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Home My WebLink AboutBAKIC LT 1 Muni:;ipality of Anchorage Page __._L.~ of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Wall Inspection Report Permit Number: ..~/~50,,,3..,'~'':'*~ PIDNumber: ~!~- I~~'-~ ..... , .... Name: ~¢~ ~~,~ Wastewater System: ~ New ~Upgrade ~ddress: ABSORPTION FIELD ¢/,r~ ~ ~ NO. of Bedrooms: ~ Deep Trench D ShaLlow Trench D Bed D Mound ~Other Phone: LEGAL DESCRIPTION so,~,,~o: ~ GPD/Sq. Ft Total Depth from origi~g]ade: ~o~:~ - %~t ~ ~" ~"' .... Township: ~ Range: ~ Section: Fill added above or ginal ~rade: Gravel length: "' ' Gravel width .~ Number of Hnes: ~ Distance between lines: WELL: ~ New ~ Upgrad~ /~ Ft. ~ ~' ~ Ft. Pipe mat~riah Classification (Private, A,B,C): Total Depth: Cased TO: Total absorption area: ~-~. ~O P Driller: Date Drilled: Static Waler Level: Installer: ~ Yield: [ Pump Set at: [Casing H~; r~ Above Ground: ~.M "'. I '. "" TANK ~T.E.~. SEPARATION DISTANCES ~ s~ptic ~ To Septic Absor¢ion Lift Holding Public/Private Manulac,~~ T~ Oapacityin gallons: From Tank Field Stallon Tank Sewer Lines Malerial: ~ Number of Compartments: su~c~ LIFT STATION Line ~ ~ "Pump on" level at: Pump off" level at: High war "- Pump Make & Model ) Electrical Inspections performed by: Curtain ~/~ ~/~ ~/~ Drain BENCH MARK Remarks: Location and Description ~ Assumed Elevation: Inspections performed by: ~ Dates: 1st ~e )- ., ~ .... :~ '" '" Department of Healt~d Mum~ervices approval , '" ' ~ ~._ Date: ~;~',:L '-~ Reviewed and approved by 72-013 (Clay. 9/91) MOA 25 SWING TIES,; AC 2,5 FT BC 52 AD 94 BD 107 AE ~20 BE /--- ]05 FT ZTFFSET F£DM ££EEE Ar ~ ~ ~ BE 157 ~ IA ~ ~ 3~CH MAPK .~ ~ ffLEV'~~ . ~00'00 , ...... ~S O ~5 SO 75 ~00 ]~Z ~SO ~ ~ ~ TUriN SPURKLAND ~,~ SCALE; ]~ : 50 FL .~-. No, 3ENPH HA~K TOBBEN SPURKLAND P.E. ~0~ J ~]~ ~/P SEPTIC SYSTE~ AS BUILT 203 W 15TH. AVENUE DATE: SEPL 26, ANCH. AK. 99,501 ROBERT BAKIC SHEET: 2/3 GRID: 2640 (907~ 27g-3916 ~ 25 AIR COMPRESSOR From S?EP fanR 30 MIL PVC LINER ALL AROUND OF 6" Holfpipa $303d~ 6' Long 3/4' Woshed 2ocR ~, 0 ~O~OpO~O~O~Q~O~O~O~O~O~OnO~O~OX~<OXO~O~O~O~O~O00000< CENTRAL PAVINO ROAB SANB 86, 7 86, 7 SIDE VIE~ GAR~G~ FLOOR A~UMED ELEV, ~00, DOZFT, TOBBEN SPURKLAND P.E. 15X25 SAND FILTER S~PT~c S~S~E~ ~S OU~L~ 205 W 15TH. AVENUE ANCH. AK. 99fi01 LOT I BAKIC S~D DATE: SEP~ ~6, 199~ (907~ 279-3916 ROBERT BAK/C SHEET: 3/4 .,. GRID: 2640 ~ 25 ~ AIR 'OMPRESSOR 2,5F OCT-- 5--S5 THI_I I i :07 ELECTRIC: DOCTOR INE '_~.~, -E, 15:B, 642 F' OS "The Electric Doctor" (907) 561-2225 TO: Spttrkland F/LX 276-6013 To whom it may concern.: October 5, 1995 We have completed the hookup of tjae electrical 1 i 1361 Hdlaide Drive in Anchorage, Alaska. This work ,~ and in corfform.t~ with State and local electrical codes. R~ is a licensed electrical contractor in the ortion for the lift ~,,tion located at performed by lu ~n~d electricians State of Alaaka under Lic.# AA9148 T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 October 12, 1995 Subject: Lot 1, Bakic S/D "Pink" Sheet Gentlemen; Responses to your 13 items on "pink" sheet: t-~l.~ Airline is not from house. Air compressor is located adjacent to the sandfilter. The line was in'ted with preformed pipe insulation. The amount of cold air is not believed to be sufficient to ~t0,, t~n~pair the operation of the sand filter. This is an opinion. I am more concerned with the possibility of getting an air lock in the line due to condensation. The longer the mn, the more condensate will accumulate in a possible low spot. Economics is also a factor. Dan stated that $11 a foot was a price he had been told for the arctic pipe. In this case the filter is located 150 feet from the garage. This a subject that is bound to come up again. Why don't we monitor the temperature in the filter this winter to see if we can see any effect of the ambient air. If the filter temperature is affected by the cold air, and it is detrimental to the c~r>eration of the filter, the compressor can be moved back~t,.o the residence. ~J l ~ ~-- ~ f'~.vv~ J ~ ~ fi--tv P-q~L /]-mO ~ ch] / f-~ /~ Pt/~ C c.//2. HDPE coiled conduit was used for the airline. 1/8" holes on 24" center was drilled through the conduit, resulting in holes on the top and the bottom of the line. This way any condensate or water flowing through the sand and entering the line through the top holes could escape through the bottOmshould stillh°leS'be open.If the [,3,jt°p ih°les{-- L..sh°uld. p[ ~bec°mec L)~plugged, by migrating sand or silt, the bottom holes Thomas Industries Linear Compressor Model 5070 Pump on for 30 sec. every 30 minutes. No test was performed ]) V ~ ~ ,/4'~t- C ~ L t04WAy~'~ Misprint on as built. Washed 3/8" pea gravel was used. Tensile strength ~t AST~-D-4632 is 90 lb. Pe~fd~ity ~e~AST~-D-449] ~ 'f~ ~' Props were ~ished by Orenoo per speos. /~~' No provisions were made for effluent s~pling 10. No flushing/cle~ng valves were installed, none were sho~ on the approved ~adngs. ~er was installed so that hy~ogen peroxid~ c~ be used to cle~ the lines if necess~. .1..:' The submi~ed specs required M~i inspeotion or ce~ified electrici~s statement that installation is according to cod~.' '~' The sewer line was insulated ~d~r driveway. By ~e way the b~al depth is 10 feet. ~~: Liner is sho~ on as built. the 2 .:- d / · 4nltta'l trans c Y. ' : Ii AN?tOWAgE RECORDING DI.;TRIOT T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: Bakic S/D Lot 1 Sand Filter Temperature Monitoring Gentlemen; R CEIVED DEC 6 19 35 D M.u.nicipality of Anchorage ept. Health & Human Services December 5, 1995 Per your request I installed two temperature sensors in the sandfilter on this lot. The sensors were installed on Nov. 3, 1995. One sensor is located at the bottom of the sand and the other atthe top of the sand. The thermistor string is 10 feet long and the probes are identified at being at levels 8 and 10. The following temperatures have been recorded: Date Temp B of S Temp T of S 11/3/95 41 43 11/9/95 42 40.5 12/4/95 40 39.5 Readings by Flattop Technical Services and Eagle River Engineering Services show that during Dec. 1993 and Dec. 1994 temperatures between 39 and 42 degrees F. were found in filters fed with air from crawlspace or garage. The winters of 93 and 94 had substantial snow cover and frost penetration to the depths we are experiencing this winter did not occure. From the readings obtained from the system at Bakic it does not seem that the air temperature has a detrimental effect on the filter temperature. Yours Tobben ~urkland P.E. o?~ OF 4/'.%- ~ ~ 49+h ~ . ~ TBB9EN 2PU~KLAND ~ ":~ ':'"':'""'" I ":":~':'::" ?"'::':~':':~':~':':~'~ ~L~Y ~ V~ TOBBEN SPURKLAND P.E. LOT 1 BAKIC S/D SEPT,C SYSTEU DESIGN 203 W 1STH. AVENUE DATE: SEPT. 7, ANCH. AK. 99501 PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 5 6 7 8 9 10 11 12 13 14 15 16 17 LiD T' / ~:::)/~ ,~ ~....., Township, Range, Section: SLOPE 19 2O COMMENTS WAS GROUND WATER / ENCOUNTER ED? S L IF YES. AT WHAT DEPTH? E SITE PLAN OepUl to Waer Alter /,,~_ ~.7//~_ Monitoring? Dale: Reading Date Gross Net Depth to Net Time Time Water Drop '7'/z- !;~ ~. ~ -. o ~ ~.~.../ '~ ~ ,-./ '7, :Z. ,p- ; o 7 ' PERCOLATION RATE /1~ (mmutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND '~' ~ FT I~ERFORMED BY: '~ % I ~ ~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: ~(~,4~'1~ /0, I ~ ?~'~ '. ~ i05 FT OFFSET FROM CREEK . 8-FOOT m~ ~ ..>S~~]~ ZS~ GAL. SEPTIC TANK , ~ 2~i.." . ".~'~ RS O RS 50 75 JO0 ]~S 150 ~ TDBBEN SPURKLAND SCALE; I' = 50 FT, ~.d~% No, cE-~ ~ENCH MARK GARAGE FLOOR ASSUMED ELE~ ~00.00 FT TOBBEN SPURKLAND P.E. ~0~ ~ ~IC S~ SEPTic SYSTEM DESIGN 203 W 15TM. AVENUE DATE: SEPT. 7, ~995 ANCH. AK. ~9501 ROBERT BAKIC SHEET: 2/~ GRID: (907~ f 0,~73 T.SPURKLAND P.E. 203 WEST 15TH. AVENUE SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Federal I.D. 92-0082854 Therese Stokes 12530 Freitag Circle Anchorage, Alaska 99516 INVOICE August19,1995 FOR PROFESSIONAL SERVICES RENDERED LOT 11 BLOCK 4 GREENBROOK S/D Soil Test $ 450.00 Septic System Design 450.00 Municipal Fee 320.00 Total Due $1,220.00 THANK YOU /o/V/e; ~9 ~g Terms: Net 30 days. 1% service charge on all past due accounts. (12% annually) Rick Mystrom, Mayor Mtmic pality of Anchocagc Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519~6650 November 7, 1995 Tobben Spurkland, P.E. 203 West 15th Avenue ~023 Anchorage, Alaska 99501 Subject: Waiver Request for Lot 1Bakic Subdivision Waiver Request #WR950061, PID #015-163-75, HA950429 Dear Mr. Spurkland: Your request for a waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 8.3 feet encroachment on the street right of way of Alps Avenue. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, /~ Robert W. Robinson Civil Engineer On-site Services RWR/ljm MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ WR950061 PID~ #015-163-75 HA# HA950429 Permit Date Received: November 3, 1995 Legal Description: Lot 1 Bakic Engineer: Tobben Spurkland, P.E. 203 West 15th Avenue #203, Anchorage, Alaska 99501 Applicant: Robert Bakic Waiver Requested: Lot line waiver encroaching on the street right of way of Alps Avenue - .~. feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NO, Granted: above: List Conditions or ReaSons for · .-j . , . / -- --'?-~,,~ Name of Reviewer Rec #: #01447/3926 Amount: $ 115.00 Date Paid: 11-3-95 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950285 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:BAKIC MARY F FAMILY TRUST OWNER ADDRESS:750t ALPS AVE ANCHORAGE ALASKA 99516 DATE ISSUED: 9/20/95 EXPIRATION DATE: 9/20/96 PARCEL ID:01516375 LEGAL DESCRIPTION: BAKIC LT 1 LOT SIZE: 133086 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: THIS PERMIT IS FOR THE CONSTRUCTION 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 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTI~N~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: 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 1 BAKIC S/D ROBERT BAKIC Ground Water at 12 ft No suitable area for conventional system Install bottomless "Orenco Sandfilter" 500 gal STEP Soil Rating. 1 min/in = 4 gal per sq. Ft Use gal per sq.ft/day No. of Bedrooms 5 Design Flow 5 x 150 = 750 gal per day Sandfilter Loading 750 / 15 x 25 = 2 gal per sq. Ft OK RECEIVED SEP 0 1995 Municipality o! Anchorage Dept. Health & Human Services Testhole Total Depth 14 ft Less 6 8 Install filter at 6 feet below ground The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are natural surface / sub surface drainage courses on this lot. The proposed wastewater disposal system is located more than 100 feet away from these features. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. pg.1 ~$ T~EN ~PURKLAN~ TOBBEN SPURKLAND P.E. LOT I BAKIC S/D SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE DATE: SEP[. 7, 1995 ANCH. AK. 99501 ROBERF B~KIC SHEET: 1/3 GRID: 2640 ~07~ 279-3916 RECEIVED SEP 2 0 1995 Mu;}',c;pahty of Anchorage JO~ FT ~FF£ET F£OM ££EEK Dept. Health & Human Services +- ~ ~/~~~ ..... ~ ...... ; .......................... ~,..~ ~ENCH MA~K GARA6E FL::~ ASSUMED ELEV, ~00,00 FT TOBBEN SPURKLAND P.E. ~0~ ] ~]C S/b SEPTIC SYSTEM DESIGN 205 W 15T~. AVENUE DATE: SEPT. 7, ~995 ANCH. AK. 99501 NOBENT BANIC SHEET: 2/S GRID: 2640 ~07~ 279-~916 3/4' AIR LI~..~ ARCTIC PIPE FROM' , ~' '~ f From STEP Tonk RECEIVED 3~ NIL 8EP 2 0 1995 MuQ~~nchora~o De~2j~ ~'~Services 6" Hdfpipe D3034~ ~' Long " PVC, Holes Pointing Up L~ferd ond O~ifice ShieM 3/4' Wo~hed Rock { ~ 3' under p~pe ~ Mirafi TextilL -o-o~o~oA~oAoAoAoAoAo~o~o~oAoA~ qo~oAoAoAoAoAoAoAoAc %*+'*++++++*+++* J+*+%*+++*+*+++*+++%%%+++++J*++**++ ~/, ;¢p¢~ % Arctic Pipe T *'*""~'+'"+'"'"'"'*'*'*'*"'+"'*'"*'""+' · 3/4' B' docket I SID VIE TOBBEN SPURKLAND P.E. 15x25 SAND FILTER SEPTIC SYSTEM DESIGN 20~ W 15TH. AVENUE DATE: SEPL 12, I~5 ANCH. AK. 99501 LOT I BAKIC (9o7/ 279-~916 NOBE~[ BAKIC SHEET: 3/4 GRID: 2640 'lC PIPE FROM T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 Subject: Lot 1 Bakic S/D Gentlemen; September 12, 1995 I ,am submitting an application to install an "Orenco "equivalent intermittent sandfilter on this lot. Due to a platted creek there are no suitable location for a standard septic system. The existing 1500 gal tank is covered with 10 feet of material and the existing drainfiels can not be located. Per my request representatives of your department inspected the site yesterday and are in agreement with my solution. Please review my design and specifications and suggest refinements. Yours 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 1 BAKIC S/D ROBERT BAKIC Ground Water at 12 fi No suitable area for conventional system Install bottomless "Orenco Sandfilter" 500 gal STEP Soil Rating. 1 min/in = 4 gal per sq. Ft Use gal per sq.fi/day No. of Bedrooms 5 Design Flow 5 x 150 = 750 gal per day Sandfilter Loading 750 / 15 x 25 = 2 gal per sq. Ft OK Testhole Total Depth 14 fi Less 6 8 Install filter at 6 feet below ground The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. pg.1 PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 1 2 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT DEPTH? ~ ~ 0 P E Depth to Water After /,,~ Monitoring? Date: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop '7 'lz- I : & ~,, - 7.~ ~o 7 PERCOLATION RATE ~lP (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ ET AND '~, ~ FT I~ERFORMED BY:',x-----~,. % I~J~" ~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ J~.P /0~ / '~ ? ~ 72-008 (Rev. 4/85) i ~..~:...~ ...................... .u ......... ~..~..~ .... ~ .'F ::.:.:.=..... ~'}L::: I J ' I '"'-':':':?':~',":,:,',,,,, L. . . ', . ,.':~':','~': : t . .,',,::':~':':~':':~',":~':':~'~ ~ XCALE,, i' : ~00 FT, TOBBEN SPURKLAND P.E. ~0~ ~ ~ ~/~ SEPTIC SYSTEM DESIGN 205 W 15TH. AVENUE DATE: SEPT. Z, ~995 ANCH. AK. 99501 BOBE~T BAKIC SHEET: 1/3 GRID: 2~0 1_$$ FT ZTFFSET FP, 12M C£EEK ~ ~~~LEV, ]00,00 ..... ~ INTER~IT~NT SAND FILTEg ~5 0 ~5 50 75 100 I~5 150 ~EN~H A~U~EP ELE~ TOBBEN SPU~KL~ND P.E. ~0~ 205 W 15TH. ~VENUE D~TE: ~EPT. 7, ~995 ~NCH. AK. 99501 ~OBE~T ~1~ SHEET: 2~3 G~ID: 2~0 ]/ £/o i£ice g 24' Ty~cal Z ~ I From STEP Tank I ~ I PVC, No/es Pointing Up ~ ~ . ~ ~ ~ ~ LoleroJ ond O~/fice Shie/d ~'~'~ No, CE-2225 3/4' Washed Pock ~*+**%+***+,+++,+.+**~+~+++**~+++.+++~++*+++*++.%~++***++%+,%+.+++,%+**~**' Fi l~er Sand 2' Air Supply ....................................... ++. ~TPAL PAVIN~ PDA~ SAND SIDE FIEF TOBBEN SPURKLAND P.E. 18x20 SAND FILTER SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE ANCH. AK. 99501 LOT ~ B~KIC S/D DATE: SEP~ 12, 1995 (~7~ ~79-}~1~ NOBEN~ B~KIC SHEET: 3/4 GRID: ~. ~ '-. No, cB-sass //// //// //// //// //// //// //// //// //// //// //// //// //// //// //// //// //// //~ ~// z ~ //~ ' ////////////////////// ~00 Gol STEP BENCH ~ARK: ~F. FIRST FLOOR ASSU~ED ELEV, ~ 00, O0 FT TOBBEN SPURKLAND P.E. LOT I BAKIC S/D SEPTIC SYSTEM DESIGN 205 WlSlh Ave DATE: SEPT. ~2, 1995 Anchoroqe Ak 99501 27~-~ ROBERT BAmC SHEET: 4/4 OR/D: 2640 T. SPURKLAND P.E. 203 Wl 5TH. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 SPECIFICATIONS FOR SEPTIC SYSTEM INSTALLATION LOT 1 BAKIC S/D ROBERT BAKIC 1.0 GENERAL 1.1 Owner is Robert Bakic, P.O. Box 112647, Anchorage, Alaska 99511-2647. 1.2 Engineer is the person or entity hired by the Owner to inspect this project. The Engineer must be recognized by the Municipality of Anchorage, Department of Health and Human Services. 1.3 Contractor is the person or entity hired by the Owner to install this project. The Contractor must be recognized by the Municipality of Anchorage, Department of Health and Human Services. 1.4 The Drawings, sheets 1 through 4, shall be part of this specification. 1.5 All materials and workmanship shall meet the requirements of the Municipality of Anchorage, Department of Health and Human Services, the conditions of the permit, and all applicable rules and regulations currently in effect. 1.6 Ail excavation depths are advisory, and are to be verified and may be modified in the field by the Engineer. 1.7 It is the responsibility of the Owner or the Contractor to adhere to the approved design, to verify that the specified separation distances are met, and that the required inspections are performed. The Department of Health and Human Services shall be notified at least two (2) hours in advance of each inspection. Notify DHSS by calling 343-4744. 1.8 The Contractor or the Owner shall report to the Engineer any observed condition which would put the septic system in violation of State or Municipal regulations. 2.0 SEPTIC TANK 2.1 If there is an existing septic tank, it may be used if it meets the capacity requirement for the residence. The tank shall be inspected by the Engineer, and its water tightness and structural integrity shall be verified. 2.2 A new septic tank shall be one fabricated by either Anchorage Tank and Welding or by Greer Tank The septic tank shall be a UPC-approved two-compartment tank, constructed of 12 gauge, or better, steel with bitu- mastic coating. The tank shall be set level on undisturbed soil. The tank shall be covered with the equivalent of four feet of soil. Specifications for septic system installation Lot l Bakic S/D pg.1 2.3 The septic tank shall be installed a minimum of five feet from the house foundation and a minimum of five feet from the absorption area. 2.4 The septic tank shall be a minimum of 100 feet from any well serving a single residence; 100 feet from any body of water, creeks or drainage ditches with flowing water; 150 feet from Class "C" wells, and 200 feet from Class A or Class B wells. 2.5 All pipe connections to the tank shall be mechanical watertight couplings. Cleanouts shall be installed as designated and capped with ak-tight rain caps. Cleanouts shall extend a minimum of 12 inches above final ground elevation. Provisions shall be made for landscaping and importation if topsoil. 2.6 Lift station shall be as manufactured by Anchorage Tank and Welding Effluent Pump shall be OSI Model 20-OSI-05-HHF Control Panel shall be OSI Simplex control panel with Elapsed Time Meter, Counter, Programmable Timer, and Intrinsically Safe Control Relay. Air Compressor shall be Thomas Industries Linear Compressor Model 5070. Air line shall be HDPE coiled conduit. 3.0 SAND FILTER 3.1 Gravel shall be 3/8" washed pea gravel. 3.2 Sand shall be Central Paving Road sand with less than 4 % passing the #100 sieve, and less than 2 % passing the #200 sieve. 3.3 Pressure distribution pipe shall be Schedule 40 PVC or ABS. 3.4 Solid 4-inch pipe shall be ASTM D3034. 3.5 Monitor standpipes shall be installed as shown. That section of the pipe penetrating the gravel shall be perforated, either by drilling 0.5" holes on 6-inch centers or by joining a section of F810 perforated pile to a solid section of pipe. 3.6 Geotextile shall be Mirafi 140. 3.7 Insulation shall be extruded direct burial polystyrene. Dow Chemical Styrofoam HI 40. 3.8 Topsoil shall be a mixture of 40-60% organic matter, 20-30% sand and more that 20% silt. All quantities are measured by volume. 3.9 Grass seed shall be Kentucky bluegrass. 4.0 INSTALLATION 4.1 Locate all underground utilities, property lines, future driveways, existing or proposed water wells, water ways, surface and sub surface drainage facilities, lakes, ponds, and all other facilities requiring separation distances from the proposed septic system. Notify Owner or Engineer of any observed possible conflict. Specifications for septic system installation Lot 1 Bakic S/D pg.2 4.2 Stake alignment of system with markers showing the protective distances from wells and water bodies. 4.3 Establish an elevation benchmark. This BM shall be easily identifiable, stable and permanent. An arbitrary elevation of 100 can be assigned. 4.4 Install the tank as shown on the drawings. Record the inlet and outlet elevations of the tank. Tank shall be placed on undisturbed native soil. 4.5 Excavate the absorption field. Bottom of excavation shall be level and scarified.. Record elevation of each comer and center point of bed. Construction equipment shall not operate on the floor of the excavation. Any material compacted by the operation of the construction equipment shall removed and replaced with uncompacted materials. 4.6 Place the sand to the depth specified. Do not contaminate sand with native materials or spoils from the excavation. Level the sand surface (+- 1 ") before placing the pea gravel. Level the pea gravel before installing the perforated pipe. 4.7 Solvent weld the joints. 4.8 Cover the distribution pipe with and placing insulation, if required. 4.9 4.10 pea gravel, and cover the excavation with geotextile before backfilling Record the finish ground elevation at each comer and at the midpoint of the bed. Furnish a copy of all survey notes to the Engineer. 5.0 INSPECTIONS 5.1 A minimum of five inspections are required. The first inspection will be to lay out the installation with the proper separation distances from the adjoining wells. The second inspection will be of the open excavation. At this time the soil conditions will be observed and compared to the design assumptions. Ground water conditions or presence of bedrock will be verified. The third inspection will be after the placement of the air distribution piping, the fourth inspection after placement of pea gravel and effluent distribution piping, standpipes, tank(s) and other components as specified. A final inspection will be conducted after placement of topsoil and cleanup. Any deficiencies will be noted and the Contractor notified. Such deficiencies shall be corrected within ten days. 5.2 All electrical work requires either an MOA electrical inspection or certification by an licensed electrician. Submit proof of inspection or certification to the Engineer. 5.3 Submit catalog data of all mechanical equipment. 5.4 Notify Engineer at least 24 hours in advance of beginning any work. Specifications for septic system installation Lot 1 Bakic S/D pg.3 Municipality of Anchorage Page ! of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~'~/~O~'2~' PID Number: Name: Wastewater System: D New ~ Upgrade ~r~s~ ABSORPTION FIELD Phone: ~No of Bedrooms: ~ ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mou~ ~ Other I , ~.LE~A~)DESCRIPTION. _ SoilRating: GPD/Sq. Ft. Tota[Depthfro~nalgrade: ~: ~ ~ ~ ~ Subdivision: Depth to pipe bottom from original grade: ~epth beneath pipe ;Township: I Range: I Section; Fill added above original gra~ Gravel length: Gravel width: ~ Number of lines: Dislance between lines: WELL: New Upgrade Ft, Ft. Cl~ication (Private, A,~C~_/~l ~ . /~ TotalDepth: Ft. CasedTo: Ft. Total a~n area: SQ. Ft. Pipe material: Driller: / Date Drilled: Static Water Level: In~llerL~~~ ~ Date installed: Ft. Yield: GPM IPumpSetat: Ft ~ Casing Height Above Ground:Ft. TANK SEPARATION DISTANCES ~Se.tic ~ Ho~ding ~ S.T.E.~. TO Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~~¢~ ~ Well /~ '¢ /~ ~ ~ ~ ~ ~ Material: Number of Compartments: Surface ~ STATION/ Water /~¢ ~ /~ ~ ~ LIFT Lot /~'~ /¢,~ -- -- -- Si~e i~ ga"°ns: I M~n~f~oture~ Line Foundation /~ I ~ ~- ~ "Pump on" mp off" level at: High water alarm at: Curtain Drain ~ ~ ~~ ~ __ Pump Ma~& Model I Electrical Inspections performed bY: Remarks: BENCH MARK Location and Description: RECEIVED ENG~N[ER~S.S, EAL NOV 1 2 193~ Munic~pahty Gl Anchorage B~[. hea~m & Human ~e~c~ ~ ~, . , ,, S & S ENGINEERING . 17034 ~gle Ri~r L~ R~, ~ f Inspections performed by: ~..G. Ga--. A;s.b. ~ ~S~ 1st /O -/ - --- ........ . .......... Department of Health an Human Services approval Reviewed and approved by: /~~ / ~ Date:/2-~ 72-013 (Rev. 9/91) MOA 25 Permit No. $W9~0425 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report T12N, RSW, SEC 24, $2NW4$W4NW4 01 51 6507 Legal Description: PID No.: CO1 CO N,T.S. / 5 BDRM ~ ~/ HOUSE NEW 1500 GAL. x SEPTIC TANK -'~ 1" = 40' CO DRIVE FCO 35.5 15.[ CO1 18.5 41.[ DBL CO1 25 51.[ DBL C02 26.5 C02 34 56 CREEK Sb~ 100' ENGINEER'S ~EAL 72-013 A (2/91) MOA 25 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 (UPGRADE) PERMIT PERMIT NUMBER:SW930425 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:BAKIC ROBERT S & MARY OWNER ADDRESS:P. O. BOX 112467 ANCHORAGE, ALASKA 99511 DATE ISSUED:10/12/93 EXPIRATION DATE:10/12/94 PARCEL ID:01516307 LEGAL DESCRIPTION: T12N R3W SEC 24 S2NW4SW4NW4 LOT SIZE: 216000 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: THIS PERMIT IS FOR THE CONTRUCTION OF: 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: 1. EXISTING SEPTIC TANK IS 31 FEET FROM BEGINNING OF FIELD. CARE SHOULD BE TAKEN NOT TO DISTURB THE FIELD DURING CONSTRUCTION. RECEIVED BY: ISSUED BY: ~ DATE: / ROBERT SHAFER, P.E. ROGER SHAFER, P.E. October 8, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEAL TH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: NW 1/4, Section 24, T12N, R3W, SM, AK Request you issue a permit IMMEDIATELY to replace the septic tank serving the five bedroom home on the above referenced property. The existing septic tank has collapsed and sewage is backing into the house. The Owners have moved out of their home because of the unsanitary conditions, we would appreciate you expediting a permit to replace the existing septic tank. If you have any questions or require additional information for your review, please contact us. RAS/LSU/Isu 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 LEGAL NW 1/4, SECTION 24, TlgN, R3W, SM, AK ~.'~'v,~' DRAWN L. S. ULSHER CKD. R.A.S. DATE ] 0/8/93 SHT. STRUCTURES, EASEMENTS, OR ENCROACHMENTS s.ow. GU T.~S S~YE ~,.~ A,E AS SUOW, O. AN AS-BUILT SURVEY DRAWN BY: STEPHEN W. CHRONIC ~~ ~T ~s THE ~ESPONS~.~LT~Y Or THE CONT.ACTO~ TO VERIFY EASEMENTS, REQUIRED SEPARATION ~ DISTANCES' AND PROPERTY LINES PRIOR TO co.~,c~,o,. / CONI~ACIO~ IS REQUIRED 10 OBTAIN UTILIIY LOCALES PRIOR TO ANY EXCAVATION WORK. k CAUTION' LOCATION OF EXISTING SEPTIC LEACHFIELD IS UNKNOWN. iF ~ N THE LEACHFIELD IS UNCOVERED DURING EXCAVATION TO RELOCATE TANK, ENGINEER IS TO BE CALLED SO CONDITIONS OF LEACHFIELD ~ ~REEK CAN BE EXAMINED AND EITHER~ RE-SITE THE TANK OR DETERMINE THE NEED TO RELOCATE ~ THE LEACHFIELD.~ ~,~, EXIST. SEPTIC TANK COLLAPSE~ ~~ / EXC., PUMP, CRUSH AND ABA~D~~ PROP. 1500 GAL SEPTIC TANK~ ~ ~ ~ (CAST IRON PAVEMENT RISER~ ~.. ~~ j__ ' I ~ 4" INSU~TION REQUIRED / "~ INSTALL OBL ~~, OVER ~L PORTIONS OF Il ~ ~ ~ ~]c. ') /~ SYSTEM UNDER DRIVE N.~ / ~ ~ j CONOmONS~ ~ DRIVE ~ Al ~ k~/Ekll IE GRF-"C.R ANCHORAGE AREA BOF Department of Environment Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING ADDRESS LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL /~"-~ MANUFACTURER INSIDE LENGTH INSIDE WIDTH. MATE RIAL ~-- ~----L) NUMBER Of COMPARTMENTS LIQUID DEPTH LIQUID CAPACITY -/~-~t'~GALLONS. TILE DRAIN FIELD: DISTANCE FROM WELL //~ '~FOUNDATION NUMBER OF LINES Z DISTANCE BETWEEN LINES ABSORPTION AREA ~f/ SQ. FT. DEPTH: TOP OF TILE TO FINISH GRADE b// // TOTAL LENGT~.~ NEAREST LOT LINE ~'~ OF LINES --~/~ / TRENCH WlDT' ~"' +N~.)¢'' TOTAL EFFECTIVE / LENGTH OF EACH LINE Y'//~ .~2~'?~)/ ~-'~/~ / DEPTH OF FILTER MATERIAL BENEATH TILE / // IN. ABOVE TILE IN. WELL: TYPE ~ CONST RUCTION BUILDING / NEAREST / NEAREST /'~¢" /, LOT LINE /'¢ f, SEWER LINE ~.~_, FOUNDATION / ' APPROVED DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK ~/'Z~e' /',/- SYSTEM DISTANCES: INSTALLED BY: ~/'~' ~"/ / SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM Form PW*027 GRE 'C_R ANCHORAGE AREA B OF Department of Environment Qual,ity 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE D!~SPOSAL SYSTEM NAM E ,~,,~.,~/:_r.~/.--' ~.,'~/C~y d' MAILING ADDRESS ~/~ ~/~- PHONE ~/~-~'~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER ¢-~' INSIDE WIDTH MATERIAL ~C~-- L~ LIQUI"D DEPTH NUMBER OF COMPARTMENTS ~"~ LIQUID C APAC I Ty ,/'-~/-~'GA L LON~ TILE DRAIN FIELD: ! DISTANCE FROM WELL /~ .~z. ,~'/ FOUNDATION NUMBER OF LINES 7 DISTANCE BETWEEN LINES ABSORPTION AREA ,,~-.~;' / ' ~:---~/)/ ' SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE ,~// MATERIAL BENEATH TILE TOTAL LENGT~ NEAREST LOT LINE ~ 4/ OF LINES /~' '?,~'"~'~ / TRENCH WIDTH ~'~ ~N~.7~ TOTAL EFFECTIVE IN. WELL: TYPE ~/~./.~)r-~-- CONSTRUCTION BUILDING NEAREST FOUNDATION/~4 ~ LOT LINE CESSPOOL ~ , OTHER SOURCES APPROVED DEPTH DISTANCE FROM: NEAREST SEWER LINE~, SEPTIC SEEPAGE TANK /~' ~, SYSTEM /~ ,~- DISAPPROVED. REMARKS INSTALLED BY: J'~.y ~/~-t~J~// / SEWER LINE DEPTH: PiPE MATERiAl. LOT SLOPE: DIAGRAM OF SYSTEM Form PW.027 ' Gr~ ,'ER ANCHOrAgE AREA BO,.OUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3~oo TU~O. ROAD ~O.~ ~-~O ~. ,~ ~:~ ~,~ SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED 'g~ FINANCED THROUGH SOIL TEST RESULTS COMPLET,O. DATE ANT,C,PATED SEEPAGE PiT / .DRAIN FIELD OTHER NOTE; THIS PERMIT !$ NOT VALID WITHOUT ~OIL TE:$T FINAL IN~,PECTION: ~4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HF. ALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. MINIMUM DI~I'ANCEB, REQUIREMENT~ DIAGRAM OF BYSTEM FOUNDATION TO SEPTIC TANK CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF FOUNDATION TO SEEPAGE PIT .'-'~--~ f DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL., SEPTIC TANK . SEEPAGE PIT , DRAIN FIELD TO NEAREST LOT LINE. / WELL TO 5E~IC TANK ~z SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK /0 / / DRAIN FIELD .~ / , ~ _ SE~IC TANK, . S~EPAGE PIT /~&l , DRAIN FIELD 70 RIVER, LAKE, STREAM. EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON 81PHON PIPES ON ~EPTIC TANK AND SEEPAGE PiT FI~ED WITH AIRTIGHT REMOVABLE CAP~. GRAIL IACKFIE CONFORM TO BOROUGH REGULATIONB REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED D~51GNER I CERTIFY THAT f AM FAMILIAR WITH THE REQUIREMENTS OF GREATE.~HORAGE AREA BOROUGH ORDINANCE NO. 28-~,8 AND THAT THE ABOVE GREATER ANCHORAGE AREA BOROUGH__ DEP~TMENT OF ENVIRONMENTAL QUA~ by 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 CASE # Performed For Robert S. Bakic Legal Description: Lot This Form Reports Depth Feet 8 10 12 14 16..__ _t Date Performed 7/24/72 Block Subdivision - Soils--[-6-g 'Percolation Test S 1/2, NWl~4, SW i/4, NWl/4, Sec. 24, TS 12, R3W Soil Characteristics Brown Sand - Silt Mix Gray Sandy Gravel (GW) w/Sandy Silty Gravel Seams No Was Ground Water Encountered? If Yes, At What Depth? Gross Time Installation: Seepage Net Time Reading Date Proposed Depth COMMENTS: Pit X Drain Field Net Dro Of Inlet Depi'h To Bottom Of Pit ~)~ Trench 130 scI. ft. of drainage area is required per bedroom below 4 £t. depth - N a a er 1 le Y:National Testin~ Date: --- -- INVOICE N° 3372 M-W DRILLING INC. DATE / UNIT ANCHORAGE, ALASKA 99511 QTY. MATERIALS PRICE AMOUNT PHONE 349-8535 NAME CITY LEGAL DESCRIPTION lEGAL OWNERS BANK OR LENDING INSTITUTIONS CURRENTLY HOLDING DEED OF TRUST HOME PHONE WORK PHONE TOTAL MATERIALS ~U M P ~AKE HP sErr'N~ ~ ~/Ir ~ ~a/ /~' VOLTS 'H~E ~m SERIAL NUMBER MODEL SCREEN LENGTH SLOT SIZE LINER/SCREEN DESCRIPTION Of WORK DATES LA'OR All charges shall be paid in full within ten days un/ess other arrangements are made 9/ prior to drilling. The custo'mer she//pay in- ~'~Z~?/ / ~ / ~ ~,~~/ ' ~ MATERIALS IFROM ABOVE) terest at the rate of I ~ % per month on any "~ OTHER CHARGES amount not paid within ten days. Failure to pay may result in a lien against the property. CUSTOMER SIGNATURE PAY THIS AMOUNT ~ ,~ ~" 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 - Cqmplete\,l~gal description Location (site address or directions) Property owner Mailing address 'Mailing address Day phone Agent Day phone Address .......... rPEOF'WATER. SUPPLY: r~*"~:" ;?'~"~+~' .... :~;~ Individual well '- .' fCommunitywell Public water NOTE: ' '. .ingto the legality and status of system. 4. T~'PE OF WASTEWATER DISPOSAL: Individual on-site *Hoiding tank If community well system, provide written confirmation from State ADEC attest- .... Community on-site ~,,..~;2~,,,,, ;a ~,.%,, Public sewer If community wastewater system, provide written confirmation, from State ADEC attesting to the legality and status of system. NOTE: 72-025 (Rev. 1/91) Front MOA #21 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 ~ Address _~ Engineer's signature Phone ,/ Date Z~ / eT DHHS SIGNATURE ,,,'~/ Approved for bedrooms. Disapproved. Conditional approval for '" ' "'"~'~'"'~i:i".bedrooms, with "the following stipulations: '~ ' ..'.!'2 ¢: "' Additional Comments Date /-'2 ~--Z"-¢;~_~ ;~ .he M~t~Ici~lity of ,A ~'~0rage Department of Health and Human Services (DHHS) issues Health Authority ~pl~rov~l"C~.~Cl:ifica,[e:g{O~a/ed only upon the representations given in paragraph 5 above by an independent p,~'f '.e..~sional engC.'b~""'r~egistered n the State of Alaska The DHHS does this as a courtes to urchasers of homes .. ,,,. ~,., , ,,.\~:._,.. . · y P and theml.e(~ding~ .lr),sti[ut~ons ~n order to satisfy certain federal and state requirements. Employees of DHHS do not cond'~ct inspecti~s.°["analyze data before a certificate is issued. The Municipality of Anchorage is qot responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA 1¢21 : T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Jim Cross Subject: HAA Lot 1 Bakic PID 015-163-75 January 26, 1996 Gentlemen; A conditional HAA was issued for this property due to concern about ambient (out side ) air being used in the intermittent sand filter. The Owner have installed an insulated heated box over the air compressor thereby satisfying the concern of the Health Department. Please issue an unconditional HAA. Yours 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. HAA # GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Address Day phone Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 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. 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 #21 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. NameofFirm /<t.'/'~'~-,~ -- ~ '~ ,-I,~J~,~:~ __~-- Phone .J,.~/~' -~/ e- Address ,:~ - - Engineer's signature /' :.d_,._u<_-6c E:.~,- c zu.-- Date . - c,. ,; 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. ~ Conditional approval for c~" bedrooms, with the following stipulations: /, /~,~,.~/-..r;:..,.:;.,,.vz p~,v.x",., ,4' t'n(.~, ~..~-~,-:>,~.-/. ,,.-,.?x,...4.,,-, ~.,..:,.'-7,,.," ' ..7,,..~ ~.~i.~.-/..,. , ~.,.,-,.,¢.~..:~. x:,,~,-,,w_.,--~ ~',.,:~.~_,' ..-,~.~> ~'- ,..,.,,,..,~4..~, ,4. & Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineeYs work. 72-025 IRev 1191) Back MOA Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist l&aal Dcscriplion: ,L..:;LL ~' _ '_* .::~ i--.' , Parcel I.D.' L / '- . .., - ;', A. WELL DATA Well t3pe Log present (Y/N) Tolal dcplh IfA. 13. or C. attach ADEC letter ADEC water system number Casedto '"%: ::,, , Sanital-X seal (Y/N) FROM WELL LOG Dale of test Slatic water level Well production g.p.in. Casing heighl (aboxe ground) Wires properly protected {Y/N) AT INSPECTION __ g.pm. \VATER SAMPLE RESULTS: Colitbrm '"'" Date of sample: ".' ~ ' Nitrate Collected bx': Oilier baclcria .,./ B. SEPTIC/ltOLDING TANK DATA Date installed t,: L, ";' Tank size : ':_ ,~ Nulnbcr of Compartments __ <- Cleanouts (Y/N) Foundation clcanoul (Y/N) .~ Depression (Y/N) Date of Pumping ","'.,' _:,' ,.; 4 Pumper f, ~ ~:~ ~ ~ ~ ' '> High water alarm (Y/N) f ABSORPTION FIELD DATA Dale installed ~'~ ~' - :, Width Effective absorption area ~5./'5' Date of adequacy lest Fluid depth ii1 absorption field before lest (ii/.): Soil ralmg (g.p.d./fl-' or flZ/bdrm) ~,?,-' System type ..... "; · ~, '~- Gravel tbicki~css below Npe Total depth . Monilormg Tube present{Y/N)~,'_ Depression mcr field fy/N) Results (Pass/Fail) For > bedrooms ,.',75 hnmedialclv after gal water added (m.}: Fluid depth (ins. tMinulcs lalcr: Absorption rate g.pd. Peroxide !rcatnlenl (past 12 monlhs) ('Y, ,tN) If xes. give dale Do LIYF STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested Size in gallons "Pump on" level at* ~/g~ *Datum Voct. c~'g "Pump off' level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot t~t(,f-~D i Public sewer main Sewer/septic service line · On adjacent lots · On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~ ! Property line -D~ ~ I Absorption field Water main/service line ~ 3il,~! Surface water/drainage "/ 1 t90 I Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation I/4 l i I Water main/service line Surface water ~ / ~O Driveway. parking/vehicle storage area Curtain drain ]K//~Zi~ Wells on adjacent lots 3> /t3~c) Propertyline Fo ENGINEER'S CERTIFICATION ' ' I ceftin, that I have determined thrufield inspections and review of Municipal recordx' that the- above'systerrl~ are in conformance with ~dOA tt.4,4 guidelines in eJfect on this date· Signature ~, ~d~ Engineer's Na,ne I 0 ~ -- v ~ ~< [~ ~ Date lqq · E. ngi~eering SeaL~er~ ' . % HAA Fee $ ~t9 , ~ Waiver Fee $ Date of Payment ~/~'~/~"'"' Date of Payment Receipt Number ff ~ ~ ~> (~,,Q~ ,.~/~ Receipt Number Rev. 8/95 OSS: haa.wk.doc T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 1 Street Anchorage, Alaska 99501 Subject: Conditional HAA Lot 1 Bakic HAA # 950429 Gentlemen; The septic system installed on this lot in September 1995 inadvertently encroached on the street right of way of Alps Avenue. Unfortunately there are no other suitable location to install a septic system on this lot that will meet the required setback distances from flowing creeks. A lot line waiver is requested for this installation. Copies of a signed Encroachment Permit issued by the Municipality of Anchorage, as well as letters of no objections from Enstar, Prime Cable, ATU, and Chugach Electric are included for your review. A conditional HSAA was issued for this property on Oct. 16, 1995. The two items of the conditional has been met. A copy of the Municipal Inspection Report has been delivered to you. The two thermistors was installed per your instruction on November 2, 1995. One thermistor is at the bottom of the sand layer, the other is two feet higher at the top of the sand. Temperatures will be recorded periodically throughout the winter and spring. Please issue a unconditional HAA for this property. MUNICIPALITY OF ANCHORAGE ENCROACHMENT PERMIT THIS AGREEMENT, made this 3r~ day of 19~_~ , by and between Robert S.~nd Mary F. Bakic and their heirs, ad~-l-h-fstrators, and assigns, hereinafter called "PERMITTEE", and the Municipality of Anchorage, a municipal corporation organized and existing under its Charter and the laws of the State of Alaska, hereinafter called the "PERMITTER". W I T N E S S E T H: WHEREAS, "PERMITTEE" is the owner property: of the following described LOT 1, BAKIC SUBDIVISION, according to the official plat thereof, on file in the office of the District Recorder, S.M. Alaska, and; WHEREAS, "PERMITTER" owns and maintains a 60 foot dedicated right-of-way known as Alps Avenue along the above described real property and this dedicated right-of-way is more particularly described as follows: South of Lot 1, Bakic Subdivision shown as a 60 foot dedicated right-of-way on Plat 93-83, on file in the office of the District Recorder, S.M. Alaska, and; WHEREAS, "PERMITTEE" has constructed a sewer drain field upon the above-described real property which encroaches upon "PERMITTER'S" dedicated 60 foot right-of-way known as Alps Avenue. NOW, THEREFORE, it is mutually agreed between the parties hereto that: 1. The "PERMITTER", acting through the Director of Public Works, hereby grants to the "PERMITTEE" the privilege of allowing its presently constructed sewer drain field to encroach upon the "PERMITTER'S" 60 foot dedicated right-of-way known as Alps Avenue. 2. The "PERMITTEE" agrees forever to indemnify, defend, save and hold harmless, the Municipality, its officers and employees, from any and all lawsuits, claims or actions brought by any person for or on account of damage to property or injury, disease, illness or death of persons, including all costs and expenses incident thereto, arising wholly or in part from or in conn~cti0n~with the eki~tenc~e, of; alterations, maintenance, repair, renewal, reconstruction, operation, use~ or removal of the encroaching sewer drain field situated upon "PERMITTEE'S" property and encroaching upon "PERMITTER'S" 60 foot dedicated right-of-way known as Alps Avenue as described herein. 3. The "PERMITTEE" shall not assign or transfer any of the rights granted herein to another individual or company without first notifying and securing the approval of the Director of Public Works. 4. This Agreement and Permit grants "PERMITTEE" no interest in "PERMITTER'S" real property whatsoever, except only the encroachment rights described herein. 5. The "PERMITTER" reserves the right to revoke this permit upon twenty days (20) written notice to the "PERMITTEE". The "PERMITTEE", agrees upon said notice of revocation, to immediately move said encroachment from the 60 foot dedicated right-of-way known as Alps Avenue. Should the "PERMITTEE" refuse or fail to comply with said written notice, the "PERMITTER", may without further notice to the "PERMITTEE", remove or cause to be removed the encroachment, and the "PERMITTEE" hereby agrees to reimburse the "PERMITTER" for all costs incidental to the removal thereof. In addition to the mutual promises heretofore made, the "PERMITTEE" hereby promises to pay the "PERMITTER" a one-time permit fee of one hundred dollars ($100.00). IN WITNESS WHEREOF, the parties hereto have hereunto set hands and seals the day and year first hereinabove written. their Grantee: Grantor: MUNICIPALITY OF ANCHORAGE STATE OF ALASKA ) )ss · THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this ~j,~ day of /~3e~n , 19~X~ , before me, the undersigned, a Notary Public in and for the Stat-~--6j~Alaska, duly commissioned and sworn as such, personally appeared '~n~f~ ~. ~o¢~,.~o1' , known to me to be the Project Manager for the Municipality of Anchorage, Alaska, who executed the foregoing instrument, and he/she/they acknowledged to me that he/she/they executed said instrument as the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and that he/she/they was authorized to execute said instrument. WITNESS my hand and official seal on the day and year first above written. NOTAq~f--PUBLIC i~ and~for Alaska My Commission Expires: April 4, 1998 STATE OF ALASKA ) )SS THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this ~ day of ~0~ , 19 q~ , before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared ~~.~,L , known to me to be the individual named herein who executed the foregoing instrument, and he/she/they acknowledged that he/she/they did so freely and voluntarily for the uses and purposes therein mentioned, and on oath stated that he/she/they was authorized to execute said instrument. WITNESS my hand and official seal on the day certificate first above written. and year in this NOTARY PUBLI6~ in and for Alaska My Commission Expires:~i~-q~ 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 264-472O Application Date GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) '75-0 I (b) Applicant Name Applicant Address (c) Telephone: Home 3~-25',~"7 Business Applicant is (check one): Lending Institution E] ' Owner/builder [] · Buyer I-I · Other [] (explain); (d) Lending Institution Address ~--)O')4' '7[ O (e) Real Estate Company and Agent Address ' Telephone ~-7(~ ~- ,'__~ O {3 Telephone (f) Mail the HAA½o the following address: TYPE OF RESIDENCE Single-Family [~[' Multi-Family [] Number of Bedrooms ~ Other 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. SEWAGE DISPOSAL Onsite~ Public [] Community [] Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, Dh f'A AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~ ~__.--~..._~, /1V'~.,. Addre /ZOO Date Telephone NL I4 .. DHEP APPROVAL Approved for Approved ,rV Disapproved Terms of Conditional Approval ~-.~ ~.Date Conditional CAUTION 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 72-025 (11/84) .j,~,UNICIPA, UTY OF ANCHORAGE - DEPT. OF HEALTH & jEj,~/'iRONMENTAL pROTECTION WELL DATA RECEIVED Well CIsssific~tion Well Log Present (Y/~ Date Completed C/A//~.A[D (,/gA/ Tota~ Depth ~'9''''~ Cased to ~'o~ ~~Depth of Grouting Static Water Level .F'£OCd//v'¢= /~g T'I,5 I/~r~t/ Pump Set At MUNICIPALITY OF ANCHORAGE (MOL/ HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: '~/~ ,, N([J Casing Height Above Ground Electrical Wiring in Conduit ~)'N) Separation Distances from Well: To Septic/Holding Tank on Lot Jl 0 If A, B, C, D.E.C. Approved (Y/N) Yield To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~,,//t~r- Cleanout/Man hole Water Sample Collected by Water Sample Test Results Comments '~(~,~ ./}'~'/~,~) Df~iCLER.,.S Sanitary Seal on Casing (~N) Depression Around Wellhead (Y/J~ 'On Adjoining Lots rio/"f'- ' On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot · Date ,..~,~/2Z/,~ B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes Depression over Tank (Y~) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well J J ~ / To Property Line ~,.~(~ To Water Main/Service Line Course 60 ' ~ Comments ~ IN C-~iVi PL I Size L_~00 No. of Compartments ~-- Air-tight Caps (~)r'/~' Foundation Cleanout ~N) Date Last Pumped iN, f/R 'for N//Jr Temporary Holding Tank Permit (Y/N) To Building Foundation /O / To Disposal Field ~ !" /V/q- __ To Stream, Pond, Lake, or Major Drainage CUI-FH ~GU~bYJO~/5 i~T 'I-/B,'IE. O~ Page I of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed (:~/~4//7 ~-. Width of Field Square Feet of Absorption Area Depression over Field (Y(~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well / To Building Foundation Lot Type of System Design Length of Field /-~ o~ Depth of Field <~, --.~ Gravel Bed Thickness Standpipes Present (Y/~ Date of Last Adequacy Test F,f--C F¢ /¢ '/ To Property Line · On Adjoining Lots To Existing or Abandoned System on ,5-0/'t' TO Water Main/Service Line /¥//:~ To Cut'bank (if present) To Stream/Pond/Lake/or Major Drainage Course ~ To Driveway, Parking Area, or Vehicle Storage Area 0 / Comments ~!~ ~~1~6~ WIT~ I N.% T,4t..~.._,4T/~¢,,¢ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump O~_____ .~/ Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I ha,v~ checke, cl. verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed q~'/'C/'/J Date ,~'-/2 ~/~;:~ Company /~. ~(~._~ //V'(~, MOA NO. ~.-~--'02 ¢ ~mount: $ ' Page 2 of 2 R £ P¢,,¢ 7' 72-026 (11/84) ALASKA ENVIRONMENTAL CONTROL SERVICi INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (gO7) 561-5040 SHEET NO OF N T�-- GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received W /6 -7� Time of Inspection /= 301r". Date of Inspection 16 - * REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: 1A4 Mailing Address: Phone: 2. Property Owner: !/� Phone: Mailing Address: 3. Legal Description: ILIU() Xel S W �f/ A,/ (d � j i , 3 G/J�f� 4. Location: _��//Oi 5. Type of facility to be inspected No. of bedrooms 6. Well Data: A. Type 49, ��V.4 B. Depth �" �" � ^ C. Construction � �i{7r/y�(/�✓,� D. Bacterial Analysis �_f 7. Sewage Disposal System: A. Installed 9l1� :Z B. Installer I/ Irl el C. Septic Tank: 1. Size�O/ 0g,91. 2. Manufacturer iAC/CS'7 C-� D. Seepage Pit: 1. Absorption Area QZt�2. Material �� E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank /00 f Absorption area 100 1- Sewer Lines Nearest lot line Other contamination _ B. Foundation to septic tank /2i Absorption area C. Absorption area to nearest lot line C20 Y- EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Request for Approval of Individual Sewer & Water Facilities Legal Description Approved Disapproved Date _ Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM �I 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 1FT wNl7c 4- Pr—>a G RAtf 6-L 1'11 /LC Y YlCLYIP E *DR1V G✓�LL Psi arw494tLARO, WCc c_ 6 R t LLa o ,41L /J D R (L� L C-z J OUcRfLc�,/ C iv W,rj - cAs,/,v6 ORO//j /,,,,csqkv yl ps 514 Breeg s-JLE P�vz P6 b►P