HomeMy WebLinkAboutPARADISE VALLEY BLK 8 LT 3l..o;c ,.3
-
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 4
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP221021 PID Number: 020-413-23
Dwelling: ❑N Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New X Upgrade
Name
C/O ARM SEPTIC SERVICES
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bed ound
Site Address
6010 AUSTRIA DRIVE *ANCHORAGE, AK
El Other
Phone
Number of Bedrooms
Soil Rating
Total depth original grade
907-688-9433
3
GPD/SF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
PARADISE VALLEY; BLOCK 8, LOT 3
Fill added above original gr a
Ft_
Gravel length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Distance between lines
Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total orption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
Ftz
Ft.
Well
100'+
TANK A Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
INFILTRATOR
Capacity
1060 Gal.
Surface Water
100'+
I
Material
Number of compartments
Lot Line
5'+
NA
PLASTIC
2
Foundation I
*5.5+
LIFT STATION
Manufacturer
Capacity
Remarks OLD TANK DECOMMISSIONED PER UPC
Gal.
PER CONTRACTOR "SEE ATTACHED PROFILE DRAWING
Alarm location
Electrical installed by
PIPE MATERIAL House to tank D3034 Tank to D3034
drainfield
Installer
ARM SEPTIC SERVICES
Drainfleld D3034/EXISTING CO/MTD3034
Inspector GEG AND MOA
BENCH MARK (Assumed elevation) 100.00 ft
Inspection15t 6/9/2022 -
Location and description
dates:2 nd
BOTTOM OF TRIM AT FCO
3'd _ 4"' _
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Qo60000
O F A `h
Conditional Approval: Date
QO�.
Apo
4 TH
0......... ......� :...OD
. .
J A. Gayness: f
:CE-7953
Septic System
Approved Ovv Date 2
aO J
> y4p s •. S
Note: this approval does not include well permit requirement .
pP P q
Pr
�4�pa'O,ofesslo�°\
#AECC884 °�OOoo���
(Kev u5/u2118)
1,
PERMIT NUMBER: PARCEL ID NUMBER:
OSP221021 RECORD DRAWING 020-413-23
A
I B
MH1
9.2
27.2
ST1
14.1
31.6
DBL1
18.6
35.7
DBL2
25.4
41.3
PARADISE VALLEY;
BLOCK 7,LOT 7
VACANT
PARADISE VALLEY;
BLOCK 7, LOT 8
VACANT
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i NEW IM-1060 INFILTRATOR SEPTIC TANK; CONTRACTOR
EXCAVATED TO 5'+ FROM NEW TANK TO CONFIRM I `! SEPARATION DISTANCE TO DRAINFIELD
PARADISE VALLEY;
BLOCK 8, LOT 2
VACANT - SAME OWNER
AS SUBJECT LOT
EXISTING HOUSE
PARADISE VALLEY;
BLOCK 8, LOT 4
VACANT -SAME OWNER
AS SUBJECT LOT
1j N
\I
CALE:
= 40'
ESQ
x -- ENGINEERING SALES CONSULTING
3701E TUDOR ROAD SUITE 101 ANCHORAGE, AK99507' PHONE (907)337-6179'FAX(907)338-3246-VIEBSITE:vrmvg—...ngn enng.com
PREPARED FOR PHONE NUMBER: PAGE NUMBER.
PAT HANSEN C/O ARM SEPTIC 907-688-9433 2 OF 4
LEGAL DESCRIPTION: DRAWN BY:
PARADISE VALLEY; BLOCK 8, LOT 3 D.J.G.
TYPE OF WORK; DATE:
\ SEPTIC TANK RECORD DRAWINGS 8/17/2022
PERMIT NUMBER: PARCEL ID NUMBER:
OSI 221021DRAWING020-413-23
TOP OF TANK
AT INLET = 94.42
INVERT OF BUNG
AT INLET = 93.85 -
MH ST 1 /-FINAL GRADE = 97.25-97.34
— TOP OF TANK
AT OUTLET = 94.46
2" INSULATION PER
CONTRACTOR
`- INVERT OF BUNG
AT OUTLET = 93.65
iM-1060 2-COMPARTMENT
INFILTRATOR SEPTIC TANK
NO GROUNDWATER IN TANK HOLE EXCAVATION
®� OFF°®
®® e
9 g..........4
ENGINEERING <> SALES =CONSULTING
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK S9507 - PHONE (907) 337-6179 • FAX (907) 338-3246' VVEOSITE:1—a ..0am-wenggneedng, . . ......•....... .......
PREPARED FOR: PHONE NUMBER: PAGE NUMBER
®� . Je a A. Garn SS Lv AF
C/O ARM SEPTIC SERVICES 907-688-9433 3 OF 4 S : Y'"�-- = -Q AV
AV
LEGAL DESCRIPTION: DRAWN BY'®� •••j CE-795V.C�
PARADISE VALLY; BLOCK 8, LOT 3 D.J.G. ®®e'pFD''••.,?,��.� F.�4p
TYPE OF WORK. LICENS���ePESS1"' ®®0®
DATE:
SEPTIC TANK RECORD DRAWINGS 7/26/2022 #AECC884 ���lilklm ®
FINISH FLOOR ELEVATION IN BASEMENT = 92.83
A=1.6'
- 4"ASSUMED 4
55" PER INFILTRATOR
FSEWER LINE FOR HOUSE EXITS ABOVE Get r.di
FINISH FLOOR ELEVATION
\ 45% FROM ASSUMED BOTTOM OF FOOTER
kff
S INEERING U9 Ltd
ENGINEERING-, SALES-- CONSULTING- r:
3701E TUDOR ROAD. SUITE 101 ' ANCHORAGE. AK 9_507' PHONE (907) 37.6179 -FAX (907) 338-3246' WEESITE. vnrrigarnesseng neenna.cem
PREPARED FOR: PHONE NUMBER:
C/O ARM SEPTIC SERVICES 907-688-9433
PROJECT/LEGAL DESCRIPTION:
PARADISE VALLEY; BLOCK 8, LOT 3
TYPE OF WORK:
�,_ INFILTRATOR TANK PROFILE DRAWING
PAGE NUMBER:
4OF4
DRAWN BY:
D.J.G.
DATE:
8/18/2022
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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: OSP221021
Work Type: SepticTank Upgrade
Tax Code Number: 02041323000
Site Legal Address: PARADISE VALLEY BLK 8 LT 3 G:3538
Site Mailing Address: 6010 AUSTRIA DR, Anchorage
Owner: EVANS DAVID G &
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy
Effective Date
Expiration Date:
2/3/2022
2/3/2023
Lot Size in Sq Ft: 19958
Total Bedrooms: 3
❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a_ Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: Date: Z
Issued By: call Date:
UNW I PALITY OF ANCHORAGE
Development Services Department`
Phone. 907-343-7904
On -Site Water & Wastewater Section - Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 020-413-23
Property owner(s) PAT HANSEN - C/O ARM SEPTIC SERVICES Day phone 907-317-9433
Mailing address 6010 AUSTRIA DRIVE *ANCHORAGE, AK
Site address 6010 AUSTRIA DRIVE *ANCHORAGE, AK
Legal description (Sub'd., Block & Lot) PARADISE VALLEY; BLOCK 8, LOT 3
Legal description (Township, Range & Section)
Lot Size Sq. Ft. Number of Bedrooms 3
APPLICATION IS FOR:
(N all that apply)
APPLICATION IS AN:
TYPE OF DWELLING:
Absorption Field ❑
Initial ❑
Single Family (SF) M
Septic Tank ElUpgrade
FxJ
(w/wo AD U)
Holding Tank ElRenewal
r_1Duplex
(D) E]
Privy El
Multiple
Multiple Dwellings ❑
and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES
A WAIVER REQUEST FOR:
Distance:—
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner o,
uthorized agent)
Permit/Rush Fees: A 2—Z
Date of Payment: 0 a 2 02 2
Receipt Number: Q Oa 3o G
Permit No. Qe,1922 102-1
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment ServiceslBuilding Safetyk0n Site Water and WastewaterTormslClient Forms\Permit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221021, Rebecca Carroll, 02/03/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221021, Rebecca Carroll, 02/03/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221021, Rebecca Carroll, 02/03/22
LCT
�SrR�A
Qe7
4
OF
49 THS
,STEVEN CALLAGHAN; a`
el LS -12034
� p4?rl�.Dlz..Q�1ayoG
ORDERED BY: PATRICIA HANSEN
LEGAL DESCRIPTION:
A5 -BUILT
LOT 17
NOTE:
THIS DRAWING SHALL NOT BE MODIFIED WITHOUT THE EXPRESSED
WRITTEN CONSENT OF LCG LANTECH.
PARCEL M. 020-413-23-000 SURVEY CERTIFICATION: LCG LANTECK. INC HAS CONDUCTED A PHYSICAL SURVEY OF THE
PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE IMPROVEMENTS
ADDRESS: SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS EXIST
6010 AUSTRIA ST. OTHER THAN NOTED OR SHOWN,
LOT 3, BLOCK 8,
PARADISE VALLEY SUBDIVISION
EXCLUSIONARY NOTE; IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE FAISTENCE OF
ANY EASEMENTS. COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO NOT
APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CI RCUMSTAN CESSHOULD ANY
DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY LINES. OR FOR
PLOT -PLAN PURPOSES,
LEGEND: Gravel "
C1EAN OUT #CO —__0 Overhang - ;•.. ASp{Sall •::::.-:.
WATER WELL
FENCE —X -X- Wcwd Deck .:.'COn�re[e
DRAWN DATE: 12/14/2021 WORK ORDER: 21131
DRAWN BY: AP — — PLAT: �87-16
CHECKED BY: SC GRID: SW3538
SCALE: 1 " = 30' FB/PG: 822146-47 REF; 021_417
250 H Street
Anchorage, Alaska 99501
rG
Survey Department
TnC
Phone 562-5291
Mainline
ate"z&-@ ,
"�
Phone 243-8985
AECC 668
EXCLUSIONARY NOTE; IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE FAISTENCE OF
ANY EASEMENTS. COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO NOT
APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CI RCUMSTAN CESSHOULD ANY
DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY LINES. OR FOR
PLOT -PLAN PURPOSES,
LEGEND: Gravel "
C1EAN OUT #CO —__0 Overhang - ;•.. ASp{Sall •::::.-:.
WATER WELL
FENCE —X -X- Wcwd Deck .:.'COn�re[e
DRAWN DATE: 12/14/2021 WORK ORDER: 21131
DRAWN BY: AP — — PLAT: �87-16
CHECKED BY: SC GRID: SW3538
SCALE: 1 " = 30' FB/PG: 822146-47 REF; 021_417
Municipality of Anchorage Page I 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: -~J q~ ~'H'o I PID Number: O 7.o - ql~-~
Name: ~ Upgrade~
~ ~ue~ Wastewater System: D New
Address: ABSORPTION FIELD
~q~' '~ 6~- ~ ~'~o~ ~ ~ DeepTrench ~ Shallow Trench Mound ~ Other
Soil Rating: / Total Depth from original grade:
LEGAL DESCRIPTION z~a ~,~/~ ~. ~
Lot: ~ Block: ~ ~l~ ~Subdiv~i°n: ~ ~ ~ Depth~ ~t° pipe~bo~om from~o~original grade: Ft. Gravel depth beneath~. ~pipe Ft.
Township: Range: Section: Fill added above original grade: Gravel length: U¢~E~
WELL: ~,~2ew ~ Upgrade ~,~ve, w,dth: ,,' ~ ~, Nu~b~ro,,i~e~:
~ I~t ~ Ft. ~ ~IE~ Ft.
Classification (Private, A,B,C): Total Depth: ~ Total absorption area: Pipe material:
Driller: ~ Drilled: StaticWaterLevel: Installer: Date installed:
Yield: ~ I Pump Set at: Casing Height Above Ground:
~ GpMI Ft. Ft. ~,~c TANK
SEPARATION DISTANCES ~ ~~ ~ Holding ~P.
To Septic Absorption Lift Holding Public/PrivatE Manufacturer: ~ Capacityin gallons:
From Tank Field Station Tank Sewer Lines ~
Welb I¢Z'~ [S~'~ -- -- Z~t~ Ma~ .umber of Com~
su,,c~ I~s'~ LIFT STATION
Water -- J ~Ot ~ ~ ~
Lot Siz~ ~tur,~:.~ ~ .
Line ~t+ ~ it~ ~ ~
Foundation ~ I~ ~Ot~ ~ ~ ~ "Pump ~" I~ at: ~High
alarm
Drain ' ' Mode ~No~q '
Remarks: ~ ~ ~td~ ~s~o~sTe~ BENCH MARK
~ ~ Location and Description:
Assumed Elevation:
~UlO,[ ~' ENGINEER'S
Inspections pedormed by: ~syew~ d,-~s,Dates: 1st
Department of Health and Human Se~ices approval , ~:., = ....
Reviewed and approved by~~ ~ ~~ Date: Il-~. ~ ~?~0.F~ss~
72-013 (Rev. 9/91) MOA 25
PERMIT NUMBER:
SW980401
SWING- TIES
A
S1 9.B'
S2 16.2' 36.0'
DBL1 18.J~' 57.7'
DBL2 19,I' 38.4'
FS 24,7' 42,1'
MT1 30.5' ~B.7'
MT2 50.1' 61,3'
C01 55.7' 67. I'
C02 53.8' 63.4'
MT3 43.2'
MT4 37.5' 27.6'
C03 ,34,2' 22.7'
C0¢ 3B.7' 28.8'
C05 4-2.2' 51.3'
COB 47,8' 37.3'
AS-BUILT DRAWING
PARCEL ID NUMBER:
020-415-25
~s~ wA~ A~ wAs~w~ CONS~A~S, ~c.
LEGAL DESCRIPTION:
~PE OF WORK:
DESIGN OF SEPT(C SYSTEM UPGRADE ~ ........
PREPA"ED FOR: ~ PHONE NUMBER: ~ ~~'
OATS: Io~vm aY; ISCALE: I PAGE:
~,/~o/,~ ] A.c.~. [ '~ = 40' [ 2 o~
· DRAWING ~A~OEL ,D N,,MBER:
PERMIT NUMBER: AS.BUILT 020-413-23
swg 80401
/- ,
"'~>-'~_------ NI ' / ~.-~ I / / /
/: /I ..... I / /;
,I I /
/
LOWER BED
UPPER BED
7
PROFILE VIEW
FINAL GRADE-% F-FINAE GRADE
= 98.00~
= 100.00~ ~ '
~COI MI~ M1'2 C02
~=~-~-2" OF INSU~TION C06Mf3 005 , C~4. MI" C03
TOP OF SAND = 96,25 SAND-J ~INVERT OF PiPE ~: [%--~NVERT OF PIPE
REW 96.82 (AVERAGE) [ 9~.8~ (AVERAGE)
~ / ~- BO'Iq'OM OF
~:~B_~ GRAVEL = 93.32
UPPER BED
~EW BED EL~ATtON IS LOWER BED
9.18' HIGHER THAN THE N~¢ BED ELEVATION IS
EL~ATION OF THE OLD BED. 0.09' HIGHER THAN THE
ELEVATION OF THE OLB BED.
7320 E, CHOLER HElemS ClRC~, ANOHO~OE, ~ 90504
PARADISE VALLEY SUBDIVISION, LOT 3, BLOCK 8
~pE OF WORK:
PLAN AND PROFILE OF EXISTING SEPTIC SYSTEM REPAIRS
PHONE NUMBER:
pREPARED FOR: 345--7638/265--6276 EXT. 5033 ~¢~_'..... ....'.~
KURT HUESMAN
DATE: 5
11 / 10/98
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Serv/ces Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 995~9-6650
(9O7) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 09, 1998
Expiration Date: Oct 09, 1999
Permit Number: SW980401
Legal Description: PARADISE VALLEY BLK 8 LT 3
Design Engineer: 0041 AK Water & Wastewater Consulta
Owner Name: Kurt Huesman
Owner Address: 6010 AUSTRIA DRIVE
ANCHORAGE , AK 99516-6018
Parcel ID: 020-413-23
Site Address:
Lot Size: 19958 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] SepticTank [] 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 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.
Alaska Water & Wastewater Consultants, Inc.
7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504
(907) 337-6179 N Fax (907) 338-3246
Consulting Engineers
September 30, 1998
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ret~ Sand Filter and Sewer Drainrock Replacement for
Lot 3, Block 8, Paradise Valley Subdivision
To whom it may concern:
The existing 3 bedroom house is served by a private septic system and a private well. The existing
septic system consists of a 1000 gallon septic tank and a two beds with the lower (south) bed
having a sand filter below the sewer rock. Currently, the septic system is working above the
effective depth of the beds, and it is assumed that the sand filter & sewer rock is biomatted. Based
upon M.O.A. records it appears that the only suitable area for a septic system on this property is
where the existing system lies. Consequently, we are proposing to replace the existing sand filter,
contaminated soil, and drainrock. All new piping and filter fabric will be installed, and the
contaminated material will be disposed of on-site. The existing septic tank is to be excavated and
verify the integrity. If of poor integrity, the tank is to be pumped, crushed, and abandoned
completely; and replace with a new 1000 gallon septic tank.
Given the limited space, and tight soils, it would be probably better to install an innovative system,
however, such a system would probably cost significantly more. The house has a sale pending on
it, and for obvious reasons, the homeowner would like to install the most cost effective
alternative.
Two soils evaluations were perfomed by Alaska Environmental Control Service (A.E.C.S.) on
5/18/85. As can be seen on the attached data sheet, test hole #3 and test hole #4 were excavated
in the area of the septic system. The soil ratings were found to be 225 ft2/bedroom in test hole #3
and 205 ft2goedroom in test hole ~4. The existing bed has an absorption area of 1050 ft2. Also,
as can be seen on the site plan, a test hole was excavated on the_ neighboring property by S & S
Engineering on 7/14/85. The soil rating was found to be 320 t~2goedroom.
I am unaware of any adverse impacts this replacement would have on adjacent wells or septic
systems. If you have ~ny questions, please contact me at 337-6179. Thank you for your
assistance. / l
Presidettt ~
7320 E. CHESTER HEIGHTS CIRCLE, ANCHORAGE, AK 99504
PHONE: (907) .~37-6179/FAX: (907) 538-3246
LEGAL DESCRIPTION:
PARADISE VALLEY SUBDIVISION, LOT 3, BLOCK B,
TYPE OF WORK:
SITE PLAN
PREPARED FOR: PHONE NUMBER:
KURT HUESMAN 345-7658/265-6276 EXT. 5035
DATE:9/30/98 IDw'wN BY: Iso~LE:
J.L.M. 1 = 100' 1 OF 3
TH~/4 BY A.E.C.S.
SOILS RATING OF 205
/
INSTALL FLOW SPUTT~R~
TESTHOLE BY S & S ENG. (7/14/B5)
SOILS RATING OF 320 S.F;BDRM~
//
/
/
/
TH#~ BY A.E.C.S.
SOILS RATING OF 225
/
NOTE: THE CONTAGTOR IS RESPONSIBLE FOR HAVING T~,
NORTH AND WEST PROPERTY LINES FLAGGGED BY A
REGISTERED LAND SURVEYOR PROR TO CONSTRUC'~ON.
DOUBLE CLEANOUT
1000 GALLON
TANK. VERIFY INTEGRITY.
IF OF POOR INTEGRITY, EXCAVATE,'
PUMP, CRUSH AND ABANDON;
THEN REPLACE WITB NEW
1000 GALLON SEPTIC TANK.
EXISTING BEDS. THE LOWER (SOUTH) BED
HAS A SAND FILTER. TltE EXACT LOCATION
OF THE BEDS ARE UNKNOWN. IT tS BELIEVED
THAT THE SAND FILTER AND THE BOTFOM OF
THE UPPER BED IS BIOMATTED. WE PROPOSE
TO EXCAVATE BOTB BEDS, REMOVING ALL
CONTAMINATED MATERIAL AND REPLACING ALL
SAND FILTER, SEWER ROCK, PIPING, AND FILTER
FABRIC. THE LOCATION OF THE BEDS WiLL BE~
VERIFIED AT THE TIME OF CONSTRUCTION. SEE
DETAIL, PAGE 3 OF 3 FOR EXACT DIMENSIONS
OF THE BEDS. A FLOW SPLITTER IS TO BE
INSTALLED
BETWEEN
THE BEDS TO DISTRIBUTE
THE R.OW EVENLY BETWEEN THE TWO SYSTEMS.
\
\
IT IS RECOMMENDED THAT AN AIRLINE
BE INSTALLED 12 INCHES BELOW THE
TOP OF THE SAND IN BOTH BEDS,
ALAS~ WATFR. AND WASTEWATER. CONSULTANTS, i~NC.
7320 E. CHESTER HEIGHTS CIRCLE, ANCHORAGE, AK 99504
PHONE: (907) 337-6179/FAX: (907)
DESCRIP~ON:
PARADISE VALLEY SUBDIVISION, LOT 3, BLOCK
OF WORK:
DETAIL OF EXISTING SEPTIC SYSTEM
PARED FOR:
KURT HUESMAN
PHONE NUMBER:
345-7638/265-6276 EXT, 5033
PAGE:
1 = ~0' 2 OF ~
BY:
9/30/98 J.L.M./A.C.G.
E-7953 .."
PLAN VIEW
, _
' II ~ I
[. ~.,..:~ ~,~ PROFILE VIEW
B:LO~V ~E~, FILL ~AOK Tg
OR HIGHER WI~ M.O.A. ~,,
APPOVED SAND.
> ~-- --~~~ OR HIGHER WITH M.OA.
: ~ : ~ ~ > > > > > >'>~~ AP~OVE~S~N~.'
7~20 E. CHESTER NEIGHS CIRC~, ANCHO~GE, ~ ~95~
AND PROFILE OF EXISTING SEPTIC SYSTE~ .
A.c.o. m NOT TO SCALE
'->/ MUNICIPALITY OF ANCHORAGE i,, /~
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
) ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
MAILING ADDRESS
LEGAL DESCRIPTION
Well Absorption area Dwellin~.V PERMIT NO.gs~O
~ ~ Manufacturer ~¢~/~ Material No. of compartments
~ ~ Liq. capacity ~ gallons Inside length Width Liquid depth
/ OOO IF HOMEMADE:
~ DISTANCE TO: Well Dwelling PERMIT NO,
~ ~ ~ Manufacturer Material Uquid capacit~ in ~allons
Q Well Foundation Nearest lot line t PERMIT NO.
-- Trench width
~ "o. of lines Lengt~,~ine" I~" Total I~¢ ~i~es Distance between lines S~
~ ~ ~ To~gf tile to finish grade Material beneath the~ Tota~ effective absorption area
Length Width Depth PERMIT NO.
~ ~ Type of crib Crib diameter Crib depth Total effective absorption area
~ Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
PIPE
MATERIALS
APPROVED DATE LEGAL
'ERMIT NO:
~A.TE ISSUED:
85()294 E:NG I NEEF~ED DESISN
(-) ; . -~ ~::.
.6 ~ 1..~,/8,.~
fl:'PL I CANT:
~£ :D R E,:~,:~.
;ON-fACT PHONE:
MICHEAL W. PRATT
1809 CINDY LEE LANE
ANCHORAGE, Al< 99507
5625982
.ESAL DESCRIP:
.OT SI ZE~"
SUBDIVISION.- PARADISE VALLEY
SECTION: i1 T8WNSHIF": .1.1N
19958 (SQ. F::'T. OR ACRES)
LOT: "'.'
RANGE:
BL. OCI<: 8
certit'y that:
1'. I am ~'amilial. with the requirements £of c~n-site .,sewers and wells as set
~'or-~h by the Municipality o~ Anchot~age (MOA) and the State of Alaska.
2. I will install the system in accordance with all MBA codes and regulations,
and in compliance wi'Lb the design criteria o~ this permit.
3. I will adhere to all MBA and State o~ Alaska r'equirements ~or the set back
distances from any existing well, wastewater disposal system or public
sewerage system on 'Lhis or any adjacent of nearby lot..
F A LIFT STATION IS INSTALL. ED IN AN AREA COVERED BY MBA BUILDING CODES,
'HEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (~?) AS-BUILTS
IIL. L ND'I' BE AF'F'I~OV~{D ~I'I"HSUT A~ ELECTRICAL INSPECTION REPORT~ AND (3) "['F..E.
ALASKA ehdlROr/meiflTAL COFITROL SE R"urCe$, II1C.
~n§ineerin§ 8 ~noironmcntaJ Sludics
SPECIFICATIONS FOR BED WASTEWATER TREATMENT SYSTEM -
LOT 3, BLOCK 8, PARADISE VALLEY SUBDIVISION
1.0
GENERAL
1.1
1.2
1.3
1.4
1.5
THE DRAWINGS, SHEETS 1 THROUGH 7, SHALL BE PART OF
THIS SPECIFICATION. ·
ALL MATERIALS AND WORKMANSHIP SHALL MEET THE
REQUIREMENTS OF ALASKA DEPARTMENT OF HEALTH AND
HUMAN SERVICES, THE CONDITIONS OF THE PERMIT, AND
ALL APPLICABLE RULES AND REGULATIONS CURRENTLY IN
EFFECT.
ALL EXCAVATIONS AND DEPTHS ARE ADVISORY AND ARE TO
BE VERIFIED IN THE FIELD BY THE ENGINEER, OR
INSPECTING AGENCY.
IT IS THE RESPONSIBILITY OF THE OWNER OR INSTALLER
TO ADHERE TO APPROVED DESIGNS FOR INSTALLATION, AND
TO MAINTAIN THE SPECIFIED SEPARATION DISTANCES, AND
TO HAVE APPROPRIATE INSPECTIONS.
IF THE INSTALLATION IS NOT INSPECTED BY AN AECS
ENGINEER, AECS WILL NOT BE RESPONSIBLE FOR THE
DESIGN. AN ENGINEER AT AECS SHOULD BE CONSULTED
PRIOR TO CONSTRUCTION, TO DETERMINE THE NUMBER OF
INSPECTIONS THAT WILL BE REQUIRED AND TO EXPLAIN
WHAT THESE INSPECTIONS WILL INVOLVE.
2.0 SEPTIC SYSTEM
2.1
2.2
THE SEPTIC TANK SHALL BE A UPC APPROVED TWO-
COMPARTMENT TANK, CONSTRUCTED OF 12-GAUGE STEEL
WITH BITUMASTIC COATING, SET LEVEL ON UNDISTURBED
SOIL, AND INSULATED WITH AN OVERLYING LAYER OF 2
INCH BURIAL TYPE POLYSTYRENE.
THE SEPTIC TANK SHALL BE A MINIMUM OF 5 FEET FROM
THE HOUSE FOUNDATION, AND A MINIMUM OF 5 FEET FROM
THE ABSORPTION AREA.
2.3 THE SEPTIC TANK AND BED SHALL BE A MINIMUM OF 100
FT. FROM ANY PRIVATE WELL OR BODY OF WATER, 150
FEET FROM CLASS C WELLS, AND 200 FEET FROM CLASS
A OR B WELLS, UNLESS OTHERWISE SPECIFIED. LESS
THAN THE REQUIRED SEPARATION DISTANCE MUST HAVE
PRIOR APPROVAL OR WAIVER BY ALASKA D~PARTMENT
OF ENVIRONMENTAL CONSERVATION (ADEC).
2.4 PIPING SHALL BE FITTED WITH A MECHANICAL WATERTIGHT
CALDER COUPLING ON THE OUTLET AND INLET OF THE
SEPTIC TANK. PIPING SHALL BE 4-INCH SOLID PVC
ASTM D3034 OR CAST IRON, SLOPED A MINIMUM OF 1/4"
1200 Wcsl 33r~ Aucnu¢, Suite ~, Anchorage, ~Jdska 99503 ,(907) 551-5040
MUNICIPALITy OF
, '~'~ciXlTAt. pp, OTF:~.TioN
&' 0 1985'
RECEi_V£D
2.5
PER FOOT WITH A MINIMUM OF 4 FEET OF COVER.
CLEANOUTS SHALL BE INSTALLED AS DESIGNATED AND
CAPPED WITH AIR-TIGHT ~AIN CAPS (JIM CAPS OR
EQUIVALENT), AN}) EXTEND A MINIMUM OF 2 FEET ABOVE
GROUND LEVEL.
3.0 SEEPAGE BED
3.1 THE GRAVEL FOR THE BED SHALL BE 0.5 TO 2.5
INCH, SCREENED ROCK WITH LESS THAN 3% PASSING
THE #200 SIEVE. ALL SUBSTITUTES MOST HAVE PRIOR
DEPARTMENT OF HEALTH AND HUMAN SERVICES APPROVAL.
3.2 THE BOTTOM OF THE EXCAVATION SHALL BE LEVEL AND
RAKED WITH THE BACKHOE BLADE TO INSURE THAT THE
BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION.
3.3 THE DISTRIBUTION PIPE SHALL BE 4-INCH RIGID PVC
WITH A MINIMUM CRUSH STRENGTH OF 1500 LBS. ALL
PIPES SHALL BE LAID LEVEL, AND SPACED ACCORDING
TO THE DRAWINGS.
3.4 TWO MONITOR STANDPIPES SHALL BE PLACED AS SHOWN
IN THE DRAWINGS. THEY SHALL BE RIGID PVC ASTM
D-3034, OR 4" DIAMETER CAST IRON. THE SECTION
SHOWN WITH HOLES MAY BE EITHER 0RILLED 0.5" HOLES
ON THE 6 INCH CENTERS ON OPPOSITE SIDES OF THE
PIPE, OR A SECTION OF REGULAR PERFORATED SEWER
PIPE MAY BE CLAMPED TO THE SOLID SECTION WITH A
NO-NUB COUPLING OR SOLVENT JOINT. A RUBBER RAINCAP
(JIM CAP OR EQUIVALENT) SHALL BE PLACED OVER THE
TOP OF THE PIPE.
3.5 IF THE FINAL GRADE OVER THE BED IS LESS THAT 4 FEET
ABOVE THE GRAVEL, INSULATION I$ REQUIRED, USING DOW
EXTRUDED BLUE STYROFOAM BOARD. THERE St{ALL BE 1"
OF INSULATION FOR EVERY FOOT OF SOIL LESS THAN THE
REQUIRED 4 FEET OF COVER, BUT THERE MOST B~ ~£
LEAST 18" OF SOIL EVEN THOUGH INSULATION IS USED.
THE SOLID PIPE EXTENDING FROM THE SEPTIC TANK TO
THE DRAINFIELD SHALL ALSO HAVE 4 FEET OF COVER OR
AN EQUIVALENT LAYER OF INSUkATION COMBINED WITH
SOIL TO PREVENT FREEZING OF THE LINE.
3.6 IF INSUkATION IS NOT NECESSARY, THEN THE GRAVEL
MUST BE COVERED WITH A LAYER OF NONWOVEN FABRIC
(SUCH AS MIRAFAI, FIB~ETEX 200 GRADE, POLY-FILTER
X, OR EQUIVALENT)°
3.7 THE TOP AND SIDES OF THE BED SHALL BE PLANTED WITH
A WHITE CLOVER AND RED RESCUE MIX OR BLUE GRASS.
4.0 THE LIFT STATION
4.1 THE STOCK MATERIAL FOR THE LIFT STATION SHALL BE
EITHER GALVANIZED STEEL (ASTM A-4444-76), OR
ALUMINUM CULVERT, CAPABLE OF BURIAL TO 10 FEET.
4.2 ~EHE 36" DIAMETER PIPE FOR THE LIFT STATION SHALL
HAVE A WELDED WATER TIGHT BOTTOM O~ THE SAME
THICKNESS AND COMPOSITION AS THE CULVERT.
4.3 ALL PENETRATIONS OF THE LIFT STATION SHALL BE
WELDED AND WATER TIGHT. ALL WELDS SHALL BE CLEANED
OF SLAG. WELDS ON GALVANIZED STEEL WILL BE SPRAYED
WITH ZINC RICH PAINT OR COATED WITH BITUMASTIC.
4.4 THE TOP CAP SHALL BE RAIN TIGHT AND SECURELY
FASTENED WITH SCREWS. A TWO INCH LAYER OF
POLYURETHANE FOAM SHALL BE GLUED TO THE INSIDE OF
THE TOP CAP.
4.5 ALL ELECTRICAL FITT£NGS AND CONNECTIONS IN THE LIFT
STATION SHALL ~ET THE REQUIREMENTS FOR A WATER
TIGHT SERVICE.
4.6 THERE SHALL BE A HIGH LEVEL ALARM, PEABODY BARNES
6147 OR EQUAL SET AT THE LEVEL OF THE SOLID PIPE
FROM THE SEPTIC TANK. THE BUZZER SHALL BE LOCATED
NEAR THE ELECTRICAL CONTROL PANEL OR IN A LOCATION
DESIGNATED BY THE HOMEOWNER.
4.7 THE SUMP PUMP SHALL BE CAPABLE OF DELIVERING i0 GPM
AT A HEAD OF 200 FEET.
4.8 PROVIDE A CALDER COUPLING AT THE CONNECTION OF THE
4" SOLID PVC INFLUENT PIPE AND 4" STEEL NIPPLE.
4.9 THE PUMP SHALL BE CONTROLLED BY A DIFFERENTIAL
MERCURY FLOAT SWITCH, ADJUSTED TO ALLOW A TWO FOOT
SPAN BETWEEN 'ON' AND 'OFF', AS SHOWN IN THE
DRAWING. ALL RELAYS AND ELECTRICAL CONTACT SHOULD
BE LOCATED OUTSIDE THE CHAMBER TO PROTECT THEM
FROM CORROSION, PREFERRABLY IN A DRY LOCATION
WITHIN THE HOME.
4.10 COAT THE INTERIOR OF THE CHAMBER WITH BITUMASTIC
PAINT OR TAR TO APPROXIMATELY 3.5 FEET ABOVE THE
BOTTOM.
4.11 MOA BUILDING CODES: WHEN LIFT STATIONS ARE
INSTALLED WITHIN THE MUNICIPALITY, AN ELECTRICAL
PERMIT AND INSPECTION ARE REQUIRED. IN AREAS NOT
COVERED BY MOA BUILDING CODES, THE SYSTEM SHALL
BE INSPECTED BY A LICENSED ELECTRICIAN TO INSURE
THAT THE ELECTRICAL INSTALLATION IS IN ACCORDANCE
WITH APPLICABLE CODES AND REGULATIONS.
CONTROL SERVIC'~, INC.
o1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
SHEET NO. OF
CALCULATEC BY Z~'~ ~ "~ CATE
CHECKED BY CATE
/" = ~'
SCALE
CONTROL SERVIC~iNC.
1200 Wbst 33rd Avenue, 'Suite B CALCULATED BY ~¢ ~ DATE
ANCHORAGE, ALASKA 99503 CHECKED BY DAT~
(907) 56~'5040
CONTROL SERVICE~_ANC.
, ' ,1200 West 33rd Avenue, Suite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
SHEET NO. ~-) OF ·
CHECKED BY DATE
' .l"-
e"?e i ! ....
g'
r~.~.~n~ ~,flVIl~Ufl~~ ~i I ~L
GONTROL SERVICE~INC.
ANCHOR/~GE, ALASKA 99503
({~07) 561-5040
S"EET "O. ? OF "~
CHECKED BY. DATE
SCALE
~JI,I I nuI. o~-nvJ~-.~ ~l~.
1200 West 33rd Avenue~ite B
ANCHORAGE, ALASKA 99503
(907) 561-5040
CHECKED BY
DATE ,
· 1200 West 33rd Avem ~uite B
· 'ANCHORAGE, ALASK~.~9503
(907) 561-5040
".~ · ',' TA
GAIYANIZ£D OR PAINTED METAL COVER
~" UR£THAN£
POWER AND PUMP
CONTROL LINES
CONDUIT
PUMP
I
At~OUND PIPE
O4"DIA SOLID PVC PIPE_
M SEPTIG TANK
· CA~ DER COUPL lNG
FLOAT SWITCH
PUMP
A£ A t~M
eL AMP
· PUM~
'INSIDE OF PiT SHALL
B£ COATED WITH
81TUMINOU$ PAINT O~
i~" DIA PULL-PIPE
ADAPTER POP
PUMP tPEMOVAL
~ROUND LEVEL
I ~ DIA $~L PIPE
~.ESS ADAPTER
lNG
~tlN ....... ~" SOLID PE
~0 ABSORPTION
",~-/ WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
O.,,ing Pe.m,t No. 1 0 1985'
LOCATION OF WELL (Please complete either lo, lb or lc.} A.D.L. No,
lc.Il DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 5. OWNER OF WELL: ?'~,~i.}t~O
Address: 1, ,.../!' '',, C','~ ..... il ('i :~,
Street Address and Area of Well Location
2. WELL LOG Feet Below 4. WELL DEPTH: (final) 5. DATE OF COMPLETION
Surface ' '~'J ft. ~'~
- -
Moterlol Type Top Bottom (
~' ~,' ~ .... ~ Auger ~etfed ~Bored ~Othe,:
}'~O~.COL;I~: f?:'(~?' ~'" ~ TM ~i0~.'~1 ~ ~ ~ 7. USE: ~ Domestic ~ Public Supply ~ Industry
~ ?[U.~"(}.I']t~:~E;., ~ Irrigation ~ Re~horge ~ Co~ericol
~ :~''~ ' ~ .... 8. CASING: ~ Threaded ~ Welded
diam. ~ in. to ~J~'- ff. Depth Weight .~ ri, lbs./ft.
[0, STATIC WATER LEVEL: ~J'? ft. ~'~
~ Above or ~ Below land surface Dote
Equipment used: ~;~'~.~}~[ '
i 12.GROUTING Well Grouted: ~ Yes ~ No
Material: ~ Neat Cement ~ Other:
15. Water Temperature ~.o ~ F ~ C
20
i2,992
14,498
5
2..5,825
6
24,051
7
17, 957
2
19,269
18
8
~ ~; 25,155
: 9
· 25,2 72
19,958
17
.21,014
Oi.q
4
-21,203
5
~[5,524
20,645°°.''~;"
25~577
.15
17,924
I0
20,806
60. O0
'x °.~
%COURT
%
6
\
\
7
17, 872
\
\
\
8
17, 827
2
MUNIcIPALITy OP ~ANCH
~-- DEPT. OF HEA' ORAG~
N,,,.,~,,,~. PROTECTioN
RECEIVED
~CLUSION NOTE: It Is the
responsibility t0 determine the
existence of any easements, covenants,
or restrictions which do not appear
on th~ recorded subdivision plat. Under
no circumstances should any data
hereon be us~ for construction or for
establishing bounda~ of fence lines.
~NGINEERB · PLANNERE~ · BuRVEYORB
40 WEST BENSON BLVD. 272-9231
~NCHORAGE, ALASKA 99503 562-5291
C.-GAL DESCRIPTION: .'
SURVEY CERTIFICATION: I hereby certify that I have surveyed the property shown end d
scribed hereon and that tho Improvements situated thereon are within tho property lines and r
oncroachmenti exist other then noted.
PLEASE NOTE: It Is the contract
-or'g responllblllty to check top
of foundation In retatlon to
finish grade end building let-
becks In relation to lot lines
end easements,
LEGEND: SET FOUND
6/8" REBAR O 0
HUB & TACK
MONUMENT
AL-CAP
PK NAIL X
RaN PIPE (~)
I= ELEVS,- DATUM
ASSUMED
......
ROW' "' APPLICATION
Appl $-c'ant It~ ~¢¢~' '
Piease I~F~ ',~[
Address t~Oct C~-~6~ I-6~ ~
Telephone ~ ~q ~
Date
Taken
Description ii.e, legal description, street address, street nam~ a~d cr:.~ streets,
general area):
e
Use desired of such pdb)ic olace (i.e. street construction, ut~lft:r
culvert; driveway, matbri.al 'storage, encroachment, other):
~~_ ~'ro.,~,4 Q,~. L,~ ~. ~.~."~ .- 0 t t.~ ~.~--~ ~-?~"
e
Plans, specifications, description of work, estimated cost of cc~t~n~:t~o~, limits of
work, methods to be employed, and other information necessary to e~'el~ate t~ design.
(The location of all aerial, surficial or underground faciliti~.~ s'h..~ll ~e $~ on the
plans):
MUNICIPALITY OF ANCHORAG,~
D ...... ;'i[ALTH ~
ENVIRONMENTAL PROTECTION
RECE'IVED
Office Comments:
Bond required:
Permit Issued:
No. -Da te
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D, # 020-413-'23
1. GE .NERAL INFORMATION
Complete legal description ~.ot 3;
Block 8;
Paradise Valley
Location (site address or directions)
6010 Austria
Anchorage, AK
Property owner
Mailing address
Lending agency
Mailing address
Kurt Huesman Day phone 345-7638
60i10 Austria Dr. Anchorage, AK 99516
Day phone
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 3
TYPE OF WATER SUPPLY:
Individual well XX
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:
XX
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-~325 (Rev. 1/91) Front 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 all Municipal and State codes,
Name of Firm
Address
Engineer's signature
ordinances, and regulations in effect on the date of this inspection.
73~o ~ast Chester Hts. Circle
A~chorage, Alaska 99504
Phone
Date
ALASKA WATER & WASTEWATER CONSULTANTS~ INC
IS TO BE PAID $2670.00 AT CLOSING FOR
ENGINEERING SERVICES PERFORMED.
DHHS SIGNATURE
/ Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Date /' / ~-~ ' c7~
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 engineer's work.
72-O25 (Rev. 1/91) Bsck MOA #21
Municipality of Anchorage I~0~ , .: ,~/~a~i~' _~
DEPARTMENT OF HEALTH & HUMAN SERVICES :~'
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) .343'-4-744 -~ ~c~^~
Legal Description:
Health Authority Approval Checklist
A. WELL DATA
Well type :~'/~'~--~
Log present (Y/N) x/'~ ~
Total depth 7/
Sanitary seal ~.~'N ) y ~'-~
If A, B, or C, attach ADEC letter. ADEC.water system number
Date completed ~'////~.~"
Cased to c~ z_// / Casing height (above ground)
FROM WELL LOG
//
Wires properly protected~/N) ~ ~.-~
AT INSPECTION
Date of test
Static water level
Well production
g.p.m.
WATER SAMPLE RESULTS:
Coliform
Date of sample: /~/.2 ~/'~::~
Nitrate
/, ~¢:,0._ /.~/~,///_ Otherbacteria
Collected by: (~/:2 I/t//'
B. SEPTIC/HOLDING TANK DATA ..~._ ~)~
Date installed ,,~'~:~T_ ank size /~PO~ Number of Compartments ..
Foundation cleanout(~/N) ~'E~' Depression (Y/~). /¢-~ High water alarm (Y/N)
Date of Pumping -/R-E-gc~,,,~/c,,~,,/q~ :~mper ~,:
C. ABSORPTION FIELO DATA
Date installed /~//~-7-:/a./~-~ Soilrating (g:l:~l~ff~orfF/bdrm) ~9/'~ Systemtype
Length /~- ~ ~: Width /;/'2-~ Gravel thickness below pipe ~). ~
~ Cleanouts~N)
Total depth ~ ' '
Effective absorption area/D~ ~"~. Monitoring Tube present~tr~l) ~/ Depression over field (y~!~). ~
Date of adequacy test /~,//~ -~q/~r' Results (Pass/Fail) ,4ff.//~ For ~ bedrooms
Fluid depth in absorption field before test (in.); ~ Immediately after ~ gal. water added (in.):
Fluid depth
(ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
Absorption rate = ~ g.p.d.
If yes, give date ~
72-026 (Rev. 3/96)*
Date installed ~
Manhole/Access (Y/N) __
*Datum
High water alarm level at*
"Pump off" level at*
SEPARATION DISTANCES
Absorption field on lot
Public sewer main
Sewer/septic service line
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot /'~ -/-'
/
On adjacent lots /~ ''/-
On adjacent lots
Public sewer manhole/cleanout /(-///~
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation ~ ~-/--- Property line
~ Absorption field.
Water main/service line /~3 -/- Surface water/drainage ~"~¢ -/- Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
Surface' water
Curtain drain
ENGINEER'S CERTIFICATION
Icertifythatl ~et~
Signature
Engineer's Name
Date
HAAFee $ ~/~)" ~d>
/ ~ Building foundation /~ "/- Water main/service line /~ '~
/~ -/- Driveway, parking/vehicle storage area ~ ~'~j'~e~'/% dJ~'~u_~--,7,
Date of Payment
Receipt Number
Wells on adjacent lots
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Rick Mystrom,
Mayor
Municipality of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http:ffwww.ci,anchorage.ak.us
November 12, 1998
Jeffrey A Garness, P.E.
Alaska Water & Wastewater Consultants, Inc.
7320 East Chester Heights Circle
Anchorage, Alaska 99504
Subject:
Waiver Request for Lot 3 Block 8 Paradise Valley
Waiver Request #WR980090, PID #020-413-23, HA#HA980428
Dear Mr. Garness:
Your request for a waiver of the required 10 foot separation
between an on-site wastewater disposal system and a lot line has
been approved. The waived distance is a 1 foot waiver between
the absorption bed and the north properly line along Austria
Drive.
This approval applies to the existing on-site wastewater disposal
system lot line separation only. Any future upgrade to the on-site
wastewater disposal system will require all separations be met or
another approval from this department.
If there any further questions or concerns regarding this waiver,
please call our office at 343-4744.
Sincerely,
Donna C. Mears
On-site Services
ljw #7
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Wa'iver Review Worksheet
WR~ [jh~ PID~
Date Received: ~Q e~~
Legal Description:
Engineer: ~<~ ~~ ~ ~~~ ~Q [~~ ~C.
Applicant: tOC~
Waiver Requested:
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
Special Conditions:
3. Other:
Waiver is Granted: ~ Waiver is NOT Granted:
List Conditions or Reasons for above:
Date: //'/Z' ~'~
N~me of Reviewer
Rec #: 0~0~ (~O0~) Amount: $ 1/~~ Date Paid:
Alaska Water & Wastewater Consultants, Inc.
7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504
Phone (907) 337-6179 ~ Fax (907) 338-3246
November 10, 1998
Municipality of Anchorage
Department of Health & Human Services
P.O. Box 196650
Anchorage, AK 99519-6650
RECEIVED
NOV 1 0 1998
Municipality of Anchorage
Dept. Health & Human Services
REFERENCE: Lot 3; Block 8; Paradise Valley
Property line waiver request
Request you issue a one foot property line waiver from the absorption field on the
referent ,ed property to the north property line. We do not anticipate any adverse effects to
neighboring properties with the issuance of this waiver. The property line is adjacent to a
road fight of way.
If you ret uire addition~j tormation, please
Je G~ess, P.E., M.S.
contact us.
JAG/gk
CT&E Rcf.s
Proj~ Name/#
Man-ix
Sample Rema~:
Client PO~
Print~d Datefl3.me 11/02t98 16:27
Co]l~od Da~elT~e 10t28/98
R~{iv{d ~te~" 10129198
T~c~ Dlm~or: Stephen C. Ede
Total [oL[fo?~l
0
0,100 ~/~ iPA 300.0
10 II, ax 10/~9795 10729798 GCP
RECEIVED
NOV 1 0 ]998
O M~rj/c{paHly of A:~c;qora.qe
eot. HeaJ~h & Human Settees
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
GENERAL INFORMATION
ia) Legal Description (include lot, block, subdivision, section, township, range)
(b)
(c)
id)
Location (address or direct!on~)
Applicant Name _ /11,"/(e ?¢"~/'/ Telephone: Home
Applicant Address /¢¢'o ~/ C,',~d~ £~ ~t ~ ~4~
Applicant is (check o~): L~nding Instit~,tio ner/buiJder ~; Buyer ~ Other
Lendir~g Institution Telephone
~¢dress
Business
(explain);
(e) Real Estate Company and Agent
Address
Telephone
(f) . Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family~Z¢- Multi-Family
Number of Bedrooms
Other
WATER SUPPLY
Individual Well~ Community [] Public [] '
/
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite.~ Public [] Community E] Holding Tank []
Note: If corr~munity well system, must have written confirmation from the State Department of Environmental Conservation'
attesting to the legality and status.
Page 1 of 2 72-025 (11/84)
.. '.- -_ -,.
',.~
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
AS certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained
from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with ail Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm
Address /~0o
Date
DHEP APPROVAL ~
Approved for /~_~-~..a~eOrooms by ',~~ L--- ~/--~¢"7~-(¢_~-
Approved /X Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
72-025 (11/84)
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
Legal Description:
MUNICIPALITY OF ANCHORAG,~
DEPT. OF HEALTH &
ENViRONMENTAl- PROTECTION
1985'
WELL DATA
Well Classification
Well Log Present ~)N)
Total Depth ~ / Cased to
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit ~N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
If A, B, C, D.E.C. Approved (Y/N)
Date Completed 7 ~ ft ~ ..~5- Yield
~'~ Depth of Grouting -- ,'~
Pump Set At ~- ~'
,2. ~ ' Sanitary Seal on Casing
Depression Around Wellhead
/vA
; On Adjoining Lots
To Nearest Edge of Absorption Fieid on Loi /5-O' ,.~-; On Adjoining
Lots
To Nearest Public Sewer Line /,VA To Nearest Public Sewer
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
~'~' To Nearest Sewer Service Line on Lot
~)¢-'~"~ ; Date ~' -4-'
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes~)N)
Depression over Tank (Y/~)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well /
To Property Line
To Water Main/Service Line
Course
Size /ooo No. of Compartments ,,2_
Air-tight Caps~;~N) Foundation cieanout~/N)
Date Last Pumped
"¢'~ ; for
f¢'"¢ Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field /
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026(11184)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed 6 ~'~ ~ ¢~
Width of Field V~-~
Square Feet of Absorption Area
Depression over Field (Y/~_
V
Results of Last Adequacy Test ~,-A-
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line G'r' fo '
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
Type of System Design
Length of Field __
Depth of Field d'' '/'~
Gravel Bed Thickness
Standpipes Present (ff'~N)
Date of Last Adequacy Test
To Exi§fing or-Abandoned System on' '
; On Adjoining Lots ~' 'r .$o
To Cutbank (if present)
/o ¢" 'f" ,¢/~.¢/,,./~--...,
"Pump On" Level at ~~ "Pump Off" Level at
High Water Alarm Level at
Tested for ~....~.~.~-~ Pump~d. uring Adequacy Test. Meets MOA
Electrical Codes (Y/N) ./
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
MOA No.
Company
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (11/84)
Engineer's Seal