. There have been no changes to the site
or surrounding lots that would adversely impact this work, or would be adversely impacted by this work.
Our review of available documentation and field investigation show that this project will not adversely
impact any nearby Wells, Wastewater disposal systems, replacement disposal sites, or drainage flowing
onto and off of the subject property.
Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854-
5558 or by email cgbalzarini(c gmail. com with any questions or concerns.
Sincerely,
Charles Balzarini, PE
10/31/22
,�.�r� �`�1�
r�
�i CHARLES G BALZ,4RINI
CE 1 3854 <`ter
AW
����_PRO FESS10 '
MUNICIPALITY OF ANCHORAGE n1ent
On -Site Water & Wastewater Program �o s
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 n
http://www.muni.org/onsite r
v
D e a i, t nn en
On -Site Wastewater Disposal System Permit
Permit Number: OSP211371 Effective Date: 9/27/2021
Work Type: Septic Upgrade Expiration Date: 9/27/2022
Tax Code Number: 01527125000
Site Legal Address: FIREWEED HILL BLK 1 LT 3 G:2634
Site Mailing Address: 10901 LIVINGSTON ST, Anchorage
Owner: BRELSFORD KIRK Lot Size in Sq Ft: 12600
Design Engineer: C&M ENGINEERING SERVICES Total Bedrooms: 5
This permit is for the construction of:
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions:
1. An additional test hole is required to be done prior to the construction of the septic field. Construction may
proceed at your own risk before the 7 day water monitoring is complete. Please submit stamped and
signed results with the As -built Inspection Report. If the results require a design change, construction of
the system will stop pending On -Site review and approval.
2. The crib and part of the existing trench are to be decommissioned.
3. An Encroachment Permit from ROW for the existing trench is required prior to Inspection Report approval.
7.25.2022
Received By: Date:
Issued By: Date:
UNIMPAUTY OF ANCHORAGE
Development Services Department `'.,T Phone: 907-343-7904
On -Site Water & Wastewater Section - Fax: 907-343-7997
ON-SITE SEPTICM/ELL PERMIT APPLICATION
Parcel I.D. 015 271 25
Property owner(s) Brelsford
Mailing address
Site address 10901 Livingston
Day phone
Legal description (Sub'd., Block & Lot) Fireweed Hill Block 1 Lot 3
Legal description (Township, Range & Section)
Lot Size 12,600 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
0
Initial ❑
Single Family (SF) El
(w/wo ADU)
Septic Tank
Q
Upgrade 0
Duplex (D) ❑
Holding Tank
ElRenewal
El
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
C&M ENGINEERING
(Signature of property owner or authorized agent)
- - Permit/Rush Fees:- -595-- -- -- --Waiver Fees: 0/1eo - - - - -_ -
Date of Payment: .271/2 0,9 Date of Payment:R1zglz
Receipt Number: 0 Jyy(0b Receipt Number: 0160317
Permit No. OSP,, 1 1 3 % 1 Waiver No. 0SVZ1107S
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
Ca 2:2Z I
C&M ENGINEERING SERVICES
Ph: 907-854-5558
Municipality of Anchorage
Onsite Water & Wastewater Program
4700 Elmore Rd Anchorage, Ak 99507
RE: Proposed Septic System for Fireweed Hills Block 1 Lot 3
Dear Reviewer,
We are requesting a change order to the permit for the above referenced property.
The owner would like to install a Category II AWWTS system.
The CAT II AWWTS is a better fit for the site and does not require approval of new waivers.
The owner may wish to retain a portion of the old field as a reserve site. The owner will obtain Letters of
Non objection and/or encroachment permits as required prior to connecting to the old system.
Our review of available documentation and field investigation show that this project will not adversely
impact any nearby Wells, Wastewater disposal systems, replacement disposal sites, or drainage flowing
onto and off of the subject property, except where noted below.
Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854-
5558 or by email cgbalzarini(cDgmail. com with any questions or concerns.
Sincerely,
Charles Balzarini, PE
7/10/22
r� CHARLES G BALZARINV
�CE13854 , -. 0A-
PROFES510NP�.,�'412`
_ Z'tti1�1�
C0 -;2X -I
c&M ENGINEERING SERVICES
907-854-5558
Septic Design Calculations
Residence: FIREWEED HILL BLOCK 1 LOT 3
RESIDENCEj�.O7=INFO ; ' `;
number of bedrooms 5 b
Water usage/bedroom 150 gpd/br
Water Usage 750 gpd
system type: CAT II
type: Shallow Trench
2
Application Rate gpd/sgft
required absorption area 375 sgft
trench width (W) 5 ft
gravel depth (D) 4 ft below distribution pipe
Min Required Length: 37.5 ft
Max ex depth 8 ft
"DIMENSIONS FOR REFERENCE ONLY. SEE PLANS FOR DIMENSTIONS TO BE USED IN CONSTRUCTION"
Calc By: CGB Date: 7/10/2022
Ilk~�
CHARLES G BALZARINI"
CE13854 <'`�7A
is��
�� Fp PR4FESSIONP�.�,m,
/
/ / 1
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BLACKTREE LOT 2'
\ BLACKTREE LOT 3
\
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0
Z
100' WELL RADII
I
DECOMISSION —
XISTING CRIB
DOUBLE COS
DEMOLISH RE
WALL AND L
SLOPE. COOP
WITH
/
water
ANC
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N• CHARLES G BALZARIUl • A
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� I `l���F�pROFESSIONP�'.
/ FIREW�ED HILLS
DEPTH:
Lor 2 TESTHO18'LE BLOC 1 LOT 6
/
PERC RATE:3MP 106'/
GWT :DRY
FIREWEED HILLS
BLOCK 1 LOT 2
CONTOURS
SLOPE IS DOWN
UT9T—Y EASEMENT ! TO THE EAST
•�� DECOMM76N EXISTING FIELD
APPROX OLD TESTHOLE
R�^D VEWAY_ ��
LOCATION FIREWEED HILLS
DEPTH: 16' BLOCK 1 LOT 4
SPUTTER' '+. • .• Y : 27 MPI
�...: PERC RATE•
jj �. F; GWT: DR
LOT 4 TESTHOLE
/y `•'"'� DEPTH: 16.5'
PERC RATE: 7.3 MPI 08'
%-1•.:::• 100' WELL RADIUS GWT: DRY
2'%1D5'x5'EFF DEEP TRENCH
IING�•/ MAX EX DEPTH OF 12'
E NEW 1500 , DEMOLISH OLD TANK PER \
NER GAL POLY SEPTIC TANK MOA REQUIREMENTS
>'� W/ INSULATED RISER
AT MacT CHAMBER
I FIREWEED HILLS
BLOCK 1 LOT 3
MICHIGAN
,SEE SITEPLAN FOR DETAILS
SCALE: 1" = 50'
5.
LEGAL DESCRIPTION: FIREWEED HILLS BLOCK 1 LOT 3
\
OWNER: BRELSFORD DATE: 8/30/211 REV: I DRAWN: CBJ REF:
AREA PLAN
5 BR
HOME
US
I
NOTE: LOCATE EXTENTS OF EXISTING FIELD
AND CRIB PRIOR TO INSTALLING NEW FIELD.
IF CLOSER THAN SHOWN, REPLACE SEWER ROCK
WITH MOA SAND UNTIL SEPARATION IS ACHIEVED.
/
,SEE SITEPLAN FOR DETAILS
SCALE: 1" = 50'
C&M ENGINEERING SERVICES
907-854-5558
LEGAL DESCRIPTION: FIREWEED HILLS BLOCK 1 LOT 3
OWNER: BRELSFORD DATE: 8/30/211 REV: I DRAWN: CBJ REF:
AREA PLAN
NOTE: INSTALL ALL COMPONENTS IN ACCORDANCE WITH MUNICIPAL CODE
AND MANUFACTURER'S RECOMMENDATION
THE WELL RADII AND LOT LINES MUST BE MARKED PRIOR TO CONSTRUCTION
Com
Ak kski
lip
I FIREWEED HILLS
/*: nTw
• MONITOR TUBE.
BLOCK 1 LOT 6 ..
°CLEANOUT
/ rr CHARLES G BALZAR191 • .
�P. CE-23854���
LOT 2 TESTHOLE / / �l � PROFESSI�NP�.r
DEPTH: 18'
\ PERC RATE:3MP 1@6'
GWT :DRY
FIREWEED HILLS
BLOCK 1 LOT 2 1' CONTOUFjs3�
SLOPE IS Q.OWN 60 If OF EXISTING FIELD TO REMAIN
TO THE/EAST AS RESERVE
/ SITE. OWNER TO OBTAIN LNOs AND
E LOT 2 \ \ r U!ENCROACHMENT PERMIT(S) AS NEEDED
TILITY/ EASEMENT REMOVE END OF DRAINFIELD
AS SHOWN.— SEE NOTE
U)\ .. \.; APPROX OLD TESTHOLEr
R-P/E A LOCATION F
O DEPTH: 16' B
Z ,� PERC RATE: 27 MPI
100' WELL RADII ` _ _ ' DEMOLISH RETAIN GWT: DRY
.�� �� WALL AND LAYBKCK LOT 4 TESTHOLE
DOUBLE COS SLOPE. COORDINATE DEPTH: 16.5'
DEMOLISH WITH OWNER PERC RATE: 7.3 MPI
— \ —
100' WELL RADIUS GWT: DRY
EXISTING CRIB
DEMOLISH OLD TANK PER
PROPOSED MOA REQUIREMENTS
TESTHOLE NEW 1500
GAL POLY SEPT C TANK
BLACKTREE W/ INSULATED �ISER
LOT 3AT FIRST CHAMBER
NEW 5x38' \ NEW 1000
TRENCH WITH 4':. '•:.• ` GAL LIFT STATION TANK
EFFECTIVE..."
SEWER ROCK ;:,-: QUANICS NS 500
8' EXCAVATION' : = = # /
DEPTH, :DRIVEWA .,; OPTIONAL DIVERTER
� 5 BR \
HOME
6
0
---=riR'EVCIEED HILLS
BLO"C"K ` 1 LOT 3 I
\
MICHIGAN \�
>EPARATION DISTANCE NOTES:
fHE PROPOSED SEPTIC SYSTEM IS GREATER THAN: \ NOTE: WHERE THE CRIB AND END OF EXISTING DRAINFIED ARE
50' FROM ANY NEIGHBORING WELLS TO BE DEMOLISHED /REMOVED. REMOVE PPF AND OTHER
?00' FROM ANY PUBLIC WELLS COMPONETNS. REPLACE
50' FROM ANY -SURFACE WATER - - - - — - - _ SEWER -ROCK WITH -MOA SAND OR CLEAN NATIVE -SOILS.
SCALE: 1" = 30'
C&M ENGINEERING SERVICES
907-854-5558
LEGAL DESCRIPTION: FIREWEED HILLS BLOCK 1 LOT 3
OWNER: BRELSFORD DATE: 8/25/21 REV: I DRAWN: CBJ REF:
SITE PLAN
COMPONENTS SUPPLY NOTE:
1. TANKS, MH RISERS, AND LIDS ARE AVAILABLE THROUGH GREER
TANK
2. THE PUMP, FLOATS, INTERNAL PIPING, GROMMETS, CONTROL
PANEL, XPERT ALERT UNIT, AND AEROCELL UNIT ARE AVAILABLE
FROM GARNESS ENGINEERING, THE ALASKA STATEWIDE
DISTRIBUTOR FOR QUANICS- PRODUCTS.
3. ALL OTHER COMPONENTS SUCH AS PIPING, FITTINGS, WIRING,
INSULATION, ETC., SHALL BE SUPPLIED BY THE CONTRACTOR.
NOTE: ALL PIPING FROM PUMP TANK TO
AEROCELL MODULE SHALL BE PLACED ON
SUITABLE BEDDING MATERIAL THAT IS
MECHANICALLY COMPACTED. ALL LINES
SHALL BE GRADED SO THAT THEY WILL
DRAIN AFTER EACH PUMP CYCLE AND
WILL NOT RETAIN ANY STANDING WATER.
GREER TANK NOTES:
• PER GREER TANK, THESE TANKS HAVE A MAXIMUM BURIAL
DEPTH OF 10 FEET OVER THE TOP OF THE TANK.
• PER GREER TANK, THE TANKS ARE NOT TO BE BURIED SO THAT THE
TOP OF TANK IS MORE THAN 2' BELOW SEASON HIGH GROUNDWATER
• GEG RECOMMENDS ALL PIPE PENETRATIONSIJOINTS ASSOCIATED
WITH THE TANKS BE ENCASED IN BENTONITE CHIPS.
• IF GROUNDWATER IS ENCOUNTERED, THE CONTRACTOR SHALL
ENSURE THAT SOIL COVER AND/OR BALLASTING IS PROVIDED AS
OUTLINED PER GREER TANK REQUIREMENTS
SJE RHOMBUS INSTALLER FRIENDLY
SERIES (IFS) TIMED CONTROL PANEL
WITH DRY CONTACTS FOR SJE
RHOMBUS XPERT ALERT WIFI
INDOOR ALARM SYSTEM ----
24" MOA APPROVED
INSULATED RISER
AND LID
INSTALL DOUBLE
FINAL GRADEA CLEANOUTS
BETWEEN TANKS
4" CLEANOUT
GREER TANK 1500 -GALLON
TWO COMPARTMENT HDPE
SEPTIC TANK RATED FOR 10'
BURIAL - INSTALL PER
MANUFACTURERS DIRECTIVE
ELECTRICAL WIR
WEEP HOL
GREER TANK
1000 -GALLON SINGLE
COMPARTMENT HDPE
SEPTIC TANK RATED FOR
10' BURIAL - INSTALL PER
MANUFACTURERS
DIRECTIVE_
NOT TO SCALE
QUANICS AEROCELE CAT. 11
UL LISTED JUNCTION AND PVC CONDUIT
FOR ELECTRICAL CONNECTIONS
QUANICS AEROCELL SYSTEM
CATEGORY 11 CONFIGURATION
(5 BEDROOM SYSTEM)
SJE RHOMBUS XPERT ALERT WIFI INDOOR
ALARM SYSTEM (REMOTE MONITORING
SYSTEM). INSTALLED IN HOUSE AS CLOSE
TO INTERNET "BOX" AS POSSIBLE.
QUANICS NS -500 -AC AEROCELL POD
-SIM/TECH
4" VISUAL
PRESSURE
INSPECTION
FILTER
PORT
-24" MOA APPROVED
INSULATED RISER
4" BY 4' WIDE 4" VISUAL
INSULATION INSPECTION
AND LID
CENTERED PORT--,
[- OVER PIPE
1.5" SCH. 40 PVC
FEED LINE
4" RECIRCULATION RETURN LINE (80%)
-IMER OVERRIDE FLOAT - 1090 GALLONS
CAPACITY WHEN FLOAT IS ACTIVATED.
-'HIGH WATER FLOAT - 1066 GALLONS
CAPACITY WHEN FLOAT IS ACTIVATED
"LOW LEVEL CUTOFF FLOAT (ON/OFF)
- 752 GALLONS CAPACITY WHEN
FLOAT IS DEACTIVATED
GOULDS PE51NI PUMP OR EQUIVALENT
2 - 8" CONCRETE CINDER BLOCKS
FOR PUMP PEDESTAL - STACKED SIDE
B SIDE (SUPPLIED BY CONTRACTOR)
NOTE: ALL PRESSURIZED PIPES ARE TO BE
SCHEDULE 40 PVC UNLESS NOTED OTHERWISE.
3+ FEET OF COVER
OVER TOP OF
DISCHARGE PIPE -
I" DISCHARGE (20%)
TO DRAINFIELD OR
PUMP VAULT
PUMP TANK FLOAT SETTINGS
GREER TANK MODEL 1000
TOTAL CAPACITY 1152 GALLONS
MIN. WORKING VOLUME 1090 GALLONS
INLET INVERT 49"
OVERRIDE FLOAT 39" *47"
HIGH WATER ALARM 37" *45"
ON/OFF FLOAT 24" -32"
FLOAT LEVELS ARE FROM BOTTOM OF PUMP
('MEASUREMENT FROM BOTTOM OF TANK). NOTE:
MEASUREMENTS ARE WHERE THE FLOAT WIRE
ATTACHES TO PIPING WITH A 3.5 INC
TETHER FROM PIPING TO FLOAT. ALL FLOATS
MUST BE NARROW ANGLE FLOATS.
Co � 1
GIIORAGE
MUNICIPALITY Ofttl� ,t.fNiEMT SYSTEM
ADVANCED 1VASTEt1'ATERtr11� AGItEENIENT
MAINTENANCE ENANCE AND 121'
, Itercilt the "AGREEMENT" made and
THIS MAINTENANCE AND IREPAIRACi1tEEh7I;N�1
entered into as n this J-( pay of of 20 by and between
1k5 ,herein the "O�'�NER'„ and the Municipality of
Anchorage, herein the "MUNICIPALITY,,,in accordance t;pith Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the u1utual covenants contained herein, the parties to this
Agreement agree as follows:
Advanced Wastewater Treatment S stems• The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as AEROCEL
located at (legal description)
FIREWEED HILL BLOCK 1 LOT 3
2. Maintenance Re airs and Alterations.
(Owner is required to read, understand and initial each section)
/A/' Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically $400 to $600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
110. Owner acknowledges that regular maintenance of an AWWTS reduces the potential
I / failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of 3
y�f��t/j Owner acknowledges that the M,In
icipality may request records of maintenance and
fI, tesentative or maintenance Provider.
repairs from the manufacturer's rep
for (ailing to maintain and repair an AWWTS may be
7*�. Owner acknowledges that the r 1� G0.()30,
assessed in accordance with AMCM
owner Agrees to grant
" the irlunicipahty reasonable access to test and inspect the
� AWWTS.ill give at least 24-hour notice.
The Municipalityw
IY71 Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems App
roval.
,Y7Owner agrees that the AWWTS installation and maintenance requirements as provided
` t
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of
OWNER:
•�.� Date: n�' �.'2D2Z
Byge.,
� 'M (signature)
G • r , /� a'' (print name)
STATE OF ALASKA )
THIRD JUDICIAL DISTRICT ) ss.
The foregoin instniment was acknowledged before me this LW day of
20Qj, b ,
Noterp P"c
O LIC FOR UALAS SHARNWNE DAQUIS
My Commission expires: Std of
v Mtl ComniWm Expires Sept.14.2022
MUNICIPALITY:
By:
(signature) Date: Z Z Z 2 Z
(print name) Title:
(rev. 05/18/2018) Page 3 of 3
Frontier Surveys, LLC Project No: 21-510
Ordered By: Ally Hartman
10' UTIL. ESMT.
30.0 N90° 00' 00"E 90.00
R. 0. W.
10' UTIL. ESMT.
GRAVEL PARKING L23.
o'\\ 1 l
M
tV
N
N90" 00'00"W 90.00
n WOOD POLE WALL
Ik�
Date: 8/4/2021
Plat: 70-248 1 Grid: 2634
LOT
a„—I'— 1
X /
X
X ___
X51
x \
x
0 12.0
0
0
� v
o LOT
y 1.0 0
0
0
CO)
i
1.0
o�
N
--- MICHIGANA VENUE - --------
Y Electric Meter/Outside Power Telephone Pole —oHu— Overhead Utility
Gas Meter ® Deck —X Fence Concrete EDGEOFPAVEMENT
n El
Septic iWi Water Well 11= Street Sign
5;
U
General Notes: 0 12.5 25 50
1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws.
2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. S C e I e in Feet
3. All measurements/setbacks are to the visual/apparent building footprint.
4. All dimensions to property lines are plus/minus 0.1ft.
``'N\\\\\\JJ%J
E OF Al �tIi�
4 H
... ..... .. .. ...... .�
Pier M. St gier
N . LS- 12 �O r
'��C�,r�••. 8/4/2021
It, AnO1\\\ ONA-
PROFESSIONAL SEAL
This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and
conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any
inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the
existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances
should this document be used for construction or for establishing a boundary or fence line.
As -Built Survey of.
Lot 3, Block 1 Fireweed Hill Subdivision
I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or
under my direct supervision on August 2nd, 2021.
Frontier Surveys, LLC FRONTIER
650 W. 58th Ave. Suite E Anchorage, Alaska 99518 &"t�z
907.460.1686 - info@frontiersurveys.com
www.frontiersurveys.com
UJ
Wi
Z�\
GRAVEL DRIVEWAY
/
C/)
/ Lot 3, Block 1s
Fireweed Hill Subdivision
12,600 Sq. Ft. +/- 23.1
O p
10901 Livingston Street `5
L / c
1 Story Wood Frame House < b
With Attached 2 Car Garage d
�
3
�(v/nJl
LO
V
0
rn
S. 0
o
�<
Z
o �
/
N N
LyJ
40.5 50/
GRAVEL PARKING L23.
o'\\ 1 l
M
tV
N
N90" 00'00"W 90.00
n WOOD POLE WALL
Ik�
Date: 8/4/2021
Plat: 70-248 1 Grid: 2634
LOT
a„—I'— 1
X /
X
X ___
X51
x \
x
0 12.0
0
0
� v
o LOT
y 1.0 0
0
0
CO)
i
1.0
o�
N
--- MICHIGANA VENUE - --------
Y Electric Meter/Outside Power Telephone Pole —oHu— Overhead Utility
Gas Meter ® Deck —X Fence Concrete EDGEOFPAVEMENT
n El
Septic iWi Water Well 11= Street Sign
5;
U
General Notes: 0 12.5 25 50
1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws.
2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. S C e I e in Feet
3. All measurements/setbacks are to the visual/apparent building footprint.
4. All dimensions to property lines are plus/minus 0.1ft.
``'N\\\\\\JJ%J
E OF Al �tIi�
4 H
... ..... .. .. ...... .�
Pier M. St gier
N . LS- 12 �O r
'��C�,r�••. 8/4/2021
It, AnO1\\\ ONA-
PROFESSIONAL SEAL
This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and
conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any
inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the
existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances
should this document be used for construction or for establishing a boundary or fence line.
As -Built Survey of.
Lot 3, Block 1 Fireweed Hill Subdivision
I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or
under my direct supervision on August 2nd, 2021.
Frontier Surveys, LLC FRONTIER
650 W. 58th Ave. Suite E Anchorage, Alaska 99518 &"t�z
907.460.1686 - info@frontiersurveys.com
www.frontiersurveys.com
in q = Q3 " fest L C4--7n!�Ejb,
Water Quality Vesting
9131 E Frontage Rd, Ste 15
Palmer, AK 99645
(907) 745-3005
matsutestlab.office@.Qmail.com
Municipality of Anchorage
On-site Water and Wastewater
uanice
09/27/21
Name:
C & M Engineering
Lab ID#.
M210766
Mailing Address:
20182 Tulwar
Date Sampled:
07/28/2021
Colilert
Chugiak, AK 99567
Time Sampled:
1700
Legal Description:
Fireweed Hill Blk 1 Lt 3
Sampled By:
AL
A
---
Date Received:
07/29/2021
Sample Site Location:
Outside Hose bib
Time Received:
1603
Health Guard I
Parameter
Method
Result
Unit
MRL
MCL
Date
Colilert
Total Coliforms
A
---
---
---
07/30/2021
SM 9223B
Colilert
E. coli
A
---
---
---
07/30/2021
SM 9223B
Total
TNTplus 835/836
<MRL
mg/L
0.200
10.0
07/30/2021
Nitrate/Nitrite — N
Hach 10206
Arsenic by ASV
Arsenic
<MRL
gg/L
1.000
10
07/30/2021
Metrohm AB 416/3
Method Reporting Limit (MRL): the lowest concentration that can be reported reliably
Maximum Contaminant Level (MCL): highest acceptable level in public water systems as set by EPA
mg/L: milligrams per liter; 1/1000' of a gram
,ug/L: micrograms per liter; 1/1,000,000' of a gram
Absent (A): none of this type of bacteria was detected
Present (P): one or more bacterial cells of this type were detected
Results Reported By:
L
Patience Lynch
Laboratory Analyst
Reviewed By:
Signature:
L ne Hill (Aug 5,202115:16AKDT)
Email: office@matsutestlab.com
_-' MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
�-
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
❑NEW
4te-St")1
UPGRADE
MAILING ADDRESS
SR8 60XC 1 o Gs AM 9R
LEGAL DESCRIPTION
L 81 F/R w6,c-In, 1441,LS Ti2 Aj iAA EC. Z
LOCATION
NO. O -ED,ROOMS
/ I ill S -r
!:t►
Well
Absorption area
Dwelling
PERMIT NO.
DISTANCE TO:
Uy
H z
Manufacturer
Material
No. of compartments
uJ
X I I N
w
Liqrapacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
y
DISTANCE TO:
Well
Dwelling
PERMIT NO.
J az
2 F
Manufacturer
Material
Liquid capacity in gallons
w =
DISTANCE TO:
Well ,�' r
Foundation
Nearest lot line,
J u.Z
No. of lines
Len tip of etch ling
Total lengt lies I
-71
nc
Treh widt ♦
Distance bet a lines
H Z Lu
42bt
M1CiM6
Q
_
Top of the to finish grade
Material beneath tile /
Total effective absor ti9n a 2
0
4.1
!_7 ;r�a�
/5 too u k"
Length
Width
Depth
PERMIT NO.
LU
0
Q F
—
Type of crib
Crib diameter
Crib depth
Total effective absorption area
as
W
y
Well
Building foundation
Nearest lot line
DISTANCE TO:
Class..
Depth
Driller
Distance to lot line PERMIT NO.
IvAte
w
DISTANCE TO:
Building foundation
Sewer line
Septic tank Absorption area(s)
�i�'IS _1A/(> lot
42
s
w
OTHER
1011A
PIPE MATERIALS
1
C sr IK0,0 -A- 133x3_
SOIL TEST RATING
-30 8 ADJ
.�
IS'
INSTALLER
G C:o
-►
REMARKS
..
r Fc) T r� TI
IF_L sULA-r%W%) ou_e +
/
CAsr IRo,v PIPE 'il-tecAxiA.EN6rAj"; 1w'y
4`•
FAB ' i c 00CR i s c 5r84 -0`L
0
VB/Q'i Firo A/o J+L0 AT 1$ i &AC &ASAI Cf AV6l Pr
IAJS#OM;-tP— /jig: :TOHn1 fv s
O D
1 1°
44
8#4 3rep._un .0 clei g
MUNICIPALITY OFA
DEPT. OF HEALTH 8,
12
O
{{
EN
e`
�E� � )1y
t I V L OLL
APPROVED DATE LEGAL L
72-013 (Rev. 3/78)
ALASKA ENVIRONnAENTAL
CONTROL SERVIC , INC.
1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907)561-5040
JOB
SHEET NO. -. OF —_
CALCULATED Bv_ �• l" DATE—_' '
CHECKED BY DATE ._
SCALE / o
mmK.T 241 c IK GM Mm 01471.
��llf" IL 1 -T V* JE3 IF- �������C-.0 ff
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION �
825 L STREET, ANCHORAGE, AK 99501
264~4720
r���IMI "T ` r
PE�MIT NO: 840900
DATE ISSUED: 10/23/84
APPLIT: CANKIRK BRE LSTORD
ADDRESS: SRA BOX 1753
ANCHORAGE, AK 99507
CONTACT PHONE: 344 5 17 1.
LEGAL DESCRIP: SUBDIVISION- FIREWEED HILLS LOT: 3 BLOCK: 1
SECTION: 21 TOWNSHIP: 121\1 RANGE: 3W
LOT SIZE: 13580 (SQ"FT" OR ACRES)
MAX BEDROOMS: 4
Listed below are the options available to you in designing your septic
system. Choose the option that best IFits your site"
�..... ... ..... ����..... ��������..... ..... �.... ... ..... .... ...
����~�'�������^
-H-11FR! P -A c- U-1��
DEPTH TO PIPE BOTTOM (FT.) `�f� �� 1 ~^' 4.0 4.0
n.
GRAVEL DEPTH (FT.) ��f� 1�� L� 0"5 3.5
_ ,� / ���
TOTAL DEPTH (FT.) 8.5 «�� �m�r 4.5 7.5
GRAVEL WIDTH (FT, ) 2"5 " 30.0 5^0
GRAVEL LENGTH (FT" ) 112.0 ** 57"0 148.0 **
GRAVEL VOLUME (CU"YDS") 62°3 63^4 109.7
TANK SIZE (GALS) 1,250.0 ** 1,250^0 ** 1,250"0 **
SOIL RATING (SQ°FT"/BR) 308 281 343
** DEPTH TO PIPE BOTTOM < 3"5 FT, REQUIRES INSULATION
** DEPTH TO PIPE BOTTOM < 4"0 FT" MAY REQUIRE A LIFT STATION
�* GRAVEL LENGTH > 75 FT" REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT, EACH)
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
..... ... ..... ..... ..... ~... _�___�..... ..... ... ..... ... ..... ~^..... �..... ...
_�~
I certify that:
1. I am familiar with the requirements for on-site sewers and wells a� set
forth by the Muhicipality (--)f' Anchorage (MOA) and the Statof Alaska.
2. I will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria of this permit.
3" I will adhere to all MOA and State for the set back
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot"
4. I underStand that this permit is valid for a maximum of 4 bedroms and
any enlargement will require an additional permit"
IF A
LIFT
STATION IS INSTALLED IN AN AREA
COVERED BY MOA BUILDING CODE(13'
THEN
(1)
AN ELECTRICAL PERMIT AND INSPECTION
MUST BE OBTAINED; (2> ASBUILTS
WILL
NOT
BE APPROVE ITHOUT AN ELECTRICAL
INSPECTION REPORT; AND (3) THE
ELECTRICAL
WORK MUS E ENSED
ELEl" TRICIAN^
SIGNEE
Dx^
`--
DATE:
��-�-�
APPLICANT:
~~~~7-r~�-��-�- ������......... ..... .....
KIRK BRELSTO�D �/
-..... ..... �..... ....
ISSUED BY DATE:
�-�-��---``--t~`r~�'�����~~�~^~�~-~�� �--�-----�---�-
X SOILS LOG
�\ MUNICIPALITY OF ANCHORAGE �r
\� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ✓"t PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 264-4720
- SOILS LOG — PERCOLATION TEST
PERFORMED FOR: I R K U IZ L-iS FOR 1, DATE PERFORMED:4-
LEGAL DESCRIPTION: L U T 3 QK 1 F I IPC W CE D J•ii LLS T I Z A-) r't 3 bj SEC Z
E IT ySLOPE SITE P.L+A/N�
1
2 FEw GRAVeL5 _
3 UCo (313+L IF .,5-
4
I✓
11
7
Date
Gross
Net
Depth to
Net
8
t���
i� �
CL6AN S'AN D
(S i',
16p v'
9-
10
11-
12
13-
14-
15-
16
3141516
END
17 'T141
,----18-
19-
20L
-181920
COMMENTS_
S: LVY SAND
(SM )
FEW GRn\.Jt- ES
0CcAS10 tiAL
Ca89LG
C7 if
WAS GROUND WATER S
ENCOUNTERED? 6 Q L
o i
P
IF YES, AT WHAT E
DEPTH?
Reading
Date
Gross
Net
Depth to
Net
Time
Time
Water
Drop
-t
1 G' 19 -Y r
`2 : ; 4-
% KID
to
O,Oy
4 WZO
2 t'rs
z
2.57C
I v
+rG
r U4
ENZO
2% 4,-t-
v`t
3: o,< -
Iv
4G
F14ZO
3:c>`
' Sic,
3: ,y
Iv
o3
+ F•r'gG
s: ' s
+ So
S
3:25
...
ty
PERCOLATION RATE 39 (minutes/inch)
TEST RUN BETWEEN Lip FT AND 6' FT
PERFORMED BY: GATES CERTIFIED
72-008 (6/79)
DATE/OA1
KIND OF FORMATION:
:17
FRONT........:.............FT.
TO..........._...........FT....:::..:.:.......
LOG
FROM......._ ................FT.
FROM -------- -----------FT.
TO..... .::........rT....-
L 4
.. ..... FT. TO...........
FROM_ . ...........
FT. TO j.. . ... .........
............ .........
FT .......................................
FROM. ..............
FT. TO ....... . ............
FT. .......................
P. 0. Box `'5
5829 Seward Highway
Anchorage, Alaska 99502
-----
0 --
Telerhone 344-5939
Aneltorage, Alaska 99501
OWNER OF LAND.... ......... a.- ............... . ............ ... ...
...... ........ ................ DfP"11 Or- SELL........ ..............................
........ .......... .................. ----------
.................... I ..................
FROM...........
0.)
12.YT_ ... .... ..... ........................
F R oml. .........
STATIC LEVEL OF WATER FT ............
-------------------�: . . ..................
ADDRESS------ .............. _ ---------------`--•--
--------- - ------------------
---------
DOWN FT
...
WELL—SITE .......... /_�_ .... ............ ...................
FROM_L`/` ...
....................................................................
.... ........................
FR011........-._......_._Y
r TO
GALS. HR ........... .. ..........................
............... ........ I ..... ........
DATE—STARTED .... -:-..,..1.'
............. . ........ .........................................
FROM............._......_.FT.
TO ..........................
/'7
KIND OF CASING. . ......
...... ��....."'�_!� ...... ...........
DATE—ENPED. .... ........
.. ... .... ... ......
..... .................
KIND OF FORMATION:
:17
FRONT........:.............FT.
TO..........._...........FT....:::..:.:.......
- .......
FROM......._ ................FT.
FROM -------- -----------FT.
TO..... .::........rT....-
FROM..;. .... ......
.. ..... FT. TO...........
FROM_ . ...........
FT. TO j.. . ... .........
............ .........
FT .......................................
FROM. ..............
FT. TO ....... . ............
FT. .......................
....
.......... . .......
-----
0 --
FROM.,....
............FT.
TO.] ... , ..............
.. ... ........ ... . . .....
.................... I ..................
FROM...........
0.)
12.YT_ ... .... ..... ........................
F R oml. .........
FT. TO ........ ...... 2 ----------
... ......
Fr. .
....
J--
..............
...
7.
FROM_L`/` ...
FT. TO.'�.'� ................FT...`
... .................
FR011........-._......_._Y
FROM. ............._.__...FT.
TO__ .....................
FT...._ ............................ ... .
FROM......._ ................FT.
TO........._.....--
......F"r..........................
FROM..;. .... ......
.. ..... FT. TO...........
- -----...FT............................... .
FROM..........................
FT. TO ..........................
FT .......................................
FROM......._ ...........
... FT. TO. .....
' ............FT............... k .............. ......
MISCL. INFORMATION:
FROM..............
........... FT. TO ... .....................
FT ........... ........... ............
FROM....... ......
........... FT. TO.......
7—a ...... FT ........... . ............. . ........
FROM.. . . ..................
FT. TO........70.
Qu ..... FT. ._ --------- ... ........ .......
FROM__
7-0
Tf
Ztn
. ..
l� I ... ............ .... .......
.......... . .......
-----
0 --
FROM............
. ........PF TO.........
.................... I ..................
FROM...........
0.)
12.YT_ ... .... ..... ........................
FROM....._
IVV -0 0-1
FT.......... - .........................
..............
...
7.
FROM____ ..
............... FT. TO .. .............
......... FT ...... .. . ......... ... ....
FR011........-._......_._Y
r TO
......... FT-- ---------- I ......................
FRO'M ....... ...
....... .. FT. TO.._....
...................FT.......................... .......—
FROM............._......_.FT.
TO ..........................
FT ......... .... .........................
FROM... ................... . FT. TO .......... ....... � _ FT . .......................................
D"ILLLR*S \.1 IL -------- .......... ... .... --------
------------ -
u
GRED R ANCHORAGE AREA BOR( 'GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER OR WIDTH, LENGTH_�), DEPTH z Q
LINING MATERIAL CRIB SIZE: DIAMETER —DEPTH-&-- DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION , NEAREST LOT LINE . ABSORPTION AREA (WALL AREA) SQ. FT.
ADDITIONAL ABSORPTION
WELL: __� ��AA II
TYPE Pi1' _CONSTRUCTION 4Vf DEPTH z 49 DISTANCE FROM:
SEPTICBUILDING NEAREST NEAREST SEEPAGE
FOUNDATION—,LOT LINE—,SEWER LINE TANK�/ SYSTEMZS /
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMA
DISTANCES:
INSTALLED BY: eQaT c�4fyw l
PIPE MATERIAL: Q 1645
LOT SLOPE:
REMARKS: See 14'el, �
Sl I C' V; co -r S ? r
– I n S1 -Pc
Form No. EQ -031
q'
DIAGRAM OF SYSTEM'
- I o
DATE Cr_L�
Irv'
I
o�d I
APPROVED
G.A.A.B.
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL
SYSTEM
NAME /
N MAILING ADDRESS_' %S^3
5X-4
PHONE
LOCATION%�l//y
LEGAL DESCRIPTION
/
3 v
�[ /
I I ✓i1 rl2 P� (/!//S �/�
SEPTIC TANK:
DISTANCE/
FROM WELL ��
MANUFACTURER 6V'P'e� MATERIAL
PP
NUMBER OF
COMPARTMENTS
INSIDE LENGTH
INSIDE WIDTH LIQUID DEPTH
LIQUID CAPACITY
ZSa GALLONS.
SEEPAGE PIT:
NUMBER OF PITS / DIAMETER OR WIDTH, LENGTH_�), DEPTH z Q
LINING MATERIAL CRIB SIZE: DIAMETER —DEPTH-&-- DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION , NEAREST LOT LINE . ABSORPTION AREA (WALL AREA) SQ. FT.
ADDITIONAL ABSORPTION
WELL: __� ��AA II
TYPE Pi1' _CONSTRUCTION 4Vf DEPTH z 49 DISTANCE FROM:
SEPTICBUILDING NEAREST NEAREST SEEPAGE
FOUNDATION—,LOT LINE—,SEWER LINE TANK�/ SYSTEMZS /
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED REMA
DISTANCES:
INSTALLED BY: eQaT c�4fyw l
PIPE MATERIAL: Q 1645
LOT SLOPE:
REMARKS: See 14'el, �
Sl I C' V; co -r S ? r
– I n S1 -Pc
Form No. EQ -031
q'
DIAGRAM OF SYSTEM'
- I o
DATE Cr_L�
Irv'
I
o�d I
APPROVED
G.A.A.B.
GRES& ..R ANCHORAG,,-7 Am--A FW[Wo call_
DEPARTMENT CIE UNVIRONMTAY OtiAl.1-Y
3330 RIZE I ANCHORA(,ENL, ALAS1',A 991503
TELEPHOIlr 2711-45bI
SEWAGE DISPOSAL SITTEM APPLIC AF11101 at 14 D KPIAT
NAME OF APPLICANT
MAILIN(- APDT?i
-------- PHON�:
1149T4lTITION 10(-AlION
LEGAL DESCMI'TION ------ — -----
INSTALLATION OF: FZEP1IC TANK SEEPAGE DRAIN r!I-LE, -------- oTH I. ri
TYPE AND SSE OF FACILIEY TO M. SERVED
FINANCED THROUGH TO BE INSTALLED BY
S 1r Vr
SOH. TEST REE'JLTS _J NOW: T1 NMIT tZ, NOT VALP3 W11'HOU'r T:_r
�Zw;,11:31JTICN EAT,- A�:T;�;:EL,17D A
24 HOUR NOTICT REQUIRED, DACKFILLIN OF
ANY SYSTEM WITHr-WT F:JiIAI- INFAII_CTION D)' 1111%
DEPAWrNIENT Or ENVIRONMENTAL QUALITY AUTHORITY WILL 01 SUnWCT
TANK SILT' TYPE .171
5771 IC Y....j_,nhWVEPA0IT ARCA n "L7.
NIVVY 14UM 1115TAW;V_0. RCRUIREMIENTS 01AG;,)AM
I U1,1 NDA I ION To ;OPTIC TANK
F
11RAIN FIrLD OUNDMION TO SEEPAGE PIT --- ------
�FKnC TANK TO U107PAGIT PITWALL.
SE-111C TANKFF-EFIAGF. PIT DRAIN EILLD
_'J .. .....
10 1-41 ANEST LnT LINI:.
WELL 10 ',1 PTI(
1 ANi' ._ _//Y.'L V P AG E PIT
DRAIN FIfILI) ALSO CONSIDFR ARFA WELLS.
"Al I -- -- --- --
_f? �;,'N SE"AC TANK SEEPAGE PIT
k
'4POG TAINK, ...... SEEPAGE PIT DRAIN FIELD -------- --
0 -K, L" KE, S-fill AM.
If I
j
lc()N INTO AND 0,0 OF SEPTIC TANK AND INTO CR.0 CROSSING GAP OF
!V AVA'110;1; ELF INTO UNDII;�URBEU�Oil_.
CAF�l IRON SIPHON P1P.'_C ON SEPTIC TANK AND SEEPAGE M,
4.
1 1: 1 AI RTC 1i F 12 LM OVA I i L 1. C AFS
11 'i ,:1 BOHOUIH REGULATIONS REGARDING INSI 11.1ATION. -I
G.A.A.L1.
or,
"cummAj OKWONUI.
%jI'jTj;rj (!DtkvMVNIS Crr URLAI,k u ;H , Nr,cr 1, P3 t, i,:'\'r 't I t li(.Wl
]k Willi L.AID COUC,
T'. 'JGNATIWL: 9 n
Z-4
r"' , I I I , 1 (1
T. H. 1
-0-1-7.�.
�.---
'�o
:j
Silty
Sandy
Gravel
(GM)
.0.0,
Silt,
Tract
to Some
Sand
and Gravel
(MI.)
•o'
o°
D
•o
6'0.
°
Sand,
Trace
Gravel
(SP)
.°
:.j
Silty
Sand,
Trace Gravel
(SM)
o. Cr
o'.
°0
D.
Sand,
Trace
Gravel
(SP)
•o D
•0
0
No Water Table
J
0.0'
1.0'
4.5'
7.5'
\L�Q
13.5' T.D.
NOTE: Test hole excavated with tractor -mounted backhoe.
Engineering BaGeologicol Consultants KIRK BRELSFORD PROPERTY
w ANCMORAOE PAIRBANK9 ALASKA JUNEAV I�nG �I� T�'S j, H(]i•t•
!1 Anchorage Alaska
DATE10-1-73 SCALE I"=2' DWN BY J RS' CHKO BY W(iD PROJ. NO. 36677 IDWO No. A-01
D,k_HLY 9�5,3;_LNNG LOG
AUIL77 D-RULIUNNG C*440�
5829 Seward Highway
P. O. Box 275
Anchorage, Alaska 99502
Teter' one 344-5939
Anchorage, AL-ska 99501
OWNER OF LAND 7!� ---- -- a. .................
DEPTH Or WELL. ........................
.......
----- ---- ----------- - --- -----------
........ ..........
1-7
FRO <i
TO
ADDRESS...------ -- .................. -------- ------------
-- ----- --------------------- -- -- ----------------------
STATIC LEVEL OF WATER FT. ---........C:.
•
�.............
......
-- ------------ -------------
/ -
WELL -SITE..... ---- --------------
X,
/ . - / -,
�Z'
__�;/ ------------------
DIRAW DOWN FT ....................................................................
DATE—STARTED ----
............ - ------ I ...... I -- -----------
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---------------------
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MISCL.
----N -----MISCL. INFORMATION:
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Dr.ILLLR'S ":Z
DEPT. OF ENVIRONMENTAL. CONSERVATION
June 4, 1974.
SOUTHCENTRAL REGIONAL OFFICE
ix j, ., i. l V 1+!'
jury ,a IV obi
ogenTea ANCHo°r.;tiilf C ceTru 0 "M
p4PL OP eNV�r
Mr. Lynn Coad
Sanitarian
Dept. of Environmental Quality
Greater Anchorage Area Borough
3330 C. Street
Anchorage, Alaska 99503
SUBJECT: Lot 3, Blk I -Fireweed Hill Subdivision
Dear Mr. Coad:
WiLLIAMA EGAN, GOVERNOR
338OFNALISTREET
MACKAY BUI L GING— ROOM 850
ANCHORAGE99507
We have reviewed your letter of April 24, 1974 and the attached
information regarding the well and waste disposal system on this lot.
It is the opinion of this office that the solution as you propose it
is satisfactory and we have no objection to the procedure as outlined
in your letter.
Please excuse the tardy reply.
Yours truly,
KKyl'h )Cherryy, Pt.
Regional Environmental Engineer
i,pri 1 24, 1174
Kyle Cherry
Alaska Departi nt of
Environmental Conservation
Room &:;%, t,acKay Building
338 Denali
AnOorage, Alaska
SUBJECT: Lot J. Block 1, r"ireweed Hill Subdivision
Dear i•fr. CNerry:
This letter and tt►e uncloscd inforr,►ation is wing sent to you for ;your
consideration for a waiver of the 11"0 foot .cell distance from Uku aoll
to the sewer system. The well on the subject lot was drillej in October
of 1171. The sewer system was installed in April of tis year. TE►c -. .�:1-11
Is located on the nigh point of Vie lot and is <i; fret acep. Thl +ell
casing extenus tnrougn two layers of clay before reaching tiie water
aquifer. The sewer system is setting in average type soil anu is �7 foot
from the well casing. As You can see from t`►e enclosed diagram, there is
no other place to place either the well or the sewer to l q.rove tiia ;ieil
distance situation either from its owu well or fron neignboring wells and
sewers. Taking all factors into consideration this department sees no
neapA hazard created by this situation and will be ab]c: to approve this
as is pending concurrence in writing from your department.
If you have any questions regarding this matter, ^ls:ase do not icsitatc
to contact this office.
Sincerely.
Lynn S. Coad
Sanitarian
lw
Lnc.
0 47.
R&M ENG, .4EERING & GEOLOGIC, .L CONSULTANTS
229 EAST 51st. AVE. - P.O. BOX 6087 - ANCHORAGE, ALASKA 99503
-�— TELEPHONE 907-279-0483 TELEX 090-35419
Civil Engineers Geologists Land Surveyors
JAMES W. ROONEY, P. E. - - RALPH R. MIGLIACCIO
MALCOLM A. MENZIES, P.E., L.S. Engineering Geologist
JAMES H. WELLMAN, P.E.
October 3, 1973
Rappe Excavation
8001 Arctic Boulevard
Anchorage, Alaska 99503
Off
19» M AM 36677
G(,pR9AiER ANCVJ0RAGE
l, F]F FNIvlQoNM,,NILA ()yC) €'H
Re: Test Hole and Soil Log Report for Sanitary System, Lot 3,
Block 1, Fireweed Hills Subdivision
Dear Mr. Rappe:
We are submitting herewith the test boring results and our comments
regarding soil conditions encountered at the subject site. This
investigation was performed in accordance with your request of
October 1, 1973, and those procedures outlined in a letter dated
September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage
Area Borough Department of Environmental Quality.
A single test hole was put down within the Lot 3 area for the purpose
of defining general subsurface soil conditions for the proposed sani-
tary system. Excavation was accomplished with a tractor -mounted
backhoe and the test hole was extended to a total depth of 13.5 feet
below ground surface. The final log prepared for the test hole has
been included in Drawing A-01.
Ground water was not encountered in the test hole.
We appreciate being given this opportunity to be of service to you.
Should you have any questions with regard to the above, please do not
hesitate to contact us.
Very truly yours,
R & M ENGINEE/RRINNGG & GEOLOGICAL CONSULTANTS
/I
James W. Rooney
JWR:ph /
xc : GAAB 1/
ANCHORAGE FAIRBANKS JUNEAU
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date__._.—_--_._
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
40'r 3 __&ea / j:;IxelJu-b� I-Ilu-s '/ 77L2',-,' ,�3,J sc�c , /
Location (address or directions)
A05,0/ Glc✓,. 57ee&l ST
(b) Applicant Name K/PK Telephone: Home / Business
Applicant Address /090/ L/✓/,J(jf'%n% S'T /I/�f 141-,t, 'V'F-5
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder; Buyer ❑ ; Other ❑ (explain);
(d) Lending Institution _— Telephone --_—_— _
Address
(e) Real Estate Company and Agent
Address
Telephone
(f) Mail the HAA to the following address:
2. TYPE OF RESIDENCE
Single-FarnilyX Multi -Family ❑ Other
Number of Bedrooms
3. WATER SUPPLY
Individual Well" Community ❑ 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 Public ❑ Community ❑ Holding Tank Cl
Note: If communitywell system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 12 02, (1 1,84)
`3 Z/ �i,Ceh/cWJ 117" 5 Ya
5. 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 sate, 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 — A6 -e5 Telephone
Address �� ��' f3 r fl!%%� Z
Date
6. DHEP APPROVA(,(/
Approved for ����,`(((' bedrooms ?d --
Approved , Disappro
Terms of Conditional Approval
Condi
CAUTION
te fn
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations 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 requirements. 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.
Page 2 of 2
79-0P$ (I I; I)
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
MUNICIPALITY OF ANCHORAGE (MOA) a� 1 S
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984 RECEIVED
ECEIVE D
Legal Descrip ion: "773 &04e / 0519rA4-W)
Ilf4.G5 a T/s.✓ Z_NJ fry z/
A. WELL DATA
Well Classification If A, B, C, D.E.C. Approved (Y/N) ^'
Well Log Presen Y ) Date Completed Aa -/7-7/ Yield �� e7 P/1
,J/rt
Total Depth Casedto Depth of Grouting
Static Water Level /Sj:q Pump Set At A)IA
Casing Height Above Ground / Sanitary Seal on Casing Y N)
Electrical Wiring in Conduit/ 1 N) Depression Around Wellhead (Y/N)J
Separation Distances from Well:
To Septic/Holding Tank on Lot *7� On Adjoining Lots 7t
To Nearest Edge of Absorption Field on Lot �Q�
9 P ; On Adjoining Lots /Oy 't
To Nearest Public Sewer Line_WI To Nearest Public Sewer
Cleanout/Manhole AW To Nearest Sewer Service Line on Lot
Water Sample Collected by /&80 _l?dE ; Date 3-ZJr'_Jf4
Water Sample Test Results fArif! e7ge I
Comments 0 Alai- i2"J 7wi- J -14 Z'6 .
SEe- ",404) A* 11 P I%H OFC 6-11-7'f.
B. SEPTIC/HOLDING TANK DATA
Date Installed G'G'7� Size 44d Q*4- No. of Compartments
Standpipe (Y N) //�� Air -tight Caps (Y ) Foundation Cleanout Y/ )
Depression over Tank (Y& Date Last Pumped
Pumping/Maintenance Contract on File (Y/N) WIA ;for
Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N)
Separation Distances from Septic/Holding Tank:
To Water -Supply Well To Building Foundation A0
To Property Line ZD To Disposal Field /V/Aox- /q/
To Water Main/Service Line
Course
Comments
Page 1 of 2
72-026(11/84)
To Stream, Pond, Lake, or Major Drainage
e-3 31 64wevb *45 s/D
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata Sof Type of System Design _�^' d
Date Installed /1-Ig
8 Lenth of Field 78'/
Width of Field
Square Feet of Absorption Area
Depression over Field (Yo—
Results of Last Adequacy Test
Depth of Field
J Gravel Bed Thickness f"
�S�oo ls! Standpipes Presen (Y )
Date of Last Adequacy Test
Separation Distance from Absorption Field:
To Water -Supply Well %01 To Property Line
To Building Foundation L`/- To Existing or Abandoned System on
Lot 10/40• /% ; On Adjoining Lots
To Water Main/Service Line /'f To Cutbank (if present)
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area 79 -WA -la NAIAE`Je WOVW /44 lbl'*0
Comments /N561`1 -g
D. LIFT STATION 4
Date Installe
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Comments
7�✓iI e� OK -CR T,asOW-
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
** Check Permitted Bedroom Rating Against HAA Request **
Vent(Y/N)
Cycles during Adequacy Test. Meets MOA
I certify that I ha ch ked, v rified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed �'� Date
Company �rMOA No.
Receipt No. a 71�
Date of Payment 11_1s_16Q
Amount: $ 4MF
Page 2 of 2
72-026 (11/84)
.... r.:..,s.
IFRO REID, JR.
C - 2251
pq
� �ICSS r���4`•/
Seal
60133
ALASKA L-1 ,OIROmnik COnTROL %-,jIUS, IN.
6n9ineerinq & 6nuironmental Studies
APRIL 15 1986
KIRK BRELSFCRD SELLER—SAVE WILL PICC UP FROM CUR OFFICE
10901 LIVI%STON STREET
ANCHCRAGE ALASKA
99516
LECAL:FIREWEED SUBD/BLOCK 1/LOT 3
FLOW TEST ON WELL
WELL FLOW DATE—M19RCH 28 1986
A FLOW TEST WAS PERFCRIVED ON THE WELL. 482 GALLONS OF WATER WAS
PUMPED AT A RATE CF 4 GPM OVER A DURATION CF 2 HOURS.
THE DRAWDOWN WA5 30.7 ' WITH A REODVERY TIME CF 40 MINUTES
AND THE STATIC WATER LEVEL WAS 153.9 FEET.
THE WELL IS ADEQUATE FCR THIS 4 BEDROOM HJvE.
1200 West 33rd Auenue. Suite a • Anchorage, Alaska 99503o(907) 561-5040
U,
1 St
MUNICIPALITY OF ANCHORAGE
DEPARTMENT _F HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224, 225
/ a-161 ( � Date Received: March 11, 1977
rn' q„ c y u
6.Time
Date
Inspector
2nd Inspection: Time / /; ry-)jQM.
19
IKo y
Date stn! -77 .mom✓! .
�Z-aa-77
Inspector
�! ,REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FAC".ITITIES
��s ciao
1. .Lending Institution Request: Alaska Mutual Savings Bank-
Mailing Address: Post Office Box 1120 99510 Phone:
,c
2. Property Owner: Kirk/Mark Brelsford Phone: 344-51.72
Mailing Address; Star Route A Box 1753 �n
�g'
3. Legal Description: Lot 3 Block 1 FireweeclASubdivision -
4. Single Family Residence: ( ) Number of Bedrooms: _C'�_37 01 X
Multiple Family Residence: ( ) Number of Bedrooms: __ r
5. Well Data: Type Individual Depth Wil' Well Log Filed
Construction Bacterial Analysis
6. Sewage Disposal System: system 36c>d Public Utility
� ( )
Permit # fInstailed IIns•taller oroa �ri ��ms.
Septic Tank Size _ I�IaC,n Manufacturer
Absorption Area g,C)Lj . Soils Rate &0 Material -
�l I
7. Distances: Well to Septic Tank to Absorption Area e
to Sewer Lines 0 Nearest Lot Line—/,7/
Absorption Area to Nearest Lot Line
I
GREATER ANCHORAGE AREA
�L Department of Environmen
%aIc$�0 "C" St., Anchorage, Alaska
.,:i leCT1014
ENVIeoNMrr...... ;
SHF�YL G. SMITH
MOF E LOAN DEPARTMENT
ALASKA MUTUAL SAVINGS BANK
5TH & F STREET
DOX 1120
ANCHORAGE, ALASKA 99510
0(7 REQUEST FOR APPROVAL
11 �� INDIVIDUAL SEWER $ WATER TELEPHONE 907 274-3561
FF w�v
1. 7 Sf"Inspeection: CMRO VA FHA CONV x
2. Property Owner: Kirk & Mark Brelsford
Mailing Address: NHN Livingston Day Phone 344-5172
A. Box 1.753)
Name of Buyer: -0-
Mailing Address: —o— Day Phone
Name of Lending Institution: Alaska Mutual savings Rank
Mailing Address: P. o Box 1120 Phone ;_-7_77
Name of Realtor or Agent: Mary �Se11s
` I
IC1�(INN
Mailing Address: 724 E. 15th Ave. whone 272-0571
0
4.
0
N
7
a
Legal Description:
Location:
Lot 3, Blk. 1 Fireweed Subd.
Type of Facility to be inspected: 3 No. Bdrms.
Water Supply
Type of Supply: Public Utility Individual X
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System: Public Utility Individual (on-site) x
If Individual, date of installation
EQ -037 (1/74)
Page Two
Department of health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 3 Block 1 Fireweed Subdivision
Comments:
Affadavit Attached: (:) Letter Attached: ( )
Approved: ��t�Date:
Disapproved: Date:
Department Worksheet:
167 "ll 0
3 XG�
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561
Date Received April 26, 1976
Time of Inspection in:,,' .
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
Conv.
1. Approval requested by: Alaska Mutual Savings Bank
Mailing Address: Post Office Box 1120, 99510 Phone: 274-3561
2. Property Owner: Kirk & Mark Bresiford Phone: 344-5172
Mailing Address: Box 1753
3. Legal Description: Lot 3 Block 1 Fireweed Hills Subdivision
4. Location: NHN Livingston Road
5. Type of facility to be inspected Single Family No. of bedrooms 2
6. Well Data: Individual
A. Type B. Depth
C. Construction D. Bacterial Analysis
7. Sewage Disposal System: On—site system
A. Installed B. Installer
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank Absorption area Sewer Lines ,
Nearest lot line Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
EQ -034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAG:
UF.PI. OF W-ilill n:
ENVIRONNiCNTAI. N'(`ICCTION
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" St., Anchorage, Alaska 99503 - 274-p�4g6OR ! 191'
REQUEST FOR APPROVAL OF Pk E C. E IV k 0 -
INDIVIDUAL SEWER & WATER FACILITIES
1. Type of Inspection: CMRO VA FHA CONV X�
2. Property Owner: Kirk & Mark Breslford
Mailing Address: Box 1753 Day Ph one 344-5172
3. Name of Buyer: N/A
Mailing Address: N/A Day Phone
4. Name of Lending Institution: Alaska Mutaul savings Bank
Mailing Address: P. 0. Box 1120 Phone 274-3561
5. Name of Realtor or Agent: N/A
Mailing Address: N/A Phone N/A
6. Legal Description: Lot 3 Blk 1 Fireweed Hills Sffid_
Location: NHN Livingston Road
7. Type of Facility to be inspected: Single Family Home No. Bdrms. 2
8. Water Supply
Type of Supply: Public Utility Individual x
If Individual, number of dwellings presently served ?
If Individual, depth of well ?
9. Sewage Disposal System
Type of System: Public Utility Individual (on-site) X
If Individual, date of installation ?
EQ -037 (1/74)
Page 2 of two pages - Re st for Approval of Individual . er & Water Facilities
Legal Description
Comments
Lot 3 Block 1 Fireweed Hills Subdivision
Approved�i Disapproved Date S=6 � 76
Appr 1,Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true and
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED
EQ -034 (1/74)
Date