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HomeMy WebLinkAboutOLSON HEIGHTS BLK 1 LT 8Olson Heights Block 1 Lot 8 #018-231-09 /o/Z,//7 JNIiYALi`O� MUNICIPALITY OF ANCHORAGE 1c/nt1I�9 4.1 On-Site Water&Wastewater Program PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,4 http://www.muni.orglonsite V 1 cpartm�•nt 4NCN ORAVE On-Site Wastewater Disposal System Permit Permit Number: OSP191400 Effective Date: 9/24/2019 Work Type: Septic Upgrade Expiration Date: 9/23/2020 Tax Code Number: 01823109000 Site Legal Address: OLSON HEIGHTS BLK 1 LT 8 G:2936 Site Mailing Address: 4551 E 135TH AVE, Anchorage Owner: HOLLAND-BARTELS LESLIE E & Lot Size in Sq Ft: 49454 Design Engineer: C & M Engineering Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field Eel Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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: G� Issued By: /(7 a/ //� / �/ Date: ( „„..,,""`�,,>,,,,,,,,„:4.___,LMUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program ��^ 5 �;. .PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,� 1Ar http:l/www.muni.org/onsite 1 ii tint,lit 4,y.coNR pOt On-Site Wastewater Disposal System Permit Permit Number: OSP191400 Effective Date: 9/24/2019 Work Type: Septic Upgrade Expiration Date: 9/23/2020 Tax Code Number: 01823109000 Site Legal Address: OLSON HEIGHTS BLK 1 LT 8 G:2936 Site Mailing Address: 4551 E 135TH AVE, Anchorage Owner: HOLLAND-BARTELS LESLIE E & Lot Size in Sq Ft: 49454 Design Engineer: C & M Engineering Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 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: Issued By: /� / / Date: , 94q/1 EP4NS MUNICIPALITY OF ANCHORAGE t• tri 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. 018-231-09 Property owner(s) Bartels Day phone 2446015 Mailing address Site address 4551 E 135th Ave Legal description (Sub'd., Block & Lot) Olson Heights Block 1 Lot 8 Legal description (Township, Range & Section) Lot Size 49,469 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field [ Initial [ Single Family (SF) H (w/wo ADU) Septic Tank 0 Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal n Multiple Dwellings [ Privy ❑ (SF 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. C&M ENGINEERING (Signature of property owner or authorized agent) Permit/Rush Fees: 5'Q5- Waiver Fees: Date of Payment: q II JI q Date of Payment: Receipt Number: 65'3 OO,J Receipt Number: Permit No. 05101(11L100 Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191400, Deb Vlbckerduss, 09/23119 C&M ENGINEERING SERVICES Ph: 907-8545558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System replacement for Olson Heights Block 1 Lot 8 Dear Reviewer, The above referenced property is currently served by an older, failed septic system. The owner would like to replace it with a new septic 4 bedroom system. We are proposing to install a new advantex septic tank and a new drain field. The old tank will be demolished per moa requirements. Our review of available documentation and field investigation show that this project will not adversely impact any nearby wells, wastewater disposal systems, replacement disposal sites, ordrainage flowing onto and off of the subject property. A new testhole was excavated on the subject property and a percolation test was conducted. The new field is sized based on a 3' effective depth. The existing drainfield will remain as a reserve site. Although optional, connection to the old field with a diverter valve is recommended. The old drainfield is partially under a portion of a shed. The shed does not appear to have a permanent structural foundation. It is not known how long the shed has been over the drainfield, however it appears to have been in this configuration since 2004 when the system was approved by the department. There do not appear to have been any impacts to the shed or drainfield in the last 15+ years. It appears that future use would pose little risk to health or safety. On that basis, we request approval of the old drainfield for the alternate/reserve system. Included with this letter is a permit application and design package, including plans, and calculations. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini(a)_gmail. com with any questions or concerns. Sincerely, Charles Balzarini, PE OF A 9/20/19 r r CHARLES G BALZARINI �6 CE13854 ►i�PR�7FES5�flaA � CBM ENGINEERING SERVICES 907-854-5558 Septic Design Calculations Residence: Olson Hts 131 L8 RESIDENCE/LOT INFO number of bedrooms 4 br Water usage/bedroom 150 gpd/br Water Usage 600 gpd Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191400, Deb Vbbckerduss, 09123119 CALCULATIONS ARE FOR REFERENCE PURPOSES ONLY USE DIMENSIONS SHOWN ON PLANS Min Required Length: 13.92 ft below distribution pipe see narrative MOA Sand Depth 0 ft MAX Excavation Depth: 6 ft max excavation depth is measured from the high Min Cover: 3 ft side of the trench Insulation: 2" blueboard Effluent Pipe: 4" ASTM 3034 CALCULATIONS ARE FOR REFERENCE PURPOSES ONLY USE DIMENSIONS SHOWN ON PLANS Calc By: CGB Date OF��1% rte_ CHARLES G BALZARINI CE13854 li PRO FESS�4 A t 9/5/2019 WIDE €7RAJINF'sEL D LENC-7H REDUCTION FACTOR -- RF Depth ni Gravel 77er;C4 VU3dth 5' Feet Below Pipe Length ReslacHon DRAINFIELD type: SHALLOW TRENCH Application Rate 5 gpd/sqft required absorption area 120 sqft trench width (W) 5 ft minimum effective depth 3 ft Trench factor 0.58 Min Required Length: 13.92 ft below distribution pipe see narrative MOA Sand Depth 0 ft MAX Excavation Depth: 6 ft max excavation depth is measured from the high Min Cover: 3 ft side of the trench Insulation: 2" blueboard Effluent Pipe: 4" ASTM 3034 CALCULATIONS ARE FOR REFERENCE PURPOSES ONLY USE DIMENSIONS SHOWN ON PLANS Calc By: CGB Date OF��1% rte_ CHARLES G BALZARINI CE13854 li PRO FESS�4 A t 9/5/2019 WIDE €7RAJINF'sEL D LENC-7H REDUCTION FACTOR -- RF Depth ni Gravel 77er;C4 VU3dth 5' Feet Below Pipe Length ReslacHon Incites Fac:or 12 0.87 is 0.78 24 0.70 30 0.64 36 0.53 42 4.54 48 0_50 1 icipality of Anchorage �?`�� D rand Wastewater � � , E COMPLIANCE Municipality of Anchorage uss, 09/23119 Development Services Department j x,•'49 TH '••* On -Site Water and Wastewater Section ... ........ ...... . 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519 6650 // ... . .... ....... .. www.muni.orq/onsite ()) CHARLES G BALZARINI (907) 343-7904 `00�'FG,j• • CE -13854 • A01p,/ Soils Log - Percolation Test �l1FgF�pROFESSIONP��C��' Performed For: BARTELLS Legal Description: OLSON HTS BLOCK 1 LOT 8 Depth (Feet) 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20 - TOPSOIL SW/SP, SAND WITH GRAVEL AND COBBLES ■ mil: Date Performed: 08/25/19 Township, Range, Section: Site Plan WAS GROUND WATER ENCOUNTERED? NO S IF YES, AT WHAT DEPTH? NA L Depth to Water After P P Monitoring? None E Date: 9 5/19 Reading Date Gross Time Net Time Depth to Water Net Drop 1 8/25/19 11:03 0 0-0/16" 0" 2 11:13 10 2-13/16" 2-13/16" 3 11:14 0 0-0/16" 0" 4 11:24 10 2-14/16" 2-14/16" 5 11:25 0 0-0/16" 0" 6 11:35 10 2-13/16" 2-13/16" PERCOLATION RATE 3 (minutes/inch) PERC HOLE DIAMETER 6" TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS LAST 3 READINGS SHOWN, PERFORMED FOR 1 HOUR. PERFORMED BY: CHARLES BALZARINI I CHARLES BALZARINI CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 08/25/19 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT,herein the"AGREEMENT" made and m DayPC9 i1.�-i' of 20 1 q ,by and between entered into as of this _,�_ of i.eS t,Z rtotl 15 Rab 15 ,herein the"OWNER,"and the Municipality of ec F_ gar tP Anchorage,herein the"MUNICIPALITY",in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein,the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System(AWWTS), described as ADVANTEX located at(legal description) OLSON HEIGHTS BLOCK 1 LOT 8 2. Maintenance,Repairs and Alterations. (Owner is required to read,understand and initial each section) 43 Throughout the term of this Agreement,the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. 14. -, I) It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s),maintenance,adjustment(s),replacement costs,and inspection costs. This includes an annual maintenance fee(typically$400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. y .R Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system,which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 Yk16 Owner acknowledges that the Municipality'may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. la."P-.7:3 Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24.hour notice. f13 Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. 1 "11, 1) Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction,maintenance and repair of the Owner's AWWTS. ‘ig.,,42 Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system,or upon transfer of title,and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions,nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: Wk.,4---%-oi-1. By: `3a. (signatu e) Date:Alan - E '+ le,,tkc\f I & (print name) • STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this day of r'Au 201q , by' ebw4 . 1,eal�e dR .-'�jaxko,�,a g , , wee or STATE OF ALASKA NOTAFOR LASKA NOTARY PUBLIC 10 My Commission expires: 202 Delialah Young •I) My Commission Expires: 2 MUNICIPALITY: By: j111(4- 17--- c(signature) Date: 1 /i s/q (print name) Title: (rev. 05/18/2018) Page 3 of 3 / MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION �f 825 L Street - Anchorage, Alaska 99501 Telephone 2644720 d / ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME eJ-r ori D MAILINGADRESS`i /✓� UPGRADE: LEGAL DESCRIPTION // / i ✓ LOCATION NO. OF BEDROOMS ® V Y DISTANCE TO: Well +� r/ dam, �� Absorption area Dwelling PERMIT NO. c Z ��- 1 .- wZQ Manufacturer Materia/) No. of compartments Liq. capacity in gallons L900 IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well Dwelling T� PERMIT NO. O Z FQ- Manufacturer Material Liquid capacity in gallons O L a DISTANCE TO:fi_lwo Well/; Foundation( .y- Nearest lot line _� _Lp / PERMIT NO., e 7 Zw F, _ No. of lines / Length of eachipe (�F,, Total length of Ih�s ly Trench wide Inches Distance between lines ¢ F Top of tile to finish grade N + Material beneath rile C, / InLI]@5 _ Total effective absorption area /c�U -ems w Q Length Width Depth s� s..a__«. PERMIT NO. Q r as w Type of crib Crib diameter Crib depth Total effective absorption area +j DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W 3� DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER LEGAL PIPE MATERIALS C; r LL{GLyee SOILTEST RATING l� — -.�R -- INSTALLER `� REMARKS G. APPROVED DATE % Ilw M -W DRILLING, Inc. ��'"f Fl. O. Box 4.1224 • 1310C International Airport Rc at'CIPALITY O. ANCHORAGC (907) 274-4611 DEPT. 07 , '.J1i 1 & ANCHORAGE, ALASKA 99509 _:M.RONi✓LNTAL P is ECTiON DRILLING LOG Well Owner Location (address of: Township, Range, Section, if known; or distance main road_ '.C)i� i�i��r'ls �' (ii': r�71 17 f���f>1'1 t•c• CY!", '{'i lY'i ':'�f119._._„ Size of casing .Depth of Hole 7 2 7 _feet Cased to ? 7 feet Static water leveL_,' ) ft. (ahove) (below) land surface. Finish of well (check one) open end Screen ( ); Perforated ( ). Describe screen or perforation T1/0, Well pumping test at " gallons per (1Lour) (minute) for—hours with_ o£ drawdown from static level Date of completion WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of — ' TO 4. To /5 7.45 TO J..3.5 7,)TO Is') '-" TO i2 `0 TO 22.7 TO _—TO TO —TO —TO -- I Crasle7 fro Clay: syndy ,4 hardness i.ZE?ili.1_iw, .,lay wit --h :Jl:'lo l,), Sandy u:.7_i ,7'i1T.,7C.°•7 3 GPM, 13 S.L. t:l:'Oi`! 1_:C)4toC 11 Reddish Play: Slightly ght ly 0.112t.1y -- -- Sand o i,lty, clayeFY' 'let Clay: snal l --ravel. mc aip,� Nater p'r7vel _ N r_F es.,an __ Certificate No's. 81.9 & 973 I /L� fi?_l- i L)�_u S °I DEPARTMENT 01: HEALTH AND FF•dVlRONMSNTFIL PROTECTION 825 'L' STREET, ANCHORAGE, AK 99501 264—•4720 7 f RPA IEE L_ I_ rel 973 r4 --9 ::R�;J: `3°. E" ' IR# E77 its F'' �7_— I�' fr'11 1 it PERMIT NO. { 790312 APPLICANT ED HEaRZOG 2418 EAST 20TH AVE 277 3166 LOCATION 135TH AVE; LF`13AL LS O:L OLSEN HT'S LOT SIZE 50000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SC! FT/BR)" :150 THE REQUIRED SIZE OF THE SOIL. ABSORPTION SYSTEM IS: : AF w_.A TE -IES LENGTH DIMENSION I S THE LENGTH E I is FE= EST ::l OF' THE TRENCH OR DDA I NF I F.LD. THE; DEPTH Of A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE; GROUND AND THE BOTTOM OF THE EXCAVATION (INFEET). THERE IS NO SFT WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL, BETWEEN THE; OUTFALL. PIPE: AND THE BOTTOM OF THE; EXCAVATION (IN FEET). PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE: NUMBER OF RESIDE'NCIE'S THAT THE WELL, WILL SERVE. m -1- RAI 1--1 <1 ';_ :� x IA� rR>a � ; Fl FRO LE I F;;z LES" r_e ._.. me- -- BACKFILLING OF ANY SYSTEM WITHOUT FINAL. INSPECTION AND APPROVAL, BY THIN DEPARTMENT WILL. BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL. AND ANY ON—SITE SF-14AC�E DISPOSAL. SYSTEM I'' 100 FEET FOR A PRIVATE WELL; OR :1. PO TO 200 FEET FROM A PUBLIC WELL, DEPENDING UPON THE TYPES OF PUBLIC WELL - WELL LOGS ARE REQUIRED ANG MUST BE RE=TURNED! TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER RECAU I1REMENTS MAY APPLY. SPECIFICATIONS FIND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F:e Fa' e fry 1: -ff- E: F=° I F' Ems: !E5 F,'-, C:� U" 1*1 E:• IE F-' :3 _1- : L'sem :Fl�a I CERTIFY THAT :L: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWER' AND WELLS F -1s: SFT FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. : I UNDERSTAND THAT THE: ON --SITE SEWER SYSTEM MAY REQUIRE= ENLARGEMENT IF THE RESIDENCE IS REMODELED ED TO INCLUDE MORE: THAN 3 BEDROOMS. APPLICANT ED H( �a' r^1/ i �DATr__ �/ Va;. 2 %3?PJ Municipality of Anchorage n,p . Development Services Department ` Building Safety Division < On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 2 pp Parcel I.D. 018-231-09 HAA Expiration Date: — ' 0 1- 1. GENERAL INFORMATION Complete legal description Olson Heights, Block 1, Lot 8 Location (site address or directions) 4551 E. 135th Ave., Anchorage, AK 99516 Current Property owner(s) Gerald & Janet VanKooten Day phone 345-7900 Mailing address 4551 E. 135th Ave., Anchorage, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Beth Simpson / Dynamic Properties Day phone 727-2384 Mailing Address 3111 C Street, Suite 100, Anchorage, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well✓❑ Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for 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 sample results. (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, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Watkins Engineering, Inc. Phone 349-1851 Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W. Ellis Date 7 5. DSD SIGNATURE ^� Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following %by W. Ellis CE -1057 Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: _ Original Certificate Date: T (Rev. OV02) } Developn On -Sit To ^' *�. a sore ncnorage bepai�ment P �p isior ter Program 5• ¢TY AK -09519-61059 , ,- t, 'RO dL HECKLIS f' �ro arrt? 1 - 3 I. ' O eflO '��`Collec ed b ' v ale nstaiJ 'WW""i C' M,R 1 afar.„;• -,.;t^ '..j in11P ump o ev Hi h water alarm level at in. - `" "'"'' '"' `Cycles Tested �eets alarrti"8 cvcuit requirements. ... Yr.,�..{+�.. K,., is�...3" On adjacent lots106+ . , ,,:< records that the above systems are in fOA HAA guidelines in effect on this date +�'F'£��"��+r�Trlt+•�d".q'",1fiY iii. ,.'^e'fkv 7aa a Cindy W. Ellis Ogg ez 3©` Waiver Fee $ _ 3o�p Date of Payment _ irption fell 5+' `' '—>�� ` 3'ce water 49TH Idy W. Ellis CE • 10677 In N i v m 0 0 FA N 69'54'31"E 1 65.00' 10' UTILITY EASEMENT I I I I I I I I I I I I I I I I s I I 1 4�ep DECK S I I S z O.H. DECK I E W U Q L SINGLE FAMILY Imo^ FRAME HOUSE I '' D 51.2 I � I �P I N QPM N 1 I WELL P P P I I -- S 69053'00"W 165.00' EAST 135TH AVENUE W 0 m R 0 N THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCELINES EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON. NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES OR LOCATE STRUCTURES. ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. OF A L V� o C�.......... ' r �P' TH �i trGI.• ,. . ... ... ........ SHANE A. HOLT: 0 ISA LS -6914 pVL AS -BUILT SURVEY SCALE: 1 ° = 40' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 8, BLOCK 1, OLSON HEIGHTS SUB. ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND THAT NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS _21ST_ DAY OF JULY 2004 HOLT LAND SURVEYING 9416, T5_1 13-59 TEL. 345-5513 GS Ref.# 1044371001 tient Name Watkins Engineering 'rojeetNomdt! Olson HeiRlits, Block 1, Lot 8 tient sample ID Olson Heights, Block t, Lot 8 latrix Drinking Water WSID 0 ample Remarks: All DatesiTimes are Alaska Standard Time Printed Datell'ime 07/22/2004 14:52 Collected Date/Time 07/20/2004 11:20 Received batelTime 07/20/2004 12:10 Technical Director tPtePhhP 9Ede bleararneter Reslowa ults PQL Units Method Container ID AILiimmiits PDa. A=e snit 'aters Department Ntrate-N 0.941 0.100 mg/L EPA 300.0 B (<=10) 07/20/04 JIB icrobiology Laboratory Total Coliform 0 col/100ml, SM209222B A (<=1) 07/20/04 DKC Z2Y-1 £0/H d 9SZ-1 IDES199106 S30IA83S AN3 S9S 'IS3 3'810-110dd Nd7¢:£0 40-9Z-10 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 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lur�r_ �G )C%�� _.._�)�?E<t) %r !F'3lf-'T=i _ !T/ Ei�! a�.� �a?C .7 y - Location (address orr�directions) (b) Applicant Namelam.=V �r1_l o ��/'✓� _ Telephone: Home 565 _- 7' y __ Business Applicant AddressCOGa�GGs�f)t7CcaC)��,//'0�3.:�'`��— (c) Applicant is (check one): Lending Institution [� Owner/builder El ; Buyer%/s Other © (explain); t�`7 r � tom," (d) Lending Institution _ 1) _! I,.iC J_14Telephone __h tv1�2L ( ._._x?�r ,�..� Address .—------- n—/ ----- -- (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family Multi -Family El Other Number of Bedrooms —_—_—_ - 3. WATEn SUPPLY Individual Well Community EI Public n Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public El Community ® Holding Tank El / Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. i2-ot5 (1 t.84) Page 1 of 2 5. ENGINEERING FIRM PROVIDING, .4SPECTIONS, TESTS, FILE SEARCH, DAI.. 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 all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm -_-�— a rC— - Telephone ------ j» '_.�- --- Address ------- Date -� - -- - -- ---- — - -- 6. DHEP APPROVAL Approved for e' Approved bedrooms by, Date _ Disap ?ved - Con >tIlonal —_ Terms of Conditional Approval CAUTION "J P ES�J�� OaJ G9 {;i E C 0900 p J��o011)�n L5 �f AAs°9st3 �aoa oaaoaoJallor o 9,Oo .F+ a4Ffi ol0 pac 13,�� jiP� o a No. 2251.,q 10 //— P 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 ANCHORAG T)EPT. OF HEA111-1 & MUNICIPALITY OF ANCHORAGE (MOA) xNVIRON,MENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 'Of �98� 264-4720 Legal Description: 46KK L Sri �7 A. WELL DATA Well Classification PIQIV',4-7--,5," If A, B, C, D.E.C. Approved (Y/N) N� Well Log Present(6>N) _ Date Completed �% Yield Total Depth Z���1 Cased to>`"� Depth of Grouting /✓�- Static Water Level /Ocz \\ Pump Set At ' Casing Height Above Ground �•8' (oN ,1� Sanitary Seal on Casing6%) P% Electrical Wiring in ConduitON) Depression Around Wellhead (Y& Separation Distances from Well: To Septic/Holding Tank on Lot On Adjoining Lots f To Nearest Edge of Absorption Field on Lot //5—; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole _ Lf%' _ — To Nearest Sewer Service Line on Lot A, = —_ Water Sample Collected by _v',�"e"� ; Date Water Sample Test Results _ "` J�/ �J�"� 7Z),z/X_ B. SEPTIC/HOLDING TANK DATA Date Installed=-�� Size / O00 No. of Compartments Standpipes&N) _ ,,���� Air -tight CapsOY N) — Foundation Cleanou /N) _ Depression over Tank (Y/N)/ Date Last Pumped Pumping/Maintenance Contract on File (Y/N)for — el Holding Tank High -Water Alarm (Y/N) _ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank:® To Water -Supply Well — %�A �- To Building Foundation _ PY To Property / p y Line ,�__ To Disposal Field _ To Water Main/Service Line _ f 1`f / To Stream, Pond, Lake, or Major Drainage .__/je— Course Comments z 11 9/1 A Page 1 of 2 72-026111/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata %5�� Type of System Design Date Installed Length of Field V6 Width of Field Depth of Field Gravel Bed Thickness / Square Feet of Absorption Area Standpipes PresentOy N) Depression over Field (Y& Date of Last Adequacy Test %05,4" Results of Last Adequacy Test roi lz _3 8 -1E --b e0-6WL Separation Distance from Absorption Field: To Water -Supply Well % /5 pp y / ;kf—To Property Line i To Building Foundation 3 To Existing or Abandoned System on Lot k6l� ; On Adjoining Lots >` C� To Water Main/Service Line X33 To Cutbankresent r if present) To Stream/Pond/Lake/or Major Drainage Course %' /OD ge—' _ To Driveway, Parking Area, or Vehicle Storage Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/ Comment )ems Dimensions nhocell ss (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA " Check Permitted Bedroom Rating Against HAA Request " certify tht I lave check d, verified, or conformed to all MOA and HAA %gui lines in effect on the date of this inspection. Signed UU?A� Date oil ©[%� A Company MOA No. �i�S-per a►�Q;e��•••��0 ph Receipt N�. 2 (01 a, Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) • 0s �•�Tf1 7.t fee;o•�•$)t••p• 1 9 C. Reid, :h. e. 2-251 r kt �,� � , 1't\ P.O. BOX 6650 '3T7I_ \' ANCHORAGE., ALASKA 99502-0650 Af n + y� (907) 264-4111 /Y"L'aedh(Yg ak g - TONY KNOWLES. MA YOR DEPARTMENT OF HEALTH G HUMAN SERVICES November 5, 1985 Gwen Turner Alaska Environmental Control Services 1200 West 33 Avenue, Suite B Anchorage, Alaska 99503 Subject: Waiver Request WR85-044 Lot 8 Block 1 Olsen Heights Subdivision Dear Ms. Turner: This Department has reviewed and approved your request for a waiver of the 100 foot: horizontal separation required between the well and septic tank on the subject lot to 95 feet. This waiver is valid for the existing septic system only. Any upgrades of the septic system must meet separation distance requirements in effect at the time of the upgrade. Sincerely, Stephen S. Morris Civil Engineer On-site Services SSM/1jw ALASKA NUIROMPTAL COnTROL SRIUS, InC 6gineerinq & 6ironmenlal Studies October 21, 1985 Department of Health and Human Services 825 L Street - 4th Floor Anchorage, Alaska 99501 Re: Olsen Heights Subdivision - Block 1 Lot 8 Well Waiver for Single Family Residence Dear Susan: We are requesting a waiver of the 100' well to septic tank distance down to 95'. On October 15, 1985, we performed a Health Authority Approval on the subject lot. At that time, we determined the well to septic tank standpipe distance was 96'. Since this is a two compartment Greer steel tank, the nearest edge of the septic tank is most likely 95' from the well. The septic tank and leach field were installed July 18, 1979. At that time, the well had not been drilled. The well log turned into the Municipality of Anchorage on September 4, 1979 has no date of completion on it, but was completed sometime between July 18, 1979 and September 4, 1979. Evidently the well driller did not get an accurate measure of the distance. The well is 227' deep and entirely cased with the casing extending 0.8' above ground. The casing is located on a slope with drainage directed away from the well. The well log shows 50' of medium to large gravel followed by layers of clay, sandy clay and clayey gravel. These clay layers would protect the underlying aquifer from contami-nation by the septic system. The soils log shows silty sandy layers to 9' and then clean sandy gravel to 16', this compares to the first 50' of the well log. The lot slopes from west down to east, which means that the ground slopes from the well down past the septic system. This would protect the well from any surface water contamination from the septic system. Surrounding septic systems and the absorption area on the lot are all over 100' from the well, the only encroachment is by the septic tank on the lot. 1200 Wesl 33rd Auenue. guile B • Anchorage. Alaska 99503 . (907) 561-5040 A water sample was taken on October 15, 1985 and proved satisfactory. The neighboring houses are mainly 3 bedroom and the lot sizes in the area are over 46,000 square feet. We are therefore requesting a waiver of the well to septic tank distance from 100' to 95'. If you have any questions, please call me at 561-5040. /Sincerely, wen Turner vironment:al Scientist Approved By: Leroy C. Reid Jr., PhD, P.E. President a'1�ga�°°peseeoenny� t%i�ta,�L1n �e •p° aQo`. ^14 11W, 7 YYY " ". ray C. Reid, Jr. ®® +j"eeP No. 2251-E FBF "°''°_<� •.\:: n�P +.,w1.. .• ALASKA ENVIRONMENTAL CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561.5040 JOB --/fir -&_- - - - SHEET NO. OF CALCULATED BV-- DATE CHECKED BY - I „ yDATE cre I am, G L. '—tea � r, ll/ IV- // (G,j% t MUNICIPALIT' -;ir CHORAGE A�IUNI WAUFY c}.- DEPARTMENT } DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOII VI. 825LStreet-Anchorage,.Alaska99501 /I 'I +''.1\!!>' ENVIRONMENTAL ENGINEERING DIVISION Telephone 264.4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND :iFFA�i1l15 DIRECTIONS: Complete all parts on Page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.- 1. PROPERTY OWNER---- PHONE MAILING AD KESS -- PROPERTY RESIDENT (If different from above) PHONE — 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTNON ��� it MAILING ADDRESS 4. REALTOR/AGENT -- PHONE MAILING ADDRESS — 1 �� THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: NUMBER OF BEDROOMS 1, TYPE OF RESIDENCE ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX PERMIT NUMBER 2. WATER SUPPLY DEPTH OF WELL ❑ INDIVIDUAL ❑ COMMUNITY DATE DRILLED ❑ PUBLIC UTILITY LOG RECEIVED Connection Verified 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER DATEINSTALLED 7 ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY INSTALLER Connection Verified ED Septic Tank or ❑ Holding Tank SOILS RATING l Size: Ow If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Septic /Holding Tank Absorption Area Sewer Line Nearest Lot Line 4. DISTANCES WELL T0: Absorption Area to nearest Lot Line 5. COMMENTS 93 APPROVED FOR "_ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Title) I LEGAL DESCRIPTION 72-010 (Rev. 3/78)