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HomeMy WebLinkAboutNORTH WOODS UNIT 3 BLK 14 LT 1North Woods #3 Block 14 Lot 1 #051-732-29 Municipality of Anchorage (\ Development Services Department Building Safety Division On-SHe Water and Wastewater Program, 4700 Bragaw, SL P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 2 www.ci.anchorage.sk.us (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWO70145 PID Number: 051-732-29 H""' LINGER Wastewater System: ❑ New ® Upgrade RmnF 21 LIVE ALDER AVE ABSORPTION FIELD O Dw Trvc" ®SIvi, r Trwcn Mitt! O mmm D o1Mr, Ph" NM of a.bo«m Tog Door, eome"aw4.". LEGAL DESCRIPTION 0.8 cPoIF1' 3.4 FI. SIV* La Su .wm ppn b pw Uell«n horn «ro.w VRM G'" Oep" b i eat" pM 14 1 NORTHWOODS13 1.2 Ft. 2.2 FI 70.wvp RwVe swm Fa Re"Ra RDwR orprW pRw C."LeVh 154 1W 4 2.7 Ft. 105 R. Well: ❑ New ❑ Upgrade GrRrM wql" 5 N;7o;; N 2 UtivKRMwvIIIMe 2.5 Fl. F cwumnaan (P V,. A B. D) TOM 0.01, CRwO a T«Y g"Orpm" V"p. M PO." PUBLIC WATER Fl. Ft 780 F? ASTM 3034 or~ DVM DrdW Stec WOW LerM 1"vNler Oa. MIMNO FI GREY'S CONSTRUCTION jf11M7 Yea Pu"V W g css" H.pH Ae GroW TANK �l GPM Ft. FI SEPARATION DISTANCES ❑ Septic ❑ Holding ® S.T.E P. ❑ Other. ADVANTEX To From Septic Tank Absorption Field Lift Station Holding Tank blKlPrWata Sewer Una ANCHORAGE TANK 1 1500 cr wives Harw.r «comP."nwr,H wit'F — — — — — STEEL 2 +100' +100' — — LIFT STATION V .. 250 Gw .«�. ORENCO +5 +10' — — Ram o"N A 'Pumpor WI M Nprwvv RlvmM F«nOMm 45 in 41 ti 46 in +50' +50' .• — Pump Mese a Maw Ei.ol"a 1"epiocomw pvfomw0 a ctn." Dr.n ,. ., OSI-05.20-HFF RISING SON ELECTRIC R.mvMF ,?t;l•;:); ` ''�'''" BENCH MARK L,xetm"U-tc,, ta" CORNER OF PORCH NEAR BACK DOOR M my 100 FL Inspections performed by: ERES Dates: 1" 7112/2007e� Iq 2^° 711612007 %, Development Services Department Approval Conditional Approval Date: LWOOD N. CE1II1M7fr 7. `�. `� /cSk , Reviewed and approved by: yr4 Date: Iger 04e6) Permit No. SW070145 Page 2 of 2 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT ON—SITE WATER & WASTEWATER PROGRAM 4700 SOUTH BRAGAW STREET P.O. BOX 196650, ANCHORAGE, AK 99519-6650 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: NORTHWOODS#3 LOT 1 BLOCK 14 051-732-29 v SWING TIES b x LOT 1 . [Dt id Lr) Io Y� .. CY Cn SCALE 1 -30' Lf) N LdLd HOUSE O B. 4„ NEW 1500 GAL STEP TANK OLD SEPTIC TANK SHED ABANDONED PER UIREMENTS ❑ I- OLD YSTEM ABAN ONED IN PLA E O / z 1.25"0 TH- 1.25"0 TH-1 O - LEANOUT NEW 5'X105' DRAINFIELD - ELL II CORNER OF_PORCH NEAR DOOR • — ONITOR TUBE ASSUMED ELEVAT[aN " 100' 7/23/20 7 ORIGINAL GROUND (NOT TO SCALE) LEVEL AT, 98.2 ENgNEER'S SEAL 400�Opp OF•A���;p� MT -1 ILL MT -2 �TH-1 0 `F, INSl1LP3.2'970VA oO NO .V.T. .. o ° 2.2'GRAVEL' . o ° ' % o ° °. 94.8 85.7 % CHMSTOPHER94.6 QC'�CE-10387970 }/ BOTTOM OF T.H. �� Q......• ••',;��,�o ���oo1oT� 90. 90. 94.8J Oct 30 2007 2:10PM . Rising San Electric, Inc. 622-6777 P•3 `iI '.' Rising ban Electric. Inc. 16916 Woodland Drive Eagle River, AIL 99577 (907) 622--6777 October 30, 2007 Grey's Construction Douglas Grey 2320 N. River Circle Eagle River, AK 99577 Re: 23140 Live Alder, Chugiak, AK 99567 Lot 1 Block 14 Glenn View Est. West Phase 1 Dear Douglas: The lift station at the above referenced property has been wired in accordance with NEC and State/Local codes. Thank you. Sincerely, Keo S. Hornbuckle, Owner - Administrator License Number 1284 Specialty Contractor License Number 27285 cc: file MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program O 4700 South Bragaw Street `�ry m P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jul 09, 2007 Expiration Date: Jul 08, 2008 Permit Number: SW070145 Parcel ID: 051-732-29 Legal Description: NORTH WOODS UNIT 3 BLK 14 LT 1 Design Engineer: 0848 EAGLE RIVER ENGINEERING SEI Site Address: 023140 LIVE ALDER AVE Owner Name: JIM DITTLINGER Lot Size: 25353 SQ. FT. Owner Address: 23140 LIVE ALDER AVENUE Total Bedrooms: 4 Permit Bedrooms: 4 CHUGIAK . AK 99567-5433 This permit is for the construction of: 0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: 7 1 1 t Issued By. Date: v \ Municipality of Anchorage Development Services Department Building Safety Division •�" 'a" ' On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. OSI _ 73Z'z`l Property owner(s) J M nl —1t- id& 6 W Day phone Gtl UC--r'IkK-� Mailing address—;?; I X10 AIJ>5; ;�1iEA'►- Zip Code Site address 211 4t7 !.I ✓Es- t-Paio— AVE - Zip Code n 9 5 tn'1 Legal description (Sub'd, Block & Lot) nlnt?-r►-t t oohs A8 B 14 t Legal description (Township, Section & Range) Lot Size 2S, 'r735 Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field [>�i Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial Upgrade Renewal Rrt Slob- �i q 3?j certify that the above information is correct. I further certify that this application is being made for a Single Familypovelling�an, d is 0 accor;Iance with applicable Municipal Codes. (Signature of property owner or authorited agent) Permit/Rush Fees: Fees: Date of Payment: p-7— -07 Date of Payment: Receipt Number: &t2 Receipt Number: (Rev. 11105) Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW RD. Suite 201 (907) 694-5195 tel Eagle River, AK 99577 (907) 694-3297 fax July 6, 2007 Dan Roth Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Northwoods #3 Lot 1 Block 14 Narrative & Permit Application Dear Mr. Roth: Eagle River Engineering Services (ERES) was contacted by the owner of the property noted above to design a septic system upgrade. It was determined that the leachfield was surcharged, and a new leachfield would have to be installed. Two test holes and soils percolation tests have yielded silty sand and gravel SM and GM, with percolation rates of 7 and 9 minutes per inch in the deeper sillier GM soil layer. The upper SM -GM layer from 1.5-3 foot layer has less silt and will most definitely percolate faster than the deeper soil layer that was perc. tested. No water table was noted after our 7 -day water monitoring. We propose to install a 2' deep pressurized drainfield, as shallow as possible without having to mound over the system. The proposed 4 bedroom leachfield is located on flat and 2% slope and is located more than 50' from any slopes steeper than 25%. The proposed septic system upgrade will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are all connected to public water, so there is room for primary and reserve sites on neighboring lots. 2. Immediate neighboring septic systems are all +20' distance, and no private (or community) wells within 200' of the proposed septic system. 3. Drainage will not be affected and is not a major consideration in our design. Installation of this 4 bedroom advantex septic system upgrade, to our best available knowledge, will not adversely affect the wells or septic systems or reserve areas on adjacent lots. If you have any questions please call our office at 694-5195. Sincerel EAG GSE ICES Ch ' topJrR.oo , P. . Principal V003\07-059DRAINFIELDLIFTSEPTICNARRATI V E LOT 6 LOT 2 LOT 7 LIVE ALDER AVENUE_ tSEPTIC +30• S 89'59'03"W P-ClKEYBOX LOCATION rn r I— S_ EPTIC +30' 0 Z LOT 1 HOUSE 123.79' tSEPTIC +30' I . I I .. I REPLACED 10' STEP TANK I FLAT \\\�10, MOA INSTAL 5'X105 to I rn I U N Lr, l O �I iEPTIC +30 I SEPTIC +30' S 9'59'03s'w 144.28 \ Z / SEPTIC +30' ® — LOT Ho4E N\ - EMENTUR� LOT 3 1. NO KNOWN SURFACE 2. NO KNOWN CURTAIN • - MONITOR TU E- ROPOSED LEACH FIELD 3. NO SEPTIC< WITHIN o - SEWER C OUT EXISTING LEACH FIELD 4. NO WELLS (THIN 2C + - WELL o DRIVEWAY S. NEIGHBORIN LOTS WELL/SEPTIC SITE PLAN LEGAL: NORTHWOODS 3 LOT 1 BLOCK 14 P OWNER: JIM DITTLINGER CONTRACTOR: GUARANTEED SERVICES JOB 07-059 DATE:7/2/2007 SCALE 1 "=40'1p, A �. EAGLE RIVER ENGINEERING SERVICES �I 'c 10421 VFW RD. SUITE#201 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX. • (907) 694-3297 +100'. CJI Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW RD Suite 201 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM — MOA CERTIFIED INSTALLER LEGAL: Northwoods #3 Lot 1 Block 14 July 6, 2007 A. GENERAL 1. The proposed septic plan is for a 4 bedroom single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. A licensed surveyor should locate any utility easements and exact 100' radius from the existing and neighboring on-site wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. Any remaining open test hole excavations shall be filled and monitor tube removed. B. SEPTIC TANK WITII LIFT STATION I. The septic tank shall be an Anchorage Tank 1,500 gallon septic tank with integral OSI lift station pump model OSI -05-20-1111F, or other engineer approved configuration (example: 1250 gal septic tank with auxiliary lift basin of 250 gal min.) 2. A receipt and/or statement from a licensed electrical contractor shall be provided to the engineer verifying lift station wiring to all applicable codes. C. DRAWFIELD 1. The drainfield is to follow the natural land contour to maintain uniform total depth of the drainfield bottom. 2. The bottom of the drainfield shall be level, plus or minus 1.5". 3. The elevation of the gravel layer is not to be more than 4.5' below grade as measured at the monitor tube for test hole # 1. 4. The effluent lines (2) are to be 1.25" PVC lines with 1/8" holes drilled 42" OC within the leachfield, placed face down, or up with orifice shields placed over holes. Line from tank to field is to be 1-1/4" HDPE. 5. The drainfield gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of Y or equivalent is to be placed over the bed. Mounded side slopes not to exceed 3:1. 7. The septic tank and leachfield must not be closer than 100' to any existing private well, I50' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: BOTTOM OF GRAVEL LAYER = 4.5' max Below Grade at monitor tube GRAVEL THICKNESS = 2.0' under pipe, 2" over pipe DRAINFIELD LENGTH = 105' DRAINFIELD WIDTH = 5' SOIL RATING = 0.8 GPD/115 BEDROOM CAPACITY = 4 SEPTIC TANK = 1,500 Gal S.T.E.P or Engineer approved equal EFFLUENT PIPE = 1.25" PVC with 1/8" holes oriented down, or up with orifice shields spaced at 42" OC. \2003\07-059drainfidd-lift- spec Twenty-four (24) hours notice required for all inspections Additional Charges will be incurred for the 3 required inspections and preparation of septic system as-builts. After 5:00 PM and weekend inspections are double our normal rates. \2003\07-059droinfidd-lift- Spec EAGLE RIVER ENGINEERING A�P�� 10421 VFW RD, SUITE 201 i EAGLE RIVER, AK. 99577 / (907) 694-5195 FAX: (907) 694-3297 j"' SOILS LOG — PERCOLATION TEST '� `"R'S�;o e�'"°°° PERFORMED FOR: JIM DITLINGERDATE PERFORMED 6/14/2007 ,144,0%F S IC LEGAL DESCRIPTION: NORTHWOOODS#3 LOT 1 BLOCK 14 TEST HOLE SLOPE DEPTH T (FEET) I I I TOPSOIL/ROOTS 1 o TAN/9ROWN GM -SM SAND AND GRAVEL o � ,o. TAN GM SANDY GRAVEL SOME SILT .o A ° We lwm t- 10 13 14 13 16 ID 21 TOWNSHIP RANGE SECTION Tl 5N, R1 W, SEC.4 SITC DI AN/MOT Tn Cr AI C\ PERC TEST RESULTS READING S e9'59'03'W 123.79' GROSS TIME NET TIME DEPTH TO WATER NET DROP(IN) LAT 1 n 12:08 '^ 3' 6 0 2 06/20/2007 12:38 0:30 3' 9 1/4 3 1/4 3 06/20/2007 12:39 0:00 3' 6 0 4 06/20/2007 1:09 0:30 3' TH-I 3 3/16 5 06/20/2007 1:10 0:00 3' 6 0 ff 06/20/2007 1:40 0:30 PERC TEST RESULTS READING DATE GROSS TIME NET TIME DEPTH TO WATER NET DROP(IN) 1 06/20/2007 12:08 0:00 3' 6 0 2 06/20/2007 12:38 0:30 3' 9 1/4 3 1/4 3 06/20/2007 12:39 0:00 3' 6 0 4 06/20/2007 1:09 0:30 3' 9 3/16 3 3/16 5 06/20/2007 1:10 0:00 3' 6 0 6 06/20/2007 1:40 0:30 3' 9 1/4 3 1/4 PERCOLATION RATE- 9 (MN/NCH) FERC HOLE DIAMEtER•8' SOILS LO E / _0HAR_LE,$�LZARINI PERCOLATION TEST BY: CHARLES BALZARINI I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:7_kso;z EAGLE RIVER SENGINEERING 10421 VFW RD, 201 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 SOILS LOG - PERCOLATION TEST PERFORMED FOR: JIM DITLINGER DATE PERFORMED 6/14/2007 LEGAL DESCRIPTION: NORTHWOODSN3 LOT 1 BLOCK 14 TEST HOLE #-2 SLOPE 1 7OPSCHL/ORGANICS 2 ,'e . AND AND GRAVEL 7 9 10 11 12 13 19 21 TAN CM SILTY SAND AND GRAVEL NO 9ZO plvivtnvzw'� .1.._1....,.......... '.CHRISTOPHER R. WOOD CE -10387 i TOWNSHIP RANGE SECTION T15N, R2W. SEC.4 SITF PI AN(NI)T T(1 SCAT C1 PERC TEST RESULTS READING S 8939'03'W 123.79' GROSS TIME NET TIME DEPTH TO WATER LOT 1 1 06/20/2007 0! 0:00 ^a r M]R ^ N 2 06/20/2007 12:41 0:30 3' 7 4 1/4 3 06/20/2007 ff 0:00 3' 2 7/8 z 4 06/20/2007 1:12 0:30 YH-1 7 4 1/8 5 06/20/2007 1:13 0:00 3' 2 7/8 ff 6 06/20/2007 1:43 PERC TEST RESULTS READING DATE GROSS TIME NET TIME DEPTH TO WATER NET DROP 1 06/20/2007 12:11 0:00 3' 2 3/4 0 2 06/20/2007 12:41 0:30 3' 7 4 1/4 3 06/20/2007 12:42 0:00 3' 2 7/8 0 4 06/20/2007 1:12 0:30 3' 7 4 1/8 5 06/20/2007 1:13 0:00 3' 2 7/8 0 6 06/20/2007 1:43 0:30 3' 7 4 1/8 PERCOLATION RATE- 7 (MN/NCH) FERC HOLE DIAMETER -O' TEST RUN BETWEEN 3 FT :N COMMENTS-• • AND PERCOLATION TEST ONLY, NO GROUNDWATER MQNITOgING• • 1 SOIL E BY: CHARLES BALZARINI PERCOLATION TEST BY: CHARLES BALZARINI I� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:/o EAGLE RIVER ENGINEERING SERVICES P.U. Boz 773294 Eagle River, Alaska 89577 (907) 6945185 ERES Project No.: 07-059 Calculated By: CB Date: 07/032007 Legal: NORTHWOODS93 LOT 1 BLOCK 14 TEST HOLE 1.142 Single Family 4 Bedroom Dwelling Shallow Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 600 gallons Percolation rate = 9 minutes per Inch Wastewater application rate = 0.8 gallons per day per square foot Required absorption area = 750 square feet Trench width (W) = 5 feet Gravel depth (D) = 2 feet Required length = Shallow trench factor • Required absorption area / W Shallow trench factor = (W + 2) / (W + 1 +2 D) Shallow trench factor= 0.70 Total Excavation Depth = 5.0 feet Required length = 105 feet 07-059.xis 11:36 AM07/032007 1801'(HUl) POSH olweuRQ leiol rl vi W o o c eI •i o c N f0 o R r r c oNN. ,o m�,ni� S $ g p� o f yE�� 5 c ,0 Q ¢ F- Vl J C Q VF W uu LL E E z $ $ a F 'EZ x = Mir Mr.... . NMI 0 job ME C.MEMIN ME MEN NIEMEN ON0 MEIN Ill MEIll ME0 INME mlNMI IllON 1'. �m 1801'(HUl) POSH olweuRQ leiol rl vi W o o c eI •i o c N f0 o R r r c oNN. ,o m�,ni� S $ g p� o f yE�� 5 c ,0 Q ¢ F- Vl J C Q VF W uu LL E E z $ $ a F 'EZ x = w -, MUNICIPALITY OF ANCHORAGE �+ DE ITMENT OF HEALTH AND HUMAN SER\ ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name I Iles /9LcCf No. of Compartments DISTANCES y TYPE OF SYSTEM Tp FROM SEPTIC TANK ABSORPTION FIELD WELL Address 1;4 Al 33 �6 /til• i%�oj Phone(s) Permit No. a No. of Bed ro ms WELLL� s,�- LOT LINE Date Installed WELLS ❑ PRIVATE OTHER (Identiiv) LEG AL DESCRIPTION Lot Block Subdivision �0/Qi6✓oaI/S FOUNDATION 8� Installei Township, Range, Section /A) gL AS -BUILT DIAGRAM driveway, water bodies, (Show location of well, etc.) septic system, property lines, foundatio TANKS X SEPTIC ❑ HOLDING Manufacturer Capacity in gallons Material No. of Compartments !rr y TYPE OF SYSTEM ❑ TRENCH BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original grade FT FT Fill added above original grade Gravel depth beneath pipe ®" FT FT11 Uravel lengin � Gravel Widtn � _ �3 FT 74 FT p� Total absorption area Distance between lines / 9(00 SQ FT iv FT Number of lines Soil rating Pipe material•�4,+O.L�� 7 SO FT O ' Installer Date Installed WELLS ❑ PRIVATE OTHER (Identiiv) Classification (A, B,C) Total Depth Cased to L'!!f!I%wo FT FT Installei Date Installed: I REMARKS: 0/S70/ls Bch 7Wr 6'k;IA4 Il ro o✓ER LoT Li ✓E, REHA/.A lq %K7f =37i d' y[uf im(owe Scale: p ENGINEERS SEAL Inspections Performed by. Nl'Es~ IRF4 soa 4140 Z. S BDen . AWi17,_',Jil BSD ¢FCS A Is91E� 0/1- 06 AZ 3JR8. 707A O,&4r = �{b Dale: &kinelb Ae8 euT ai f Add e9tl 3° ffpt/ te>'Al • 1�ITimt/ALfyi�' �LL I �VZ ` �— certify that this inspection was performed according to all Municipal and State guidelines in effect on this Health Department Approval: Date: SQ LL M-51, *t A, a/> , a s,, September 19, 1986 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907)264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Alan Wien Alaska Environmental Control Services, Inc. 1200 West 33 Avenue, Suite B Anchorage, Alaska 99503 Subject: Lot 1 Block 14 North Woods Subdivision Phase III Waiver Request, WR86-137 Dear Mr. Wien: This department has waived the 10 foot property line setback requirement to three feet for the subject lot. This waiver is valid for the existing absorption bed only. Sincerely, Stephen S. Morris Civil Engineer On—site Services SSM/ljw ALASKA Ci UIR0111Y1C11TAL CO11TROL S661USY 6ngineerinq & Enuironmental Studies September 10, 1986 Municipality of Anchorage Department of Health & Human Services t 825 li Street Anchorage, Alaska 99501 Re: Lot 1, Block 14, Northwoods Subdivision Phase III. Inc. MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION SEP 1 A* RECEIVED During my :inspections of the upgrade of the sewer system on the above referenced lot, it was discovered that the existing system extended over the .lot line to the west. The upgrade area was attached to the east side of the existing system. This upgrade area is 33 feet long by 28 feet wide for 924 square feet of absorption area plus a small section that connects to the existing system that equals 36 square feet for a total area of 960 square feet. The soil rating for the upgrade area.is 226 square feet per bedroom. This calculates to an equivalent of 2.8 bedrooms for the upgrade area. A portion of the existing system had to be abandoned due to it crossing the lot line. Its total area was 540 square feet. In order to leave enough absorption area in the existing system for a combined total area equivalent to 4 bedrooms, two perc tests were performed to verify the soil rating of the existing system. One was done on the, north side of the system and the other on the south side, each 8 feet from the system and at a depth representing the soil at the bottom of the system. Attached are the soil log/pereolatioD test results. The perc test on the north side of the system calculates to be 263 square feet per bedroom, while the perc test on the south side calculated to be 150 square foot per bedroom. Averaging these ratings gives us 206 square feet per bedroom for the existing system. The original soil rating was 160 square feet per bedroom. Using the 206 average, 370 square foot of absorption area had LO remain in the existing system to give us the total area necessary for 4 bedrooms. Therefore, the existing system had to be out off 3 feet from the west lot line. This left 378 square feet of effective absorption area and abandoned 162 square feet. The remaining 378'square feet is equal to 1.2 bedrooms for a combined total of 4 bedrooms. The abandonment consisted of excavating a trench through the system along the lot line, cutting the distribution lines at 3 feet from the lot line, capping them, removing the sewer rock from the trench, replacing it with soil and compacting it; recovering the 'exposed remaining portion with fabric and then backfilling. We request that you grant a waiver of the lot line set back distance of -"3 feet':This will not encroach on the neighbors sewer system as it is located on the north-west corner of the lot. There are no wells in this area as it: is served with a community wager system. 1200 West 33rd Auenue, Suite B • Anchorage, Alaska 99503 • (907) 561-5040 W � n If you have any questions, please feel free to call. Sincerely, Alan Wien Engineer Technician Approved by: .•SOF A4% II • •• 0 '' 49tH � . aEio. �e. • - 2251 2;'Ar STA �� Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: A114 NQ S DATE PERFC .....__. LEGAL DESCRIPTION: "7-/ Jew&' /I/N0,RL %/htbVhfToWnship, Range, Section: 71�5-A% eld 5;5'e - EP H �Y SLOPE SITE PLAN dt_ 2 �` �ieAtOu� sfhJD 3 „e Y 4 5 6 7 8 9 10 Net Time WAS GROUND WATER Net Drop ENCOUNTERED? 11 s IF YES, AT WHAT L O 12 o /A(, DEPTH? P E Depth to Water After 13 Monitoring? Date: 14- 15- 16- 17 4151617 81920 18- 19- 20 COMMENTS Reading Date Gross Time Net Time Depth to Water Net Drop a n;f /o o /A(, PERCOLATION RATE tT.3 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN -3, S FT AND 'X FT PERFORMED BY: °rre-.,� // "'""h,6Ar l" — CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ff-'0-1516 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: / lXr AI&X-5 / DATE PERFG.P...�.... LEGAL DESCRIPTION:/'r� I'� /Vd�%�dd�4# -X I OWnShlp, Range, Section: ��',c/ DEPTH P"r SLOPE SITE PLAN 1 aL 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18- 19. 20 COMMENTS OH $1A.74 f*Jb % 6R#P;15'k WAS GROUND WATER 6 ENCOUNTERED? S IF YES, AT WHAT L 0 DEPTH? P E Depth to Water After Monitoring? Dale: Reading Date Gross Time Net Time Depth to Water Net Drop %� o r�/id n b7 .S'9 , a 3 Sib /fob o H/ (,7 Ado e v rr PERCOLATION RATE ° (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND r� FT ?ice Ar ,Z3 sd. 6r-/'3Az PERFORMED BY: "v of 10041, 1 CERTIFY THAT THIS �TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) DEPARTMENT W HEALTH AND ENVIRONMENTAL PROTECTION ^ 825 L STREET� ANCHORAGE, AK 99581 264~4720 oil WJ~~10 :17-1 - FEE ��FEE ������ ����F`:;;�: ::F: I... PERMIT NO: 860301 UPGRADE 6�w�wg P- 3�x����700'm DATE ISSUED: 08/20/86 � ^ APPLICANT: MIKE WALES / AECS ADDRESS: C/O 11200 Al. 33 AVE" ST. ID ANCHORA8E, AK 99503 CONTACT PHONE: 561-5040 LEGAL DESCRIP: SETTION: .4 15N FRANGE-.� IW LOT SIZE: 1440 Q"FT" OR ACRES) 1" I am familiar, with the requirements for on-site sewers and wells as set Forth'by the Municipality of Anchorage (MOA) and the State of' Alaska" 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit" 3. I will adhere to all MOA and State of Alaska requirements for the set back distances From any exisot, ing,well: wastewatep dissposal system or public- s1A r a g ublicsewerage system on this or any adjacent or nearby lot" IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA qUILDING CO�ES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) ASPBUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN" SIGNED : ^� APPLICANT: ��E WALES / AECS �^ I5G(}ED BY � DATE: .......... ...f�� m 01S ;�-a^�� � � '��o ��17 !v � s�� �� ' ^ �� ���� ���~�����" �v ��� ���� -70 7-b / ' ` ALASKA bUIRO 1mC11TAL COIITROL SekuIUS, Inc. 6ngineerinq & Enuironmental Studies SPECIFICATIONS FOR BED WASTEWATER TREATMENT SYSTEM — LOT 1 BLOCK 14 NORTHWOODS SUBDIVISION 1.0 GENERAL 1.1 THE DRAWINGS, SHEETS 1 THRU 3, SHALL BE PART OF THIS SPECIFICATION. 1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE, DEPARTMENT OF HEALTH & HUMAN SERVICES (DHHS), THE CONDITIONS OF THE PERMIT, AND ALL APPLICABLE RULES AND REGULATIONS CURRENTLY IN EFFECT. 1.3 ALL EXCAVATIONS AND DEPTHS ARE ADVISORY, AND ARE TO BE VERIFIED OR MODIFIED IN THE FIELD BY A DHHS APPROVED INSPECTOR. 1.4 IT IS THE RESPONSIBILITY OF THE INSTALLER TO ADHERE TO APPROVED DESIGNS FOR INSTALLATION, TO MAINTAIN THE SPECIFIED SEPARATION DISTANCES, AND TO HAVE THE APPROPRIATE INSPECTIONS. 1.5 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 THE EXISTING SEPTIC TANK MAY BE USED, IF IT MEETS THE CAPACITY REQUIREMENTS FOR THE RESIDENCE AND THE APPROVAL OF DHHS. IF NOT, THEN SPECIFICATIONS 2.2 THROUGH 2.6 APPLY. 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. 2.3 THE SEPTIC TANK SHALL BE A MINIMUM OF 5 FEET FROM THE HOUSE FOUNDATION, AND A MINIMUM OF 5 FEET FROM THE ABSORPTION AREA. 2.4 THE SEPTIC TANK AND BED SHALL BE A MINIMUM OF 100 FT. 1200 fest 33rd Auenue, Suite 13 9 Anchorage, Alaska 99503 • (901) 561-5040 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION AUG 191986 RECEIVED 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 DEPARTMENT OF ENVIRONMENTAI. CONSERVATION (ADEC). 2.5 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 INCH PER FOOT WITH A MINIMUM OF 4 FEET OF COVER. 2.6 CLEANOUTS SHALL BE INSTALLED AS DESIGNATED AND CAPPED WITH AIR -TIGHT RAIN CAPS (JIM CAPS OR EQUIVALENT), AND 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 #200 SIEVE RESIDUAL. ALL SUBSTITUTES MUST HAVE PRIOR DHEP 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 MONITOR STANDPIPES SHALL BE PLACED AS SHOWN IN THE DRAWINGS. THEY SHALL BE RIGID PVC ASTM D-3034, OR OR 4 INCH DIAMETER CAST IRON. THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5 INCH 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 -HUB 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 THAN 4 FEET ABOVE THE GRAVEL, INSULATION IS REQUIRED, USING DOW EXTRUDED BLUE STYROFOAM BOARD. THERE SHALL BE 1 INCH OF INSULATION FOR EVERY FOOT OF SOIL LESS THAN THE REQUIRED 4 FEET OF COVER, BUT THERE MUST BE AT LEAST 24 INCHES 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 INSULATION COMBINED WITH SOIL TO PREVENT FREEZING OF THE LINE. 3.6 IF INSULATION IS NOT NECESSARY, THEN THE GRAVEL MUST BE COVERED WITH A LAYER OF A NONWOVEN FABRIC (SUCH AS MIRAFAI, FIBRETEX 200 GRADE, POLY -FILTER X, OR EQUIVALENT). 3.7 THE TOP AND SIDES OF THE BED SHALI, BE PLANTED WITH A WHITE CLOVER AND RED FESCUE MIX OR BLUE GRASS. 4.0 INSPECTIONS 4.1 THIS BED WILL REQUIRE TWO INSPECTIONS. THE FIRST INSPECTION WILL BE OF THE OPEN EXCAVATION, TO ASSURE THAT THE SYSTEM IS INSTALLED IN PROPER STRATA AND DEPTH. 4.2 THE SECOND INSPECTION WILL BE AFTER PLACEMENT OF THE GRAVEL, MONITOR STANDPIPE(S) AND DISTRIBUTION PIPE TO VERIFY PROPER INSTALLATION AND MATERIALS PRIOR TO BACKFILL. ALASKA ENVIRONM,FSNTAL CONTROL SERVO 'tJNC. 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 561.5040 JOB -LG -r- / 54X /el A16FJP7AJiab, S SHEET NO. CALCULATED BY CHECKED BY R[ AI F OF DATE DATE 1 PROWCi 2041 esP Inc Groton V> 01,,71 ALASKA ENVIRONMENTAL CONTROL SERVICt INC. 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 561-5040 JOB G %�7 �OiC'?hZ✓OT/�j —�a 7V/ 1 3 SHEET NO. OF CALCULATED BY �.�, / % / ' ' ��L"' DATE CHECKED BY DATE _ SCALE /•�3O —�a 7V/ 1 ALASKA ENVIR("AENTAL SHEET NO /--", 3 of CONTROL SERVICES, INC. 1200 West 33rd Avenue, Suite B CALCULATED Ely ---DATE ANCHORAGE, ALASKA 99503 CHECKED BY DATE (907)561.5040 3 FRW C. REID, JR. •: f ff E. 2251 .0j& AV eol -41 _ 1 r SaHrlrr Tes vr¢c/ ;t Sar Tee ...Shot/o1....be S..A9,4fAl' 11 11 (ENGINE 'S €AL) a Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: RMA I" At!A DATE PERFORMED: LEGAL DESCRIPTION: LOT/ /3LOC,E' /7 47A#AmO township, Range, Section: -72�,rl eltJ fr2_. j �K- "P"r SLOPE SITE PLAN 10 f • I U&- 2 C H 3 ///lam' Si4r/A re�/T/7' 4 5 6- 7 8 9 10- 11 12- 13- 14- 15- 16- 17 21314151617 18- 19- 20- COMMENTS 81920COMMENTS bIL e WAS GROUND WATER /® ENCOUNTERED? N S IF YES, AT WHAT L DEPTH? O P E Depth to Water Ager Monitoring? Dater f� Reading Date GrossNet Time Time Depth to Water Net Drop 11105r,l 1135 130 h? .6 S .S el /l3S /yas' I ja h ,+/11 /A024 Aar 30 IA/ .41 17-/i //®7 /o / AI .0' eJ%7 • %O. -V 30;' /P f 30 H/w G G , 58 . D ty 3if I#df f 30 N/A/ r/ PERCOLATION RATE 7-11 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND 7-� FT PERFORMED BY: b1JvA1" 9116 eoj I GC �t� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ALASKA h iUIROW11TAL C011TROL SbUIUSY Inc. Cngineerinq & enuironmental Studies M(INlC►PALITy OF July 12 , 1986 V1Rb0EPTNM. OF HEALTH ga GE ENENTAL PROTECTIO Municipality of Anchorage N Department of Health & Human Services AL 825 L. Street Anchorage, Alaska 99501 R E CE I VE D Attn: Susan Oswalt Dear Susan: On July 11, 1986 we took a drill rig,and post hole digger and tried to determine if the sewer system onI=k�BTox�lc t',.1%nhw od- II''I` $tdi'oA'=has on the lot. It had been implied by the next door owner and the Dan from your office that the system was over the lot line. We used both the post hole digger and the drill rig and found that the system is between 6 and 7 feet from the lot line. The orientation of the field is off by 90 degrees. I have made a sketch of the approximate location. The 22 foot distance apparently to the back lot line and not the north -south lot line between the two lots. Attached is the sketch which shows the way the systems actually lies. Since the system is less than 10 feet from the lot line I would like to request a waiver of the distance. The system on lot 2 is on the north-west corner of this lot so there should be no interference between this system and the system on the lot. Since this area is served by public water there is no impact on any wells. One thing that I did note was that this system only has 540 square feet. I think this is one of those beds that was put in when the permits were not using the 1.5 factor. The permit reflects this. Approved by: �E OF4 `eft ��Q.• ,,.........V •THGV . .•• •n••• •.... •• LEROY . REID, JR. C - 2251 •. •• i Sincerely yours, Loy C. Re d Jr., hD, PE President 1200 West 33rd Auenue, Suite a • Anchorage, Alaska 99503 • (907) 561-5040 ALASKA ENVIRONWNTAL CONTROL SERVICL ,'INC. 1200 West 33rd Avenue Suite B ANCHORAGE, ALASKA 99503 Phone 561.5040 JOB G / %/w .�iri5i •/azr,�f SHEET NO. OF pp CALCULATED BV 14' WCL DATE G J�G 1, CHECKED BY I DATE ,06e, / MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME // PHONE ®NEW °�• S��cr f el 2J MAILING MAILING ADDRESS P 1JSnA a n %J L A i.. j. -. %,'rz ti LEGAL E IPTI a /N� ] "' 07 /r OCIf 4 NG'rtA t� &t, J ithdvi'S>'/Jh LOC ION / NO. OF BEDROOMS l "" Uy Well Absorption area ,, DISTANCE TO: C•01»nruh•i /� Dwelling 14 f ,. PERMIT NOI/G���r, �Ph F Z LU � Manufacturer � rl'Pr Material I/.", No. of compartments 2 w Liq. capacity in gallons h 1) IF HOMEMADE: Inside length Width Liquid depth 6 DISTANCE TO: Well Dwelling PERMIT NO. _ l' -Manufacturer Material Liquid capacity in gallons _j w Well 1 DISTANCE TO: (•pmmu i/ Foundation e�7 i 7�% Nearest lot line 2� i PERMIT NO. J LL Z PZw. No. of lines 2 Length of each j- J % Total length of lines �y�� 7 Trench width ` p„�p,p' ��y Distance between lines Q H � Top of tile to finish grade s / � r ? Material beneath the s 6 Total effective absorption area .J inches �9" yII Lu Length Width Depth - PERMIT NO. C9 a F Wa Type of crib Crib diameter Crib depth Total effective absorption area W DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS Tr SOIL TEST RATING 160 fi ;�Pedtvtj in INSTALLER Pe vei, L 5'kaggs Cot[)(93-lw REMARKS I 1 yy�� 1 n li' • r 0 4 flou f /4' 3 P &ial qr,44"ocover over :�hallow end Of j9ecl plyr. z' E e 3 zs N APPROVED V DATE LEGAL -2 g 83 4011 k(k 14 No A �2mz iRo„ zno� - w eeel iS !' i'1 mun141rHLl i 1 Vr mik nvRMvc Department of Health and Environmental Protection 825 ,,Street, Anchorage, AK. `,501 264-4720 Perarit - # # HANDWRITTEN PERMIT # # # WELL AND/OR ON-SITE SEWER PERMIT ��SE ti5 (_ Mailing Address: f�GYAPplicant• Location: Phone Number: Legal Description: AIV �! (:1.�_/i_.2 < c � �''> j7� Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: _ Seepage Bed: Holding Tank: Maximum Number of Bedrooms: �3 Soil Rating(sq.ft/br) /(»U The Required Size of the Soil Absorption System Is: DEPTH 14LENGTH J . GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE GALLONS # # Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. ,# TWO(Z) INSPECTIONS ARE REQUIRED # # Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. # * * . —....— _.._. ___ ___.---- 71 1 n o a� I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. Signed: kk Issued by: Applica- Date : SWP/024(1/81) July 21, 1986 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 lza'+i�:al (907) 264-4111 TONY KNO WLES, MAYOR DEPARTMENT Of HEALTH & HUMAN SERVICES Leroy C. Reid, Jr., PhD, P.E. Alaska Environmental Control Services 1200 West 33 Avenue, Suite B Anchorage, Alaska 99503 Subject: Lot 1 Block 14 North Woods Subdivision #3 Waiver Request, WR86-100 Dear Dr. Reid: Please consider this letter as a waiver of the 10 foot setback required between the absorption field on the subject property and the lot line to the west. This waiver is based on your assessment that the present location of the septic system will not impact the function of the septic system on the adjoining lot. Sincerely, Ste�enS. Morris Civil Engineer On-site Services SSM/ljw ;MUNICIPALITY OF ANCHORAGE -.� PERMIT# De Iment of Health & Environmental Protectic On-site Sewer/Well Permit Application Name of Applicant S Mailing Address 11, h AA Legal Description Day Phone 19 9- -2 Zip Code q % 7 srli R i 64 s. M . TYPE OF PERMIT: / Number of Bedrooms :�p Sewer Only (�Q�t i I plan to have the necessary inspections conducted by: Municipal Inspectors Sewer Upgrade (Included in the Permit Fee) Approved Engineering Firm Well Only (Permit Fee is Waived) Combined (Sewer & Well) FOR DEPARTMENTAL USE ONLY Soil Rating () TYPE OF SYSTEM: Pit Drainfield _ Seepage Bed Mound System Total Depth Gravel Depth p �/ Width For upgrade only: Add to length and/or add gallon tank. Fee Collected 72.012 (6182) 10 807-7'O.ti1 C?,ll—Z P/7- 11 WAS GROUND WATER, // S ENCOUNTERED? K� L O 12 P IF YES, AT WHAT E 13 DEPTH? 14 �.oF.Akg 15 •• % * • STH • • ' ®' 15 /c Nee 04#40060• N• 40180*511 00-0 17 4:01 Earl P. Ellis i NO. 1745-E �•' �� 18 Pan •••M •, • �C+we 19- PROFESS 20 PERCOLATION RATE / (minutes/inch) n TEST RUN BETWEEN 2 FT AND `5 FT COMMENTS 144c, g c -l—= t ,6Kcll al : S. L , S L/ 6_S CO Vll _Trench Handwritten 16x -� -)- Receipt # Reading Reading Date Gross Time Net Time Depth to Water Net Drop � 8ff v //. 5 014 go /mIh /2 3 .� 12 l 7, 3a /w/W PERFORMED BY: rExp'L- / ecll CERTIFIED BY: '�i3G�,Ccm' DATE: 72-008 (6/79) } ALASKA MUInOWnTAL COnTnOL KnUINS, InC. Engineerinq & 6nuironmental Studies June 29, 1983 Municipality of Anchorage P.O. Box 77-0754 Eagle River, Alaska 99577 Attn: Les Buchholz Dear Les: On June 29, 1983 I performed a final inspection of the sewer system on Lot 1 Block 14 Northwoods Subdivision Phase III. The ground over the trench was well graded so as to prevent ponding. The required stand pipes were present and protruding three feet above finish grade. All of the stand pipes were properly capped with friction fit P.V.C. caps. The four pipes observed were the cleanout, two septic tank pipes, and the pipe at the end of the trench. All of the Municipal codes appear to have been conformed to. Thank You. a OF eaa�•aa4 pbed b t§•�2� C. Reid, Jr. ,+. o. 2251-E PE Sincerely, Tod Sherman Structural Engineer 1200 West 33rd Auenue, Suite B • Anchorage, Alaska 99503 • 907) 276-1361 MUNICIPAUTY OF ANCHORAGE Development Services Department � � � ��j' Phone: 907-343-7904 On -Site Water & Wastewater Section �'-"` Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-732-29 1. GENERAL INFORMATION Expiration Date Complete legal description North Woods #3 Block 14 Lot 1 Location (site address) 23140 Live Alder Current property owner(s) Karen Prentice Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: Fx� Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Private Well Private Septic Water Storage ❑ Community Well ❑ Public Water System X Waiver request for: TYPE OF WASTEWATER DISPOSAL: Private Septic 0 Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee Waiver Fee $ Date of Payment %/rAAz Receipt Number COSA# O�ZI l`fC� Date of Payment Receipt Number Waiver # Distance: 5. 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 Certificate of On -Site Systems 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE System #1 Approved for V bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 745-8200 Date 21d 7-2 OF AA Sze venR 'annot.l i� 'i ^ v CF 2:� .•<;^'s Conditional approval for bedrooms, with the following stipulations: .�Itttrfru�,. I/M!))11 Original Certificate Date:_ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory _ C Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: North Woods #3 Block 14 Lot 1 Parcel ID: 051-732-29 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) Date of flow test for COSA'`--' Static wate5 1,everat beginning of test ft. Commients �tJVJt�.r, t�IC B. TANK DATA Age of tank(s) 14 years Tank type/material "`J""" Measured operating fluid level in septic tank 24.3" ❑_ Standpipes/foundation lleanout per record drawing Date of pumping i— D. ABSORPTION FIELD DATA Shallow Trench Which system tested (date installed) °;nzaoz, 0 ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) Q N/A – pressurized field 0 Monitor tubes go to bottom of effective. If not, state depth into effective R Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test gpm Water storage tank volume -gallons Well disinfected for -coliform test? ❑ Yes ❑ No ❑77Colifo'rm bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L []Arsenic less than MRL (ND) Collected by _ Date of Sample C. LIFT STATION X Required maintenance completed Age of lift station 14 years Lift station material Steel Comments: Adequacy test date °"°'" Results ❑✓ Pass For 4 bedrooms Fluid depth prior to test 19/23 in Water added 600 gal New depth 20/23 in Elapsed time 190 min Final fluid depth 24/27 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) N/A If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' F/-1 Yes Community Sewer Manhole/Cleanout > 100' Fv-J Yes if No ft jV Yes if No ft Neighboring Tank > 100' 21 Yes if No ft Private Sewer/Septic Line > 25' Yes if No ft Absorption Field on Lot > 100' Fv� Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' ft Private Wells > 100' Animal Containment > 50' F/� Yes if No ft Fv� Yes if No ft if No ft Community Wells > 200' 0 Yes if No ft Manure/Animal Excreta Storage > 100' 0 Community Sewer Main > 75' Q Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F/-1 Yes if No ft Surface Water > 100' a Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' F Yes if No ft Private Wells > 100' Q Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' Q Yes if No ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' El Yes if No ft F. ENGINEER'S COMMENTS NEARING END OF FIELD LIFE. OPERATING AT 95% USED // ROUGHLY 5% REMAINING LIFE. FIELD IS ABLE TO ABSORB REQUIRED AMOUNT OF 4 BEDROOM EQUIVALENT. G. ENGINEER'S CERTIFICATION l certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. t Q Z COSA Checklist yellow sheet OF A4.gs�q�� , co .... trA Cnn0lle, Ljr�r� 4�1 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On -Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Septic System Absorption Field Advisory Certificate of On -Site Systems Approval # OSC211401 Subdivision: Northwoods #3, Block: 14, Lot: I During the absorption field adequacy test, 23 inches of standing water was observed in the absorption field. This indicates approximately 95% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Lift Station/Pump Vault t. a nce >,0 Nnce, Street Address 2- -3 1c40 � '1�,� '�� �- A\./c Septic Tank: Sludge levelA� inches Lift station: Pumping: required y9__5_0 Pu?Iiping completed es no Pump basket cleanedes no -Effluent filter cleaned es no Control floats cleaned 7yens no Proper float settings confirmed es ho *Operation satisfactory/es no Alarm System: Dedicated electrical alarm circuit es no -Audible and visual alarm inside dwellin ves no -Alarm system operationsatis factor not satisfactoo Manhole Riser Ground water intrusion at riser to tank connection yes no Ground water intrusion around pipe penetrations Le—sgno Manhole lid: Functional es no Insulatedyes no Other -Weep hole functional es o Properly Secure es no cAll manufacturer required inspections and maintenance completed yes no (comments: \ } i ✓1 V_n e_C Qualified Maintenance Provider: Technician �� �� U,�� /e_ Date of maintenance ,2 Company J Is r� Signature_ Date20q 7 7 L�i s NE i. _ _r z, .xsw•a a ; y tr. tee,j %,. u: i L � '�' j `s='�x+SswW,. ..<n. , ..�am.,:>....4iTs'in4s:�..'iD a..t.w.e`.",r�'�•t' _ D4; t E,'rvto, inv'nC SC 3"Slip F inn Phone.- ie. n 90 % J4'3-7904 rax: x)07-343-799 Lift Station/Pump Vault t. a nce >,0 Nnce, Street Address 2- -3 1c40 � '1�,� '�� �- A\./c Septic Tank: Sludge levelA� inches Lift station: Pumping: required y9__5_0 Pu?Iiping completed es no Pump basket cleanedes no -Effluent filter cleaned es no Control floats cleaned 7yens no Proper float settings confirmed es ho *Operation satisfactory/es no Alarm System: Dedicated electrical alarm circuit es no -Audible and visual alarm inside dwellin ves no -Alarm system operationsatis factor not satisfactoo Manhole Riser Ground water intrusion at riser to tank connection yes no Ground water intrusion around pipe penetrations Le—sgno Manhole lid: Functional es no Insulatedyes no Other -Weep hole functional es o Properly Secure es no cAll manufacturer required inspections and maintenance completed yes no (comments: \ } i ✓1 V_n e_C Qualified Maintenance Provider: Technician �� �� U,�� /e_ Date of maintenance ,2 Company J Is r� Signature_ Date20q 7 7 L�i Parcel I.D. 051-732-29 Municipality of Anchorage% 5' t t..usY r +-Mfld On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Expiration Date: .EY I�y 1. GENERAL INFORMATION 3 Complete legal description 14o%I-i, WOO -S (*, BLOCK 14, LOT 1 Location (site address) 23140 LIVE ALDER `CHUGIAK, AK 99567 Current Property owner(s) JAMES DITTLINGER Mailing address Real Estate Agent Day phone 250-4699 23140 LIVE ALDER `CHUGIAK, AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ Waiver/Variance request for: N/A Distance: - Racal by: Date: COSA to be released to the engineer, unless otherwise requested bythe engineer. COSA Fee $ 45 5,10 " A Waiver Fee $ _ Date of Payment rYl l ojl5 t + w_ Date of Paymenl Receipt Number b 3(636(sC\ Receipt Number COSA# 05G51Li23 Waiver# 5. 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 Certificate of On -Site Systems 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 Garness Engineering Group, Ltd. Phone (907) 337-6179 Address 3701E Tudor Rd., Suite 101. Anchoraae AK. 99507-3246 f 1, Engineer's Printed Name Jeffrey A. Garness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the demon/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized in short GEG disavows any legal duty to anyone other than the r emon/oarty who paid for this report By: a 2% ' Original Certificate Date: Theicip dy Z rage Development Services Division (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue Meet _e-1-12 roc YOF 6. DSD SIGNATURE ON-SITE VGy System #1 Approved for bedrooms V WATER AND M System #2 Approved for bedrooms WASTEWATER 0ZEZ Disapproved ;m PROGRAM ! Z JJ`O� Conditional approval for O,l`1. bedrooms, with the following stipulationsf4l���jv� sERAG���` By: a 2% ' Original Certificate Date: Theicip dy Z rage Development Services Division (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue Meet _e-1-12 roc 0 If more than 1 septic system Is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: NORTHWOODS #3; BLOCK 14, LOT 1 Parcel ID: 051-732-29 A. WELL DATA Well type - Date completedSanitary seal (YIN)— Wires property pabrotected (Y/N Total depth ft. Date of test Static water level ft. Well production g.p.m. WATER SAMPLE RESU . Coliform colonies/100 ml. Nitrate mg./L. Collected by: PUBLIC WATER If A, B, or C provide PWSID# _ Well Log Cased to ft. Casing height ( round) in. FROM WELL LOG ATI CTION ft. g.p.m. jrse�c: —ug./L. Date of sample: *PUMPING RECIEPT INDICATES 1250 GALLONS, BUT INSPECTION REPORT B. SEPTICIHOLDING TANK DATA INDICATES 1500 GALLON STEP TANK (STEP DOES NOT OPERATE FULL). TankType/Material STEP/STEEL Date installed 7/12-16/07 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 8/7/15 Pumper *JR'S PUMPING C. ABSORPTION FIELD DATA BELOW EXISTING GRADE Date installed 7/12-16/07 Soil rating (g.p.d.ffeo Pod 0_8 System type Length 105 ft. Width 5 ft. Gravel below pipe 2.2 ft. Total depth *5.7+ ft. Eff. absorption area 780 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 5/15/15 Results(Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 10.5 in. Water added 766 gal. New depth 16.5 in. Elapsed Time: 180 min. Final fluid depth 16.5 in. Absorption rete >= 600+ g,p,d. Any rejuvenation treatment (past 12 mo,) (YIN &type) NONE If yes, give date – *ESTIMATES— FLOAT TETHERED AT 45.5 INCHES D. LIFT STATION **PER 2007 INSPECTION REPORT BY RISING SON ELECTRIC Date installed 7/12-16/07 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at *43.5 in. "Pump off" level at 47_5 in. High water alarm level at 49.5 in. Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? **YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot— Public sewer main — Sewer /septic service line _ On adjacent On adjacent lots manhole/cleanout Holding tank Manuretanimal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Properly line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ PVT & 200'+ COMMUNITY SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water 10' Water service line 10'+ Surface water 100'+ Driveway, parldngivehide storage 10'+ Curtain drainl�NON E KNOWN Wells on adjacent lots 100'+ PVT & 200'+ COMMUNITY F. COMMENTS �It �f� V�1L.�awnf pt(s.� otil /-1'SRVtVT �u2Vay. G. ENGINEER'S CERTIFICATION I certify that I have determined -through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in affect on this date. Engineers Printed Name f JEFFREY A. GARNESS Date l'1 Jl (Rev. 11105) u� N Lot 2 LIVE ALDER DRIVE EAST 123.79 LOT 1 <'sAsp6aft 1.0 0 M a? deck F~ —23.0 65.5 _ o Tri -level Frame House C� 44.0 Z CO deck 1.Q OHl T deck v eptic vents TankzpsLyjo C Septic vent u7 N moo-. 24.0 I o I 0 v I I 24.0 31.1.1 I I dk shed I / N89059'03" W 144.28 Lot 4 Lot 3 ��� Unit IV OF ' A( low ;9 49th •'�� 00 00 �....... 0 . ... 00 r �'°�,%Fred Woiatkaof mo �sT� • • 3255 - S • �tjtv w w ��F•. •'C3low 411 SCALE: 1"= 30' x�®®,�� EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. FB 83-1, PG 19 BE I 30 I �I I t� M w � I O -�-.� V ' 30 C� .3 AS -BUILT NO CORNERS SET THIS DATE MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel 1. D. # �'Q -a9 HAA # 0 A�L QHS a 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 1; B.Cock 14; North 6Voodz #3 Location (address or directions) NHN Live Alden 9 Voytu (b) Property owner Mike Wa.2ea Telephone: (home) Business Mailing Address HC 80 Bax 101 Chugia.1 . A2aaha 995677 (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent AREA COLDWELL BANKER ATTN- 19)tAq KenA—ington Telephone 511-9499 (e) Mail the HAA to the following address: (or check here)Q, if hold for pick up.) List contact person and day phone number below: S & S ENGINEERING 17034 Eagle River Loop Road N1 2N Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single-FamilyXX 3. WATER SUPPLY Individual Well X)( Number of bedrooms a Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site( Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 5. 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 all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date Telephone S & S ENGINEERING 17034 Eagle River Loop Road No 704 Eagle River, Alaska 99577 �1 3 I -M vi. tyY • 1'.'. Ebert A. 3h«E3t ys���py3 f i �• i'L 1i'� "w�"�P dP*' 6. DHHS APPROVAL, Approved for- bedrooms by Date•+R- Approved ___Disapproved Conditional Terms of Conditionai Approval CAUTION. The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 orderto 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. 72-025 (Rev. 7/88) Back Page 2 of 2 C A. WELL DATA Well Classification AUt`IIC9. IPALITY OF ANCHORAGE (MOA) \sl�ealth Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 \��1`P��" 343-4744 C�� � i9 V� -. Well Log Present (Y/N) 01`' 'k A Total Depth Cased to Static Water Level Date Completed Casing Height Above Ground Electrical Wiring in Conduit (Y/N) ,lam Legal Description: L --o?" / a -le- 1¢ Zaf�N W© ,0S -0-3 Depth of Grouting SEPARATION DISTANCES FROM WELL: If A, B, C, D.E.C. Approved PN) Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) To Septic/Holding Tank on Lot) On Adjoining Lots To Nearest Edge of Absorption Field on Lot 2 -ram �-� ; On Adjoining Lots,, To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by ; Date Water Sample Test Results Comments Q. LA) . 5 l C7 213 cx=) B. SEPTIC/HOLDING TANK DATA Date Installed 6-'ZgI Oto Size 12-S0 No. of Compartments -4- Standpipes (YEN) y _Air -tight Caps4D/N) Foundation Cleanout Depression over Tank (Y/&? r4 Date Last Pumped Pumping/Maintenance Contact on File (Y/N) ` A for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well `s I+ To Buildin Fo nd ti 8 To Property Line To Water Main/Service Line V u a )on 1 To Disposal Field 25-�- To Stream, Pond, Lake or Major Drainage Course Up 4 - Comments PyMP/N6 72-026 (Rev. 7/88) Front Page 1 of 2 0 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ' 22(0 Type of System Design �. �(o � 1364>-p Date Installed Vi?J 8 IBS Length of Field ' 14- Z3��7yP�2�ti 3'v Width of, Field oiztl-, lot um/ ZS Depth of Field _c&Yn. 3,5 Jam,, 4' Gravel Bed Thickness O,S Square Feet of Absortion Area 13 38 ¢ Statndpipes Present¢1'/N) Depression over Field (Y/&Q 1'-1 Date of Last Adequacy Test �- B Results of Last Adequacy Test oa— SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well 1.4 To Property Line To Building Foundation To Existing or Abandoned System on Lot A ; On Adjoining Lots o i� 1 To Water Main/Service Line j o f To Cutback (if present) /^f Q To Stream, Pond, Lake, or Major Drainage Course /C)C> t f To Driveway, Parking Area, or Vehicle Storage Area (oo rte.. Comments y1r4, 15 S iLeD �02. F:c. ('�TLhJA— Ill 2Z::: L- S d e ai I L,r� f5 L D. LIFT STATION Date Installed Size in "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Check Permitted Bedroom Rating Against HAA Request" "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. » ti Signed g gig ENGINEERING ' �0 A , -�� Company 17034 Eagle River Loop Road No. 204 '9 J Eagle, , / n�S Date ... eXe 779 MOA No. air ftbrt A. SNOW Receipt No. Date of Pay Amount: $ Receipt No. — Waiver Fee: $ — Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 p 10 STEVE COWPER, GOVERNOR C6 E9) F nA L 11 S K nA DEPT. OF ENVIRONMENTAL CONSERO"TION ANCHORAGE WESTERN DISTRICT OFFICE 563_6775 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 0 DATE: July 14, 1989 PWSID: 213001 To Whom It May Concern: According to the records on file in this office, the Chugiak Utilities/Northwoods Water System is in compliance with the State of Alaska Drinking Water Regulations. Thank You, Cindy Thomas, Environmental Engineer CT: gd r 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) 60/ /-pLa+eOK "/Yf IWXAAW6100�7 /F,. F JG 7 Y Location, (add ress}or directions) (b) Applicant Name"r,�iTelephone: Home �Business ApplicantdAddress (c) Applicant is (check one):. Lending Institution ❑ ; Owner/builder; Buyer ❑ ; Other ❑ (explain); to] (f) Lending Institution Address Real Estate Company and Agent Address Telephone Mail the HAA to the following ad, 2. TYPE OF RESIDENCE Single -Family Multi-Famil ❑ Other Number of Bedrooms - Telephone 3. WATER SUPPLY Individual Well ❑ Communityx Public ❑ 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 ❑ Community ❑ Holding Tank ❑ Note: If community 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 (111e4) �!�/S� .JoPrtlwJre�ilS _Zr' 5, ENGINEERING FIRM PROVIDIN` -ASPECTIONS, TESTS, FILE SEARCH, DA. . 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. res% Name of Firm �� Telepho�ne� o Address �l �?� E✓ 3j Ar✓�' s'e i �� %3 /Teel / Date %tea—f°o 6. DHEP APPROVAL Approved for bedrooms by � Date �p Approved 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 (77/84) 0.0- S, ON�P� t% MUNICIPALITY OF ANCHORAGE (MOA) HEALTH ,-01 Ot1 AUTHORITY APPROVAL (HAA) O ZP� VI., W264-4720 CHECKLIST -FEBRUARY 1984 S�GV�() Legal Description: 0- / &otg /� A10,e%/d0vh5 Eli A. WELL DATA Temporary Holding Tank Permit (Y/N) Well Classification t f4pA�/�Y v 16 B, C, D.E.C. Approved (9N) P05 Well Log Present (Y/N) Date Completed Yield Total Depth Cased to - Depth of Grouting' Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casin /N) Electrical Wiring in Conduit (Y/N) Depression Aro Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/ Manhole To Nearest Sewer Service Line on Lot Water Sample Coll>Resul ; Date Water Sample Test Comments B. SEPTIC/HOLDING TANK DATA Date Installed EC -70'86 Size v No. of Compartments Standpipes &) fel) Air -tight Caps((Y ) - Foundation Cleanout N) Depression over Tank(YVl Date Last Pumped Pumping/Maintenance Contract on File (Y/N) % i✓//i ; for �✓ Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well ��a r To Building Foundation 9 To Property Line` / To Disposal Field To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course " /y 10 - Comments Page 1 of 2 72-026(1 1/84) Fak>oA3 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata �T-� Type of System Design / Date Installed 69/f#JhL' Length of Fiel 4141AI*- x3 /� y a/4400' 33filh Width of Fie10±X At,,t}L /St+P�RADg le_B Depth of f lel ��gl^1�' 3,5- NP6leoliy -, Q' Gravel Bed Thickness -- Square Feet of Absorption Area _ jj3� Standpipes Present A) Depression over Field (Y1 Date of Last Adequacy Test Results of Last Adequacy Test 1.4 Separation Distance from Absorption Field: To Water -Supply Well Z" / To Property Lintr��� To Building Foundation ;?'� To Existing or Abandoned System on Lot 040k 00)JAk erzh 76 ek/sr,J[s� On Adjoining Lots /0 't i To Water Main/Service Line ;� To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Coment SWe di/mw 1W6fit-r yA`! v(o lwl-Wo A&-i�lL, ✓ A7f*lgr� klAlAd eV)e 4e7- e4�r' ��1d9t o D. LIFT STATION Date Insta Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments — Dimensions Manhole/Access (Y/N) _ "Pump Off" Level at Vent (Y/N) Pump clesY during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I havehecc�led, v rifled, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date' Company /rc�JF MOA No. OF At 1� Receipt No. ID f r y.4 TH� :'j7 >► Date of Payment //l© b !o �...... . •.•+... Amount: $ is Se I / •� ..,.. 0000 0 ...AF 0Y G RE1D, JR. S CE-22SItAr a Page 2 of 2 3• ��7e' �iA�✓ Ai✓i+YI !®`�(�®gft+r3®F�`` 72-026(11/84) Q Q a S E BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION Telephone: (907) Address: ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 274-2533 ANCHORAGE, ALASKA 99501 DATE: September 19, 1986 PWS I.D.# 213001 To Whom it May Concern: According to records on file in this office the CHUG IAK UTILITIES (NORTHWOODS) Water System is in compliance with the State Drinking Water Regulations Sincerely, James C. Allen, RS Regional Sanitarian Supervisor Municipality of Anchorage P.O. Buy( 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH 8 HUMAN SERVICES September 19, 1986 f'<<"• 0 F6�V Alan Wien Alaska Environmental Control Services, Inc. 1200 West 33 Avenue, Suite B Anchorage, Alaska 99503 Subject: Lot 1 Block 14 North Woods Subdivision Phase III Waiver Request, WR86-137 Dear Mr. Wien: This department has waived the 10 foot property line setback requirement to three feet for the subject lot. This waiver is valid for the existing absorption bed only. Sincerely, 114) Stephen S. Morris Civil Engineer On-site Services SSM/ljw I L AJ,474)0�5 ALASKA ENVIRONMENTAL JOB CONTROL SERVICr--)INC. SHEET NO. OF 1200 West 33rd Avenue, Suite 8 ANCHORAGE, ALASKA 99503 CALCULATED BY JAI/E-Al DATE - (907)561.5040 CHECKED BY DATE -*36 PY+vP4 ML,2 ,, u." , - Time APPLIC' NT `FILLS OUT UPPER' HA[' '%ONLY Pr�grl-O� vner &1141o. yt ji.9. l f... 7 ^.7 _.. Phone Mailing AddressBoy- jZ ZipCoef� Buyer Date Inspector Address Zip Code Lending Institution Field Notes: Phone Address :: Zip Code Realty Co. & Agent "Dapf. of I•(v':n Phone Address1, ( ) DISAPPROVED v Zip Code ( ) CONDITION A L_APPRO` Legal Description ' // �% �,�-.. � ` 0—look /x/ / `y _ `S /--Y/r x "7los" . DATE BY: Street Location Soils Rating Date Sewer Installed Type of Residence Well Log Received Septic Tank Size L1.8fngle Family Well to Tank ❑ Multiple Family No. of Bedrooms ❑ Other Water Supply _ ❑ Individual munity ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal C-, M ividual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: JUN 3 01983 " Municfpamy of "Dapf. of I•(v':n ( APPROVED BEDROOMS � `CONDITIONS OF AP ROM19n4B1 Pfu)�L'C'00l)`' ( ) DISAPPROVED v ( ) CONDITION A L_APPRO` DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank