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Home My WebLink AboutT12N R3W SEC 23 PARCEL 26BTI N R3W Section 23 Lot 26B #015-331-05 Municipality of Anchorage Development Services Department -=-~-', Building Safety Division On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 ~ ~' www.ci.anchorage.ak.us (907) 343-7904 P,~ge 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW030013 PID Number:. 015-551-05 Name: REBECCA MclNNIS Wastewater System: E3 New · Upgrade 11391 RIDGECREST DRIVE * ANCHORAGE, AK 99.516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 546-5058 5 DDeep Trench nShallow Trench robed OMound LEGAL DESCRIPTION ~" ~ '"~ ~ '~ ~"" °**~ o 2.0 G~/5~. ~ . Block: Lot: Subdlvi~ion: ~ I= I~m ~ fm~ ~lnel ~: ~ ~h ~ I~: - 26B - 2.4 n 0.5 Townehlp: T12N Ran~.: RSW S~n: 23 m ~ ~ *r~ ~=*,: ~ ~,'~: SEE DWG. n 25 WELL: D New r-I Upgrade 10 3 ~~-'r'~C~'/~' ~ n s-- w~., ~,~;r~ ~ 250 S~l ~.D723054/ SCH 40 PVC ~. AKWWC, INC. 6-28/2003 ~, ~ ~ TANK SEPARATION DISTANCES ~,~= =,o~n= ~S.t~,. ~.~*** T~To ~pflc ~t~n Uff Ho~ing ~: ~ANCHO~GE TANK/ Tank Re~ S~flon Tank ~ ~ ORENCO ~EMS .. 1500 Well 100'+ 100'+ 100'+ - 25'+ FIBERG~SS 2 Sa,=, wot,, ~oo'+~0o'+~oo'+ - - LIFT STATION ~t Une 5'+ '5'+ 5% - - 500/66.5mORENCO SYSTEMS/ANCHO~GE TANK FoundoUon 5'+ 10% 5'+ - - TIMER/27.25" TIMER/15.5" 46/29.25" Cu~oin Drol~ HO~[i K~OW~ OE[~CO ~.O.A. Remork,: 'WA~ER ORA~TED BENCH MARK · *TO TOP OF 2 FE~ M.O.A. APPROVED SAND FILTER. BOSOM OF SIDING ~ SOUTHWEST CORNER · **THIS IS AN ADVANTEX TR~TMENT SYSTEM -THE EXISTING SEPTIC TANK AND DRAINFIELD WERE 100.00 Inspections pedaled by: AKWWC, INC. Dates: 1st 2/26/2003 Development Se~ice. s Department Approval R~viewed and approved by: 4~ ~. ~ Dote: ~-/~'0 ~ .[RM~NUMBE"= AS BUILT DRAWING PARCELID NUMB[R: SW030015 - 015-551-05 I ~ ~ B ~ ~ D~NFIE~ ~ FCO 9.69 21.57 I~" ~ ST1 24,86 23.56 I ~ X ~OD 2~.o 2~.~ ,~ ~ MH1 35.26 28.4 5' LOT UNE I ~,~.~ ~ ~ ~ MU2 37.44 2g.og I ~ ~ MT1 19.94 40.75 -~ ~ [ ~ ~ MT2 26.0447.~4 ~ ~ I ~'~/' ~ I / ~ I HO~E ~~ I / I TR~E~ ~EM W~ PUUP VAULT - I ~/~/~oo~ ~~ WATER & WASTEWATER c.J.~/Z.T.~. CONSULTANTS, INC. PREP~ FOR: PHONE NUMBER:PAGE NUMBER: , ~l ...... ~ ........... REBECCA MclNNIS (907) 546-5058 2 OF ~ ~,,,,o,~ ,o~l... ~ :-~ ...~ ~,. ,,w. s~c,~o, ~; to, 2~, ~:.2 .~ .......... ..~,~ AS-BUILT OF SEPTIC SYSTEM UPGRADE (ADVANTEX SYSTEM) ~E~M~,UM~: AS BUILT DRAWING P'~EL lO ~UM~ER: SW030013 -- 015-331-05 TOPOF ADVANT[X POD ~IOP OF ~HO~ - ~.o~ (~.) X / ~'*~ (~') - ~ I~l li~ Il' Itll H} I r[H Ih:~ PUMP VAULT - 94.21~ ORENCO PUMP VAULT ~FINAL - I02.B3+ OR~O~ C~O~ MT / .MT - 102.96 O H,GH ~1~~ ~INSU~ON / l~'~'["~'~''c/ -~-~ ~,~., ....... . ......... ,..,, ..... 7¢X~... ......... BO~OU OF BED DI~IB~ON LINE IS 1.25 raNCH ~ W~ ~mNCH - 97.96 (A~.)~ HO~S SP~ED ~ 25 INOHG ON CE~R HOLES PER ~lEg[ gSg WlTER& ~STEWlTER ~: c.~.o. , " CONSULIANIS. INC." ,.. REBECCA MclNNIS (907) 346-3038 5 OF 5 ~E OF WORK: ,~, O~esS PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE .:MOA FAX - DDCFAxl 6/26/02 7:29 PAGE 4/25 RtghtFAX · MUNICIP~I,ITY OF ANCHORAGE - BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW STI~T, ANCHORAGF-~ 1NSPECI'IONS: I,'oic~ (907) $4J. SJO0 Fax.. (907) 249.7777 1NFORMAIION: (907) $4J.8211 N,tI~N CORRECY'ION$ ARE MADE, pLI~4SE CAll_ FOR INSPECY'ION DO NOT REMOVE TI47.~ NO~ICE. MUNICIPALITY OF ANCHORA GE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jan 28, 2003 Expiration Date: Jan 28, 2004 Permit Number: SW030013 Legal Description: T12N R3W SEC 23 PARCEL 26B Design Engineer: 0041 AK Water & Wastewater Consultan' Owner Name: Rebecca Mcinnis Owner Address: 11391 RIDGECREST DRIVE Total Bedrooms: 3 ANCHORAGE, AK 99516-1858 Parcel ID: 015-331-05 Site Address: 011391 RIDGECREST DR Lot Size: 18000 SQ. FT. Permit Bedrooms: 3 This permit is for the construction of; [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By:~ Date: Issued By: Date:_,~~fO.~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage, ak.us (907) 343-79O4 Waiver Review Worksheet WRY: WR030006 PID#: 015-331-05 HAft: HA0:~0040 Date Received: 1[27[03 Legal Description: TI2N R3W Section 23 Lot 26B Engineer: Jeffrey A. Garness, pE Alaska Water & Wastewater Consultants. Inc. Applicant: Rebecca M¢lnnis Permit~: ,~"t,~' 0500__.~ Waiver Requested: 5 feet from lot line to dralnfleld Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: List Conditions or Reasons for above: ~'F. E Waiver is Granted: ~' Waiver is not Granted: I~ 2vo2 ~r~O. Name of Reviewer Rec~: 30.~?) Amount: SLS0.00 Date Paid: ill-America Ci~ Mayor 2002 1/29/2003 Jeffrey A. Gamess, PE Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B Anchorage, Alaska 99504 Subject: Waiver Request for TI2N R3W Section 23 Parcel 26B Waiver Request #WR030006 Parcel ID #015-331-05 Constmction Permit Number SW030013 Health Authority Certificate #HA030040 Dear Mr. Gamess: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding thi~ waiver, please call our office at 343-7904. Sincerely, Daniel J. Roth Civil Engineer On-Site Water & Wastewater Program P.O. Box 196650 *Anchoragc, Alaska 99519-6650 *Tclcphonc: (907) I~3-83()1 * l:t~x: (907) 3/I-3-8200 4700 South Bragaw Strcct * ~nchoragc, ~Maska 99507 hltl~://xxaxav.ci.anchort~gc.tlk.l~s Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 015-331-05 Permit Number ~'t,uO Property owner(s) Mailing address (1) Mailing address (2) REBECCA MCINNI~; 11391 RID(~CREST DRIVE * ANCHORAGE. AK Dayphone 346-3038 Zip Code 99516 Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) LotSize Acr THIS APPLICATION IS FOR: Sewer Only [] Sewer and Well [] Sewer Upgrade [] THIS PROPERTY CONTAINS: Hot Tub [] Swimming Pool [] Therapy Pool [] LOT 26B SECTION 23. T12N. R3W, Number of Bedrooms Well Only [] Water Storage [] Jacuzzi [] Water Softening Unit [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER &: WASTE'WATER CONSULTANTS~ INC. J 400 - Permit Fees: · ij Date of Payment:. 1 "' Receipt Number: ~)0 ~72.- Waiver Fees; · Date of Payment~ Receipt Number: ALASKA WATER & WASTEWATER CONSULTANTS, INC. December 18, 2002 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water 8: Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Reft Proposed Sep? Upgrade for Lot 26B; T12N, R3W, Section 23 ADVANTEXTM TREATMENT SYSTEM To whom it may concern: 1. GENERAL: The existing 3 bedroom house is served by a private well and septic system. The existing drainfield is believed to be encroaching upon groundwater and must be upgraded. Test holes were dug on the property in 1981 and also by S&S Engineering in 1993. Groundwater was shmvn to be at 8.5 feet in the 1981 test hole and 9.0 feet in the S&S test hole. We are proposing to design the septic system around the 30 foot radius of the S&S test hole using the groundwater monitoring from the 1981 test hole. Due to the poor soils, high groundwater, tight soils, and the limited space we are proposing to use an Advantex treatment system and a bed type drainfield. 2. SOILS: See the attached log, which shows the soil classifications, groundwater monitoring, and the percolation test results. 3. DRAINFIELD APPLICATION RATE: The intent is to install an Advantex Treatment System that will allow the use of a small drainfield in the area around the 30 foot radius of the test hole. The Advantex system has received class III approval and we are going to use an application rate of 2.0 GPD/FT2. 4. TRENCll DESIGN: a. Percolation Rate: 40 minutes/inch b. Allowable Application Rate: 2.0 gallons/day/ft2 c. NumberofBedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 225 ft2 f. Total Depth: 5.0 feet (max.) g. M.O.A. Approved Sand Filter Depth: 2+ feet 6901 Debarr Road, Suite 2B ~ Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246 h. Effective Depth: 0.5 feet i. Width: 10 feet j. Minimum Length: 25 feet long k. Effective absorption area: 250 ft2 5. ORENCO PACKAGE SYSTEM: The STEP tank with the Advantex Treatment System will be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As with their standard STEP tank, it is equipped with a high water alarm per M.O.A requirements. 6. SURFACE XVATER: There is no surface water within 100 feet of the proposed septic system upgrade. 7. TOPOGRAPIIY: The average topograghy in the area of the proposed drainfield is a 5%- 10% slope running approximately north to south. 8. LOT LINE WAIVER: We request a 5 foot lot line waiver from the proposed drainfield to the north lot line. 9. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at ~J y,,.:.~.. ~j .. M.S. NOTE: ,~ttached is a site plan draw#tg, a design drawing, att Advantex detail, a bed detail, a soil logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B ~ Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246 ,., I I I I ~ · I I I I .r '" ...~"-~ '" -. I I I -'%~. ~'~ / t ~ "n2N. R:~W. ! - '- .. .. _~ ./.. I sro. 2'~; LOT 26¢ ! t ! -'...~... ~,~/ I $£Co 2~; LOT 25D I \ I / I \ I / I \~.l.N(r' O' TH[ HILLS S/D: ' . \ \\ T~2N, RJW, .~. s~ t. ~. P~cEL 2.~ ~~ ~". I~ .// ~~/ NO CONCERNS "\ % ~ .... "~ I ,,/'/ I ON WE:~T HALF OF LOT i ~ ~ // "'"'----- :.~,.,- EXIST]NO I I .... I ~ LAKE 0 THE HILLS S/D; '/'"~ i_ -i~.i- LOT ~..BLOCK ~. " ~/b~.~~.Y~ --- ~3 , -. / DcI~rlNO S ~ \ I I ~ / I \ ~ I II~'. // I ' I I "'- // I \ I / I \ I / ,--- x~, I // ~THJ2 I DAFO£ S/D: I '~THi~ 1 I LOT IA, B~OCK 2, I I I I DAFO£ S/D; I I LAK£ O* TH£ HILLS LOT lB. BLOCK 2, I T12N, R3W. SEC, I LOT $, BLOCK 3, I PARCEL 26-0. I I I I I I I I ~ 12/1 ~/2oo2 ~._-:~'[-'~ 0 ~' .~ REBECCA MCINNIS 546-3038 1 OF 4 ~_-.~.,ffrEy ,.~.arne~s.- ,~ .~sc~o.: ~,~ 'J i~E- 795~--J' T12N, RSW, SECTION 25, LOT 26B, ~,%.~4 '. ~l~ ..' TfPm OF WORK: ~.*a-~o'~ ~ , ..,o\ SITE PLAN FOR PROPOSED SEPTIC SYSTEM UPGRADE -~ ....... ~ TREATMENT b-~$1Ebl w/ PUMP VAULT I ; (SEE o~ P~E ~ I I I ~ ~' ,OT UNE PROPOSED DRNNF1ELD. EX ~ I r: ~,~ ~ ' / BED THAT IS 5 FE:I~I' DEF'P MAXIMUM ' · ~ / BY 10 FEL'T WIDE BY 25 FEET e:: :: --""~--------------/~r,a, ~ APPROV1[D .SAND F'ILTER AND 0.5 b I :: ~ / ~ I,u:.'r OF' CLEAN. WASHED SEWER i .''. ~oo o~/ ~ DRAJNROCK. THE D~5-rRIBUTION UNE . ~ .-: L..-.~/ ~ IS TO BE 1.25 INCH PVC: V,1TH 0.25 I .': [/ ~' INCH HOLES SPACED [VTr..RY 25 .': ¥ INCHES ON CEN~t~ (11 HOLES PER I I !" // EXIS'TING LATERAL 33 HOL~S TOTAL) :: / ~ 3 BEDROOM '~ ~ LEXImNO SEFI'~C TANK TO BE '-4 x oD.P,.,.. oo. Eo '1 I , I ] D~NnEW 'to .E / COMPLY/ ABANDONED ~ I I \ \ NOTE= THE CO~rRACTOR S~L H~V~ THE ~00 FOOT \ WELL RADIUS ON THE REFERNCED PROPE:R~Pi' AND I \ \ THE NORTH LOT UNE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. ~ 12/18/2002 ~-~='~ 0 .'... Al~&SIC~ ~rATER & ~¥ASTEWATER ,~-: ~...".4~Gt~/ ".~, CONSULTANTS, INC, ::: ,, ' .... :" t ...... ~ "/' .... : .... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ~ ...........'~' '~" ~[[~ : .... REBECCA MCINNIS (907) ;546-$058 2 OF 4 ~ ~ .. effl ~,. 0 ess.. T12N, R;SW, SECTION 2;5, LOT 26B, ~[~,~'-....' ......'~ DESIGN FOR PROPOSED SEPTIC SYTEM UPGRADE AdvanTex* Treatment System ':"* P.E. HAS THE "- '~'~ ~ A~0 - Mode la 40x94Pod INLET_ ~. ~ ~E ~D INSU~ON TO BE ~-~ B~ND ON ~ SID~ ~C~ UND~ ~E ~ RL~R. ~IS WI~ ~W FOR H~T TO ~E ~OM T~K & RISE ~ ~E RL~R ~ ~. 7 ..... ~:-7- ,-= -:T ---~ OPTIONAL / i I ....... ~~~ ---~~ VAULT m~s~mo. / I ~ ' ~ r ~l~; = ~ ~1 III1[ /~~"-, ~SI~ WATER & 5~STEWATER c.~.o. /~:: ~c, ~ ~'""CJ0~ PR~ FOR: PHONE NUMBS: P~E NUMBS: DETAIL DRAWING OF ADVANTEX TREATMENT SYSTEM ~-~~.1" 0 MT 2,~' LONC MTO· ~ ~ - ~1,5' 1.5"--- · THE DISTRIBUTION UNE IS TO BE 1.25 INCH I:~ WITH FROM ADVANrTE~ TREATMENT 0.25 INCH HOLES SPACED EV~ 25 INCHES ON CEhll~.t~. S'r:~:Jd W/ PUMP VAULT ~ (11 HOLF,.S PER LATERAL ,35 HOLES TOTAL) FINAL CRADE "--~ /'~'INSULATION i FILTER FABRIC ' · ~:~.. ..... ~ ~...~ '.. '.~ .~..>." . .... ~ .... .* :'.'....' · 2' OF' · . .... ..' ...... ',, ' ''.,' ... ' , · .- APPROVED SAND ' ", '9 ~ .:..? ,.., '-.-," ;.~,..,~- ~..;r' · ,"~; . , :.: .:;.~ . fiLTER '", 10' WiDE ~THE'DISTRIBUTION UNE IS TO BE 1.25 INCH P'VC WITH 0.25 INCH HOLES SPACED EV~ 25 INCHES ON CENTER. (11 HOLES PER LATERAL ,35 HOLES TOTAL) C.J.G. ... ALASI & WASTE VATER 4 9 ...... CONSULI^NI$, INC." ...... 6001 DEBARR ROAD. SUITE ~'B · ANCHORAGE. AK qOS0& · PHONE (q07)5~7-6179 · FAX (q07)~gS-3Z&6 NeTJS.ti ']? ....................... : .... T12N, RSW, SECTION 25, LOT 26B, "tJh."~] ". .."&~,~,~ PERFORMED FOR: LEGAL DESCRIPTION: ~,~'/' O~"~ _P~ SOILS LOG -- PERCOLATION TEST ( ~.~,-/.. ~5ownship. Range, Section'. ~~'~.~. -- ' SLOPE 5 6 7 8 9 10 11 12 13 14, 15- 16- 17- 18- 19- 20- WAS GROUND WATER IF YES. AT WHAT DEPTH7 Monitoring7 , ¢:~ Oate: . Reading Date Cross Net Depth to Net Time Time Water Drop : ~ tS ,, ~/~,, ~/~ PERCOLATION RATE ff~ (minutes/inch] PERC HOLE DIAMETER TESTRUNRETWEEN.E'c-' ~_T~"O ~ FT PERFORMED BY: Il I f/ /. /~"-~ ~[~/IrY/,Al THIS TEST WAS PERFORMED IN ] 7034,Eagle River L~p Road ACCORDANC~ WnH AL~a~R~ ~~DEL~ E~T ON THIS DATE. DATE; 72-008 {Rev. 4/85) .' , i ,'~ ~ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAI. PROTECTION 825 L., Street, Anchor~je, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION 'TEST PERFORMED FOR: ~r~ ¢ 6 LEGAL DESCRIPTION: T 2 3 6 7 8- 9- 10- 11 12 33 14 15 16 17 18 19. 20- DAT~ .ERFORM~'D: SLOPE / ! / l l I / / I SITE PLAN WAS GROUND WATER ENCOUNTE.Em IF YES. AT WHAT Reading Dale Gross Net Depth to Net Time, Time Water Drop -~ // '6': {¢' ~0 ..5'~ CH t¢ ..'Crt 5 '~' 1o . M '~ . o3 PERCOLATION RATE ~'*'~'"' (minutes/inch) · ' ~ I ~ ~ . 72-008 (6/79) Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 March 3, 1995 Thomas R. & Reta K. Seales P.O. Box 111838 Anchorage, AK 99511- t 838 Subject: T12N R3W Section 23 Parcel 26B Permit #SW940017, Parcel lID g015-331-05 Dear Thomas & Rita Seales: The subject permit, issued January 28, 1994 by this office for a single family well and/or on-site wastewater system, has expired as of January 28, 1995. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If the on-site wastewater system has been completed and a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, · / James Cross, P.E. Program Manager On-Site Services JC/kb cc: Robert C. Cowan, P.E. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940017 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SEALES THOMAS R & RETA K OWNER ADDRESS:P.O. BOX 111838 ANCHORAGE, AK 99511-1838 DATE ISSUED: 1/28/94 EXPIRATION DATE: PARCEL ID:01533105 LEGAL DESCRIPTION: T12N R3W SEC 23 PARCEL 26B 1 OF 1/28/95 LOT SIZE: 19800 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAAC80). 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: ALL ORGANICS AND OTHER MATERIAL MUST BE EXCAVATED DOWN TO THE TOP OF THE ML STRATUM AT APPROXIMATELY 4.0 FEET BELOW GROUND LEVEL. THE TOTAL BAS~L BED AREA MUST NOT BE LESS THAN Tom Fink, Mayor N uniCipality o{ Ancl rage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 28, 1994 Robert Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for T12N R3W Section 23 Lot 26B Waiver Request ~WR940001, PID #015-331-05, SW940017 Dear Mr. Shafer: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. waived distance is 1 foot from the absorption field to the north property line. The 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. Robert W. Robinson Civil Engineer On-site Services ljw~7 ".,~.,' MUNICIPALITY OF ANCHORA~l Department of Health and Human Services On'site Services Section Applicant: Waiver Review Worksheet WR9 WR940001 PID9 015-331-05 HA~ Date Received: January 6, 1994 Legal Description: Ti2N R3W Section 23 Parcel 26B Engineer: Robert Shafer, P.E., S & S Engineering 17034 Eagle River Loop Road, Suite 204, Thomas Seales Permit Eagle River 99577 Waiver Requested: Lot line waiver - absorption field to north property line Points: Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~ Wai' -- / List Conditions or Re~sons for above: Date: Rec %: 25561 Amount: $ 115.0 HEALTH ADTHORI~ APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & ELOW TEST SITE PLANS ROAD DESIGN ~OIL TEST PERCOLATION TEST STRUCTURAL & ,MECHANICAL INSPECTIONS ON SiTE WASTEWATER DISPOSALSYSTEM DESIGN ROSERTSHAFER, P.E. ROGER SHAFER, P.E. January 4, 1994 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 Municipality of Anchorage DEPARTMENT OF HEAL TH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99519-6650 REFERENCE: T12N, R3W, Section 23, Lot 26B We request you issue a permit to upgrade the septic system serving the three bedroom house and issue a I foot property line waiver on the referenced property. An adequacy test performed on the ex/sting system for Health Authority Approval purposes found the absorption capacity of the existing system to be inadequate. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. At the time of excavation water was encountered at 10 feet and after seven day water monitoring water was found at 9 feet. Attached it the proposed upgrade design. A I foot property line waiver is requested due to the limited area on the lot for a septic upgrade. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have any questions, or require additional information for your review, please contact us. 17034 NORTH EAGLE RIVER LOOP" SUITE 204 · EAGLE RIVER, ALASKA 99577 rJ~ m=o P~ OLO 0 '~IC] /S321030 ~ N¥"ld ]±1~ J I i,I 3qlJO~IcJ/-11¥13C] Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST : '. ' EER'S SEAL)=,; .,. PERFORMED FOR: LEGAL DESCRIPTION: L~7 C~t~ ~ SLOPE 1 2 3 4 5 6 7 8 9- 10= 11- 12 13 14 15 16 17 18 19- 20- GROUND WATER WAS ENCOUNTERED? IF YES, AT WHAT DEPTH? Monitoring? c:/ Date: S Gross Net Depth to Net Reading Date Time Time Water Drop ~:oo~ ~ ~-Y~" : t-/5 I S ,, ~>/,t. · . ,39-. 13" 3,'/¢" · . ~ tS ,. ~/~,, PERCOLATION RATE ~) tminutes/inch) PERC HOLE DIAMETER -- ~- TEST RUN BETWEEN .~,~ FTAND ,~ FT S&S ENGINEERING ~ ~ ACCORDANCE WITH AL~B~ ~DEL~ ~¢ ON THIS DATE. DATE; 72-008 (Rev, 4/851 ,~ · /~ MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ~ NEW D & B GE~]ERAL, INC. / WARREN SANDERS ~49-6965 ~UPGRADE MAILING ADDRESS P. O. BOX 10-1349, ANCHORAGE, ALASKA 99511 LEGAL DESCRIPTION LOT 26B T12N R3W Sec. 23 ~]~1~-~3/- ~ LOCATION NO. OF BEDROOMS RIDGECREST DRIVE IWel] 105, IAbs°rpti°n area Dwellb]g PERMIT NO~1068L~ DISTANCE TO: 10' I- ~ Manufacturer Material No. of compartments ~ < GREER TANK STL 2 ~ I- Liq. capacity in gallons Inside length Width Liquid deptb 1000 IF HOMEMADE: , ~ Well Dwelling PERMIT NO. O ~ ~: Manufacturer Material Liquid capacity in gallons 12 Well Foundation Nearest lot line PERMIT NO~-0--~' ~ DISTANCE TO: !0~' 20' 12' ~, u. ~ No. of lines Length of each line ~, Total length of lines 8~t'' Trench width 24inches Distance betn~, eon lines ~- ~ ~ Top of~e to finish grade ~' Material beneath tile ~inches Total effective~0/4' absorption, area Length Width Depth PERMIT NO. ~ ~- Type of crib Crib diameter i Crib depth Total effective absorption area u~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. Suilding foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS PVC/CAST .... SOIL TEST RATING 240 sq. ft./bdrm. I q~,~Z:¢ ! ,. INSTALLER D & B GENERAL, INC. REMARKS I 72-013 (Rev. 3/78) F EF..M I T NO. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 025 "L'¢ STREET., ANCHORAGE., AK. 9950i 264-4720 ,:.' 0!0684 ::' F.F F L I _.PINT LFu3RT 1 ON LEGFIL WARREN L. _,PI[4E.E .... .... :' D R I V E RI[,GE uRE_,T LOT ,=e,E, F±~fl R';.:W _-,El_.~._-.°'"' LOT _-, I¢_E 272-1260 J/---~000 SQURF-':E FEET TYPE I]F --,O_L FIEBORPTION _,T_TEN I=,. DRFilNFIEL[:' NUMBER OF BEDROOMS = E:'. SCIL RM'rlHG '~.') FI, BR..- ::.'4.R ]'HE REQLIIRED _,I~E OF THE SOIL RBSORF'TION _,'r_-,TEM IS: THE LENGTH DIMENSION IS THE LENGTH (IN FEET.'." OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE c;URFRCE OF THE GROUND AND ]'HE BOTTBM OF THE E',:<CR',,,'RTION (IN FEET). THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRFtVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF' THE EXCRVR'f'ION (IN FEET.'.,. , ,= '- '= ' -' 1-HI_, DEPARTMENT [:,IIRIFJG THE PERMIT APPLICANT HAS THE F.E_,FuN_,IE, ILI t¢ TO INFORM ' '-- - · · If4--THLLHTION If,I--FEL. TION_, OF RN'¢ WELL_, FIDJRCENT TO THILg PRLFERT~ AND THE NLfflEER OF RESIDENCES 'f'HRT THE WELl_ WILL SERVE. BRCKFILL. ING OF RN"r' .~_'FEfl WITHOUT FINRL INSF'ECTION AN[:' HFFF_,HL ]HI_, DEPFIRTMENT WILL BE .=,UEJEL. T TO FRu=,EL.U'fI-N MINIMUM DISTANCE BETWEEN R WELL RND RN'T' ON-SITE SEWRGE DISPOSAL S'¢STEM IS ±00 FEET FOR FI PRIVF4TE WELL OR ~50 TO 200 FEET FROM R PUBLIC HELL DEPENDING UPON 'THE T'T'PE OF PUBLIC WELL MINIMUM DISTANCE FROM B PRIVATE WELL TO R PRIVRTE SEWER LINE IS 25 FEET AND TO R COMMUNIT'T' SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED ~ND MUST BE RETLIRNED TO THE DEPARTMENT WITHIN Z.':O DA'T'S OF THE WELL COMPLETION. OTHER RE(.:!UIREMENTS MR'¢ FIPPL'T'. SPECIFIE:RTIONS AND CONSTRUCTION DIFIGRRMS ARE AVAILABLE TO INSURE PROPER INSTALLATION, F'EF-:M [ T E.:-~F :! F=.E_. C EL-E~"IF-:-:E. -. _-----: ::L .. -1 ..... 1 I CERTIFb' THAT i.: I BM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH B'¢ THE MUNICIPRLIT'T' OF RNCHORRGE. ;2: I WILL INSTFIL[, THE S'¢STEM IN ACCORDANCE WITH ]'HE COPE'-='. 3:: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MR'¢ REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE TH,~N 2: BEDROOMS. FIF F L I I]:~T klRF..REN L. L--.,RN[: ER'-'] ","4. El MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99E01 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3~ 4- 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 DATE PERFORMED: {~"-~Z.~.--~) SLOPE SITE PLAN WASGROUNDWATER ~ P IF YES, AT WHAT Gross Net Depth to Net Reading Date Time, Time Water Drop ~,,~ .,/ ,¢'. ~.¢ ~o .6-~ ~ , ~'.H~ ~o ,~q .o'~ COMMENTS PERCOLATION RATE ,~-~"' (minutes/inch) TEST RUN BETWEEN ~ FT AND ~'"/~', FT 72-008 (6/79) INVOICE ' ZNVO~CE NO SR BOX 668, BOGARD RD. ,,' '. ~ z - PALMER, ALASKA 99645 ; --' ,/ "~ , ' E, ~i !.., !~ ( ,.. t.,/.,. . ~ TEI~MS T LEPH,ONE 74,5-4071 :.. ,:,, L~t__Blk Sub._' '7 :: , :~ 'UWELL LOG DEPTH DEPTH /' DEPTH CA$IN FORMATION LN FT, il CASIN FOHMATION IN FT. ~ CA$IN FOHMATION IN FT. PLEASE PAY FROM THIS INVOICE ~:'~ ' ' ~ ~ ~/ :"' AMOUNT APPLIC JT FILLS OUT UPPER HAL gNLY Pr~operty O~,.~r ~t~ ~,O ~ C'.~ ~ Phone Buyer T~-~(~v~::.~ ~ ~;_T~,~ Address ~ ~ t/ '~ ~O (-~ ,~, ZipCode ~' j> - Phone Lending Institution 'F % ¢ ~ealtyOo.&Agent ~T~iIO '~'~'~X~Y'~ ~0, Phone Street Locati~ t~..?{ ~ 2 ¥~.~ ~' P%.~ t~ ~> ~T' ~%~ . Type of Residence ~ Single Family ~ Multiple Family No. of Bedroo~ ~ Other Water Supply ~ individual A~ACH WELL LOG. A w~l Icg is required for all wells drilled since June 1975. ~ Community,r,~ For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Uti[try Sewer Disposal ~ Individual Year Individual Installed: ~¢( ~ ~ ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes:~,~L'L,~',~ MUNICIPALITY OF ANCHORAGE DEPT, OF HEALTH U,.)~ ENVIRONMENTAL PROTECTION 2 8 RECEIVED ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( (~)/CONDITIONAL ~PP~J~(~VAL* DATE ~/,.,~C//~.~) ~ (?~- Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received ia -- ~( Well to Tank Septic Tank Size 72-023(3/82) Time ,. .Time Date Date Date Inspector Inspector Inspector Comments Conditional Approval DateSewer Installed / a ~ ~( Permit No. Septfc Tank Size /O ~' Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~ C~O~ [-I~-~o~ ~ ~ Phone Mailing Address ¢C' i'~O~ % ~OS~ ~-/~ O&7 / Buyer Address Lending Institution 'Fi [o %~ '~'~%~ f~¢~O Phone Street Location ~ (~¢~'~ ~¢) Type.of~esidence ~Single Family ~ Multiple Family No. of Bedrooms B Other Water ~upply ~lndividual A~ACH WELL LOG. A well log is required for all wells drilled since June B Community 1975. For wells drilled prior to that date, give well depth (~ttach log if B Public Utility available.) SewagCsposal ~ Individual Year individual Installed: .' B Public Utility When Connected to Public Utility:_ B Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time ne Date Date Date , Inspector Inspector Inspector Comments Conditional Approval Date Sewer lnstafled Permit No. Septic Tank Size ~ OO ~ ~ ~( Holding Tank Size Soils Rsting Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner ~ ~O~l~t~'~'~ ( ~b~Oe-~ : Mailing Address ~}0 ~L)~ ~ - ~ ~ ( /~ ~ 0 ~/~ - ~ ~ / / Buyer Address Lending Institution ~ ~c~ ~{~c~ ~-~1~ I~.~ Phope ~7~ ~{~/ Address ~} r~ ~A%~% ~-~{ ~ ~.ag~ co. ~ Ao.nt ~ ~,~ ~ ~ J~..r~ ~ {~ ~, Phone Legal Description ~.,~ ~ ~'~ ~'~ ~ ~ ~ ~ ~ ~ ~ '~"'~-~'~ ~ ~' ~ ~ ~ ~ ~ Type 9~$sidence ~ Single Family ~ ~ Multiple Family No. of Bedrooms ~ Other Wate(~upply D Individual A~ACH WELL LOG. A well tog is required for all wells drilled since June B Community 1975. For wefts drilled prior to that date, give well depth (attach Icg if B Public Ufilit~ available.) SewCfsposal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holdin~ Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE I~ITIATED. ,_ ,* MunicipalitYservicesOf*An ;hora le __ueve,opmem Building Safety DMsicn. On-Site Water & Was{ewater Program . 4700 South Bragaw St. P.O. Box 196650 Anchora. ge, AK 99519-6650 ~,¢,;~,v.ci.a nc h.c r a g e .~.k.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITy APPROVAL FOR A SINGLE FAMILY DWELLING .. 1. GENERAL INFORMATION Expiration Date: Completeleg~ldescription T12N, R3W, SECTION 23; L(~T 26B .,.; Location (site a~dress o~' ~Jrections) 11391 'RIDOECREST DRIVE * ANCHORAGE', AK. Current Property owner(s) REBECCA MCINNIS Day phone 346-.3038 Mailing address Lending agency "' Mailing ~ddress R~al Estate Agent 11391 RIDGECREST DRIVE * ANCHORAGE, AK 99516 ' Da~ phone ; ':: ~, '! ?I'I :~"'i..', - .... KEITH FACER 'w~' PRUDENTIAL J.W. Day phone· 563~5500 "-': Mailing address 3201 "C" STREET SUITE 200 * ANCHORAGE, AK 99503 Uniess other~vi¢e requested, HAA will be held by DSD for pi~kupl 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ~ Individual On-site [~] Individual Water Storage Individual Holding tank Community Class Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for propedies served by a single-family~ on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners, Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Cedificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer"s work. '4. INote: Alaska W~ter a~d Wastewater Consultants, Inc; shall be pa. id$ to closing for the engineering services provided· · at, orpdor STATEMENT OF INSPECTION BY ENGINEER '. As certified by my seal affixed hereto and as of the validation d'ate shown below, I'verify that my investigation, b.ased on procedures outlined in the Health Auth. ofity Approval Guidelines for this application, · shows that the on-~ite water supply and/or wastewater disposal system is(are) safe, functional and adequata for the number of bedrooms and type of structure indicated herein. I further v~riFy that based on the inS:r;n~!icn ebta.;~ed from the Munici, c~.l~,ty of Anchorage F/os end frcm ,my investigaticn and inspection, the end Stele codes, crdinances, and regulations in effect at the time cf h~staf!at;.on. Flame of F~ir~ ALASKA WATER & WAST~WA:rER ~;0NSULTAN']'S, INC. Phone: R .,,~,~, ~,r.u ^n-" 99504 Address 6~01 DEBARR "'*" SUITE 2~ * A ..... OR .... AK Engineer's Printed Name'. JEFFREY A. GARNESS, P.E. 'Date 337-6179 Engineer'~ Comments; In conducting this evaluation, AKWWC, Inc. attempted to provi~fe a thorough, conscientious engineering analysis of the system ~n accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the per[crrnance of the system under the conditions enccuntered at the ~ime of the test, and separation 'distances measured lo readily identifiable features. 3'he ot~erationa/ life of all wells'and septic systems depend on the local soils condition, groundwater levels t,~at may fluctuate during the year, and the water usage of lhe family being served by the system. · These conditions are outside the control of the evalualof of the system· Satisfactory test results do not guarantee futur~ performance of the system, nor do they guarahtee that. there ate no hidden.defects or encroachments. AEI44,1/C, Inc. can therefore net provide any warranty or future estimate of how long the system wi//continue lo meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner I~sled above. Any reliance upon or use of this report.by any other person or par~y is not authorized, nor will it confer any legal right.whatsoever. DSD SIGNATURE ~ ' Approved for Disapproved· bedrooms· Conditional approval for' bedrooms, with the fllowing stipulations: .,~,~,1 (3~- ~: ON-SITE Attachments: HAA Checklist Septic System Advisory Well Flow Advisory WASTEWATER ; : .. F~-,OG,'v,,',, .. ~ . · ...... Maintenance Agreements ~, ~.~, ...., ~C~,,~ Supplemental Engineer's Reo~ ~hhJJ}~ ~P~" Other (Rev. 12z131 ) Original Certificate Date: Municipality of Anchorage Development Services' Depa ment 8ulldlng Safety Division On-Site Water & Wastewater Program 4700 SOuth 8ragaw SL P.O. BOx: 196650 A~chorage, AK99519-6650 . www. cLanchorage.ak.us (907) ~43-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal; Description: WELL DATA, T12Nr,R3W, SE~'TION 23; LOT 26B ,,., ParcellD: 015~-331--05.. Well type PI~IVAI~. IfA, B, orC provtde PWSID~ N//A Date completed 9/10//1981. Sanitary seat (Y/N) ,,YES. Totat..depth _181. fL Date of test Static .Water level Well pmdu~on WATER SAMPLE RESULTS: Coliform ,:~::~-~, colonies/100 mi, A~senlo: N/A ,, mg./L. SEPTiC/HOLDING TANK DATA Cased to 40+ fL FROM WELL LOG , , , NOT STATED; ft. ....... tO,,:O ~,, ~,g,p,m. .itr~te i0.80 ~g~1~.12 02 Tank Type/Material .... FIBERGLASS .... Tankstze ~500 ,gal. Number of ComPartments . Foundation deanout (Y/N) YES. Depression over tank (Y/N) ,NO,. Date of pumping ,, ,NEW ......... Pumper .... well, Log(Y/N) ....... Y~S~r wires:properly protected (Y/N) , YES ...... Casing I~elght~above~ground) ,, ,,12~- in. AT INSPECTION Mt2/2oo2 I ,, 5.0'1:' ,! :,: , g.p.m. Other bacteria,..-:. ;.-._colonles/10o mi. Collected by: .... AKWWCr' INC. Date installed 2/26.-,28/2003 Cleanouts (Y/N) ,j, ,YES, , .High Water alarm(Y/N): , YES ABSORPTiON FIELD DATA *BELOW RNAL GRADE 2' FEET OF M.O,A t~11-115 IS AN ADVANTEX APPROVED SAND FILTER BELOW TOTAL DEPTH. TREATMENT SYSTEM Date installed ,2/2s-.2e/2oo3 Soil rating ~or ftfl:,:lrm)*,~.2~O System.type, , e£D ~en~.h i i 2~ i fL Width , 10 ft. Gravelbelowplpe., ,,,0~5, fL TOtal depth ,;2~7+ fL Eft. absorption area .250 il' M0nltorlngtube YES Date of adequacy test ..... NEW,: ResultS (PaSs/Fail) , - Fluid depth in absorption fieldbeforetest ,,~ ,,, in. Water added - , gal. ElaPsed Time: .T'~ min. Final fluid depth ,, ,-, i in. Absorption rate >= Any rejuvenation treatment (past 12 mo.): (Y/N & type) DePreSsion, over field :,NO, For, 5 bedrooms New depth ...~_in. ....... ~ , , , g.p.d. , , - ...... if vas, give date ....- D. LIFT STATION Date installed 2/'26-28/0.5 TIMER/ "Pump on" level at 27.25in. Datum Bo'FroM OF TANK E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons 1500/,66.5 TIMER/ "Pump of P level at 15.5 in. Cycles tested NEW Septic tank/lift station on lot100°+ Absorption field on lot 100'+ Public sewer main N/.A Sewer/septic service line 25'+ Manhole/Access (Y/N) YES High water alarm level at 46/'29.25 Meets alarm & circuit requirements?. YES On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/'A N/.A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/'A Water service line 10'+ Wells on adjacent lots 100°+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '5'+ Water service line 10'+ Curtain drain NONE KNOWN F. COMMENTS Building foundation. 10'+ Surface water 100°+ Wells on adjacent lots. 100'+ 10'+ Absorption field 5'+ Surface water t00'+ in. *WAIVER GRANTED Water main N/A .Driveway, parking/vehicle storage G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal reconls that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's P/In~d Name Date JEFFREY A. OARNESS HAAFeo$ Date of Payment Receipt Number (R~. 1~01) Waiver Fee $ Date of Payment Receipt Number k4ar-0~-O; lg:Z$ Frorn-PI~UDENTIAL JACK +9077;ZH~9 T-150 P.OOZ/00Z F-;I; I , t,; :ii: 1~ .:. :;: ~.,-.-.'.'.../~. ~;~:.~ ..'/, '"' Ii'" "" "" · I . · ~ ,. .~.. ' .~ ~..~1 ,. .... ~ . ... .. ,. ~.. % %'1 ., I'- .... ' '~'~:~,.',. .- ~ I ! ! ' ¥; # ~ , ~ : '%' I . I · ,, . ~ ~: ' ~ I J '7.?. ~ Gl ' ',,v ·., -J .~' I t I , " ....· · f' F'"~'&"-'I ~'' I' ,~.~,e. -- ~',~',~.,'~ ' · · . /~. ~ - I' ~. -i · . . ],,~''~= [~C..cF_...~iZ~%,,...._..... IRobert E. dohns, dr. ~ Assoc. l~lmkMdk I q4~0~ --d~;~ '1 ~~D~'~3.- ~IZ~. ~; ~&'J ~ ~-.-~...~'~.-.~ ~~ ~. PLOT PLANS ~r~ O0 NOT Parcel I.D. 015-331-05 1. GENERAL INFORMATION MuniCipality of Anchorage Development Services Department Building Safety Division On-Site Water & Waste~ater Program 4700 South Brag~w St. . P.O. Box 196650 Anch~rage,'AK 99519-6650 www.cLanch0rag~.ak.us' . (907) 343-7904 '= I 2. NUMBER OFBEDROOMS: CERTIFICATE OF HEALTH AUTHOR TY APPROVAL FOR A SINGLE FAMILY DWELLING Expiration Date: 4 Complete legal description T12N, R3W, SECTION ,23; LOT 26B Location(site address or directions) 11391 RIDGECREST DRIVE * ANCHORAGE, AK Current Property owner(s) REBECCA IdCINNIS , Day phone 346-3038 Mailing address 11391 RIDGECREST DRIVE * ANCHORAGE~ AK 99516 Lending agency t Day phone Mailing address Real Estate Agent KEITH FACER w/ PRUDENTIAL J.W. Mailing address 3201 "C" STREET SUITE 200 * ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD fo pickup. 3 3. TYPE OF WATER SUPPLY: Day phone 563-5500 (PE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-site B Public Sewer Individual Well Individual Water Storage Community Class Well · .~J~J~ ter System The Mun c pa ty of Anchorage Deve opment Serv ces Department (DSD) ssues Ced ficates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by'a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued, with new water samples. (Certificates may be reissued for.a period of up to one year with valid water ~'ample~.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ ~Z[1'75' at, or prfor to closing for the engineering services provided. STATEMENT OF INSPECTION BY ENGINEER As certified by my sea~ affixed heret~ and as ~f the va/idati~n date sh~wn be/~w~ ~ vefify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this, ap~,lication, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional~and=;adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage ti/es and from my investigation and inspedtion, the on-site water supply and/or wastewater disposal system is(are) in compliance with ali app/icab!e Mu, nicipal and State codes, ordinances, and regulations in effect at the time of installation. , Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The repoded results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other per~on or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Phone 337-6179 Approved for bedrooms. Disapproved. ~ XX Conditional approval for 3 bedrooms, with the fllowing stipulations: Money in the amount of 1.5 tim~ the high bid of a minimum of th~'ee bids from apprdved contractors shall be put in escrow to construct a new wostewater disposal system pursuont to permit number 5W030013 attached. Money in escrow shall not be released until this Attachments: HAA Checklist ~( Septic System Advisory " Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: //~ g/~.~ (Rev. Municipality of Anchorage Development Services Department Building Safely Division On-Site Water & Wastewater.Program 4700 South 8ragaw BL P,O. 8ox 196650 Anchorage, AK 99519-6650 wvvw~.anchomge.ak-us (907) 343-7904 Legal 0es~ptlon: WELL DATA HEALTH AUTHORITY .APPROVAL CHECKLIST T12N~ RSWt ,SECTION 25i, LOT 26B , Parcel ID: 015-551-05 Weli~tpe pRrVA~, flA. B, orC provide PWSID~ N/A Date completed 9/10/1981 Sanitary seal (Y/N) YES Totaldepth , 181,, ff. Casedto 40+ fL FROM WELL LOG Oats of test ,9/10/1 g81 ,, Static water level NOT b'rATED , ff. Well production 10.0 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: N/A mg./L. SEPTIC/HOLDING TANK DATA Tank Type/Material , STEEL ~ Tank size 1000 gal. Number of Compartments 2 Nitrate Or60 mg./L. Date of sample: 11/12/02 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO, Date of pumping 11/11/2002 Pumper ABSORPTION FIELD DATA Length Total depth .11.s+ ff. Eft'. Date of adequacy test ? 1/12/2002 Fluid depth in absorption Soil rating (g.p,d~ft~oril~) 240 Width 2+ well Log (Y/N) YES Wires pr0pedy protected (Y/N) , YES Casing height (above ground) 12+, AT INSPECTION 11/12/2002 , 155 ,, fl. 5.0+ , g.p.m. in. Other bacteria o colonles/10o mi. Collected by:. AKWWCr INC. Oate installed 10/15/1981 Cleanouta (Y/N) YES High water alarm (Y/N) N/A ROTO ROOTER TRENCH ft. 3slow pipe 5, ff. tube YES OePresslonoverfleld NO For 5 , bedrooms ,24 in. Water added 498. gal. Elapsed Time: ,<.l..-th"~. Final fluid depth 24 in. Absorption rate >= 450+ treatment(past 12 mo,) (Y/N & type) , yes, give NONE KNOWN If date D. LIFT STATION Date installed, Size in gallons ~ __ "Pump on" level at ~in. "Pump ofT' ,. in. High water alarm level at in. ~ ~--.------'"'"'-"'""-"'-' Cycles tested Meets alarm & cimuit requirements?, E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot100'+ AbsorptJon field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100°+ Public sewer manhole/cleanout Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water service line 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN COMMENTS Building foundation 10'+ Surface water 100'+ Wells on adjacent lots 100'+ *TRENCH IS UNDER THE DRIVEWAY. Absorption field Surface water G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and rev/aw of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. 5'+ 100'+ Water main N/A Driveway, parking/vehicle storage. *0' Engtn, eer',s P~nted Hame Date' JEFFREY A. GARNESS HAA Fee · , Date of Payment Receipt Number ~ (Rev. 12/01) ' Wa'lver Fee $ ' Date. of Payment. Receipt Nulllber Sent By: Alaska Water and Wastewater Con; 907 338 3246; Jan-29-03 1:17PM; Page 1/1 ALASI~A WATER & WAST~WATER FACSIMILE TRANSMITTAL DATE: //,,1. q/C.:] NUMBER OF PAGES: (INCLUDING COVER) TO: ,_~)~ j'~O I'T~ FROM: Alaska Water and Wastewater Consultants, Inc. Jeffrey A. Garness, P.E., M.S. COMMENTS: 6901 Dcbarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 · Fax: (907) 335-3246 * Wcbsite: ak~'wc.com SEWER-DRAIN tl~l 113967 RO. Box 112688 ANCHORAGE, AK 99511 (907) 345-2513 Phone 345-8284 Fax Job C~JSTOla~R OROER I ROI O-ROOTER SERVICE CALL HRS. 5 iF_AM THAWING HRS. TRIP CHARGE HRS. OW.H liME CHARGES HRS. ADDITIONAL LABOR CHARGES HRS. Pt. UMBING . HRS. ~U~tNG S~RV,:E ~[-eC~ (G~) HRS. HYDRO-J~r SERWCE Pt. EASE PAY FROM THIS INVOICE TOTAL FOOTAGE CLEANED OR THAWED BLADES USED UNE CLEANED__ PLEASE PAY FRO~ THIS INVOICE ~ ~, ~.ou.T .... T-815 P,OZ/OZ CIleM Sam~l~ H) M~r~n 1027805001 AY. Water & Waster, afar Comultims Inc. TI2N, P.3W, Scc23 L26B TI2N. I~W, Sec 23,126B Dr~.~ Water PrJnttdDnce/Tlme I 1/15/2002 15:15 Coflected Date/Time 11/12/2002 12:00 Received Date,Time !!/13/2002 12:20 Tetkukal D4~ Sample R.-*nurk~ Nflrate-N 0.600 U 0.600 n~L EPA 300.0 (<~10} 11/13/02 col/I OOm~ SMIS 9222B ('c-I) I I/1~1~ BACTERIOLOGICAL WATER ANALYSIS RECORD M~,~O-MUG Ret~lt: Total Coliform E. Cpli . Membrane ~lttr: ~irect Count ~ CoJoul~lO0 mi Veflfifl~on: LTB ~GB ~FIRM Fecal Colifo~ Conflrmtt~n ~nll Memb~ne filler Rm)~ ~ CelJfo~lO0 mi CT&E Environmental Services Inc. 200 W. Potter Drive )rinking Water Analysis Report for Total Coliform Bacteria 'rol:Aneh°mge°{90?} 56:}-2:~3AK ggs18-1605 READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Fax: 1907),561-530,1 -- ' ' ' .... TO BE COMPLE'~ED'BY LABORATORY MUST BE COMPLETED BY WATER SUPPLIER El PUBLlC WATE~ SYSTEM I.D. # tl PRIVATE WATER SYSTEM 13 Send Results El Send lnvoice El Send Resuk~ El Send Invoice ALASKA WATER & WASTEWATER c~,.., ~ cONSULTANT~, lNG, SAMPLE DATE: Month SAMPLE TYPE: ; ti Routine El Repeat Sample (for routine sample with lab tel no. ) ti Special Purpose SAMPLE LOCATION "[ ~I.-IV,= k.%,.,, ~,..2.% '..'L'~¢4 · Day Year Treated Water Untreated Water Time Collected Collected By Analysis shows this Water SAMPLE to be: ~J~ ~atisfacto~y ' I:1 Unsatisfactory ti Sample over 30 hours old, results may be unreliable Sample too 1°ng in transit; sample should not be ovt~l~ours old at examination to indicate reliable results. Please send new sample via sped. al d;livery mail. Date Recdve. d Time Received I ~.~ Analysis Began Analytical Method: -)~Membrane Filter vi3 MMO-MUG * Number of colonies/100 ml. Lab Re£ No. Result* Analyst Sent to A.D.E.C. Anch Fbks Jun Date: Time: Client notified of unsatisfactory results... Phoned Spoke with Time: BACTERIOLOGICAL WATER ANALYSIS RECORD M~O-MUG Result: Total C611form E. Coil Membrane Filter: Dlre~t Count ~. __ CnloulerJlO0 mi Verification: LTB BGB COLIFIRM Fecal Coliform Confirmation Final Membraue Filter Results Reported By ~~~Date Coliform/lO0 nfl [] Faxed Faxed IO/lO'd ~J~ ~]~ Member of the $G$ Group 15oci6t6 G6nArale de Surveillance) SlS-I 10£519~1106 A~$ lYINg.SlANt ~ltt3~0aJ IZ:91 Z0-81-1I