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HomeMy WebLinkAboutPARADISE VALLEY BLK 1 LT 12  Municipality of Anchorage .__o__ 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.anchomge.ak.us (907) 343-7904 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW040121 PID Number:. 020--424.--32 Hame: SHAWN MURPHY Wastewater System: [] New [] Upgrade Address: 6010 GREECE DRIVE * ANCHORAGE, AK 99516 ABSORPTION FIELD Phone: No. of Bedrooms: (907) .545-7229 4 I-i Deep Trench [] Shallow Trench [] Bed []Mound BOther* LEGAL DESCRIPTION ~, R~,~: 6.0 oeo/s. Block: Lot: Subdivision: Depth I~o pipe be~m from e~glnal grade: Grovel depth beneath pipe: 1 12 PARADISE VALLEY SEE DWG. Township: Range: Section: Fill added ob<w~ original grade: Cnrvel length: - - - SEE DWG. rt. 31 ~rawl width: Nu~ber of I~nes: IDietanee between I~ne~: WELL: [] New [] Upgrade 5 . n. 1I - Clneeiflcatlon (Prtvateo A.B,C): Total Depth: ~ Total abeorpt~n area: Pipe ITmtaflal: / rt. 150+ so. rt. D 3034/ F-810 ~ n. GEG, Ltd.5/17-19/2004- ~'": ~lo,,i ,.m, ,-, ,~ ~.I~"" "'~' ~ 0'""':~ TANK SEPARATION DISTANCES [] Septic [] Holding [] S.T.E,P. · Other* T~.__"~.....~To Septic Absorption Uft. Holding =ubllc/P~3te Manure-tums. C~peclb' In ~llone: Tank Field Station Tank S.,,,r U~, ORENCO SYSTEMS 1500 Matadal: Number of compartments: We, 100'+ 100'+ 100'+ - 25'+ FIBERGLASS 2 S,,aoo Wat.~ 100'+ 100'+ 100'+ - - LIFT STATION .or Une 5'+ 10'+ 5'-I- -- s~z. in g~l~ne: I Monufo~rar. - 1500,ANCHORAGE TANK/ORENCO SYSTEMS Foundation 5'+ 10'+ 5'+ - - TIMER TIMER 46" Pump Ual~ a, Model: I ~ecta"lcol Insl:~-'f3one performed by:. Curtain Drain NONEi KNOWNi ' ~20 OSI 05 HHFI MUNICIPALITY OF ANCHORAGE ~emarks: BENCH MARK Looaflon and D#cryt~n: · THIS IS AN ADVANTEX TREATMENT SYSTEM. THE BoTroM OF BACK DOOR THRESHOLD OLD SEPTIC TANK WAS COMPLETELY ABANDONED I A#urned De~on: PER MPC. EXISTING DRAINFEILEDS ABANDONED 100.00 ENGINEER'S SEAI.~ IN PLACE. ~<~'~ _~ ,nspections performed by: GEG, Lt:O. Da,es:lst 5/17/200¢ ~.m.'........,,.~.: '..,~.~' I /, ~. .... .... 2nd 5/18/2004 Development Servi.ces Departn~en, ,~,pproval R~viewed and approved b . ~~ Date: ~--~ (~-~ PERMIT NUMBER: ~wo~o,~, AS- BUILT D RAWIN G 020-424-32 TOP OF ADvANTEx POD /--TOP OF MANHOLE 99.68 (AVG.) = 99.?~ (^vG.) ----~ 99.49 (AVG,) ~ ,,,,,,,,,,,,,,,,,,,,,,,,,,I,,,,,,,,,,,,,,,, *~'~ ~~ IIillillllllllllllllllllllllllllllllllllll i ~' ~ RNAL GRADE - 96.90-97.20 / /-,,suLATio, M~T C~O / / ~ FILTER FABRIC TH_#1 / / / ~O.R~G~ INSTALLED V~SOUEEN ~ / / / ~ TOP OF SAND RLTER ~ .~';-',-x,~;~%::,-~.. ~ / RELATIVE ELEVATION OF RELATIVE ELEVATION OF BO'iTOM or ~_ST HOUr = 80.~5 /1 GARNESS ENGINEERING GPtOUP, Ltd. c.J.G. '4' ~ CONSULTANTS & GENERAL CONTRACTORS .*., ~ ~ SCALE: 3701E. TUDOR ROAD. SUITE 101 * ANCHORAGE. AK g9507 * PHONE (907)537-6179 * FAX (907)538-3~/,6 N,T.S. ' ...................... PREPAEED FOR: PHONE NUMBER: PAGE NUMBER: SHAWN MURPHY (907) 345-7229 30F3 f~cv~,}~i' A.~'~}ness.: ~ 0ESCR,PTION: ~O~l'. ~rc, -~,~ ..-' .:,~ PARADISE VALLEY SUBDIVISION; LOT 12, BLOCK 1 U~lh~?2"' '" PROFILE AS-BUILT DRAWING OF SEPTIC SYSlEM UPGRADE PER~ffNUMBER: AS BUILT DRAW~[~TG PARCELID NUMBER: SW040121 - 020-424-.32 / / , MH 43.13 23.19 - / ~ ~ X ~ ................ ~~~~ .~w..~: ~... r- ~.~:/.. :~_~ ~ ~j'-....~-,- ....-,~ A B C ST1 38.55 12.41 - MH 43.13 23.19 - DBL1 45.14 25.52 - DBL2 47.00 26.61 - C01 89,05 56,48 87,34 MT1 87.11 54.48 54.48 C02 92.33 64.22 109.34 MT2 90.44 62.65 108.63 GARNESS ENGINEERING GROUP, Ltd. C,J,G. ~="~===..,==~-,-~ CONSULTANTS & GENERAL CONTRACTORS~ SCALE: 5701 E. TUDOR ROAD. SUITE 101 ° ANCHORAGE, AK 99507 · PHONE (907)337-6179 · FAX (q07)338-32&6 1" = 3o' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: SHAWN MURPHY (907) ;345-7229 2 OF LEGAL DESCRIPTION: PARADISE VALLEY SUBDIVISION; LOT 12, BLOCK 1, TYPE OF WORK: AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE RightFax' 5/22/200~ 9:20 PAGE 1/1 RightFax Xnspaction Report Municipality of Anchoraga~ Building Safety DiviJion 4700 South Bragaw :INSPECTION: VO:iCE 343-8300 ' Name Address Legal Subdlvl=lon :INSPECTION: FAX (907)249-7777 kevln 6010 GREECE DR BK ! LT 12 PARADISE VALLEY :iNFO: 343-796Z Permit 04-7875 Phone 250-1100 Znspectlan Date 5/24/200~ AH Comment~ or Directions :inspection Retro Electrical Reinspection y NO NONCOHPLTANCE OBSERVED [] CORRECT[ONS ESSENTZALAS EXPLAINED BELOW [] WILL RE-EXAMINE AT NEXT [] DO NOT CONCEAL UNTZL REINSPECTZON ZNSPECTZC)N COMMENTS: (for inspector usa only) Dabs: MUNICIPALITY OF ANCHORA GE Development Services Department On-Site Water & Wastewater Program 4700 So~th Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: May 13, 2004 Expiration Date: May 13, 2005 Permit Number: SW040121 Legal Description: [~ARADISE__VAEEE¥~BEK~-L~T_~_2:~ Design Engineer: 0041 AK Water & Wastewater Consultan~ Owner Name: Susan and Shawn Murphy Owner Address: PO BOX 110433 Total Bedrooms: 4 ANCHORAGE, AK 99511-0433 Parcel ID: 020-424-32 Site Address: 006010 GREECE DR Lot Size: 17492 SQ, FT. Permit Bedrooms: 4 This permit is for the construction of: r~ 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. Issued By: ~ Date: Date: ~'/I 3/~,~ 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 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O2e '/7/Z; ~1/'- .~'~-.. Permit Number Property owner'(s) . SUSAN &: SHAWN MURPHY Day phone Mailing address (1) P,O. BOX 110433 * ANCHORAGE. AK, Mailing address. (2) Legal description"(Lot,.BIock & Sub'd.) PARADISE VALLEY SUBDIVISION: .LOT 12, BLOCK 1. I]egal description (Section, Township & Range) Lot Size / ~ I ~?'Z"' Acres/Sq.Ft. 345-7229 Number of Bedrooms Zip Code 99511 4 THIS APPLICATION IS FOR: Sewer Only [] Well Only E] Sewer and Well r-~ Water Storage [-'l Sewer Upgrade E] THIS PROPERTY CONTAINS: Hot Tub D Jacuzzi D Swimming Pool ['"] Water Softening Unit [--] Therapy Pool I'-I I certify that the above information is correct. I further certify that this application is beIng made tora Single Family Dwelling and 'is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. ,. Waiver Fees; Date of Payment: ,~ ] ~ J Oc~ Date of Payment: Re~ipt Number: ' ~ ? .~ 3 ~: Receipt Uumbe~ GARNESS ENGINEERING GROUP, Ltd. "='~,,: - ' · CONSULTANTS & GENERAL CONTRACTORS~-~- ~ May 10, 2004 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic System for Lot 12, Block 1; Paradise Valley Subdivision To whom it may concem: The existing 4 bedroom house is served by a private well and septic system. The septic system is in the state of failure, and believed to be submerged in groundwater. Consequently, it needs to be upgraded prior to the sale of this house. Because of the limited area and high groundwater we are proposing to install a 1500 gallon Advantex tank, and 5-wide trench type drainfield. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached l~gs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 4.0 gallons/dayfft2 should be used. TRENCH DESIGN: a. Percolation Rate: 4 minutes/inch b. Allowable Application Rate: 6.0 gallons/day/ft c. Proposed Application Rate: 4.0 gallons/day/ft d. Number of Bedrooms: 4 e. Design Flow: 600 gallons per day f. Minimum Absorption Area: 150 ft2 g. Total Depth: 2.5 feet maximum h. Sand filter depth: ~feet minimum i. Effective Depth: 0.5 ~ 1. O j. Width: 5 feet k. Reduction Factor: N/A 1. Minimum Length: 30 feet long m. Effective absorption area = 150 fi2 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.eom 3. SURFACE WATERS: system. There are no surface waters within 100 feet of the proposed septic 4. TOPOGRAPHY: The area around the proposed drainfields is a 5-10 percent slope running approximately northeast to southwest; in short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. I questions, please contact us at 337-6179. Thank you for your assistance. Jeffipy 4~' ;am'es~, P.E., M.S. Pregideffi NOTE: ~1 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 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Web$ite: garnessengineering.com / - ./ s~'~ ~', ~ ~ v~ si= ..... ~ ~ ~ t ---/ ~u~ .. ..,, ~. ~: ~'~~- 5/~ o~04 ~.~ ~...~ - .. q,,~ GARNESS ENGINEER~G GROUP, Ltd. ~ RAL PR~ ~R PHONE NU"B~: P~E NUMBS: SUSAN ~ SHAWN ~URPHY ~45-7229 1 OF 4 PARADISE VALLEY SUBDIVISION; LOT 12, BLOOK 1. ~E OF WORK: SITE P~N ,/~ ~ ~ NOTE: THE CONTRACTOR \ SHALL HAVE THE SOUTHWEST / .x.~ N ~ PRIOR TO CONSTRUCTION BY ~ ~/ LOT UNE AND WELL SURVEYED ~ ~P,2'/_ . ~ ~x ^ CER~nED SURy~ORk DEEP ~IMUM, BY 5 .,. , , ,.:....?..,... ,. - ---:-- ~_. \,,, '"'x, \\ ...-'~ I/ I ~:%~~¢?¢,~-- 5/10/2004 ~ CONSULTANTS l GENERAL CONTRACTORS ~m~m~mm 5701 E. TUDOR ROAD. SUITE 101 ° ANCHORAGE, AK 99507 ° PHONE (907)557-6179 ° FAX (907)558-32~,6 1" = 30' ' PREPARED FOR: PHONE NUMBER: PAGE HUMBER: I ~ ! ¢ I ,.~ .~o.,~o., "...~ ¢/:-~ ...' PARADISE VALLEY SUBDIVISION; LOT 12, BLOCK 1, DESIGN DRAWING OF PROPOSED SEPTIC SYSTEM LOCATION °fess~°~-"~=~:~ G~NESS ENG~E~ING .G~OUP, Ltd. ,~ ~ · ~CONSULTAN~&GENE~LCON~CTORS,t,~ ~ , . N.T.S.~ l/~' .......... ( ................. SUSAN · SHAWN MURPHY (907)'545--72295 OF 4 PARADISE VALLEY SUBDIVISION; LOT 12, BLOCK 1, ' '": PROFILE DRAWING OF PROPOSED ADVANTEX SEPTIC SYSTEM G~~SS [~G[~gEE[~G G~OUP, Ltd. s~ ~.'"~.u. ~ "-~ 5701 E. T~OR ROAD. SUITE 101 ' ANCHORAGE, AK 99507 · PHONE (907)557-6179 · F~ (q07~SS~Z~6 1" = 20' " SUSAN A SHAWN MURPHY (907) 545-7229 4 OF 4 ~¥'" TRENCH DETAIL (}AR:NESS ElqI3IlqEERII T(3 6ROUP, Ltd. ~-- CONSULTANT~ & GENERAL CONTRACTORS ~ ~ ~ LEGAL DESCRIPTION: PARADISE VALLEY SUBDMSION: LOT 12, BLOCK 1 ,mess: ORGANICS 5-- ~ SP CH SM OH ", 7-- DEPTH TO GROUNDWATER DATE 8-- GM SEEP~O 4' 5/5/2004 11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP -- TIME (MINUTES) READING (INCHES) 12 m 5/6/2004 · 1 4:02 - 6- _ 2 4:12 10 2 1/2" ,3 1/2" 4 4:22 10 `3" .3" 14-- 5 4:22 -- 6- - 6 4:.32 lO 16 -- 8 4:42 10 3 1/2" 2 1/2" 9 4:42 - 6- - 11 4:52 - 6- _ 18-- 12 5:02 10 3 1/2" 2 1/2" 19m PERCOLATION RATE 4 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 3 FT. AND `3.5 FT. 20 ~ A FOUR HOUR PRESOAK WAS PERFORMED: · YES [] NO SOILS LOGGED BY: KELLY HEITSTUMAN PERCOLATION TEST PERFORMED BY: NICK HEITSTUMAN COMMENTS: PERFORMED BY GEGo Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS~EI~FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL OUIDEUNES IN EFFECT ON THIS DATE: DEPTH TO GROUNDWATER DATE SEEI:~ 0 4' 5/5/2004 ,, Municipality of Anchorage Page / of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ---~'~V/~.~00~ PID Number: ~0 ~ zj~'~ ~' ~'~' Name:~ ~ ~.~ ~"~"r Wastewater System: ~ New D Upgrade Addre~r~ ~0~ I[~ 33 ~ ~k ~{~1 ABSORPTION FIELD Phone: ~7-~ No. of Bedr~ms: ~DeepTrench ~ Shallow Trench ~Bed ~Mound ~Other Soil Rating: Total Depth from~ginal grade: LEGAL DESCRIPTION ~. ~ Subdiv~ion: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: ~ ~ Range: Section: Fill added above original grade: Gravel length: , Number of lines: Distance between lines: WELL: ~New ~ Upgrade Gravel width: ~.5 Ft. a ~.5' Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Drille¢:~O:~ ~~ Df' ~'}e":~7 Static Water Level: Inst"ller:- - ~ Ft. ~'~q~-~O Date installed: ~_1~. V7 Yield: Pump Set at: .t. ~ .t. TANK SEPARATION DISTANCES Fs~ptic = Ho~ing U S.T.E.P. ' To Septic Absorption Lift Holding =ublic/Private Manufacturer: [ Capacity in gallons: From Tank Field Station Tank Sewer Lines ~~ ~ Number of Compa~ments: Surface Water ~1~ g~t~ ~ ~ ~ Man u f ac~luro~ S T~T I O" Lot ~ ~ ~ Sixo in oallon~: Fou.dation 5' ~ /O*~ "Pump on" level level at: CunainDrain ~-~~-~' ' ~ ~~' IE'ectri~a''nspecti°nsp~°rm~d~y: Remarks: ~ BENCH MARK Location and Description: ~ ~...-', ....... ~ ~-, Iq.spections pedormed by: s & s ii~Gii~/i~;;~GDates: 1st ~']~X ~le River, Alaska 99577 ~¢¢ ~ h-~~, CE - Department of Heal~ andHuman Se~Jces appr~$~~ ~; ........ Reviewed and approved by: ~ ;~ / ~ ~ Date:/¢-/~--¢2 72-013 (Rev. 9/91) MOA 25 P.kRMIT NO. SW970006 PAGE 2 OF 2 HunJcJpaLJt;y o¢' Anchorage DEPARTHENT OF HEALTH AND HUHAN SERVOCES ENViRONHENTAL SERVICES P,D, Box 1966505 Anchor'age, Alaska 99519-6650 ~ TeLephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEH AND/OR WELL INSPECTION ~EPORT LEGAL LOT 12, BLOCK 1, PARADISE VALLEY S/D P.LD. NO. 020-424-,52 A B FCO 56.0' 4.5' ST1 58.0' 10.5' ST2 6..5.5' 17.0' DBL1 66.0' 19.0' 'DBL2 67.5, 21.5' FD 69.0' 25.0' C01 58.0' 34.0' MT1 58,5' 53.0' C02 95.0' ,.57.5' MT2 93.0' 35.0' CO3 72.0' 44.5' MT3 71.0' 45.0' C04 101.0' 46.0' MT4 100.0' 45.0' NEW 1250 SEPTIC SITE NEW 4 BDRM HOUSE INSTALLED FLOW DIVIDER (FD) -NEW TRENCHES CO1 = 96.4' C02 = CO MT CO1 = 92.5' C02 = 92.5' MT1 = 87.1~ MT2 = 87.3' · WATER FOUND 83.0' 79.5' B.O.H. CO MT C03 = 9~.0' = 97.4' C03 = 92.6' C04 = 92.8' ~-~._MT3 = 87,0' MT4 = 87.3' From : ALPINE DRILL 907 545 0202 Aug. 2~.1997 85:55 AM PO1 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT LOCATION OF WELL WATER WELl. RECORD 8enOUGH ~7~N LOT eLOCK SECTION QTRG SECTION TOWNEHII' RANeE MERIDIAN ON DE _ / ow LOCATIONISK~CH: WELL OWNER: DEPTHS M~SURED FROM:~casing top ~Orouqd surface WELL DEPTH; _ DATE OF COMPL~ION Depth of hmo: ~ ~ BOREHOLE DATA: Depth Depth of casing~ ~/ ft , ~ I~ ~ / ~aterial Type and Color From To ' ' --~ , , ~ ~ .~ ft below ~ top of casing 0 ground = .... ., ,,, --a -- / I ' /~ USE OF WELL: ~ domestic ~ irrigation O monitm ~ perforeted O open hole ~ A~~ Demhs el ooenings: to ....... It  SCREEN TYPE: Diam: GRAVEL PACK TYPE: , Volume used;, Depth lo top; ~ GROUT TYPE: Volume: DSVELOPMENT METHOD: .u~m.~ t~L AND YIELD: OCT I lq~7 ~ fl after ~ ,, h? pumping ~ gpm unicipality ut Anchorage PUMP INTAKE DEPTH: __ ft Horsepower: -- u~.~h ~ ~,~man ~ervices WELl. DISINFECTED UPON COMPLETION? ~YES ~ NO CONTRACTOR INFORMATION: RE. MARKS; Re~l,t~fed Business Name, ~./ [ - 8~gnature of Authorized Re~esentetive ate~ ' PLEASE MAIL WHITE COPY OF LOG TO: DNR/DIVISION OF MINING & WATER MGMT 3601 C St, Suite 800 ANCHORAGE AK 99505-5935 Phone (907)269-863B, Faa; (907)562-t384 ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS Date,' ~ / 13-'/ ~ ~ (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE pLANS ROAD DEStGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN MuniciPality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 RECEIVED AUG 1 1997 Municipality of Anchorage Dept, Health & Human Services REFERENCE: The septic iqspgctions for ~he, referenced property were ~, f [~ i ,~-~ , , , performed on ~//~/~ 7 and ~/, ~/~7 , Prxor to submxttxng the On-site Wastewater Disposal System and/or Well Inspection Report we are waiting for the F,~ ~ '~/~;~'r to be completed. If we may be of further service please contact us. Sincerely, Robert C. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER. ALASKA 99577 PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH A_ND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET% ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT 1 OF 1 PERMIT NUMBER:SW970006 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:MURPHY SHAWN & SUSAN OWNER ADDRESS:P.O. BOX 110433 ANCHORAGE, ALASKA 99511-0433 DATE ISSUED: 1/13/97 EXPIRATION DATE: 1/13/98 PARCEL ID:02042432 LEGAL DESCRIPTION: PARADISE VALLEY BLK 1 LT 12 LOT SIZE: 17492 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION 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 (183kAC72) 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 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ~/~ ~/"~r~,,..____. DATE: ISSUED BY: DATE: - 13- ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SiTE PL~,NS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE'WATER DISPOSAL SYSTEM DESIGN December 11, 1996 (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box ]96650 Anchorage, AK. 99519 REFERENCE: Lot 12, Block 1, Paradise Valley S/D Request you issue a permit to drill a well and install a septic system to serve the proposed four bedroom house on the referenced property. Permit %940157 was previously issued and has expired. We have redesigned the septic system and the original soil log should be in your files. At the time of excavation no water was encountered in the test hole and after seven day ground water monitoring, the monitoring tube was found to be dry. On !1-10-93, water was found in the bench at 5 foot deep but the monitoring tube was found to be dry. It is our opinion that this reading is not 5n accurate reading for ground water. A third reading was taken in the monitoring tube on 5-24-94 and water was found to be at 11 feet deep. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, ~o eft C. Cowan, P.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 ' 1",= 40' SITE PLAN DESIGN i~l- --I o~ 0 I~o/ ~ o ~ I~ ~ ~ ~ PROPOSED 4 BDRM HOUSE .~ ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. CIVIL ENGINEERS HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER ~NSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION P~ACTICES and MATERIAL SPECIFICATIONS (907) 694-2979 FAX (907) 694-1211 REFERENCE: Lot 12, Block 1, Paradise Valley S/D December 11, 1996 GENERAL: 1. The scope of this project includes the installation 0f a 1250 gallon septic tank and two leachfield trenches to serve the proposed four bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wast.water disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. ~EPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer° ConstruCtion shall include two 4" cleanouts for pumping access° J The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. e Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 12, Block 1, Paradise Valley S/D December 11, 1996 0 Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope eXists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 12, Block 1, Paradise Valley S/D December 11, 1996 Se Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 0 Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 0 A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 0 Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the ~200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. Page Four Lot 12, Block 1, Paradise Valley S/D December 11, 1996 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. e e The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Five Lot 12, Block 1, Paradise Valley S/D December 11, 1996 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER Rick Mystrom, Mayor Mtmicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 June 1, 1995 Guy R & Ruth M Mc Pherren 3200 Purdue Anchorage, Alaska 99508 3019 Subject: Lot 12 Block 1 Paradise Valley Subdivision Permit #SW940157, PID $020-424-32 The subject permit, issued June 1, 1994 by this office for a single family well and/or on-site wastewater system, has expired as of June 1, 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 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, J~mes Cross, ~.E. Program Manager On-site Services enc: Copy of Permit cc: S & S Engineering PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND'HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940157 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:MCPHERREN GUY R & RUTH M OWNER ADDRESS:iT034 EAGLE RIVER LOOP RD. EAGLE RIVER, AK 99577 DATE ISSUED: 6/01/94 EXPIRATION DATE: 6/01/95 PARCEL ID:02042432 LEGAL DESCRIPTION: PARADISE VALLEY BLK 1 LT 12 LOT SIZE: 17492 (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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 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: ROBERT SHAFER, P.E. ROGER SHAFER, P.E. December 6, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & ~IECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEAL TH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Paradise Valley Subdivision, Block 1, Lot 12 Request you issue a permit to drill a well and install a septic system to serve the proposed four bedroom house on the referenced property. A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation no water was encountered and after seven day ground water monitoring water was found at 5 feet. This property has enough area for a future septic upgrade which can be seen on the attached site plan. 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. A. Shafer, P'I/' RAS/LSU//su E. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 I . NVqd gtlS i :rl¥Og ,0~ '= ON-SITE WASTEWA TER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MA TERIAL SPEClFICATIONS REFERENCE: Paradise Valley Subdivision, Block 1, Lot 12 GENERAL: 1. 3. The scope of this project includes the installation of a 1250 gallon septic tank and absorption bed to serve the proposed four bedroom residence located on the referenced property. Construction shaft be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On aft leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shaft include two 4" cleanouts for pumping access. 2. The septic tank shaft be sufficiently bedded to prevent settling or shifting of the tank. 3. Aft standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Page Two Paradise Valley Subdivision, Block 1, Lot 12 December 6, 1993 Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be Iocated on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists a way from the septic tank. LEACHFIELD BED INSTALLATION: Excavate the proposed Bed Area to the depth shown on the design. The bottom of the excavation shall be within 2 inches of level. If the bottom of the excavation becomes smeared, it must be raked or scratched (ruffed-up) before gra vel or sand placement. If a sand layer is required, place sand over entire excavation to the required depth shown on the design. The top of the sand layer must be within 2 inches of level. Sewer rock shall be placed uniformly throughout the entire bed. Perforated distribution pipe must be installed level with perforations down. Gravel depth below the perforated pipe shall be a minimum of six (6) inches. Gravel depth above the perforated pipe shall be a minimum of two (2) inches. The total gravel depth throughout the entire bed shall be a minimum of twelve (12) inches. The perforated distribution pipes must be no more than six feet apart. The distance between the outermost perforated distribution pipes and the sidewall of the absorption bed must be no more than three feet. Silt barrier material must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Page Three Paradise Valley Subdivision, Block 1, Lot 12 December 6, 1993 Monitor tubes shaft be of four (4) inch diameter and installed at the locations shown on the design. The portion of the monitor tube extending through the gravel depth shall be perforated six (6) inches below the bottom of the horizontal distribution lines. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finished grade over the bed must be mounded to prevent the formation of a depression after settling. MINIMUM MA TERIAL SPEClFICATIONS: 1. Any septic tank proposed for installation must Municipally approved septic tank manufacturer. The following pipe materials are approved for installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes be constructed by a use in septic system Septic tank inlets and outlets shaft be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Insulation shaft be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Use of a type of pipe other than listed above must be approved by the inspecting engineer. Page Four Paradise Valley Subdivision, Block 1, Lot 12 December 6, 1993 All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, it's gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. Municipality of Anchorage ~r'l DEPARTMENT OF HEALTH & HUMAN SERVICES ~:"~:'" ' .... 825 ';L" Street;Anchorage, Alaska 99502-0650 ~.~.~:.... ,..,.~'~,. SOILS LOG -- PERCOLATION TEST L. I2. LEGAL DESCRIPTION:'~ad~ISE ~J/;U.-EV' ~LE IT°wnship, Range, Section: 1 2 3 ,4 5 6 8 '9 10 11 '' 12 13 14 15 f SLOPE S tF YES, AT WHAT ~ O DEPTH? · p Depth to Water Alter ~' Monitoring? ~13..~/' Date: SITE PLAN Gross Net .Depth to Net Reading Date Time Time Water Drop minutes/inch) 'PERC 'Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program' 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us ' , (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR 'A SINGLE FAMILY DWELLING Parcel I.D. 020-424-32 1.. GENERAL INFORMATION oN-c) Expiration Date: Complete legal description Location (site address or directions) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent JED Mailing address PARADISE VALLEY SUBDIVISION; LOT 12~ BLOCK 1 P.O. BOX 110433 * ANCHORAGE~ AK 99511 SUSAN MURPHY Day phone 345-7229 6010 GREECE DRIVE * ANCHORAGE~ AK 99516 Day phone WEINGARTEN W/ DYNAMIc PROPERTIES Day phone 3111 "C" STREET * ANCHORAGE, AK 99505 727-5333 Unlessotherwise ~queste~ HAAwillbehe~byDSD ~rp~k~. 2. NUMBEROFBEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well [] · Individual Water Storage r'-J Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank . r'-] Community On-site FI Public Sewer D The Municipality of Anchorage Development Services Department (DSD) Issues Cedificates of Health Authority Approval (HAA) b~ised only upon the representations given in paragraph 4 by an independent profe--~ic~n-~l'(~i-~il .... 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 samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's Work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, ! vedfy that my investigafio~, based on procedures outlined in the Health Authodty Approval Guidelines for this application, show~' that fhe on-site water supply and/or wastewater disposal system is(are) safe, functional pnd adequate i'~or ~h~'"n~ib~r of bedreoms and type of structure indicated herein. I furlher verify that based on the' ":-".;;?' ~,(in'fo~ation 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 Munidipal and State codes, ordinances, and regulations in effect at the time.of installafion. 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 descrfbed 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 ali wells and septic systems depend on the loc, al 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 eva/uator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there ara 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 repo~ by any other porson or party is not authorized, nor will it confer any legal right whatsoever. · 5. DSD SIGNATURE Approved for bedrooms. Disapproved. X Conditional approval for~ 4 bedrooms, with the fllowing stipulations: At the time of title tranmfer ~he' ~Pw prnpP~ey o?mer ~11 ~!§~ the Attachments: HAA' Checklist Septic System Advisory Well Flow Advisory (Rev. 12/01) Manitenance Agreemen_ts ._. Supplemental Engineer's Reort Other Original Certificate Date: ,--~'- ~-- ~_~ ' 4~) ~ HEALTH i 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 AUTHORITY/APPROVAL CHECKEIST . Legal D~cription: .WELIJ DATA Well typeL! Date comlsleted 4/23/1997 sanita~ seal (WN) ':YES Date ~of test 4/23/1997 : Stati~ W~ter level 266 : ff. · Well~r&Suction 4 - ' '.g.p.m: WATER SAMPLE RESULTS: ' -~;:! Colifor~ ~ 0 colonies/100 mi. ,: ~:, , Arsenic: ;~N/A mg./L. B. SEPTIC/HOLDING TANK DATA PARADISE VALLEY SUBDIVISION; LOT 12~ BLOCK I Parcel ID: If A, B,'or C provide PWSID# N/A 'Nitrate 1.19 m'g.lL. Date of sample: 4/20/2004 020-424-3: Tank Type/Matenal FIBERGLASS/ADVANTEX Ta?~siz~i 1500 gal. "! ::,Numberer Compartments. 2 Fou'n~=~!ti!~ cleano'ut (Y/N) YES Depression overtank (y/N) NO Date o,f P'U~ping NEW pUmper ABSORPTION FIELD DATA ': . :~BELOW FINAL ORADEI Date ~nstalled 5/17-10/2004 Soil rating~r ff2/bdrm),, 6.0 Well Ldg (Y/N) Wires properly I~rotected (Y/N) Casing height (~bove ground) AT INSPECTION 4/20/2004 ;510 ~ fl. 4.§5 '~ g.p.m. YES Other bacteria Collected by: Date installed Cleanouts (Y/N) High water ~larm (Y/N). YES 12-1- in. 0 colonies/100 mi. GEG, Ltd. '5/17-19/2004 YES system type YES TRENCH T°ial' ~e~ '3.8-4.1__ff. 'Eft. abso~;ptior~ area~ 155 ft'.. ~:,M0nit'°iin~ tUbe .;YES 'i'· 5ep~:ession over field- NO Date of a;dequacy test _ N. EW., : -- ; :·:Results(Pass/Fail)~ : , ~,!~',~; . For 4 .bedrooms ' ;! Ili', ' : : ' ~ . ·;, ' : Fluid d,epth in absorption field before test in. Water added 'gal.. ,i ' ~ Elap.s, ed Time:' min.' : ' Final fl~,, Absorption rate >= .g.p.d. · ~on treatment (past 12 mo.) (YIN & type) If yes, give date D, · LIFT STATION . : :. Date installed 5//17-19//04 -Size in galions~ · '1500 "Pump on" level at TIMERin, "Pump off" level atTIMERin, Datum BO'FrOM OF TANK Cycles tested' . NEW E. SEPARATION DISTANCES ~,' · . Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? YES. 46 in' YES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station On lot 100'+ Absorption field 'on lot ' '100'+ Public sewer main SeWer/septic service line 25'-i- · ' 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'+ Water main Wells on adjacent lots 100'+ Property line 5'-I- , Absorption field Water service line 10'+ Surface water 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 Curtain drain ' NONE KNOWN Wells on adjacent lots. 100'+~ ,, 10'+ F. COMMENTS ....... :.., ENGINEER'S CERTIFICATION I certify t~at I ~h~ve determined through fiel~t inSPections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date, Engineer's Printed Name. JEFFREY A, 0ARNESS Date' ~'~./7-'.-~'/0 4/ HAA Fees ~,~'O?~O,/'j///]''']' I 7.,¢ R "~'/'/ Date of' Payment ,~/ Receipt Number. O-"~277'7 '. ':. (Rev. 12/01) ..... ,. i. Waiver Fee $ ..'Date of Payment Receipt Number ~--23--0~; 3:18DM; ;~07 5615301 ~ 4/ 9 ;GS Ref.# .~lient Name Project Name/# ~lient Sample ID vtatrh ] 041852003 Garness Engineering Group, Ltd. Various 6010 Greece Dr. P.~., BI, LI2 Drinking .Water Ail Dates/Times are Alaska Standard Time Printed Date/Time 04/23/2004 12:18 Collected Date/Time 04/20/2004 19:30 Received Date/Time 04/21/2004 12:20 Technical Director Steph..en2C. Ede ;ample Remarks: Allowable Prep Analysis °arametcr R~sults . PQL Units Method Container ID Limits Date Date Init ;aters Department Nitratc-N 1.19 0.100 mg/L EPA 300.0 B (<=10) 04/22/04 JJB ~icrobiology Laboratory Total Coliform coUl00mL SMI$ 9222B A (<=1) 04~I/~ DPT 4--23--04: 3:18PM: s~s~6~:&s EaVIRON~Em~ SE.V~Ci:S 'Drinking W~ter Analysis r~. poi1 for Tc;tal; Coliform Bacteria' ' MUST BE COMPLETED BY WATE~ SUPPLIER .' ' 'n pi.roue WA'i;~ SYSTEM IO~. ~. · ~, · BE COI~.LE'TED BY LABORATORY Sample R~'ceivlnfF ' 1041882,~.~,A- ~. F~o~; {~7} ~o7-~ ~;.(~] ~2~ ~ PHONE: (907) '3~726 ~ FA '(~~ - 3246' · ~p~~ON: ' ' .... : ....... ;--' ~~' ' ....... ' '' . ; -- ' ~ ' "': ~,.=,;~ts~ .:..:=,~,~w~.~' :" ~ · ~oro ~¢~ 0c / ~a~4),~. ~(~;~ ~*,=~-' ' ' "' ; :'"l' .. ...__ . ..;: .... ~ ~b ~ ~ ~ ~n · · . ~ ~ :. . ~/ : .. " Received ' r"'] ROSH ,~A~li:~ · · Bact~rtoloalcal Water Analysis ~<ecora: · . · · ' ' ' - .,~,,,),-~-:. " .. I'. '.~ .? ~" I' T,,~Coa.~ I"''"'m"':' ' ' ' I · A~all/tJc31 ~ D 'Me~mbran' Filter [~] MMO-MUG (P/A) ' I~ sausfaciory. . [] Unsatisfactory .' ''. Ozm MUNICIPALITY OF ANCHORAGE ~ALITY ANCHORAGe DEPARTMENT OF HEALTH & HUMAN SERVICES I~NI~NTALSERVICE$~ DIVISION Division of Environmental Services On-Site Services Section '--"~'r 0 1 1997 P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 R E C E I V E D CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# 1. GENERAL INFORMATION Complete legal description Lot 12; Block 1; Paradise ~alley Location (site address or directions) Greece Drive Anchorage, AK Property owner Shawn & Susan Murphy Day phone 227-5842 Mailing address P.O. Box 110433 Anchorage, AK 99511 Lending agency 11' Day phone · Maili'ng address~ Agent ~- Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 [Rev. 1/91) Front MOA #21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed heret° and as of the validation date shown below, I verify that my inyestigati0n of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEERING Name of Firm 17034 Eaqle River Loop Road No. 204 Phone Eagle River, Alaska 99577 Add . / Engineer's signature ?,.-c,~, /_/, v - Date ,~ _;70 7 DHHS SIGNATURE /~' Approved for ¢ Disapproved. Conditional approval for bedrooms. · '*~' ,.,' A ".,,_"¢ RC~E~ C~ c~tw~N .CE- 8801 bedrooms, with the following stipulations: Additional Comments Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificmes 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 DH H$ do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA *r21 825 L Street, Room 502 Health Legal Descripti A. WELL DATA Well type P~KA~'~ . If A, B, or C, attach ADEC letter. ADEC water systen Date Of test Static water level Well production Log present{~N) ~r~..R ' . Total depth' ~ '~'~/' Cas Sanitary seal (~1) ~'~.~ , FROM WELL LOG f · Wires nr g.p.m. _/ WATER SAMPLE RESULTS: Coliform 0 Nitrate Date of sample: c~/w/e/7 ~' Otherbacteria' O ' ~ SEPTIC/HOLDING TANK DATA Date installed ~'"'//~'~' Tank size I~E) Number of Corn Foundation clean0ut ~/N) ~f~ Depression (~ Date of Pumpi "~. . ABSORPTION FIELD DATA*%~.* ';:'~ ~ gh water alarm Effective absorotioln ·area Monitoring Tube p~ on over fi( Date of adequacy~te~t~ ~//'~L~/ Results (Pass/Fail) Fluid depth in absorption field before test (in.); ' ~ mmed ately afte~gal, water add Fluid depth -------- (ins)Minutes later:~ -- Peroxidetreatment (past 12 months) (Y/N) 72-026 (Rev. 3/96)* AbsorptiOn rate -- D= LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in ~ vel at* "Pump off" level at* *Datum Septic/holding tank on lot Absorption field on lot Public sewer main Sewer./septic service line On adjacent lots On adjacent lots Public sewer manhole/cteanout Lift station SEPARATION DIS.T~NCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~' ~L Property line //P ~ Absorption field ~ Water main/service line /P ~ Surface water/drainage/~/~- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ,/O Building foundation Water main/service line : Surface water /~__~ ~c Driveway, parking/vehicle storage area ~ ~ Wells on adjacent lots /~ ~ Curtain drain ENGINEER'S CERTIFICATION I certify that lhave determined thru field inspections and review of Municipal reco,~.~.....~h'~...~T,~prns are in co,~rmance es effect on this date. __--,_- ~ _ Engineers Name ~g~F ~. ~O~ ~',~. · .................. ~ ~ HAA Fee $ ~'~- Date of Payment Rece,pt NUmber Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* CT&E Environmental Services Inc. Drinking Water Analysis Report for Total Coliform Bacteria 2oo w. Po,,r O,~va Anchorage~ AK 99518-1605 READ INSTRUCTIONS ON REFEREE SIDE BEFORE COLLECTING SAMPLE Tel: (907) 562-2343 MUST BE COMPLETED BY WATER SUPPLIER PUBLIC WATER SYSTEM I.D. #. PRIVATE WATER SYSTEM I 0 $~nd Raults O $~d SAMPLE DATE: SAMPLE TYPE: J~ Routine with lab ~f. n& ~ 7~ ~ o ~ ) Q Special Pu~ Treated Water ~JnOutad Wit.r= Time Collegtmi CoU~,~k By Fax: (907) 561-5301 TO BE COMPLE I ~i3 BY LABORATORY sis shows this Water SAMPLE to be: atisfactory o Unsadsfa~tor~ 0 Somple ove~ 30 hours old, results may be unreliable o Sample too Ion8 in transit; sample should 'not beoYer 48 hours old at examination to indicate reliable results. Please send new utopia via spp~tl delivery mail. Iht. R.eived y/~O Time Receive4 Analysis Bepn ~:) Analytical Method: .~ Membrane Filter o' MIVIO. MUG · Number ofcolonies/lO0 mi. Res.it~- 97.5945 I Fbk~ Jun [] Fixed .Da~. . Time: Client notified of unsatisfactory results: Phone& Spoke with Tim~ . BACTERIOLOGICAL WATER ANALYSIS RI[CORD MMO-MUG RauIt~ Total Coliform E. Ce/i Membrane Filtar: Direct Count ,,/4~ ,, Colonies/lO0 mi Verification: LTB BGB~ COLIFIRM~. . Coliform/lO0 mi Fixed Fecal Coliforn CoaflrntfloI Final Mambflne Filter bOita Reported B:~~JO-! ~~ 7 Tima Comments: ~,~~. Me,~,;; of the SGS Group {SAC-!6!_& G~n~alo de Surveillance) . ~i~ CT&E Environmental Services Inc. ~mmmBBmmm~ CT&E Ref.# Client Name Project Name/# Client Sample ID Matrix Ordered By PWSID Sample Remarks: 975208001 S & S Engineering Lot 12, Blk 1 Paradise Valley Lot 12,Blk 1 Paradise Valley Drinking Water 0 Client PO# Printed Date/Time 09/09/97 15:41 CollectedDate/Time 09/04/97 11:15 Received Date/Time 09/04/97 16:00 Technical Director: Stephen C. Ede Parameter Results POL Units Method Allowable Prep Analysis Limits Date Date Init Nitrate-N Total Coliform 1.21 0.100 mg/L SM18 4500-NO3F 10 max SM18 9222B 09/05/97 JBL 09/04/97 TMW