The URL can be used to link to this page

Home My WebLink AboutT12N R3W SEC 22 LT 32 S2T12N R3W Sec. 22 Lot 32 52 #015-521-23 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201012 PID Number: 015-521-23 Dwelling: N Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New X Upgrade Name LINDAHL ABSORPTION FIELD ❑E Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 11120 BIRCH RD, ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 0.45/0.45* GPD/SF 11/11* Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 4/5.8* Ft. Gravel depth beneath pipe 7/5.2* Subdivision Block Lot T1 2N R3W SEC 22 LT 32 S2 Ft. Fill added above original grade Gravel length Township Range Section Ft. 56' & 94' Ft. Gravel width 2 Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. 0 Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 784 & 977 Ft2 2 Ft. Well 1 00'+ 50'+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 1 00'-I- Gal. Material Number of compartments Lot Line 1 0'+ NA Foundation ' 4'+ LIFT STATION Manufacturer Capacity Remarks 2 TRENCHES (1992 & 2014) MODIFIED, EXISITNG Gal. SPLITTER/DIVIDER SET AT 50/50' FROM MOA FILES Alarm location Electrical installed by �GOI 'Gp2 Installer PIPE MATERIAL House to tank Tank to drainfield MIKE N ANDERSON, P.E. Drainfield 3034 CO/MT3034 Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 101 ft Inspectiondates: 1w 2/25/23 2nd 2/26/23 Location and description 3rd 41e CORNER OF SIDING ON -SITE WATER AND WASTEWATER SECTION APPROVAL Enginger'sTStamp Conditional Approval: Date ° • - ', Y . n -. r Septic Syste -� MICHA[L N. ••� Approved Datey� t' CE - 419 $��f'•.`' Note: this approv does not include well permit requirements. ,� l�ir0 •••• •• ��rY Permit No. OSP201012 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 Legal Description: T1 2N R3W SEC 22 LT 32 S2 A NEW CO INST LJ a PID No.: 020-551-22 c FA —A —A ------------ n BENCH, BOTTOM)K SIDING -- B I IIII i ALL CO BELOW>GWI11 FOR TR�ECTION II I N, N _ T < SECONDAF \ \ \ \ I CLASS II / EXISTING SPLITTr VALVE I / TURNED TO 50/6�1 SPLIT I I ® I I I WELL I I 9y \ I � MARK A B c C01 90 22 CO2 133 28 ASBUILT CALE: 1 "=50' I Y FI€LD I I I I I I T 1� ....41 Ir AV ...... 49 TH :- MICHAEL N. ANDERSON No. CE 9469 °.12-7-23 ••'•••.. ..... 1.•••''��IL i Dec.27, 2023 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: REVISED WAIVER ADMENDMENT Legal: T12N R3W SEC 22 LT 32 S2 To Whom it may concern: This is a request for an amended 4-foot waiver permit on the above referenced lot. Structurally the existing septic trench will not impact the foundation system due to the depth and off -set distance away from the soil bearing strata. The bottom of the new footing will be 5 feet below grade and the top of the 1992 system is 4. 6 feet, thus the leach field will never impact the bearing of the bldg footing. The granting of this waiver will not impact any of the neighboring systems or the two existing systems. Also the footing is supported with helical piles at the intersection of the footing and septic field. We are also needing the waiver for the clean outs in the riding arena to be cut-off below grade for protection from damage. Please call me if you have any questions. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage _4 � ° Ur.p:ntment P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 e (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org1Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV201008 COSA#: Permit#:OSP201012 P I D#: 015-551-23 Legal Description: T12N R3W Sec 22 Lt 32 S2 Engineer: Mike N. Anderson AmeJed 111'�zZ/Z.3. PmW Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the proposed foundation has been approved. The approved separation distance is In addition, the standpipes may be below grade. The new record drawing is to provide swingties to all standpipes. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on - site wastewater disposal system will require all separation distances be met or another approval from this department. .............................................................................. t Waiver is Granted: X Waiver is not Granted: Date: 2 y D Approved by:// Name of Revie er ........................ 0 H K E N 9 ........ a 0 K K x x .............................. 0 2 x E 1 **** VARIANCE/WAIVER REVIEW **** BIRCH ROAD 00'OEE M „L l ,00 00 N 961 30Vd '06 >1009 IV 030N003N 1 �� i O 11 J W T Q Cc,Qea j Q O m lw Lu z Q = o A , o �0 s4o40 x � m LL: _ w 044 of � ��SC ae9�s��OO Z m H W Ifl W r>:� l L W H ~ H l n Q C Q Q F- Z 2 H W Z Q� <� Vl F- 3 LA 2 l m = 00 ¢ Q Q O m¢ ry ww z Of zv x K } Cz '1 Y W w ~ Ow F-¢ W W w m w a N Q H m a C N O! n H >a0 > ¢oH u1-LU Fx- Ha h xwF- ofxo Q m U F-I F- F- Z m M In ti Of0 H V1in0 Q m O N Q L n + LU N Q F- Q 0 F- 0 n' m Z Z V 1 Z L u F,W w V' l ZO F-I F-IJ Inc' W"QK O> JxO V ro 0 u. W ro}~U �O W J O K 0- F- w Z U J z W W Q m }LL\ 0 fLF-I-W W W w J K O Q O h W Fx-Ix- trod t/ W U N 2 O U V l W" F- O L L O HOVl Z l H 2 x Q Q>I-WO I z Z a� oZ�z w3 N aZO w Z O H Z Z. U ~ H W H aWwZ a C 0 tL V � o K 0 w 0 a OF Z v - a v o W Z Z a�� m a O > Awoo O bH� o F = Z cw n� P w w w 'w j Z a H 0 O F Z a 7 Z Z 7 a a ww* o w,3 w a o Weal v :E w w OOH= OOi S uoF- a F' 7 aZ a�w oe�0a wom O u Z= a a T �Z Zn,.,,¢ a� Oa w� W w a a 2 0 2 2 Zn OZ F-c zo- QNw03 ¢wNO z-w2 �mO,nZz Z z Z HZ V mWZtwi�> Z O Wa wZ O,.I -6>- HOuZw2Zaa MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201012 Work Type: Septic Upgrade Tax Code Number: 01552123000 Site Legal Address: T1 2N R3W SEC 22 LT 32 S2 G:2637 Site Mailing Address: 11120 BIRCH RD, Anchorage Owner: LINDAHL ANDREW R 50% & Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date Expiration Date cnt Qr v De partin ell t Lot Size in Sq Ft: Total Bedrooms: 2/14/2020 2/13/2021 110550 Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: Provide swing ties to all standpipes on the Record Drawing. Received B) Issued By: Date: q Date: 121 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 4 l5 �2l' .�? ON-SITE SEPTIC/WELL PERMIT APPLICATION 6 s s 1 Parcel I.D. (% Property owner(s) �0 z iz c� nn Day phone Mailing address U1120 P.)fr.'c �1 Site address .41f a-, e - Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T ( L/< w � _e-, 2 Z 1. �-�- Z S ��Z. Lot Size it n SSD Sq. Ft. Number of Bedrooms 44 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial ❑ Single Family (SF) ❑ (w/wo ADU) Septic Tank ❑ Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ 1 .3 Multi � ❑ Privy ❑ 6� ango C9 Private Well ❑ Q 2 0 Water Storage ❑ opo a THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: s Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: .59-15- Waiver Fees: Date of Payment: 1%311 2620 • Date of Payment: Receipt Number: # aC%;L Receipt Number: Permit No. 61822G1019 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Feb.14, 2020 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Septic Permit Legal: T12N R3W SEC 22 LT 32 S2 To Whom it may concern: This is a request for a septic permit on the above referenced lot due to a new barn being located on top of the existing two leach fields. Currently the lot has two separate systems 2014 and 1992, see the attached 50 scale site plan. We are proposing to decommission each trench just enough to stay outside the building footprint with the two systems, see the 200 scale sheet for the trench calculations. For a new secondary system, a site has been shown for a Cat II system with the necessary 50 feet from the well and parallel to the contours. All of the neighboring septic systems have an application of 0.6 or 0.45 GPD/SF therefore this new Cat 11 system has an application of 1.0 GPD/SF which is very conservative. _ *.00,� Currently we don't have a building�but after the foundation is installed we will need a 8' waiver for the 1992 system which will be less than 10 feet from the proposed new barn foundation. Structurally the existing septic trench will not impact the foundation system due to the depth and off -set distance away from the soil bearing strata. The bottom of the footing will be 5 feet below grade and the top of the 1992 system is 4.6 feet, thus the leach field will never impact the bearing of the bldg footing. The granting of this waiver will not impact any of the neighboring systems or the two existing systems. Wa��n• �vr OrIt.� (�roFcz� Please call me if you have any questions. P ( 0 2 � ru ,o f In c �, `' " `' -e 5 Sincerely k4x Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 SEPTIC DESIGN REQUIREMENTS: -MOUND OVER 114fGRADE _d Z_ 3/28/14 DESIGN WILL BE SHORTENED TO moi' , EFFECTIVE DEPTH OF 5.2' FILTER FABRIC TOTAL AREA FOR SYSTEM 94'X 5.2 X 2 = 977 SF -2.0 1.25"0 PIPE 8/27/92 DESIGN WILL BE SHORTENED TO 56' EFFECTIVE DEPTH OF 7.0' SEWER ROCK TOTAL AREA FOR SYSTEM 56'X TX 2 = 784 SF TOTAL AREA OF 2 SYSTEMS, 977 + 784 = 1761 SF -11.0 1 1 20 TOTAL AREA REQUIRED 1333 SF SECONDARY SEPTIC FIELD SECTION I 'Y l al II �s II ----_j Q L ------J ---- I �\°\ti I L_ ------ I I I WELL. II \ PROPOSED NEW HORSE BARN –SEPITIC � SECONDARY \ LOCATION WELL�� EXISTING WELL I I i EXISTING HOUSE �i I 100' RADIUS — — — -E 112TH AVE \ 1 i i I FORSYTHE PARK PROPERTY LINE I I I I I EXISTING WELL 100' RADIUS i l I �_ SEP�i'IC L.-------------- –J _JI � — — r--------------- I Septic Design Prepared for OF ANDREW &ROBIN LINDANE .' . �� ®® T1 2N, RM, SECTION 22, LOT 32 S2 Anchorage, Alaska ; 49 T—rf " Michael N. Anderson, P.E. ..... HA " ' ' DATE: 2/14/2020 ®® ':MICHAEL N. ANDERSON �' 4601 NATRONA AVE 1®� �', No. CE 9469 .�AV DRAWN: DJR ® 1-28-20AV ANCHORAGE, ALASKA 99516 1 o® (907) 345-3377/ FAX: (907) 345-1391 SCALE: 1 "=200' 411 I SECONDARY SYSTEM W/ CLASS II SYSTEM, �l APPLICATION RATE OF 1 GPD/SF, 74' TRENCH 1 W/ 9' EFF. PROPOSED 60'X i 110' BARN ,,_– ,� 2014 SYSTEM (2) EXISTING TRENCHES WILL BE SHORTENED AND THE TRENCHES LOCATED INSIDE THE BUILDING DECOMMISSIONED 1992 SYSTEM -l�kl EXISTING HORSE STALLS EXISTING HOUSE EXISTING BARN DRIVEWAY DRIVEWAY PROPERTY LINE PERIMETER . ; FOUNDATION WALL <—)(—X X INSTALL NEW CO x I 12" BELOW GRADE, 10' FROM THE X FOUNDATION -----I X 1111 X. SPLITTER VALVE X= X�'X- X -J i INSTALL NEW CO 7-8' FROM THE WELL' i NEW \ � 1 FOUNDATION �\ \\ DRIV6vyA \\ I \ r ( i Septic Design Prepared for ANDREW & ROBIN LINDAHL T12N, RM, SECTION 22, LOT 32 S2 ��' # Anchorage, Alaska ; ` 49 T—" ®® MichaelN. Anderson, P.E. """ ""' " ' ' DATE: 2/14/2020 0�•;MICHAEL N. ANDERSON; a 4601 NATRONA AVE ®1®%' No. CE 9469 . DRAWN: DJR ® 1-28-20 ANCHORAGE, ALASKA 99516 ®............... ..... •® (907) 345-3377 / FAX: (907) 345-1391 SCALE: 1 "=50' °ESs\ • ZpOm''Op= <��mmi Zm m..03'-IGZ Z�TZmZim�p N OC-m{a o t^ Z N p 2mAN�^mmrz Ny0mAHo -4>OhNO- a,„Z-,�p Omc~i > >> �o� �ZZNo m0> 0 ZC=-i{ '.09 Z p C S OZZ i a2j0 Z > p 0 9 r r p m vm mmz mm 8ZI> Zpv2 m�"p mrrn y 0� m 0pOtnO u m v�>N f m 1-Zv l oOm o X� vpo Tp A m Z mm ma m P 1 i m 3 =GNO m OmzZa= Z N N fA > O D T --ICD In OH _ D X S H Z -lwmtn I O T c S b y m TV1 Hx -I-im ti WO -1 '9W0 Sm s xD�cmm - a -iv = m w m n•Wt N O m z�-g1A n P�m 0 m T O ;ooSr<o• A rHH 41Q. z2 m m p -4 Gzl < �DmO�-Z1 Gi N m� a VI HH V1 ; Ln 0 V1 m HLA � t 7C z -i -I mH H fl W A D O CH D m '0" H S "m -q z'm m 'N mmD ;a -n 2 m m D N 3 n z z T ODD L> °�= n m o ;o0 E D O C W�Sv 3 D t-iiH� < m m C, n < z -i a O m 10 H T u C z O m C N 00 00' 11 " W 330.00 GVOH /-/DH/ 1 I b _ 0 b y m s m C N 00 00' 11 " W 330.00 GVOH /-/DH/ 1 I b _ Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 a http:/ANww.muni.org/onsits a (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141031 PID Number: 015-521-23 ❑ New ® Upgrade Nome: BURT MCQUEEN ABSORPTION FIELD ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: 11120 BIRCH ROAD *ANCHORAGE, AK ❑ Other Phone: No. of Bedrooms: Sail Rating: Total Depth from original grade: (907) 244-2403 4 0.45 GpD/sg. Ft. SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade: Gravel depth beneath pipe: SEE DWG. Ft. 5.2 FL Subdivision: Black: Lot: — — 32 S 1/2 Fill added above original grode: Gravel bigth: SEE DWG. H. 138 Ft. Owns .p: 12N anger 3W ec Ion: 22 Gravel width: Beds Number of fines Distance between linea: 2.5 R. — — Ft. SEPARATION DISTANCES Total ab..rpU.narea: 1380 umber of trenches: 1 Dist between trenches: To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sower Linea SQ. Ft. Well EXISTING 100'+ — — 25'+ TANK ❑ Septic ❑ S.T.E. P. ElHolding ❑Other Manufacturer. Capacity: Surface water EXISTING 100'+ — — EXISTING Ga. Lot Line EXISTING 10'+ — _ N/A Material: Number of compartments: Foundation EXISTING 10'+ - - LIFT STATION Curtain Drain NONE KNOWN Manufacturer: capacity Gal. Remarks: 'Pump on' level at: Pump of level at: Hi er alarm at: Pump Make &Made Wool Inspections performed by. PIPE MATERIAL House to tank EXISTING Tank to EXISTING drainfield Installer WILCO Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 Ft. Inspection Laxation and Deeaription: Dates: 1 st 3/24/ 14 2nd 3/25/ 14 3rd 3/26/14 4th 3/27/14 BOTTOM OF SIDING ® NORTH CORNER OF HOUSE eealNns Community Development Department Approval 6 0 Conditional approval: Date: O� . -SOD acs: 0 4 v o *.:. ... ...... ....::.*. e A. Gar ss.- Gy 9 Approved: Date: 3 L V �04a professlon000 -3 PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: [PERMIT 015-521-23 SHED N SCALE: 1' = 30' DIVERTER VALVE OV 33.34 32.15 COI 92.58 97.08 MT1 92.70 96.89 CO2 54.50 59.86 MT2 53.20 58.16 CO3 90.10 68.16 MT3 88.45 66.61 NEW DRAIN 1YL — _ _ C01 � - - I I S&.S�TEST� #2 TESTHOLE Al -2 / C I�/F9 W [H�PP11��9�yvy[�41E9 FENCED HORSE RUN GARNESS ENGINEERING GROUP, Ltd.* 9 .T*, CONSULTANTS& GENERAL CONTRACTORS. _... _. Q""' . . .... .... .. .. 5901 E TUDOR ROTO. SURE 101 • ANCHORAGE, M 9007 • PHONE (907),57-5179 • FM (907)98-3206 ' WEDSRE www.gumw glnntlip.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ......... BURT MCQUEEN 907-244-2403 2 OF 3rness:' LEGAL DESCRIPTION: DRAWN BY: O�VO",4,' ' . CE -795 T12N, R3W, SECTION 22; LOT 32, SOUTH 1/2 A.J.G. V '.TYPE OF WORK: DATE: Prof �O... 10 AS—BUILT DRAWING 3/28/14 (Rev. 01105) PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: OSP141031 015-521-23 TH ORIGINAL GRADE J I I HIGHEST POINT = 97 � I IIII IIII II IIII / II a 00 0 I o 0 II 0 0 0 II 0 e II o II o O I I ° O IIO O II °o II 0 II o L --RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 80.80 (DRY) FABRIC If INVERT OF PIPE = 92.00 I I II II II II BOTTOM OF TRENCH = I I 86.80 II II II II RELATIVE ELEVATION OF BOTTOM OF TESTHOLE = 80.80 (DRY) OF GARNESS ENGINEERING GROUP, Ltd. f*`)' CONSULTANTS & GENERAL CONTRACTORS Q.. ""' 3701 E. TUOOR RWA SUITE 101 • IWCHOS , M 9959) • PHONE (967)331-6119 • FM (907)336-320 • WIMn. •MMgomewri9lneeRn9eom PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • • ••• BURT MCQUEEN 907-244-2403 3 OF 3 �Qnn f A. essr LEGAL DESCRIPTION: DRAWN BY: VO s E—]]95 T12N, R3W, SECTION 22; LOT 32, SOUTH 1/2 PNB �0 ea •7J,Z�1�{��oa TYPE OF WORK: DATE: �OQ p,ofesslonoc� PROFILE AS -BUILT DRAWING 3/2$/14 (nev. Ulm) On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141031 Tax Code Number: 01552123000 Work Type: Septic Upgrade Permit Effective Dates: March 07, 2014 to March 07, 2015 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: T12N R3W SEC 22 Site Legal Address: T12N R3W SEC 22 LT 32 S2 G:2637 Owner/Address: MCQUEEN ALBERT K & SANDRA L 11120 BIRCH ROAD ANCHORAGE AK 995161711 Site Mailing Address: 11120 BIRCH RD, Anchorage This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 110550 Total Bedrooms: 4 N Private Well N Water Storage �6_ 3tav 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Co± rPVISeL AQ dm%v , d - Received Issued By: Date: 's Date: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan SuS UBMITTAL llivan FEB 2 8 2014 Parcel I.D. 015-521-23 Property owner(s) BURT Mailing address 11 120 On -Site Sewer/Well Permit Application For A Single Family Dwelling MCQUEEN BIRCH ROAD, ANCHORAGE, AK, 99516 Gretchen Stuller Day phone 907-244-2403 Site address 11120 BIRCH ROAD, ANCHORAGE, AK, 99516 2. Legal description (Sub'd, Block & Lot ) T1 2N, R3W SECTION 22• LOT 32 SOUTH --t7,9- iceLegal Legaldescription (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (N all that apply) Initial ❑ Single Family (SF) Absorption Field ® ® (w/wo ADU) Septic Tank Upgrade ❑ ❑ Duplex (D) E]Renewal Holding Tank ❑ Multiple Dwellings ❑ F-1(SF and/or D) Privy Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: Distance: — I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: I 5&q- Waiver Fees: Date of Payment: .3 M11L/ Date of Payment: Receipt Number: OI QdL67 Receipt Number: Permit No. 0SPI'11031 Waiver No. (Rev. 01/11) GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS February 26, 2014 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 (907)343-7904 Ref: Proposed Septic System for T12N, R3W, Section 22; Lot 32 South 1/2 To whom it may concern: The proposed four (4) bedroom house is served by a private well and septic system. The septic system is in a state of failure and needs to be upgraded. We are proposing to install the alternate site shown on the 1992 S&S Engineering design drawing. Comments regarding the design are summarized as follows: 1. SOILS: We are proposing to install the alternate site within the radii of the two S&S test holes. The testhole locations are based, upon,the.1992 rS&S Engineering design drawing. 2. TRENCH)DtSIGN: See atta$&d design drawing for drainfield specifications'. 3. SURFACE WATERS: There are no surface waters within 100+ feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average topography in the area of the proposed drainfield is less than 5% running southeast to northwest. In short, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, .E., M.S. NOTE: Attached is a site plan drawing, a design drawing, two soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 3701 East Tudor Road, Suite 101 " Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 ` Fax: (907) 338-3246 ` Website: www.gamessengineering.com RADIUS / TIC ARPEA 1 HIGGINS ESTATES S/D; LOT 1 HIGGINS ESTATES S/D; LOT 2 i I I z \ I \ I / NON -VEHICLE-{ R�DI4 AREA TRAIL FOR HORSES, NOT .PI DO' WELL RADIUSI DRIVEWAY wl I �I / °I / u / el / I ARS � I ------------ EAST 112TH AVENUE I BENSLERS ESTATES S/D' /OT 1 BENSLERS ESTATES I I I I= M Iw J. :/u; LOT 2 I I � 100' WELL RADIUS 1 I � I \ I I \\ I \ J rte'° PROPOSED SEPTIC UPGRADE I z I TH42Il O / R�DI4 AREA n J I I I — — — — — — — — — — — — — — — — — — —) T12N, R3W, SECTION 22; LOT 33 6661 GARNESS ENGINEERING GROUP, Ltd. ---=�.=CONSULTANTS & GENERAL CONTRACTOP_S +�----- ----+ 3701 E TUWR ROAD, SURE 101 • ANCWRAM M( 99507 • PHONE (907)33]-8179 • FM (907)338-0208 WEBSITE:.,g.m .wn, l—dn9.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BURT MCQUEEN 907-244-2403 1 OF 2 LEGAL DESCRIPTION: DRAWN BY: T12N, R3W, SECTION 22; LOT 32 SOUTH 1/2 1 A.J.G. TYPE OF WORK: SITE PLAN FOR SEPTIC UPGRADE (Re, 01105) 2/25/2014 A I— O U LL I E w U O LL_ u 6 ! rl % Z -7 n V) NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATE/S: 50 & 48 MIN/IN PROPOSED APPLICATION RATE: 0.45 GPD/FT' MINIMUM DRAINFIELD SQ.FT.: 1333 MAXIMUM DEPTH: 11' MAX WIDTH: 3' LENGTH: 137' M.O.A. APPROVED SAND FILTER: N/A EFFECTIVE: 5' REDUCTION FACTOR: N/A ACTUAL SQ.FT.: 1370 TRAIL LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND nnNNnrlMJe ni Mi inirn NOTE: TESTHOLE LOCATIONS ARE BASED UPON S&S ENGINEERING'S 7/16/92 DESIGN DRAWING BENSLERS ESTATES S/D; LOT 2 PROPOSED DRAINFIELD i a CO 1117 "tom i`A'l. — a MT EXISTING DRAINFIELC TO BE CONNECTED AS RESERVE SITE HORSE RUN/RIDING AREA. NOT TO BE USED AS GENERAL CONTAINMENT. STANDPIPES WITHIN HORSE RIDING AREA TO BE PROTECTED BY STEEL CASINGS/CAPS. EXISTING PIPES ARE PRESENT AND PROTECTED BY STEEL CASINGS CAPS. --_ICO -- S&S S&S TESTHOLEE #2 S TESTHOLE #1 N M o CO Oq / PROPOSED FLOW DIVERTER / FCO EXISTING GALLON SEPTIC TANK TO BE /f LEFT IN PLACE EXISTING 4 ; BEDROOM' HOUSE " "I•: . J •' ' s 1 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS W01 E MMR R . SANE 101 • NION ,, M 9950'! • P NE (907)331-81)9 • FM (901)335—nO • YIE991E: Ww'.9nnleaxngl, dn9.9 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BURT MCQUEEN 907-244-2403 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: T12N, R3W, SECTION 22; LOT 32, SOUTH 1/2 A.J.G. TYPE OF WORK: DATE: DESIGN OF PROPOSED SEPTIC UPGRADE (REVISED) 3/25/14 NOTb. CANNOT 8?'ZSTApat5HED, GRAVITYD A 500 GALLO STATION Ii SHALL B S ED TO SERVE,VW DRAI LD. GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS W01 E MMR R . SANE 101 • NION ,, M 9950'! • P NE (907)331-81)9 • FM (901)335—nO • YIE991E: Ww'.9nnleaxngl, dn9.9 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BURT MCQUEEN 907-244-2403 2 OF 2 LEGAL DESCRIPTION: DRAWN BY: T12N, R3W, SECTION 22; LOT 32, SOUTH 1/2 A.J.G. TYPE OF WORK: DATE: DESIGN OF PROPOSED SEPTIC UPGRADE (REVISED) 3/25/14 8r,A Municipality of Anchorage Page 1 of Z 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: SW92019co PID Number: 0/4S0zl23 Name'Wastewater /2Oss e L6'SLIE SOLi7J0 System: KNEW ❑ Upgrade Address: ABSORPTION FIELD PO. 904 2310&1 Phone! )4N d acs 1 Ak 99523 No. of Bedrooms: D(Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGALDESCRIPTION LEGAL Soil Rating: Total Depth from original grade: AQGGPD/S Ft Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe 32— Ft. 7 Ft. Township:Range: Section: Fill added above original grade: 9 Gravel length: 7-/2N a 7L3W 22 Ft. 96 Ft. Gravel width: Numberof lines: Distance between lines: WELLEl ❑Upgrade • 2.5 Ft. / Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: FF/0 v'`= I ATE /97 Ft. 1 /97 Ft. 31iq SQ.Ft. AS7_M D,?03k ?V.G. Driller: Date Drilled: Static Water Level: 1 Installer: /3U16AERS Date installed: - / IF L1,0tr P -z3 -qct 97 Ft. 1iOLOAIY Yield: Pump Set at: I Casing Height Above Ground: TANK y GPM i Permit No. SW920196 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 Legal DescriptionT12N, R3W, SEC.22, LOT 32 S1/2 PID No.: 01552123 FINAL 7' I NEW I N.T.S. } S STRUCTURES, EASEMENTS, OR ENCROACHMENTS S...OWN ON .... THIS SITE P..LAN.....ARE AS. .... SHOWN....ON;...,_ AN AS -BUILT SURVEY :DRAWN BY: •74.6' NO WATER FOUND GASTALDI? LAND SURVYERS TRENCH SCALE I" = 72-013 A(1/93)' b - - ENGINEER'S SEAL <. WELL ' JYi Y A J HEALTHAUTHORITY APPROVALS SEWER& WATER MAIN EXTENSIONS SEWER & WATER INSPECTION AND REPORTS WELL INSPECTION & FLOW TEST Augu,6t 13, 1993 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 Muni.c,i.pa.2i ty ab Ancho7age RECEIVED DEPARTMENT OF HEALTH AND HUMAN SERVICES AUG 3 1993 Attn: John Smith 825 "L" StAeet lV""cipali(y of Anchorage Anchorage, AK 99519 Dept. Health & HumanServicervic es REFERENCE: T12N R3W Section 22 Lot 32 S2 Permit #SW920196, PID0015-521-23 Deah. Mn. Smith, The septic system was .in6tatted on the u6exenced paopekty and inspected by S 8 S Eng.ineeeking .in Auguht, 1992. The ah-buitt o5 .the septic w,iU be devekoped when .the houze foundation .is con6.tAucted. If we may be of fuAxhen. wtv,ice, please contact ua. 7R/ RT A. SHAFER, P.E. SITE PLANS R /g Iz ec Russ F"sotino ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER. ALASKA 99577 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE a DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502�'� ANCHORAGE, ALASKA 99519-6650 S ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920196 DATE ISSUED: 7/24/92 DESIGN ENGINEER:S & S ENGINEERING EXPIRATION DATE: 7/24/93 OWNER NAME:FASOLINO RUSS & LESLIE OWNER ADDRESS: P.O. BOX 231061 iN i v�SP=n�iV ANCHORAGE, ALASKA 99523 PARCEL ID:01552123 LEGAL DESCRIPTION: T12N R3W SEC 22 LT 32 S2 LOT SIZE: 110550 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE �Z / DATE: 7-2-1-10,7 ��ngrnp July 16, 1992 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGIN EERS (907) 694-2979 FAX 694 1211 HEALTH AUTHORITY APPROVALS Mun cipatity ob Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.U. Box 196650 SEWER&WATER Anchorage, Atasha. 99519-6650 MAIN EXTENSIONS REFERENCE: Lot 32; Sec. 22, T12N, R3W, S.M. SEWER & WATER INSPECTION Request you issue a peAmdt to dn,iitt a wete and instatt a septic system bo,% the proposed 4 bedroom house on the u6menced property. The tot is generaUy Utat and no groundwater was encountered during the ENGINEERING STUDIES soits testing. A deep trench type teach6.ieed is proposed. AND REPORTS Due to the targe tot size we do not anticipate any adverse e4gect's on ne%ghboning properties by the in,5tattati.on oU the proposed wet2 and septic. WELL INSPECTION & FLOW TEST IU you requivice additi.onat in4ormation bor your review, ptease contact us. Sincerety, SITE PLANS V ROGER J. SHAFER, P.E. ROAD DESIGN RJS/gm SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSALSYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 " L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: t`-�1J��J �I�`J-v1�1 .�I b DATE LEGAL D�SCRIPT /pE,IIONN�: � � — Township, Range, Section:' EPTH 1 2 r ; ` st✓1 3 4 / er 5 r 7 8 9 rc �C 12- 14- 15- 16 214 15 16 r� r 17 18 19 SLOPE WAS GROUND WATER ENCOUNTERED? n S L IF YES, AT WHAT O DEPTH? P E Depthtri Water plt Montt ^ Z Monitoring7�J��f _ Date: -L t E 20 PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND —7FT COMMENTS PERFORMED BY: S & S ENGINEERING CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop Road No. 204 ACCORDANCE WITH AL �ST�A MIYMI")IDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ��88�� Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: DATE PER LEGAL DESCRIPTION:�T Township, Range, Section: T SLOPE PTH 1 2 � „ 7/ c; ( 3- 4 4- 5 5 6- 7 7 8 9 0 10- 11 11 /t ` 12 c 1 13 14- 41516 15-- 16- 17 17 18- 19 20 COMMENTS WAS GROUND WAT ENCOUNTERED? S L IF YES, AT WHAT 0 DEPTH? P E Depth to Water Aller Monitoring? � Date: SITE 1- -2-71 PERCOLATION RATE `r� (minutes/inch) PERG HOLE DIAMETER TEST RUN BETWEEN FT AND ', FT PERFORMED BY: S & S ENGINEFRING CERTIFY THAT THIS TEST WAS PERFORMED IN %&"*N� ACCORDANCE WITH j*N "I;,�MEAVqN EFFECT O THIS DATE. DATE: 72-008 (Rev. 4/85) STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATER WATER WELL RECORD I nrATInN nF WFLI w BOROUGH SUBDIVISION LOT BLOCK SECTION OTRS SECTION TOWNSHIP ❑N RANGE � ❑E MERIDIAN Iy- LOCATION/SKETCH: WEP OWNER: l ( Fca soli n o <; 23Lo L, as �� za S` la ,ao DEPTHS MEASURED FROM:❑casing top ❑ground surface WELL DEPTH: DATE OF COMPLETION Depth of hole: ��-7 ft r Depth of casing: /LJ 7 ft BOREHOLE DATA: Depth Material Type and Color From To _ l DEPTH TO STATIC WATER LEVEL: S1 / ft below Mop of casing ❑ ground surface �7 Date: �S METHOD OF DRILLING: Lair rotary ❑ cable tool ❑other USE OF WELL: domestic ❑ irrigation ❑ monitor Q / $S ❑ public supply ❑ other CASING STICK-UP- -- ft. Diam:(' in. tort Casing type: in. to _ft WELL INTAKE OPENING TYPE: n -open end ❑ screened ❑ perforated ❑ open hole Depths of openings: to ft 00 't �? � r .1 92- / 9 � / SCREEN TYPE: Diam: in. Slot/Mesh Size: Length: ft GRAVEL PACK TYPE: Volume used: Depth to top: f GROUT TYPE: Volume: Depth: from ft to ft 993 DEVELOPMENT METHOD: Niunicipali; Duration: "Ulzn & Human S vices PUMP LEVEL AND Y�ELD: his // ft-..-. pumping gpm PUMP INTAKE DEPTH: ft Horsepower,', r WELL DISINFECTED UPON COMPLETION? ❑ YES ❑ NO rnNTRACTOR INFORMATI N• REMARKS: Registered Business Name �\Signature of Authorized Respresentative Date PLEASE MAIL WHITE COPY OF LOG TO: DNR/DIVISION OF WATEFT PO BOX 772116 EAGLE RIVER AK 99577-2116 Municipality of Anchorage On -Site Water & Wastewater Program ` g, (907)343-7904 � P 14 >a CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-521-23 1. GENERAL INFORMATION Complete legal description Tl 2N Location (site address) Current Property owner(s) Mailing address Real Estate Agent L � Expiration Date: 11120 BIRCH ROAD ANCHORAGE AK, 99516 BURT & SANDRA MCQUEEN Day phone 11120 BIRCH ROAD, ANCHORAGE, AK, 99516 BETH SIMPSON W/ KELLER WILLIAMS Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: 244-2403 865-6556 TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site Public Water System ❑ Public Sewer ❑ WaivenVariance request for: fl r Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer, Distance: COSA Fee $ `+` a ?1 00 / Waiver Fee $ ks0 Date of Payment &L3 % r l 1`i Date of Payment /�- 3 I t hq p Receipt Number 05WS4 Receipt Number COSA# (is clgt IN Waiver ft 044 lgio6 J 5. 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 Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 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 operationallife 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 orpartyls not authorized, nor will it confer any legal right whatsoever 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: _ Original Certificate Date: t The MuniciUafftyvor orage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist bl_x Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: T12N, R3W, SECTION 22; LOT 32, SOUTH 1/2 Parcel ID: 015-521-23 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) YES Date completed 8/23/1992 Sanitary seal (YIN) YES Wires properly protected (YIN) YES Total depth 197 ft. Cased to 197 ft. Casing height (above ground) 12+ in. FROM WELL LOG Date of test 8/23/1992 Static water level 97 Well production 60 WATER SAMPLE RESULTS: AT INSPECTION 2/14/2014 R 3.57+ g.p.m. Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: GEG, Ltd. Arsenic: ND ug./L. Date of sample: 2/14/2014 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Ddte installed 8/27-28/1992 Tank size 1500 gal. Number of Compartments E Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping a- t Pumper % 5 6L a C S C. ABSORPTION FIELD DATA *BELOW EXISTING GRAD Date installed 3/24-27/14 Soil rating .p.d./ r ft2/bdrm) 0.45 System type DEEP TRENCH Length 138 ft. Width 2.5 ft. Gravel below pipe 5.2 ft. Total depth *11.65+ ft. Eff. absorption area 1380 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth in. Elapsed Time: = min. Final fluid depth — in. Absorption rate >= 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access "Pump on" level at in. "Pump off' level at a er alarm level Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankni t station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer/septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank Animal containment areas *35' Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage **0' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS -reF.lL(.l *SEE WAIVER REQUEST **199iS UNDER PATHWAY FROM HORSE RUN AREA TO BARN. G. ENGINEER'S CERTIFICATION I codify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date ?I 2 S!l "'- (Rev. r (Rev. 11105) f. N 89 56' 31" W 329.61 4 BARN P r� k --..ANE A, HQLT Jo4^oQ LS -E91 4, 4 O NE« ------------ �a'lrar __ _ - \ 33 RESER✓ Ar FOA RORLlNAV ANU. pVU'.IL UTttIpES (RECOROEO AT BOOH 90, pgGE 196) ' GrGVEf FOAONAY N 89 56' 31" W 329.61 R THAN THOSE APPEARINE 1 APPEAR ON TMS DRAWIN JAY BE APPROXIMATE (MATE bUE MAY BE nPPROXIMAT: DVE I 33' NOTE 33' ROADWAY AND UT/CITY RESERVATIONS ARE RESERVED IN THE R.L.M. PATENT AS-BUILTSURVEY V=40' NOCO ERSSETTIISMIE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE 'FOLLOWING DESCRIBED PROPERTY SOUTH 1✓2 OF LOT 32, SECTION 22, T12N,R3W,S.M. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN �EaFICALLY TO SHOW ANYj THE PROPERTY LINES AND NO VISIBLE (ENCROACHMENTS OR EASEMENTS: AND IS li, EXIST OTHER THAN NOTED. IT$OR FENCENOTS IT, ARE NOT SHOOWNM DATED T ANCHORAGE,ALASKA THIS 26TH DAY OF _ H _MARCH 2014. .ED TO DETERMNE SURVEYING W AND/OR ICE. HO600 WL M6HVIVIEW DRIVE 12454, F9 163-49 ANCHORAGE,AK 99515 345-5513 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS March 28, 2014 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Waiver Request for Well on T12N, R3W, Sec22, Lot 32 S1/2 to Horse Run Area; The existing 4 bedroom house is served by a private well and septic system. We request you grant a 35 foot separation distance waiver from the well on the referenced property to the properties horse run area. The following items are justification for the waiver: • The horse run area is located downhill from the well and if there was any surface flow, it would not travel towards the well head. • The encroachment caused no negative impact on the aquifer (Nitrates were ND on 2/14/14). Based upon the aforementioned facts, it appears that there is minimal risk associated with the requested waiver. If you have any questions, please contact us at 337-6179. Thank you for your assistance. M.S. 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: garnessengineering.com t Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 hftp://www.muni.om/Onsite Development Services Division On -Site Water and Wastewater Program anent S v � epartrnent **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP141061 COSA#:OSC141109 Permit#: PID#: 015-521-23 Legal Description: T1 2N R3W Section 22 Lot 32 S2 Engineer: Garness Engineering Group Applicant: Burt & Sandra McQueen Your request for a waiver of the required 50 feet horizontal separation from the animal containment area to the private well has been approved. The approved separation distance is 35.0 feet. This waiver approval applies to the existing animal containment area only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: �(1 l Approved b N me of Reviewer MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 10 343-4744 [ j CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O ISS a 13LI HAA # q �� 1. GENERAL INFORMATION Complete legal description Lot 32;, T12N `R3W `Sec' 22 Location (site address or directions) Property owner Ru -6,s 9 Lati.e Fasot i.no Day phone 349-5560 Mailing address P.O. Box 231061 Anchorage 99523 Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water Day phone — Day phone _ 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 XXX Holding tank c, 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-M(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 furtherverifythat 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 S & S ENGINEERING Phone 6gy — o) -R 71 17034 Eagle River Loop Road No. 204 Address Eanle River. Alaska 99577 Engineer's signatureyl/� Z� Date /0 f -,A./ OF ROBEF AN ?# Gjs••N CE -8801 6. DHHS SIGNATURE X01 �PR0IESSW�h"l _ Approved for bedrooms. Disapproved. _ Conditional approval for bedrooms, with the following stipulations: By: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions! n order to satisfy certain federal and state requirements. Employees of DH HS 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(RW.1R1) Back MOAM21 ® Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lef 3a 7/aN 'e 3/l/ Stc ZZ Parcel I.D. 0 / 5 ,5o l a 3 A. Well Data Well type 1 w Aryyu 9 L If A, B, or C, attach ADEC letter. ADEC water system number Log present aN) Date completed 3 /�- 3 512 Driller 4 LPt J6 D Rr Lc r /%/6 - Total depth 1 7 Cased to % q 7 Casing height Sanitary seal &N) Wires properly protected ON) Date of test Static water level Well flow Pump levell FROM WELL LOG 60 g.p.m. / °) 3 - SEPARATION SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot �' 14 - Absorption 4 - Absorption field on lot % 1 +- AT INSPECTION /c /)z-/ Ci N 0) 7 6.! On adjacent lots /U0 4— On adjacent lots / CO Public sewer main �A Public sewer manhole/cleanout Sewer service line ;L / Petroleum tank D- S- N 1,4 WATER SAMPLE RESULTS: Coliform 0/00 M-)C� Nitrate 0,/ Other bacteria O Date of sample: /0 A / q y Collected by: S 9 S zrN 6-r ,v 6f j,. C- B. SEPTIC/H9EBfNe TANK DATA Date installed <K / -A /q Z Tank size / �O C -Ac Compartments a Cleanouts Y'N) Foundation cleanout ON) Depression (yo High water alarm (yo Alarm tested (Y/N) X14 Date of pumping N i "/ r ry /,I SEPARATION DISTANCES FROM SEPTIC/MG69#40-TANK TO: Well(s) on lot /06 -/— On adjacent lots / U o /f Foundation /0 /4— i To property line )014- Absorption field Water main/service line /0 `if - Surface water/drainage /00 4' 72-026(3W)-Frmt CONTINUED ON BACK PAGE C. LIFT STATION Date installed _ Manufacturer �— Size in gallons_ Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at mp off" Level at High water alarm level ycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTA ROM LIFT STATION TO: Well o On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed _ 'S /a `B /6? Z Soil rating (GPD/Ft) �' Y S- _Systemtype nken 7R�n cH Length q (7 Width a • S / Gravel thickness -7 Total depth Total absorption area 3 y Cleanout present ON) Depression over field (Y/O Date of adequacy test Resufts (pass/fail) " �� for Bedrooms Water level in absorption field before test After test Peroxide treatment (past 12 months) (Y/O1 If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot_ I / )L t On adjacent lots /0 o r Property line To building foundation /o -r To existing or abandoned system on lot Iv R i On adjacent lots �0' Cutbank N ° ^',2� Water main/service line Surface water _ ) D o t Driveway, parking/vehicle storage area Curtain drain N 0'J �- E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect oFllbe-daig of this inspection. Signature _-1�i �i✓n r, / °��r Engineers Name Ro l - O r✓�� V ; c, aoneP.r c. cownN f m 6 / Yj`��"•ti CE -8501 Date 10;' HAA Fee $ 000 " �l Date of Payment _ /0 r Receipt Number 72-020 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number 10/11/94 09:29 CT&E ENVIRONMENTAL LRB SERVICES i 9076941211 N0.844 908 LTE CT&F ReL# client Sample ID Matrix CliamName ordered By pmjcctNaule Projcat# PWSID Commercial Testing & Engineering Co. Environmental Laboratory Services _��'��AWAOWWywjgwAffiw-WAWWWW"®'�''� --SamplaRemarke:— RO[1TiNESAMPLECOLLECr1 it :S.s QC Allowable Ext• Anal Parameter Results Qual Units Method Limits Date Datc Iuit __---------------- -- – 0.10 NitrMe-N 0.10 ll mglL EPA 353.2/300.0 • See Special Instructions Above UA�I)navailable '• SWSampleR0nWksAbove NA=Not Analyzed U = Undetected, Reported vahie is the ptmc6cai q mltti/ieation 11mil. LT= Less Tlian 1) = Secondary dlution. CIp= Greater Than 5633 8 Street, Anchorage, AK 99518-1600 — Tel, (907) 662-2343 Fax: 907) 561-5301 _ ENVIRONMENTAL FACILITIES IN ALASKA. COLORADO. FLORIDA, ILLINOIS, MARYLAND, NEW .JERSEY, OHIO, UTAH, WEST VIRGINIA LABORATORY ANALYSIS REPORT 94.5145- L32 SECTION22 WA'1TA S & S ENQINEERINO. WORK Order 82760 R. SHAPER Printed Date 10/11/94 (q,)07:27 Ivs. Collecicdikdc 10/06/94 (a)16,10 firs. Receivedi)ttte 10/06/94 @116:45 IV, VA Technical Director STEPHEN C. EI)E --SamplaRemarke:— RO[1TiNESAMPLECOLLECr1 it :S.s QC Allowable Ext• Anal Parameter Results Qual Units Method Limits Date Datc Iuit __---------------- -- – 0.10 NitrMe-N 0.10 ll mglL EPA 353.2/300.0 • See Special Instructions Above UA�I)navailable '• SWSampleR0nWksAbove NA=Not Analyzed U = Undetected, Reported vahie is the ptmc6cai q mltti/ieation 11mil. LT= Less Tlian 1) = Secondary dlution. CIp= Greater Than 5633 8 Street, Anchorage, AK 99518-1600 — Tel, (907) 662-2343 Fax: 907) 561-5301 _ ENVIRONMENTAL FACILITIES IN ALASKA. COLORADO. FLORIDA, ILLINOIS, MARYLAND, NEW .JERSEY, OHIO, UTAH, WEST VIRGINIA COLONY BUILDERS 907 345 6934 P.O2 Residential Cansteudlon & Land Development October 11, 1994 Faxed to: 694-1211 2)40 Lcfen Qwle, Anchorage, Alaska 99516 M.O.A./S & s Engineering Re: Lot 32 Birch (907)244.6'431 W Fix 1907) 345-6934 Gentlemen: Regarding the septic system on the above lot, Colony Builders is constructing a home on this site with a existing septic system. The system has never been used. if you have any other questions please call me at 244-6233. Wee l , Bill Tay or