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HomeMy WebLinkAboutMOUNTAINSIDE VILLAGE BLK 4 LT 4 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: OSP251371 Work Type: Septic Upgrade Tax Code Number: 02017205000 Site Legal Address: MOUNTAINSIDE VILLAGE BLK 4 LT 4 G:3439 Site Mailing Address: 17721 MOUNTAINSIDE VILLAGE DR, Anchorage Owner: FORGE ENGINEERING Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: �0 _ S' r. t)cpairtillcIIt 10/15/2025 10/15/2026 55584 Non -Public Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Water 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. Coodinate with On -Site staff regarding preferred method. 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: For future COSA action, confirm separation of septic on MOUNTAINSIDE VILLAGE BLK 4 LT 3 meets separation to well on lot 4. Issued To: FORGE ENGINEERING Issued By: Date: 10/15/2025 Date: 10/15/2025 K Septic Tank Holding Tank Privy Well Water Storage ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 020-172-05 Property owner(s) Martin Cary & Laura Thorpe Day phone Mailing address 17721 Mountainside Village Dr, Anchorage, AK 99516 Site address Same Legal description Mountainside Village, Block 4 Lot 4 Number of Bedrooms 3 Engineering Firm Forge Engineering Building Permit Number APPLICATION IS FOR: (Z all that apply) Disposal Field El El Not Applicable Fol APPLICATION IS AN: Initial El Upgrade Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees: 'G q S- Date of Payment: —61 q 1�5- Permit No. e(4 G ) 3l May 2025 Waiver Fees: Date of Payment: Waiver No. Distance: October 2, 2025 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Mountainside Village, Block 4 Lot 4 – 17721 Mountainside Village Dr Septic system design Dear On-Site Services Engineer: The owner of the above lot owns a 3-bedroom home on the property. The existing septic system has reached the end of its useful life, so we are submitting this permit application for the construction of a septic system. The attached site plan identifies the location of the home as well as the proposed septic location. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot slopes toward the road steeply near the back of the lot, there is a milder section near the middle, and then it gets steep again down towards the road. The proposed system is milder section. While there are slopes >25% within 50’ of the proposed system the attached slopes analysis shows the effluent from the trench will not daylight. Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank. Please refer to the attached test hole log, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251371, Curtis Townsend, 10/15/25 0+50.00 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 1"=50' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND MOUNTAINSIDE VILLAGE, BLOCK 4 LOT 4 FEET 0 50 100 SEPTIC PLAN 9/30/25 EXISTING TANK AND TRENCH TO BE DECOMMISSIONED 3 -BD R M HO M E 1000-GAL SEPTIC TANK, ENSURE 100' SEPARATION FROM EXISTING WELL 32' LONG X 3' WIDE, 6' DEEP TRENCH, ENSURE 10' SEPARATION FROM LOT LINE 1410 1405 1400 1395 1390 1385 1380 1375 1370 1365 1360 1355 1350 1355 13401335 1330 1325 VACANT WELL LOCATION DIFFICULT TO DETERMINE, PROPOSED SYSTEM >100' FROM PROP LINE WELL >100' OUTSIDE VIEWPORT EXISTING WELL 2CO MTCO MT CO TH#1 MOU N T A I N S I D E V I L L A G E D R Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251371, Curtis Townsend, 10/15/25 MOUNTAINSIDE VILLAGE, BLOCK 4 LOT 4 TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 3' 6" 3' 6' DESIGN FACTORS:SYSTEM REQUIREMENTS: 450 GPD PEAK FLOW PERK RATE: <1 MIN/IN APPLICATION RATE: 1.2 GPD/SF 6' DEEP TRENCH SYSTEM 1000-GAL SEPTIC TANK BOTTOM OF TRENCH: 9.5' BELOW GRADE FLOW LINE ELEVATION: 3.5' BELOW GRADE 450 GPD / 1.2 GPD/SF / 6' DEEP / 2 SIDES) = 31.3 LF TRENCH REQUIRED (32.0 LF SPECIFIED) GEOTEXTILE FABRIC 6" 9/30/25 PROVIDE ADDITIONAL FILL TO ACCOUNT FOR SETTLEMENT Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251371, Curtis Townsend, 10/15/25 1340.00 1345.00 1350.00 1355.00 1360.00 1365.00 1370.00 1375.00 1340.00 1350.00 1360.00 1370.00 0+00.00 0+50.00 0+83.00 1"=10' SLOPE CROSS SECTION SEPTIC TRENCH Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 46% AN G L E OF E F F L U E N T INFLU EN C E 3:1 MAX SLOPES FEET 0 10 20 10/7/25 3.5 6.0 MOUNTAINSIDE VILLAGE, BLOCK 4 LOT 4 EXISTING GRADE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251371, Curtis Townsend, 10/15/25 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 1 DATE READING NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING DEPTH TO WATER AFTER MONITORING <1 9/23/25 1 2 3 4 5 6SM (SILTY SAND w/ GRAVEL) SEE MATERIAL TEST REPORT Professional Engineers Stamp: MOUNTAINSIDE VILLAGE, BLOCK 4 LOT 4 9/23/25 020-172-05 MARTIN CARY & LAURA THORPE 93 8 16 OB 0.5 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER PERC TEST LOCATION TECHNICIAN: JUSTIN EARLS 99 8 16 14.5' 10/1/25 COMMENTS: SITE PLAN 6 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED EXCEPT WHERE NOTED. 10/2/25 MOISTURE NOTED AT TIME OF DIGGING?NO 93 8 160.5 99 8 16 6 93 8 160.5 99 8 16 6 93 8 160.5 99 8 16 6 93 8 160.5 99 8 16 6 93 8 160.5 99 8 16 6 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251371, Curtis Townsend, 10/15/25 Report No: MAT:25-1907-1Issue No: 111301 Olive Lane, Anchorage, Alaska 99515 Client:Forge Engineering, Inc. The testing services reported herein have been performed to recognized industry standards and relate only to the items inspected. Unless otherwise noted, no other warranty is made.Should engineering interpretation be required, NGE-TFT will provide upon written request. This report shall not be reproduced in full, without the prior written approval of NGE-TFT. Sierra GrayReviewed By:9/30/2025Date: 7293-252025 Material TestingProject: Northern Geotechnical Engineering, Inc. - Material Test Report Terra Firma Testing Phone: (907) 344-5934 | www.nge-tft.com 85¾in 77½in 723/8in 921½in 1006in1003in % PassingSieve Size Limits 37No.20 29No.40 24No.60 49No.10 65¼in 60No.4 19No.100 14No.200 Drying By:OvenDate Tested:9/30/2025 Sample Details 25-1907-1Sample ID 1774 Mountain Side VillageLocation9/25/2025Date Sampled Atterberg Limit: Liquid Limit:Plastic Limit:Plasticity Index:Linear Shrinkage (%): Sample Description: Grading: Not Obtainable NP (Non-Plastic) NP (Non-Plastic) 19.0741D85:4.8681D60:2.2198D50:0.4516D30:0.0818D15:N/AD10:N/ACu:N/ACc: ASTM C136 Tested By:Nic Cropper Particle Size Distribution Page 1 of 2© 2000-2025 QESTLab by SpectraQEST.comForm No: 18909, Report No: MAT:25-1907-1 mm µm 600 200 100 60 20 6 2 600 200 100 50 6"3" 1 1/2" 3/4" 1/2" 1/4" #4 #10 #20 #40 #60 #100 #200Sieve Size BOULDERS 0% COBBLES 0% GRAVEL (40%) COARSE 15.0% FINE 25.4% SAND (45%) COARSE 10.9% MEDIUM 19.4% FINE 14.9% SILT/CLAY 14% Diameter mm µm 600 200 100 60 20 6 2 600 200 100 50 6"3" 1 1/2" 3/4" 1/2" 1/4" #4 #10 #20 #40 #60 #100 #200Sieve Size BOULDERS 0% COBBLES 0% GRAVEL (40%) COARSE 15.0% FINE 25.4% SAND (45%) COARSE 10.9% MEDIUM 19.4% FINE 14.9% SILT/CLAY 14% 0 10 20 30 40 50 60 70 80 90 100 Perce ntage Pass i ng (by mass ) Report No: MAT:25-1907-1Issue No: 111301 Olive Lane, Anchorage, Alaska 99515 Client:Forge Engineering, Inc. The testing services reported herein have been performed to recognized industry standards and relate only to the items inspected. Unless otherwise noted, no other warranty is made.Should engineering interpretation be required, NGE-TFT will provide upon written request. This report shall not be reproduced in full, without the prior written approval of NGE-TFT. Sierra GrayReviewed By:9/30/2025Date: 7293-252025 Material TestingProject: Northern Geotechnical Engineering, Inc. - Material Test Report Terra Firma Testing Phone: (907) 344-5934 | www.nge-tft.com Sample Details Not Obtainable9/30/2025Nic CropperSilty sand with gravelSMGunner Bergstedt9/26/20259.3A 25-1907-1Sample ID 1774 Mountain Side VillageLocation9/25/2025Date Sampled ResultCuASTM D2487 Other Test Results MethodDescription Limits CcProcedure ASTM C117Water Content (%)ASTM D2216Date TestedTested ByGroup Code ASTM D2487Group NameTested ByDate TestedLiquid Limit ASTM D4318 NP (Non-Plastic)Plastic Limit NP (Non-Plastic)Plasticity Index Nic CropperTested By 9/29/2025Date Tested Page 2 of 2© 2000-2025 QESTLab by SpectraQEST.comForm No: 18909, Report No: MAT:25-1907-1 Comments V�%°fessiona\oo ��DO��o THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD OR OTHER RIGHTS OF WAY, OR ANY ENTITY NOT ON THE RECORD PLAT ARE NOT SHOWN HEREON, UNLESS NOTED. NOTE. FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAYBE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. ONLY VISIBLE IMPROVEMENTS ARE SHOWN HEREON SM'T. R THE 'URVEY LUI 4 DLUUA 4 IVIUUIVI/i1IV0IUE VIL-UE OUD. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENT S SITUA TED THEREON ARE WITHIN THEPROPERTYLINESANDNO VISIBLEENCROACHMENTS EXIST OTHER THAN NOTED. DATED ATANCHORAGE,ALASKA THIS 22ND DAYOF SEPTEMBER , 2025 HOL T LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 223-8615 16330 244-22 MUNICIPALITY OF ANCt-IORAGE DEPARTMENT OF HEALTH & ENVIRQNMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NO. OF BEDROOMS We -~ . i Absorption area Dwelling ~. _ PERMIT NO. DISTANCE TO: f/ Manufacture~ Materi~ . ~ No. ~' of ~,part rnents [Liq. capac~t~nAa~.~ns IF NOMEMADE'~ Inside length .... Liquid depth / ~idtl~ I Total length of lin~. , I Trench width I Distance beXween lines I Material beaeath tile ~f- Total effebtive absorption are~ ~:¢e ~ ~i,, ~sh grade ~¢ '~idt~ · I PERMIT NO. Type of DISTANCE TO: JSl~ss ,' · ~/~-~,-,- ~ .-~ ~ .,- DISTANCE TO: OTHER PIPE IVlATER IALS SOIL TEST RATING INSTALLER Depth 'Cr~¢diamet~' ~/:" 1 Crib dept,'s'"' ¢-"~ - I Total efCe~i~e-a~sorption area ~---:' ~  ~') Building foundation -~ewe~ ~ Absorption area(s) REMARKS DATE LEGAL LOE:I:::IT ]'. OJ",JJ"IT :3 Z [:,!E "? i[ LLI:::IGE L..EGF:II .... L. 4Ei',4 t"IT :!~; 113,1E 'v' '!"'-¢l::'E Ed::' %0 ;[ L. I:::IE',Ei;OI'~:F'T ]: ON :.5"r':,STIL:;H :1; E;: TF:ENCH HFI::':: ]; I"!LII-'I I",IUHliii',EA OF' T'HE ?.EE;!L.I;[ RED !.~; ;[ ZE; OF THE: :E;O ); I._. I:IE:[:[:;OFfl::'T ]: EU'4 :~;"¢STEI'"I I :.5: E:" EE: F" T' ~"'"~1 ......... ::IL. ::L L,- THE LE:NEiTH D :[ I"'lEl",l]i; :[ Eff',l :[ ~i; THE LENGTH ":[ N FEET ::' OF THE TF~:ENE:H ]'3F? DRFI I h,IF'~ EL.l:). -f'HfE DEF"T'H CF' FI 'T'REH"ZH OF'. F'ZT Z'.~; THE I) ]: :E;TFII"4CE E',ETHEE:N THE .:,UI';.Fh ..b OF' THE GREILIh,!D FIN[::' 'T'FIE E .. TTOH OF THE: E;:':: :' FI","FI"I' Z ON '" :1: N F'EET ::'. I'HIEF;.E ]::5 NO ~;ET 1.4:[DTH FOR TF?ENCHE'.E;. .... ;..- , .~ I, EL. BETHEEN THE rH.I'T'F'I::II....L. F' THE .:ff:H,b.L DE:F'TFI ]::~5 ']"HIE H]:NZhlI...IH DEF'TI..~ OF .... ... FII'.,II) 'f'HIE E3TTEU"I OF THE E::.::CFI',,,'FI']":[ '3N ,:: ZN F:EET::,. F:'EF;:H :[ "1' I:::II::'F'L. ]: E:FII'.4T I-IF:t¢5 THE !;~:E:SF'OI'.,I:5 Z B ]] L Z T'¢ 'I'O ~ NF'O[;:?I TH Z S E:,EF'I::IRTHEI",I'f' DUN: ]: NEi THE :[ h ':: TFI! .L. FIT ]: Ol'.,I ]: I'.1'::~ F'EE:T :[ E H']~ OF FII'-,I'.¢ HEI_L.:5 FI[::,..~FICENT 'T'O TFI ~ E; F'ROF'EFUf"¢ FIND THE hlLJ?IEUER OF RE:E:~[)ENCE:5 'f'HFIT THE HELL. H:I:I_L '::ER' 'E. "T" ].,..] ]::::II ":" ;;(~Z "::" :?: ~.,,~ :::,, ~..... E: ........ ] % ~%~ ~'4 ~; F~ ¢;]: ~ F:' ~2::' ~"Z[ II.._~ :E ~: E~E: E3, ...................... - , ;',- , ' EF:I'iFF'[LLi~"JG m3F' F:II",I'¢ ?¢~5'T'IEH HiTHOI_IT FZNFIL iN'JJF'E'ZTIm3t'4 FIND HFI-F- ,~1 ., 'I'H:[E; I]:,E~:F:'F!F;:TH!ENT l,I :[ LL DE: S;LtE',.YEE:'I' TO F'~' '] ~ EE:UT ]: HI:NJ:HUH [::,i:~;-r'F)NCE: E',E't"HEEN A HELL. FIND F)h,t'¢ ON-.:SITE S;Et,.IFIGE [:, ]: S;F'O~E;FIL :I.::Z ::3 F'E:E'I' F'OR FI PF:I',,,'RTE 14EL. L. OF4: :]..SE~ TO ;D3(~) FEET FROH A I:::'UEU... ]: C: HELL. [::,EI::'END]:NG I. JF'OI'.,t 'THE: 'T".r'F:'E OF' F'I...IEU... ]: mZ: HELL.. f,III'.,I:[HLU"I I):I::5'f'FIt",ICE FROH A F'R1 ,'-TIE 1.4EL. L. T')fq F'RI',,,'F)TE: :SEFtE:R L]:NE It~E; ;::]rj:.i F:!EET FIND . . . II ..... 'l"") FI ~.:UHH..I'J.I. I~ SEI,.IEF: !...It",IE ]:S; 75 FEET. I.,.tELL. I...OG~5 FIF:E RE6)mJII:~:ED FIND HIJST BE F~:E'I"LIRI",IED TO THE: [:,EF'FIRTHENT I ,.! ]: 'T H :[ N ZO [',A-E "'U:: THE HELL. COHF'LET:[OI'.,I. OTHEF4: RE)]:IU :[ F::EHENT:F~; HF)h.' I::)F'F'i.."r'. b,F E... ]. ~. I ...H I ~ .. I,I :, FIN[:' 3 ]' I'TSTRI_ICT i ON [:' :[ FIGRFIH'.~; FIRE FI',/I:::I :[ LI:::IEfl...E: '1'13 :[ N:~;I..tF~:E F'Rm3F'EF: :[ H'jE;'r'FILL. FIT I 31',,I. F::m' E: ~::;~: ~"1% ""~ ....EE: :=-..~ F' % ~:~: E]J] :lEi5 E']:. ~:~] ~]Z EE:'Z ~.1 ~ E~ ~:;~: iii: :~ ....... ::;~._ ~ ',~Ei= ]: c.r / ir' T '/"HI::IT ]1..' :1: FtI"I F'I:::!I'"I]:L]:FII:~'. P.I~TH THE REC.:!LI]:REZI'"IEN'i':E; FOR EII.,t-.E~;]:'FIE ~;EI.,.IEI;;ff~; FIND HEI....I_:~; FIE~; :E;ET F' ] Fi'"f'H [" '¢ :, THE HIJ!'.,I ]: C Z F'FIL ]: 7"¢ OF' FIt'.4CHORFf~3E. :, r :, t El1 ]:H FICCORE:'FINCE: b. IZ TH TIdE CODE:E;. 2. ' :[ H Z LJ.... Z t",I'.E;TFd...L. THE -' .......... :, ~ .:,TEH h'lF¢¢ F4:E:6flJ ]: R!E EI",IL. FIRGEHENT ]: F THE :~:' Z LIN[::,EF?.~;]"I::Ih,I[::' 'FHFt'I" THE ON'"'S]:TIZ ~;Et.,.IEF?. '""' ..... F:E:~5 Z E:,IENCE Z :E; REI"IODELE:D 'T'O ~ NCL. IJI:::'E ~'13F'.E THFtN :~: E lEE' F? '3rfl',1'5 ................ . cc;' : .... Z ...... ............... CONSTRUCTION TEST L~B "One Test is worth a Thousand Opinions" 2204 Cleveland Anchorage, Alaska 99503 277-0231 Performed for Legal Descriphion: ~his Fomn reports: Dan Roqers Lot 4 Block SOILS TEST yes Date Performed 11/9/'79 Subdivision Mt. Side Village PERCOLATION TEST yes Depth Feet 12" 15,5' Soil Characteristics Peat & Reddish Silt Brown Silty Gravel (GM) Occasional Cobbles Bottom of Test Hole Was Ground Water Encountered NO If YES, What depth? Reading i Date Gross T~ne ] Net TLme ! Depth to H20 Net Drainage I I Saturation IPeriod No Water i 11/9/79 24 HoursI 11/10/79 0 Hours 2 1/2" , ..... 3.0 Hours 7" 4 1/2" I .... " _. i 3.5 Hours . 8" 1" -- I ,, " " I 4.0 Hours ! 8 3/4" __~ 3/4" Percolation Rate 3/4" / 40 Minute Proposed Installation: SEEPAGE PIT DRAIN FIELD Depth of Inlet Depth to Bottom of Pit or Trench COtC4ENTS: 285 Square feet drainage area required per bedroom. Test Performed by~~ Data Certified By: Construction Test Lab ~~D. Paul Date : November 13, .1979 S. L~ c.,u, le to.,, &~L.~'ao t, r y L.] nri .... [] ,..,,- ICi].,-,~., ['] ~.,,,,, I-J,,,, .... in. I0 fL. Oepth Lenvth fL, and APPENDIX B MOUNTAINSIDE VILLAGE SEPTIC SYSTEM DIMENSIONS FOR INDIVIDUAL LOTS Legal B5 L7 B3 L4 B5 L5,6 B3, L2 B4, L9 B4, L10 B5, L4 B5, L1,2 B6 L5,6 B4 L12,13 TH10 140 B4, L14,15 THll 155 B4, L7 TH12 162 B6, L13 B6, L3,4 B6, L2,3 TH15 180 B6, L1,2 TH16 95 B4 L18,19 TH17 135 B4 L17,18 TH18 148 Soil Usable Rating Depth (sq ft) (ft) TH]. 215 0-1' TH2 155 2.5-7.5' TH3 150 1-5' TH4 146 4-11' TH5 322 1-7' TH6 158 2-.7' TH7 141 4--8.5' TH8 215 4.5-8' TH9 255 1--7' 1--4' 3--5' 1-3' TH13 Not tested due TH14 to shallow soil 0' 0-1' 0-1' Dimens ions (ft) L W D 113' 5' 1/2' 47' 3' 5' 57' 3' 4' 32' 3' 7' 97' 3' 6' 48' 3' 5' 47' 3' 4' 92' 77' 3' 6' 70' 3' 3' 65' 5' 2' 68' 5' 2' N.A. N.A. 40 ' 20 ' 1 50' 5' 1 70' 5' 1 62' 5' 2' Type System 5-wide Trench Trench Trench Trench Trench Trench 3' 3 1/2' Trench Trench Trench 5-wide 5-wide N.A. N.A. Mound 5-wide 5-wide 5-wide Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING J~l~' ~.t~4E~TAL SERVICEs JUL 08 1996 RECEIVED GENERAL INFORMATION Complete legal description Location (site address or directions) /'7 7 2_/ /-~o~,o ,~.~,,~/M¢¢· P~'~c'd Property owner Mailing address Lending agency_ Mailing address /77~/ ¢,/, A Day phone Day phone Agent j<¢,t.hi E/~o,,~d,'-,~.. Rd i'1~,~ ?,~p~'/-i</ Day phone Address ~6'00 Co~'o,.',~ A,~cA)o~'c(~ ~, /~ Unless otherwise requested, HAA will be held ~or pickup. NUMBER OF BEDROOMS: -~ '* TYPE OF WATER SUPPLY: Individual well ~ Community well NOTE: ~ '-/K Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWA'I'ER DISPOSAL: NOTE: Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~O25(Rev. 1/91) F¢ont MOA~21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with ail Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. NameofFirm ~/~/-/ro? ~--ec/om~c~f _~rJ,~ Phone Address /*/5'.~ E:c4o ~,~ ~c~a~¢ ~ Engineer's signature _ ~~ % ~ Date. DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: 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 in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 72~25 (Rev. ~/91) Back MOA #21 'VlUNIclpALi~ ,. Municipality of Anchorage ~N'Vl/~o~,=, o~c_ /~\ DEPARTMENT OF HEALTH & HUMAN SERVIC~'mrA's~V]c;~' .... Environmental Se~ices Division ,, .... 825 L Street, Room 502 · Anchorage, Alaska 99501e (907) 3~]~8 ~998 Hesl h Authority ApprovsI Ohe klis Legal Description: A. WELL DATA Well type Log present (Y/N) Total depth I I '?- ' Sanitary seal (Y/N) /-.01'5 ff,/J'c. ~// P/oct,o']at,,Stote b'M~a_ParcelI.D.: OEO-t-lZ-O3~ FROM WELL LOG l/ Z/ e _ g.p.m. Date of test Static water level - Well production ~ ~9 WATER SAMPLE RES[FLTS: Coliform 0 col /to(J r~ ~ Date of sample: fi/El /~o/ B. SEPTIC/HOLDING TANK DATA Date installed 9 / I I / ~) / Foundation cleanout (Y/N) Date of Pumping _~ / 7/2ff C. ABSORPTION FIELD DATA Date installed 9 / / I / ~ / Length R£' Width ,.~ ' Effective absorption area t 190 ~' Date of adequacy test ff/'g K/9 6' IfA. B, or C, attach ADEC letter. ADEC water system number Date completed I / t '~/~, ~ Cased to 2 -/t Casing height (above ground) Wires properiy protected (Y/N) AT INSPECTION / zo- /90/ ~/' g.p.m. Nitrate Collected by: f~lc, t%q:,/o 7'¢ cfi .,C~/c Tank size I o'o~j Number of Compartments 'E Cleanouts (Y/N) 'r' Depression (Y/N) N High water alarm (y/N) N./3, Pumper /} * ~J~,,ne' J'e~'~, keJ~ Gravel thickness below pipe Monitoring Tube present(y/N) ~' Results (Pass/Fail) ?aD, Soil rating (g.p.d./ft2 or fta./bdrnl) ~ ~.ff ~ f_ System type '7-r' tn c4 7 Total depth Depression over field (Y/N) N For _7 bedrooms Fluid depth in absorption field before test (in.); 76' Immediately after7Z Y gal. water added (in.): Fluid depth "7~ (ins.) Minutes later: 3~' Absorption rate =_'~ q3-~ g.p.d(i Peroxide treatment (past 12 months) (Y/N) l~/Ong trcnooa,~ If yes, give date N. A, D. LIFT STATION ~. /~. Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* High water alarm level at* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot IO(-/, Absorption field on lot ~ / o~' ' Public sewer main N./~. Sewer/septic service line ? Z~-' "Pump off" level at* c.c,,, ;Onadjacentlots I O 5~ t ~_, ; On adjacent lots ~ too, Public sewer manhole/cleanout pt, /4 Lift station /'4. /~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Buildingfoundafion ~' Propertyline '~ lO' Absorption field lO Water main/service line ~'~3" Surface water/drainage > t co' Wells on adjacent lots_ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation ;> ~3-' Property Line ¢ /o' Water main/service line Surface water > ! oc.,' Driveway, parking/vehicle storage area ~-' Curtaindrain No,ne ..C e ~,~ Wellsonadjacentlots ~ lOC,' ENGINEER'S CERTHqCATION I certify that l have determined thru field inspections and review of Mumctpal record~, thOt lthe~i~O¥~ in conformance with MOA HAA guidelines in effect on this date. Signatured.x,~--o'-ec~ ~. ~ Engineer's Name -~',~ eo~_X~o~¥' ~. /'--too Date ,.7~/>, t9'9o/ HAAFee $ .T~'o o~- Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE M E M O R A N D U M SEPTIC SYSTEM ADVISORY HEALTH AUTHORITY APPROVAL NO../~.~. ~OZ~ Prior to a recent adequacy test on the septi, c system for this lot, ~ inches of standing water was observed in the absorption field. This indicates that approximately ~ % of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Health Authority Approval. ~UL-11-199~ 12:~B FL~qTTOP TECH, SUCS. 907~451355 P.01 FLATTOP TECHNICAL SERVICES 14~30 Echo St., Anchorage, AK 99516 ~-~7~ Ph, (907) 345-1355 ADEQUACY TEST DATA SHEET Street: Address:_ _ 1'77~1 Mo~t~,~tda O~,f,~ .... Client Name: Test: Der:e: G /_gd /fd' .... Tested Initial Conditions: Float #1 in~ef~ ~,,f~_ set " b,t,o._3_~" pipe w. 7~" fluid Float ~3 .iA s~t-- "b.t.o. pipe w,... --" fluid F%oat ~4 in ...... .set' --" b.t.o. _ '"' plpm w.___--" fluid -ACTI6'N 'TIM~ i-~J20 M~T~R N'~T. GAL '"W'F. LC TAKEN LEVEL .... ~: ~ .... ~- ' ~ ~a /I ,' ~ - ' ~ ~- ~ ~ 3 e _~.~. lt :qZ _. IZ:Og I/ o 7~ ...... ~: ,~ t~: ~ Unit Absorption Capacity - N.A, Surge Capacity Average Absorption. Rate Adequate for 3 Bdrms TOTAL P. 01 TECHNICAL: CIVIL& ENVIRONMENTALI';NGINEI~I~ING * ENEIIGY C()NSERVATION & ANAI,YSIS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 July 3, 1996 ANCHORAGE, ALAS KA 99516 Robin Masek 17721 Mountainside Drive Anchorage, AK 99516 Dem' Mr. Masek: Per your request on June 26, 1996 we conducted adequacy tests of the water supply and wastewater disposal systems serving your residence on Lot 4, Block 4, Mountainside Village S/D. The test results indicate that both systems m'e functioning adequately at this time, and I am in the process of filing an application for a Municipal Health Authority Approval (HAA) certificate. Unless requested otherwise I will mail the HAA certificate to you after it has been signed by the Municipality. The following is a report of our test procedure and findings. According to the ch'iller's log, the well was completed in January of 1982 and has a total depth of 112 feet and a yield of 20 gpm. Ou the date of our test the static water level stood at 31 feet below the top of the casing. DtuSng the course of our test we pumped a total of 761 gallons of water from the well at the maximum pump output of 6.0 gpm, which caused the water level inside the casing to be drawn down to 32 feet, but no further. Based on our test data we determined that the total yield of the well is in excess of 6.0 gp~, which exceeds the Municipal criteria for approval of a single family residence, and also meets the FHA lending criteria that a well be able to supply 720 gallons of water within a 4 hour period. Water samples collected on June 26 were satisfactory, showing 0 coliform or other bacteria per 100 ml., and 3.08 mg/1 of nitrate-N. According to the as-built inspection report on file at the Municipal Health Department, the wastewater disposal system was installed in September of 1981, and consists of a 1000 gallon septic tank followed by 85 lineal feet of soil absorption trench containing 7 feet of sewer gxavel. To assess the adequacy of the system we ran 724 gallons of water into the system through the second compm'tment of the septic tank, while monitoring fluid levels in tile septic tank and in the soil absorption system standpipes, before, during and after the flow of water was stopped. Tile initial fluid depth measured in the sump/monitor tube at the end of the trencl{ was 76 inches. This level gradually rose another 16 inches as the 724 gallons of water was be!ng added to the system. At no time as water was being added to the system did it cause any fluid to back up into the septic tank. After the flow of water was stopped the fluid level in the sump receded back to 2.5 inches higher than its initial position within 30 minutes. Based on the test behavior, it appem's that the system was constructed with the distribution pipe sloping slightly downwards towards the sump/monitor tube at the east end of the trench. This allows fluid exiting the septic tank to flow first into the sump, thereby causing fluid levels measured in that monitor tube to be artificially elevated above tile ambient static fluid level in the rest of the treuch. The residence had been continuously occupied prior to the start of the test. Our opinion that the soil absorption system coutinues to perform adequately for a three bedroom residence is based on its demonstrated ability to accept a surge loading of over 1.5 times the design daily absorption requh'ement, with the fluid level in the u'euch remaining at least 14 inches below the level of the septic tank ouffall 30 minutes after the test dose was added. CT&E Ref.// Matrix PWSID 0 Smnple Remark.q: CT&E Environmental Services Inc. Laboratory Division ~ar.~~~ 9(32568.96256800 I L4,B4, Mountainside Village Dmdang Water Collected Date 200 W. Potter Drive Anchorage, AK 99fil 8-1605 TeL (907) 562-2343 Fax. (907) 561-5301 06/26/96 Technical Director: Stephen C. Ede Release,l By ~ ~. ~- Parameter gesuLts QC P~L Units Qua[ ffitr~te-N 0.100 O Nitrate-N 3.08 Tatar Coliform 0 HethoO Altowab{e Prep AnaLys(* Init Limit~ Date Date 0.100 mg/L ~PA 35],2 O.5DO rn~/L EPA 353.2 0 col/lOOmL $H15 92220 06128/96 ESC 06/28/96 E$C 06/26/96 TAV U - undetected LT Less than fiT - Gl-eater than D - Secondary Dilution d - Belou the calibration range ENVIRONMENIAL FACILITIES IN ALASKA. CALIFORNIA. FLORIOA. ILLINOIS, MARYLAND, M~¢HIGAN, MISSOURI. N~.W J[R$~Y, OHIO, W£$T VIRGINIA