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HomeMy WebLinkAboutALPINE WOODS BLK 3 LT 1Alpine Woods Block 3 Lot 1 #015-234-23 Municipality of Anchorage Page 1 of 2 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: SW 93-0429 PID Number: X11 — _0 L Name: Trent Slaymaker / KND Engineering Wastewater System: E� New ❑ Upgrade Y P9 Address: 20441 Ptarmigan Blvd, Eagle River, AK ABSORPTION FIELD Phone: 696-6111 or 694-2359(ms No. of Bedrooms: 4] Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: ' 0.8 GPD/Sq. Ft. Lot: Block:Subdivision: 1 3 Al pi ne Woods Depth to pipe bottom from ori mal grade: 4.0 to 7,t Gravel depth beneath pipe 7.0 Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: 12 N I 3W 1 23 none Ft. 57.0 Ft. WELL: ❑ New ❑ Upgrade Gravel width: Number of lines: Distance between lines: M 4.0 FL 1 n a Ft. Classification (Private, A,B,C): SAD Total Depth: Cased To: Total absorption area: Pipe material: Perf — F810 Ft. Ft. 798 SQ. Ft. Driller: `� Date Drilled: Static Water Level: Installer: EX 94-0145 Date installed: Ll Ft. ri June 1994 Yield: (, Pump Set at: I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES n Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Greer Capacity in gallons: 1250 From Tank Field Station Tank Sewer Lines Well- +200' +200' +200' +200' +200' Material: Steel Number of Compartments: 2 Surface Water +100' +100' N/A N/A LIFT STAT Lot Size in gallons: Manufacturer: Line +25' 10' N AFoundation 11' 14' ENA N/A "Pump on" level at:ump•bff' level at: _,_-r High water alarm at: Curtain Pump Make el Electrical Inspections performed by: Drain +100' +100'N/A +100' Remarks: Trench installed 4' wide - BENCH MARK Location and Description: Design for 3' wide Ist floor landing at piont nearest foundation cleanout Assumed Elevation: 100.0 Ft ENGINEER'S SEAL OF 4t St AV G! 4111 Inspections performed by: CAL/ SO/ KMD Dates: 1st 6/3/94 0000"*@" OO�OOee +!neo 2nd 6/7/94 •.. ve°.e°e Final 6/10/94 Kennedt M• �d Department of Healt a d Hu rvices approval CE 711 ® w ,e Reviewed by: Date: G z AV eo�ee �0FESSIONP •��® ���►0wo°��`® and approved r 72-013 (Rev. 9/91) MOA 25 u AS -BUILT DETAILS WASTEWATER ABS❑RPTI❑N SYSTEM LOT 1 BLOCK 3 ALPINE WOODS SUB CLEANOUTS (TYP D3034 SOILD) 250 GALL❑ EPTIC TAN 1,D 3' 1250 GAL SEPTIC 5' CAST TANK T❑ CA. 0 0 6' - z o a U � 1.0 ORIGINAL GRADE AND FINISHED GRADE UNCLASSIFIED FILL (FROM TRENCH EX) FILTER FABRIC `> z LJ SEWER ROCK ~� 57' TRENCH e.o 57' x 4'W TRENCH 4' PVC F810 PERFORATED PIPE �T I PROPERTY LINE A 41.0 D 43.0 C 52.0 D 112.0 (CO) 97.0 (MT) P2 1 �' Z PREPARED FOR: TRENT SLAYMAKER P❑ BOX 110787 ANCHORAGE, AK, 99511 KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 907-694-2359 DATE 6-22-94 DRAWING # NOT TO SCALE 2736 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT �C PERMIT NUMBER:SW930429 DATE ISSUED:10/14/93 DESIGN ENGINEER:CONSTRUCTING ENGINEERS, INC. EXPIRATION DATE:10/14/94 OWNER NAME:APPLEGATE SANDRA A OWNER ADDRESS:11400 THUNDERBRUSH CIRCLE ANCHORAGE, ALASKA 99516 PARCEL ID:01523423 LEGAL DESCRIPTION: ALPINE WOODS BLK 3 LT 1 LOT SIZE: 41131 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK 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 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: DATE: /a-/ ¢ - '_? HENRY WILSON 9601 BUDDY WERNER DR.: ANCHORAGE, AK 99516 (907) 346-2000 October 1, 1993 Constructing Engineers — Engineers, Surveyors — Mr. John Smith, PE Manager, On -Site Services, DHHS PO Box 196650 Anchorage, AK, 99519 re: Lot 1 Block 3 Alpine Woods Sub Mr. CHARLES A. LANDERS HC83 BOX 192-A, MYRTLE DR. EAGLE RIVER, AK 99577 (907) 694-9098 MUNICIPALITY OF AhK_H4Ak# ENVIRONMENTAL SERVICES DM310N OCT 0 7 1993 RECEIVED We ha completed a septic system design for the subject lot. The lot had a previous soils log (copy attached) performed in May 1989, which indicated water was observed and monitored to be at 15.5' depth. On September 30, 1993, we performed a percolation test, and at the same time measured the monitor tube and found no water in the tube. We are submitting this information as a part of the design for a new septic system for this lot. The system designed is a standard gravity trench absorption application. There was a second test hole on this lot, located in the easterly portion, which had water monitored at 4' . We believe the area shown on our design could be utilzed for a replacement system, but if used, a mound design would be required to meet the minimum vertical separation distances between the system and the water. While on- site, we observed the the low lying area was saturated. Sincerely, CLC" C�__ Chuck Landers SITE PLAN -WASTEWATER ABSORPTION SYSTEM Of At 40 L�,'e N :s 9 `���~'�•l4 b`9S`�f`R a war � AL ENG Ui�oE�ft�°� I,r Ile 40,4 95 s� LES PLR1(y�L'T S�si3AC1�� goas f j �j ? I V ti�vH`/ i� A fVI, AAA) L A'9L9 F 7lZ A1650\z PnOo J F��W ZZ 000 1� SITE PLAN DETAILS PROPOSED WASTEWATER ABSORPTION SYSTEM LOT 1 BLOCK 3 ALPINE WOODS SUBDIVISION PREPARED FOR: TRENT SLAYMAKER 345-3217 PO BOX 110787 ANCHORAGE, AK, 99511 SCALE: 1" = 100' DRAWN BY CAL CONSTRUCTING ENGINEERS 346-2000 9601 BUDDY WERNER DR 694-9098 ANCHORAGE, AK, 99516 10-1-92 DRAWING it 93-S1-10-1 ABSORPTION SYSTEM DESIGN DETAILS --STANDARD TRENCH 541 0 0 V V v J 12,50 CA4J pjb, I�i TAMC I h.1� —� P4yrd,w i I Ij H 3 PZ w O o U V � s' 4 SCOPE OF PROJECT: New absorption field is designed for a four (4) bedroom system. Lot is served by a community water system. The system will be a standard gravity absorption system with a deep trench. ABSORPTION AREA CALCULATIONS: Minimum Required: 4 Bedrooms x 150gpd/bedroom = 600 gpd capacity Soils rating, proposed addition, 0.8 gpd/sf Minimum sizing: 600 gpd _ 0.8 gpd/sf = 750 sf absorption area Use 31W x 541L x 7' D = 756 sf minimum for trench Trench depth: Bottom = 11' Below grade, w/ 4' cover IMPACT ON ADJACENT LOTS: There are no private wells within 100' and no public wells within 200, of this absorption system; The proposed absorption system has no impact upon any adjacent lots as shown on attached site diagram. a;a'.G'gsa'V!`r��•w`s U�$4�° a•a*'E kK f� y 6 C ,a ENGINEER'S�AL DESIGN DETAILS PROPOSED WASTEWATER ABSORPTION SYSTEM LOT 1, BLOCK 3, ALPINE WOODS SUBDIVISION PREPARED FOR: TRENT SLAYMAKER 345-3217 PO BOX 110787 ANCHORAGE, AK, 99511 NOT TO SCALE DRAWN BY CAL CONSTRUCTING ENGINEERS 346-2000 9601 BUDDY WERNER DR 694-9098 ANCHORAGE, AK, 99516 10-1-93 DRAWING # 93-S2-10-1 e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST pf 2 aY ' 1 r PERFORMED FOR: Y, DATE PERFORMED: LEGAL DESCRIPTION: Ll v53 A) %Y) o-- Woa d 5 Township, Range, Section: S vJ 4 S L3 T1 ZN Q 3 LA:> DEPTH SLOPE SITE PLAN (FEET) 1 i 2 3 4 � �/� r2E2C 1401.15 Y—/Ii1 E Lei/ 5- 6- 7- 8- 9- 10- 11 67891011 12 13- 14- 15- 16- 17 314151617 18- 19- WAS 819 WAS GROUND WATER Mp ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After i A4/93 Monitoring? Date Reading Date Gross Time Net Time Depth to Water Net Drop low. L � � 13 '372- "1 14 "/U.' $" 15 II.Lb 16 514, 1 4r' 11/411 ILLS P ZSoa�t�Gh P o(Z tc INCr 20 � PERCOLATION RATE (Z (mm,utes/inch) PERC HOLE DIAMETER , 5 TEST RUN BETWEEN — FT AND —55 5 FT COMMENTS 02� Cry N F}l T'E S't leo t.& IL06 5 Zz 89 (;sCfC T�5 T� vMA t G-tQ /hC�N 1 1Z M �T. ON L,./ t 5 ppS T PERFORMED BY: �NS`��TIN4Nr✓L'rt3 I CERTIFY THAT THISTEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE- 94-3-0193 3 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES' 825 "L- Street, Anchorage, Alaska 99502-0650i`�. y ' f�``�''`' a•».» t� SOILS LOG — PERCOLATION TEST'!/ •'� Bry J Corwtn I i . �. • �' �' ♦ . /� � .\• J . PERFORMED FOR: � `�, , M.,• +,.•••1 •''' 1� AG �EA6c. SEMS G . P51T`PEbEtMED:' ,s�� 'sl8q LEGAL. DESCRIPTION: L 1 33 f Township, Range, Section: r P OO DS SLOPE SITE PLAN F T EST HVI-C 2 °vi Z 0 0 0 3 d 0 4 5 ° a P 6 a O 0 O 7 p d b 8 0 0 9 p G 0 s 10 0 O o' ,1• o o v 12 v � 1 3 C e d 0 14 a o d 15 p e ° v p S Inj g row e l u sa.h-4 2-" rocks 16 17-Tff ML silk' EMD 18- 19 n • GROUND • - • ` ■.M■■.M■■ ■�M MENEM MENOMONEE 0 IF YES, AT WHAT DEPTH? Depth to WbluAfts,�6 , Mofi torlog? / Daw 20 PERCOLATION RATE (m+nvIeWfAch) PERC HOLE DIAMETER c/ J TEST RUN BETWEEN FT ANNDf FT COMMENTS V C 014v/ cx"4 � Sof-�'r PERFORMED BY: .P � � I r�• t i +' " r :� CERTIFY THAT THIS TEST WAS P£RFORVED IN ACCORDANCE WITH ALI. STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 41651 + JIM Municipality of Anchorage ,Alrl�, DEPARTMENT OF HEALTH & HUMAN SERVICES825 "L" Street, Anchorage, Alaska 99502-0650 iol SOILS LOG — PERCOLATION TEST - 4...... y N PERFORMED FOR:,rPF- [F—iVC7-,-- lj q Tkf r • _ DA7,'PEAPORME0:�2 LEGAL DESCRIPTION: L—L-3--3 O L- G o 2 0 3 v ,I 4 6rvu,d h/hfer m-0 ¢' 0 0 5 v 6 � u 0 7 O 0 8 SND 9 10- 12- 13- 14- is- 16- 17- is - 19 0121314151617181! t')CO PS (ED Township, mange, Section_ - SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? gS S L IF YES, AT WHAT DEPTH? 4' P Die E Depth to Water Aner Monitoting? . Bite: 8 _.._�. 20 It� JI PERCOLATION RATE (minuteVinchi PERC HOLE DIAMETER i TEST RUN BETWEEN FT AND FT COMMENTS f/ISdaI _msµ A SSU Sr 1 zsczrte+ l L ti I ` I` )rERTIFY THAT THIS EST WAS PERFORMED IN PERFORMED 8Y: ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE: 1 72-008 (Rev. 4185) Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 015-234-23 HAA _ 04 D3 1. GENERAL INFORMATION Expiration Date: 7-13-06— Complete —13—d6— Complete legal description ALPINE WOODS SUBDIVISION; LOT 1 BLOCK 3 Location (site address or directions) 11830 MOOSE ROAD Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address WALTER WELLS xe, pay phone (713)823-3837 5872 SUGAR HILL DRIVE * HOUSTON, TX. 77057 Day phone PAM REYNOLDS w/ PRUDENTIAL VISTA Day phone 240-7493 16635 CENTERFIELD DRIVE * EAGLE RIVER, AK. 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class A Well 0 Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 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, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & 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 readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future 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 _ bedrooms. Disapproved. 337-6179 Date 'i 1 t2OQ� Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other i. AN �244 �rnT� WATER AND t PROGRAM By: Gtr Original Certificate Date: -7 ' 3 (Rev. 12/01) Developmen Buil ft. Grave WINWARI" Monitoring tube YES 'ass/Fail) PASS WW -� -.1A/�1or erVrinrl 'i �]�ry I t..,f anon $ie m gallons "P`u`mp"off' _in. High water alarm level at in „ Cycles tested _ Meets alarm & circuit requirements? �On adjacent lots r Public sewer manhole/cleanout line Holding tank NCES' FROM' SEPTIC(H6LDING TANK ON LOTTO , ..oa. < as a.n,.kr.5 .a.. L .. ,or. a� _, s^ 5 + 5 + Property line 5 + Absorption field Building foundation "" 10"+ Water main e _ **200'+ TO PUBLIC_ W LS WROi0050 ['C%1�T<IO�I' .. _ ..... ,� ,c, .,✓ �4. _. � �" mu�"x..r.' � �. OF .. ,440 ........ ................... -ecords that the above systems are in OA HAA guidelines in effect on this date J fr A. Game s,: Barrie J�EFFREY A. GARNESS s� E-79 Od Waiver Fee $ _...., „. Date of Payment Receiot Number 06/28/04 MON 08:13 EA% 6896499 VISTA REAL ESTATE ER FILE No.124 07,0'.+ '01 17:17 IDTTRICORST rMTCAGE SVCS -A FRX:512 326 W'Ab LOT 6 C LOT 1 NDTE� DDE TD xi k NOW, DPNCW�T L➢D�11DN 13 , anvpOFM��E, ? e� G/o S po s -r- do LOT 2 0 30. V Q [dJ 003 Municipality of Anchorage .... Development Services Department :.... p Building Safety Division On Site Water S Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 9951g�6650 www.ci.enchorage.akus (907) 343.7904 CERTIFICATE OF HEALTH -AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-234-23 HAA#_ 1. GENERAL INFORMATION Expiration Date: Complete legal description ALPINE WOODS SUBDIVISION : - LOT 1. BLOCK 3 Location (site address or directions) 11830 MOOSE• ROAD Current Property owner(s) WILLIAM AND GEORGENE STILLINGS Day phone 348-0345 Mailing address . 11830 MOOSE ROAD, ANCHORAGE, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Mailing address DONNA ORR Day phone 240-7493 REMAX PROPERTIES, 2600 CORDOVA STREET Unless otherwise requested, NAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site 21 Individual Water Storage ❑ Individual Holding tank ❑ Community Class -4 Well 0 Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an Independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (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. Note: Alaska Water and Wastewater Consultants; Inc. shall be paid $850.00 at, or prior to closing for the engineering services provided.:. 4. ;STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as o! the validation date shown below, I verily Chet my investigation, based on procedures ougined in the Health 'Guidelines/or this application; " shows that 09 on-sitewater supptyand/or wastewater disposal system !s(are) sate, functional and adequate . for the number ofbedrooms end type of strudum indicated herein. l /urther verily that based on the ; information obtained from the MunI t 11is of:cil 0 files and /rom my lnvestlgation and Inspection, the . on-site watersupptyand/orwastam ordisposaI system is(am)incompliance with all applicable Mun/dpaf,. and State codes, ordinances, and regulations In effect at the time of installation.. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC.. Address 6901 DEBARR ROAD, SUITE 2B ''ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY•A. GARNESS, P.E. Engineer's Comments: " In conducting this evaluation, AWWC, Ina attempted to provide a_ thorough, : ': conscientious engineering analysis of the system In accordance wttim ADEC and MOA DSD Guidelines & Regulations. The reported results desattbed the performance of the system under the conditions encountered at the time of the test and separation - ' distances measured to readily Identifiable features. The operetbnalItfe of all wells and septic systems depend on the local soils condition, groundwaterle:els that may, fluctuate during the year, and the water usage of the family being served byMe system. These conditions are outside the control of the evaluatorof the system. Satisfactory test results do not guarantee future performance of the system, nor do theyguaiantse that there are no hidden defects or encroachments. AWK0C, Inc. 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 byany other person or party is not authorized, nor will If confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Phone 337-6179 ..•. .7. S 0�'. Date , Conditional approval for I bedrooms, with the fllowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineers Reort Other ON-SITE WATER AND WASTEWATER : PROGRAM By: /LG� ! 4td!�!l Original Certificate Date: -7- 13 - O L (Fw.12=) Municipality of Anchorage Development Services Department J Bulkling 88" Division s OnSke Water & Wastewater Program 4700 South Bregaw SL P.O. Boa 196650 Anchorage, AK 9951ti• M www.d.andtorage.akue (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ALPINE WOODS LOT 1. BLOCK 3 Parcel ID: 015-234-23 A. WELL DATA Wen type A K A. B. or C provide PWSID# _ Well Log (YM) Date completed Sanitary, seal (YM) Wires properly=abovo (YM) Total depth Cased to R Casing height u N. FROMWELL LOG Dace of test Static water level tt Well production — 9 -p.m - WATER SAMPLE RESULTS: Colttorm colonlesM00 ml. Date B. SEPTICIHOLDING TANK DATA Nitrate mgJL. AT INSPECTION iL g.p.m. Tank Type/Material GREER/STEEL Data Installed 6/94 Tank Slee 1250 gel, Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Hgh water alarm (YM) N/A Date of pumping 5/30/01 Pumper NORTHLAND MI. Date installed 6/94 Soo rating Q.pd r fl'/bdnn) 0_8 System type DEEP TRENCH Length 57' tL Wklih 4' R Gravel below pipe 7' R Total depth t t'* fL Eff. absorption area798 R' Monitoring tube YES Depression over field NO Date of adequacy test 6/28/01 Results (Pass/Fan) PASS For 4 bedrooms Fluid depth In absorption field before test 41.5 in. Water added7� 44 gal. New depth 50.25 in. Elapsed Tlme: 205 min. Final fluid depth 48.55 in, Absorption rete a� 600+ g.p d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN M yes, give date 0. LIFT STATION Date Installed 'Pump on' level at---Jn. E. SEPARATION DISTANCES Size In gallons High water alarm level at in. Cycles Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank1 iR station on lot Absorption Heid on Public sewer main line adjacent lots Public sewer manholeldeanout Holding tank SEPARATION DISTANCES FROM SEPTIClHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service one 10'+ Surface water 100'+ Wells on adjacent kits&x` 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line •3'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parkinglvehide storage 30'+ Curtain drain NSA Woos on adjacent lots "100'+ F. COMMENTS *WAIVER REQUESTED •0200'+ TO PUBLIC WELLS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field Inspection end review of Munldpat records that the above systems are In corrfonnance with MOA HAA guldeHnes In effect on ibis date. Engineer's P "teyl Name JEFFREY A. GARNESS Date HAA Fee $ 300 • 20 Date of Payment --&,.2/0 1 Receipt Number (Ra.1?mo) WalverFee$ //6-' Date of Payment eel n l:001 Receipt Number L9 85 I — ALASKA WATER & WASTEWATER CONSULTANTS, INC. January 15, 2001 Municipality of Anchorage Department of Development Services On -Site Services Section 4700 South Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Lot 1, Block 3, Alpine Woods Subdivision To whom it may concern: We request that your department issue a 3 foot lot line waiver from the north property line to the existing drainfield. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic systerr. If you have any questions, please contact us at 337-6179. Thank you for your assistance. n .E., M.S. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 7/10/2001 Municipality of Anchorage George P. Il'uerch, Mayor Department or Public Works Building Safely DiA7sio11 '---- P.O. Bos 196650 a 4700 S. Bragaa- Strcct Anchorage, Maska 99519-6650 • (907) 343.8301 h ttp://%%I%lv.cl.ancl tornge.nk.us Alaska Water and Wastewater Consultants,Inc. 6901 DeBarr Rd, Suite 2B, Anchorage, Ak. 99504 Subject: Waiver Request for Alpine Woods Lot 1, Block 3 Waiver Request #WR010050 Parcel ID #015-234-23 HAA#010346 Dear Engineer: Your request fora waiver of the required 10 feet horizontal separation from the on-site wastewater disposal system to property line has been approved. The approved separation distance is 3.0 feet. This waiver approval applies to the existing on-site wastewater disposal system to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Al� w. 10"�(- Jeffrey W. Poet Engineering Technician On -Site Water & Wastewater Program Municipality of Anchorage Development Services Department • Building Safety Division On-Sitc Water and Wastewater Program 4700 Bragaw Stmt P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#: WR010050 PID#: 015.23423 HA#:AH 010346 Date Received: 6//101 Legal Description: Alpine Woods Subdlvision L.v f � �� Slack 3 Engineer. Alaska Water and Wastewater Consultants. Inc. 6901 DeBarr Rd. Sults 28 Anchorage, AK 99504 Applicant: Wllllam and Georoene Stlllings Waiver Requested: 3 feet from dratnfield to lot line Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Permit#: Points: Waiver is Granted: Waiver is not Granted: List Conditions or Reasons for above: Date: By: Name of Reviewer Rec#: 6851 Amount: $115.00 Date Paid: 7f7/01 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 1. D. # _, (r) ---,) — - 2 Ely11,R HME/ytgl QF q/V(.h N F ` ,y96 CFS V'C t1 HAA # 1. GENERAL INFORMATION Complete legal description L-'+ 1 1 ,1 le 3 m arn�),L, =i S Location (site address or directions) (18 ' o Yy)r) > S d Property owner ('err ? e r1rJ�"�r. �� ��c (crn Day phone Mailing address Lending agency Mailing address Day phone Agent r'� e lac-1�C r e') Day phone � o Z 3 Address �c3 �� l.J��� t �wku_ww� 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. 1191) Front MOA 021 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. KND Engineering Name of Firm 2044+ a,.m;gan Blvd Phone Address Eagle River, AK 99577-8736 Engineer's signature 6. DHHS SIGNATURE ' Wrr Approved for bedrooms. By: Disapproved. Conditional approval for Additional Comments Date �< bedrooms, with the following stipulations: The Municipality :,f 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) Beck MOA M21 Municipality of Anchorage F ,R��1Q. 0 DEPARTMENT OF HEALTH & HUMAN SERVICESEnvironmental Division 825"L" Street. Room 502 • A cho age,lces Alaskka 995010 (907) 343-4744 �lsF�lc ��� �elk6, s�40 Health Authority Approval Checklist F® Legal Description: L off- ( 41 K 3 H 1p'l n e. UJpaC, s — Parcel I. D.: 49 A. WELL DATA Well type A If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed / Total depth Cased to Casing height (above ground) Sanitary seal (YIN) Wires properly protected (YIN) FROM WELL LOG AT INSPECTION Date of test Static water level Well production z g.p.m. WATER SAMPLE RESULTS: Coliform Other bacteria Date of sample: NitrateCollected by: B. SEPTIC/HOLDING TANK DATA Date installed (v 9 Tank size 1 �2 5 d Number of Compartments Cleanouts (Y/N)�_ Foundation cleanout (Y/N) Depression (YIN) High water alarm (Y/N) NA Date of Pumping l 131 19 (v Pumper A)0(+k 6©C RL,F . C. ABSORPTION FIELD DATA Date installed Cv Soil rating(g.p.d./ orft=fbdrm) l>. System type dee Length :57 ' Width 4/ Gravel thickness below pipe _� Total depth Effective absorption area % 8 Monitoring Tube present(Y/N) Depression over field (Y/N) N S s},ewe less Date of adequacy test NA pian A yr M Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test (in.);Immediately after gal. water added (in.): Fluid depth (ins.) Minutes later: Absorption rate = g.p.d. Perox.' treatment (past 12 months) (Y If yes, give date Wo -c! cie5k h1 L5 6eeh co4s�rc�C�eJ� 0LWW-051 des sf�.Hr. Desk 1 a.s a.e-c�Ss kc'les -fir 0.It C�eavt0(L�S�(7� LI 'Aer -ieSK acee55/ D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* i High water alarm level at* *Datum Cycles tested / E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT Septic/holding tank on lot % Absorption field on lot Public sewer main Sewer /septic service line "Pump off' level at* i TO: On adjacent lots / i On adjacent lots i Public sewer manhole/cleanout Lift station / SEPARATION DISTANCES FROM SEPTIC94OLDING TANK ON LOT TO: Building foundation /(-)' Property line Z D f + Absorption field to ' i Water main/service line 25 4- Surface water/drainage I DD -I- Wells on adjacent lots ZOU -t SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation l (' { Water main/service line 25 r -f Surface water /DU Driveway, parking/vehicle storage area 3 U 4 - Curtain drain IOU, 4- Wells on adjacent lots 200 -t- Property line 00'4- F. ENGINEER'S CERTIFICATION {� A4 1 1 certify that I have determined thru field inspections and review of"Municipal recordr 60#6" a pgre in conformance with .10.9 HAA guidelines in effect on this date. go6;�°'•. 0 fi n -9TH •: Signature OG a ee eeo •ae.°® 00 eoeeNFl •° epee Engineer's Name en h e+ u i. gi> rg &e e : w® 6) :• CE,71 Date J/ y 6'Q �F ••.�,6 e ���'® --------- ---------- ------- -------------- ------------------------ --------------- -------- ------------------- °. Alp Fee $ Waiver Fee $ _ ;zoo AD Date of Pavment � %)i Date of Payment Receipt Number Receipt Number Rev. 8/95 OSS: haa.wk.doc TaK` N DENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 907)696-6111/FAX (907)696-8111 February 16, 1996 Jim Cross, P.E., On -Site Services Manager Municipality of Anchorage Dept. of Health & Human Services P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 1, Block 3, Alpine Woods S/D Dear Jim: RECEIVED FEB 2 0 1996 At rHe HealHuman Serly Of vICa$ Based on our telephone conversation Friday afternoon, it is my understanding that you have a concern regarding the location of the existing system with respect to either a cut -bank or slope exceeding 25%. As a result, I re -inspected the installation. It is still unclear what the specific concern is with regards to the system's installation. However, in an attempt to expedite the issuance of the HAA I am submitting this letter with the following points per your instructions. • The system was installed in June 1994, and subsequently approved by DHHS. • Since the installation and use of the system there has been no indication of any health hazard posed by this system. • The site has two distinct slopes; the 1st covers the field and drains to the south west; the 2nd approaches the north end of the field and, at its closest point, is approximately 10 feet away and increases in distance from there, sloping to the east, southeast. From field observations and the original permit application it is clear that this slope has the greatest elevation differential and percent slope. • The 1st slope over the field appears to be approximately 4-5%. • The 2nd slope appears to have varied grades with the majority clearly less than 25% and there appears to be no cut banks/slopes involved at this site. iti..-1 - 1` 401 • During the installation of the system we did not feel, nor do we now feel, that there is any potential health hazard from this system due to the existing slopes. Subject Lot 1, Block 3, Alpine Woods S/D February 16, 1996 Page 2 of 2 • The 2nd slope to the east/southeast is heavily treed and has substantial vegetation. • the end of the trench may be within the proximity of a portion of the 2nd slope that may possibly near or exceed 25%. This would tend to ignore that clearly 90% or more of the operating portion of this system is outside of any slope in excess of 25%. Based on the depth of the system, the vegetative ground cover, the system performance to date, and the inspections conducted during the installation, this system does not pose a health hazard to the public. I appreciate your assistance in this matter. If you have any questions please call me at 696-6111 /FAX 696-8111. Sincerely, ?eneth M. Duff , P. E. 11 2QSQ�¢Q? C^pOdO R.A. A . RER taw 1/3,170 b/ ob (�>=-Pt lC- oo$e2ueo bu'-4kr-IG SITF� U, ser hA4C- 666. Al 3s' Cco`RE�) Ham sc,.opE (c fru Fxc&—,rs OF taa�a, c�vwu 7 RiEC-ocA-z.(n,, Tt6Ncr+ To M Ft: S Abd"? (ars QW RFVW�- J?S 012 UNCFSS Dauvo CAfJ Lae- (-6 *7&O sov- -teas C& , To Sfl�w TMVc T(E- E Is C-tmf-<k 6r- scf.*C , AS -BUILT DETAILS WASTEWATER ABSORPTION SYSTEM LOT 1 BLOCK 3 ALPINE WOODS SUB CLEANOUTS (TYP D3034 SOILD) r ORIGINAL GRADE AND FINISHED GRADE UNCLASSIFIED FILL CDROM TRENCH EX) Q� F T R FARR J 250 GALL❑ ® EPTIc TAN SEWER ROCK a \Q 57' TRENCH 3' 1250 GAL SEPTIC 5' CAST TANK Tp C.O. 0 0 6' z O K r N u A C pp f Q 5. �ronureeoocr ��� V�V 0 M�•N•M�•• O.pN.. eo o O tKennedl k Du a �y e 711 r op D4AROFESS1103*0' "�OOF�AOCs 57' x 4'V TRENCH 4' PVC F810 PERFORATED PIPE 8.D A 41.0 1 2 43.0 C 52.0 --- D 112.0 (CO) 97.0 (MT) J O" D ,y C'P Jam`' a ti 1 8S B y�LSF F�fL C _ .s lQ.0 /41 PREPARED FLIP:KND ENGINEERING 20441 LV TRENT SLAYMAKER EAGLE PTVER,GAN AK, B g57D 7 PO BOX 110787 907-694-2 259 ANCHOPASE, AK, 99511 DATE: 6-22-94 DPawrr,o # i NOT TO SCALE 278 81 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. # 1. GENERAL INFORMATION HAA# Complete legal description LOT I 'ELK 3 AL_P11 a NOOKS Location (site address or directions) MooS'F- P -D Property owner TQEN T 5LAYMAKER /iKND GNC • Day phone �96��11) or (�qy-zi59(sq) Mailing address Lending agency V-1yy/z I Day phone Mailing address Agent 3,406 W 11 r kr �� �'I i 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 577 - 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 021 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm I ND L Ll G ItJ�:E-Ltt1Phone 06- (�lll v✓ (o9� �35q�Msy� Address Z<� y'-1 I 1'� WZWCG Al.1 �t_Vi� ���E 2(✓E2 � 49577 Engineer's signature Date z OF At c6 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for By: Additional Comments 4 4 me It. •e eek Q �} Kenneth M. Duffus e° DO d'% CE 711 t� o�o9Foo�lP .o e• 4 %0 0��� bedrooms, with the following stipulations: 1,1717 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 orderto 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 1121 Municipality of Anchorage AL Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 1 Bl k 3 Alpine Woods Parcel I.D. A. Well Data 05181139 Well type If A, B, or C, attach ADEC letter. ADEC water system number. Log present (Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires prop y protected (Y/N) Date of test Static water level Well flow Pump levell FROM WELL G / �aP 1 9.p -m. SEPARATION DISTANCES FROM WELL TO: Septictholding tank on lot Absorption field on lot _ Public sewer main Sewer service line WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA AT INSPECTION ; On adjacent =adjat lots 3linhol tank lected by: Other bacteria Date installed June 1994 Tank size 1250 Compartments 2 ;;leanouts(Y/N) Yes Foundation cleanout (Y/N) Yes Depression (YIN) No High water alarm (Y/N) N/A Alarm tested (Y/N) N/A Date of pumping ` 'New Pumper N/A SEPARATION DISTANd5S FF 4fA.-AEPTIC/HOLDING TANK TO: Well(s) on lot N/A On adjacent lots +100' Foundation 11 ' To property line +25' Absorption field 6' Water main/service line 25' Surface water/drainage +100' 72-026(3W)•Front CONTINUED ON BACK PAGE M < 3 - Z n Mm D ^ Z r g-p-ffn J m Z rn tD m r' NC D < D N_ Z Other bacteria Date installed June 1994 Tank size 1250 Compartments 2 ;;leanouts(Y/N) Yes Foundation cleanout (Y/N) Yes Depression (YIN) No High water alarm (Y/N) N/A Alarm tested (Y/N) N/A Date of pumping ` 'New Pumper N/A SEPARATION DISTANd5S FF 4fA.-AEPTIC/HOLDING TANK TO: Well(s) on lot N/A On adjacent lots +100' Foundation 11 ' To property line +25' Absorption field 6' Water main/service line 25' Surface water/drainage +100' 72-026(3W)•Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons (Y/N) Vent (Y/N) "Pump on" level at / "Pump off" Level at High water alarm level Cycles tested 71 Meets MOA electrical codes (Y/N) .f SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On gdje6ent lots D. ABSORPTION FIELD DATA Surface water Date installed l,nP 19U Soil rating (GPD/Ft2) 0.8 System type Trench Length 57' Width 4' Gravel thickness 7' Total depthvari es 11 ' - 14' Total absorption area 798 s f Cleanout present (Y/N) Yes Depression over field (Y/N) No Date of adequacy test nPw c�,ctPm Results (pass/fail) N/A for - Bedrooms Water level in absorption field before test MSA After test - Peroxide treatment (past 12 months) (Y/N) N /A If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot NAA On adjacent lots -* +oo' Property line ea To building foundation I Li, To existing or abandoned system on lot N/A On adjacent lots 4501 Cutbank 4 100' Water main/service line +501 Surface water ICO Driveway, parking/vehicle storage area +50) Curtain drain DDI E. ENGINEER'S CERTIFICATION 1 certify that / have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. s® .s to 4 110 •••°�� SOD �V Signature .. p4 Engineer's Name K e N -r N D u F -u • NON o •C Kenneth M. ar Date w Z 3/L CE 7116 �g �FD ems'• o••_..1s1.�4V ov HAA Fee $ 0/ 0 7 Date of Payment �lJ / Receipt Number 72-026 (3193)• Back Waiver Fee $ Date of Payment Receipt Number