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MCHENRY TR A
Municipality of Anchorage Page of 2 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: -S('tJ 99 0 / 3 / PID Number: a 21,6- `2 4/ Name: Wastewater System: ❑ New [!,Upgrade Address: 33az st��herr �t;F. Anc�, �}k 9os02 ABSORPTION FIELD Phone: 2 yg - $'/ ZS No. of Bedrooms: $ s S Deep Trench 11Shallow Trench ElBed 11Mound 1-1Other LEGAL DESCRIPTION Soil Rating:/, 2 Total Depth from original grade: GPD/S . Ft. 1S, Lot:�� t� Block: Subdivision: 'rr'Gt C k A M c.11 -eh Depth to pipe bottom from original grade: 1,1.8 Gravel depth beneath pipe 1, 2, ry Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: O Ft. y/1 Ft. WELL: CxUST ❑ New ❑ Upgrade Gravel width: Number of lines: Distance between lines: 3 Ft. / Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: F_S/(> Pere Ft. Ft. SO. Ft. A -30 3 y 14Gn - Per F Driller: Date Drilled: Static Water Level: Installer:r/ ''b CGcrf.' E7tC'avah,, Date installed: 7/27/9 Ft. Yield: Pump Set at: Casing Height Above Ground: C wTAN K GPM Ft. Ft. SEPARATION DISTANCES U Septic ❑ Holding ❑ S.T.E.P. To From Septic Tank Absorption Field Lift Station Holding Tank Public/Private Sewer Lines Manufacturer:Capacity A n ch r r _ ,e Gtr in gallons: Well-�j 7 ' G9 ! _ _ 2 > s Material: �2 S el Number of Compartments: 1 Surface Water >roo, >tGo' - - - LIFT STATION A/. /4. Lot Line , 20 ?0, - - Size in gallons: Manufacturer: Foundation v /G E 7O' _ "Pump on" level at: "Pump off" level at: High water alarm at: Curtain Pump Make & Model Electrical Inspections performed by: Drain - _ - - Remarks: T11,ere u, -eV hod -eheu A rudQ BENCH MARK d, er e,i" e11 C �P�+ �i oY 7 n a / S Afe 7��,h kc Qna 1%.e bre in / Olee,tAAete. Location and Description: �,!! 130 �LAom f �ovf<ff !r.w s 1,ALe a -r ule1/ of �+e .711Gi Lnk; YneILer o/7 noriA sId. "f FCo C4" s //>Lhn wO1 a CCS �''� 1tf � e b ru✓P +/I� l�e�C�ln� e 7LYe Assumed Elevation: LL or e coinpO'n "7 p i Sys Pte+ 7,; a^ 1-,A ofl,�� ENGINEER'S SEAL to f e1'J a_.1/1 /e 4 5-Iri cci tn%a Eli e O7ti ecirrnrOn40 Aq q. Inspections performed by: Fl�lh�� 7_`4'1,1ra/ S"cDateS:1st -7l zP99 9,F 2nd -7/2.7/99 i70000Po o© a 00 a 00 a 00000© C2GC C C. to Department of Health and Human Services approval. oV O® Q®0000009e OE i THEODOf E F. flOOfiP o ' .°. CF - 352 Reviewed and approved b : Date: �� '/ PP Y ° 72-013 (Rev. 9/91) MOA 25 PERMIT NO: SW990131 Fl� PAGE 2 OF 2 PID NO: 012-245-24 fl%p 1� } O j �' G Etl f m IY�p %. .Rmm00000°00000.00000c+o. s iaC' a#j '�d�0000 ouoG�V 00� oo oQ cAp 8 °m THEODORE F. OOR9 a fj CE - 3589 z SWING TIES: FROM: COR. "A" COR. "B" TO: DBL. C.O. "E" 49' 107' S.T. C.O. "F" 49' 104' S.T. C.O. "G" 49' 101.5' DBL. C.O. "H" 50' 101.5' TR. C.O. "1" 56' 103' TR. M.T. "J" 71' 104' TR. C.O. "K" 88' 107.5' NEW M.T. "M" 57.5' 114' INV. I NEW 500 GALLON 88.2' SEPTIC TANK INV. 88.1' PRE-EXISTING 1000 GALLON SEPTIC TANK PROFILE VIEW NOT TO SCALE I 1 I , 1 vl� PRE-EXISTING "E" 1000 GALLON O "I SEPTIC TANK 1 PLAN VIEW SCALE: 1" = 30' PRE-EXISTING SOIL ABSORPTION DRAINFIELD NEW 41' LONG ..K.. SOIL ABSORPTION TRENCH WITH 4.2 FEET GRAVEL J , H" T.H. ,,,LNEW 500 GALLON SEPTIC TANK ----------- INV. 87.9' 87 8. T.H. #1 \—BOT. ELEV. 77.6' DRY 7/26/99 ISTIN DRM GROUND ELEV. 98.6 +/- 0 "B" ------ - e V. NEW 41' LONG ININ SOIL ABS: TRENCH. s W. 4.2'-GVL. BEL-OW'PIPE ` BOTTOM TRENCH ELEV. 83.6 TRACT "A' McHENRY S/D SEPTIC SYSTEM UPGRADE AS -BUILT INSPECTION REPORT FLATTOP TECHNICAL SERVICES SCALE: AS NOTED 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 SEPTEMBER, 1999 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Permit Number: SW990131 Legal Description: MCHENRY TR A Design Engineer: 0019 Flattop Technical Services Owner Name: Ed Bryant Owner Address: 3302 Strawberry Road Anchorage , AK 99502-3109 Upgrade �-A Date Issued: Jun 09, 1999 Expiration Date: Jun 08, 2000 Parcel ID: 012-245-24 Site Address: Lot Size: 43768 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 2 This permit is for the construction of: Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. With the use of a flow splitter, the upgrade trench must have an absorption area adequate for 2.5 bedr000ms. This can be accomplished by increasing the trench length to 40' Received By: Date: G 19199 1 Issued By: ( LJ�UADate: 6-9-99 CIVIL & ENVIRONMENTAL ENGINEERING . ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 May 5, 1999 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: 14530 ECHO ST. ANCHORAGE, ALASKA 99516 The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Tract "A', McHenry S/D to 5 -bedroom capacity from its present 3-bedroon capacity. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. The proposed upgrade will be constructed in the vicinity of test hole # 1. As can be seen from the soil log, the native material below 2' is clean sand with a measured perc rate of less than 1 minute per inch. Using the soil application rate of 1.2 gpd/sq. ft. specified in the wastewater ordinance, this 2 bedroom upgrade requires a total absorption area of (2 x 150)/1.2 = 32 square feet. The proposed 32 foot long trench design with an effective gravel depth of 4 feet has a total absorption area of 256 square feet. The topography of the lot is generally level. A splitter valve will be installed to divide the flow between the existing drainfield and the upgrade trench. A site for ultimate replacement of the 5 - bedroom system is shown on the site plan. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. I to MAY 17 1999 3vtUNIUMLItY OF ANCHORAGE ENVIROMEWAL SERVICES DIVISION STRAWBERRY ROAD —.—.—.—.— _.— — — — — — —. .._...._.—. EXISTING 66' LONG x 5' WIDE SOIL ABSORPTION DRAINFIELD (FIND OR INSTALL C.O.'S & M.T.) EXISTING 1000 GALLON SEPTIC TANK PRIVATE WELL \ 00, r- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -I- - V SITE FOR 5-BDRM REPLACEMENT SOIL ABS. SYST. T. H �.� #2 - - - - - - CONSTRUCT NEW 32' LONG - - - - - - - - SOIL ABSORPTION TRENCH ---------- WITH 4'GVL. BETW. 1 V& 15'B.G.L. INSTALL FLOW o SPLITTER 44-1i T.H. INSTALL NEW 500 GALLON SEPTIC TANK (10' BURIAL) ; f WELL R 100' JON -GLEN S/D EXISTING (PUBLIC WATER & SEWER) r 5-BDRM HOUSE ------>--------------------------- FL �0• "' 49' W ••es••eeseeo��eeNeee-O Hl yo •o••••.ee ••e ea THEODOPE F. MOORS ,," 1 i �•�YW °e�OAaU� / {� LOT 2 LOT 3 LOT 1 0 INSTALL NEW M.T. IF EXISTING M.T. IN DRAINFIELD CANNOT BE FOUND TIE DISCHARGE LINE INTO EXISTING 5' WIDE DRAINFIELD DISTRIBUTION PIPE "Awl CONSTRUCT 32' LONG SOIL ABS. TRENCH 4" DIA WITH 4' SEWER GRAVEL BETW. 11' & 15' BGL D -D034 C.O. M.T. C.O. INSTALL "- 4" F-810 DB. C.O. 32 INSTALL "ZABEL" FLOW SPLITTER "A" EXISTING INSTALL NEW 1000 GAL. 500 GALLON SEPTIC SEPTIC TANK TANK (APPROVED FOR 10' DEEP BURIAL) t - MONITOR TUBE 3 1 Lo r OUND BACKFILL 12" RIGINAL GRADE LTER FABRIC 4" DIA PERF PIPE 1/2" - 2 1/2" GRAVEL BOTTOM OF EXC. SECTION "A - A" SCALE: V = 5' PLAN VIEW SCALE: 1" = 10' �k` eoao .tl 49TH ` eeeeseeoeeeeeeoi NeoOo en.l� • -ee�oNo��O� 1 0�� TRACT "A", McBENRY S/D SEPTIC SYSTEM UPGRADE PLAN AND CROSS-SECTION FLATTOP TECHNICAL SERVICES SCALE: AS SHOWN 14530 ECHO STREET DRAWN BY: TFM ANCHORAGE, AK, 99516 MAY, 1999 Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 345-1355 Tract "A" McHenry S/D 3302 Strawberry Road Wastewater disposal system upgrade Specifications 1.0 General: 1.1 The scope of the project consists of adding a 500 gallon septic tank and installing 32 lineal feet of soil absorption trench with a total of 4.5 feet of sewer gravel between 10.5 and 15 feet below ground level. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing 1000 gallon septic tank and double cleanout may be retained in service. The existing discharge line leading into the end of the existing drainfield shall be cut off and capped. Any existing septic tank which is not retained in service must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 2.2 The new 500 -gallon, single -compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil. It shall be equipped with a watertight manhole cover and a 4" cleanout. The tank shall be designed by the supplier for burial with 10 feet of soil cover. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line between the tank and the soil absorption system shall have a minimum slope of 1/8" per foot. A double cleanout shall be installed within 5 feet downstream of the septic tank, with a "Zabel " flow splitter installed in between the cleanouts to divide the flow evenly between the existing drainfield and the upgrade trench being constructed. 3.0 Soil absorption system: 3.1 The soil absorption system shall be constructed by excavating a 32 foot long trench to a total depth of 15 feet below ground surface. The native sand that will be encountered maybe unstable and appropriate safety provisions must be undertaken to protect the safety of workers in the trench. 3.2 The bottom of the excavation shall be level. The sidewalls above the level of the top of the sewer gravel should be sloped back as necessary to prevent their collapse. 3.3 A total of 4.5 feet of approved sewer gravel shall be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the pipe inverts are no less than 4.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. The top surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A minimum of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (4) after rough backfill and grading is complete. The septic tank requires one inspection after it is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 1 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Tract "A" McHenry S/D DATE PERFORMED: April 19 1999 PERFORMED FOR: Ed Bryant DEPTH SLOPE (feet) Pt. and loam 1 Yellowish silty loam 2- 3- 4- 5- 6 345 6 7- 8- 9- 10- 0 89100 MIM 13�t;, 14- 15- 16- 17- 18- 19— SP/SW 41516171819 SP/SW Clean dry medium sand 0% Depth to Groundwater Date No groundwater 4/19/99 Monitor tubed 4/26/99 SEPTIC SYSTEM w a O co ,y r �,c •°eee��e�oe oi,•�. ����� .0 °° Th'EODOKE F. AAOORE S' O s°°OJcno•r.•°° t; g ~ a SITE PLAN — _ STRAWBERRY ROAD Clock Time r - - - -------- -- ---- - -I--i Percometer Reading Net Drop (inches) EXISTING SEPTIC SYSTEM i I , 9 T.H. ,° Start 10:31:20 � , 235/8 #1 10:32:20 1 T.H. 33/8— 3/8Add Add water 10:32:52 235/8 #2 10:33:52 1 203/8 31/4 Add water 10:34:27 4� FENCE J #3 WELL ' 1 203/8 EXISTIN , 5-BDRM GREEN HOUSE HOUSE 0% Date Reading Clock Time Net Time (minutes) Percometer Reading Net Drop (inches) 4/19 12" Presoak Start 10:31:20 235/8 #1 10:32:20 1 201/4 33/8— 3/8Add Add water 10:32:52 235/8 #2 10:33:52 1 203/8 31/4 Add water 10:34:27 235/8 #3 10:25:27 1 203/8 31/4 20 21 B H PERCOLATION RATE <<1 (minutes/inch) PERC HOLE DIAMETER 6" TEST RUN BETWEEN 10.5 FTAND 11.0 FT COMMENTS: Excellent sand for soil absorption system. Design trench on basis of 1.2 gpd/sq. ft. PERFORMED BY FLATTOP TECHNICAL SERVICES. 1 1 ;� 2/LL0-o'+L CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5- /-C 199 FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 2 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Tract "A" McHenry S/D DATE PERFORMED: April 19 1999 PERFORMED FOR: Ed Bryant DEPTH SLOPE (feet) Pt. and loam 1 MUSM Yellowish silty loam 2- 3- 4- 5j 345 6- 7- 8 78 9 10 4 12 13 A 14 16 17 18- 19— SP/SW 819 SP/SW Clean, dry medium sand B.H. 0% Depth to Groundwater Date No groundwater 4/19/99 Monitor tubed 4/26/99 SEPTIC SYSTEM Start 11:32:07 ir 40 0 b�°oo.>°a00000000•000eo�o0,"0� /roc .� o°°°oo0000000000000b ';a THEODOCRE F.OMOOR9 ye .'' {•��s:rt ° o a °ems" 'fly�CM_Lr� amm�r5. 5-:4f SITE PLAN — — STRAWBERRY ROAD Clock Time r- - - - - - - - - - - - - - - - - - -- -i Percometer Net Drop Reading (inches) 4/19 12" Presoak EXISTING SEPTIC SYSTEM Start 11:32:07 i I � 9 T H. ,° I 233/8 #1 #2 I 1 dry Add water 11:33:30 T.H. ##2 11:34:30 #1 0) I i dry 6 Add water 11:34:50 233/8 ° U, i 11:35:50 1 dry 6 4o FENCE J EXISTIN i ° rrBDRM i GREEN HOUSE HOUS Date Reading Clock Time Net Time (minutes) Percometer Net Drop Reading (inches) 4/19 12" Presoak Start 11:32:07 233/8 #1 11:33:07 1 dry Add water 11:33:30 233/8 ##2 11:34:30 1 dry 6 Add water 11:34:50 233/8 #3 11:35:50 1 dry 6 20 PERCOLATION RATE <<1 (minutes/inch) PERC HOLE DIAMETER 5" TEST RUN BETWEEN 11.5 FTAND 12.0 FT COMMENTS: Excellent sand for soil absorption system construction PERFORMED BY FLATTOP TECHNICAL SERVICES. I laves �)� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: May 5. 1999 Municipality of Anchorage Page / of , DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or_.Well Inspection Report Name: '~I(~'~A~L. ~ ~V WastewaterSystem: DNew , ~Upgrade Address: 5yo~ ~8~y ~ ABSORPTION FIELD Phone: Z~-- O ~ IN°'°fBedr°°ms: ~ ~ Deep Trench ~ShallowTrench ~ Bed ~ Mound ~ Other Total Depth from original grade: Lot: ~~A Bloc~; ~ ~u~ Depth to pipe bottom from original grade: Graveldepth beneath pipe Township: Range: I Section: F~I added above original grade: Gravel length: Number of lines: Distance ~n lines: WELL: ~S~ D New D Upgrade Gravel ~: ~,~ ~ Ft. / ~ Ft. Classification~,~(Private, A,B,C): Total Depth: Ft. Cased To: Ft. Total absorption area~ SQ. Ft. Pipe material: ~ ~ 0 Driller: Date Drilled: Static Water Level: Installer:~l~ (~ Date installed: /~/ Yield: Pump Set at: I Casing Height Above Ground: TAN K GPM Ft.~ Ft. SEPARATION DISTANCES ~Septic D Holding D S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank SewerLines ~ ~~ ~ /) ~ Number of Compa~ments: Su~ace Water ~00 ~/~ ~)~ ~/A W/~ LIFT STATION LineL°t /~ / / 7 I ~ ~ ~ASize in gall°ns: Manufacturer: Remarks: BENCH MARK Location and Description: I Assumed Elevation: ENGINEER'S SEAL Inspections pedormed by: ~ ~A~ Dates: 1st /0/~ 2nd Department of Hea e approval . ........ 72-013 (1/91) MOA 25 ' I Permit No. Page of · ~' .. : Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or_Well Inspection Report PID No.: ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 November 23, 1993 RECEIVED NOV 2 Municipally. ol Anchorage Dept, Health Human Services Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Attention: Robbie Robinson Subject: Tract A, McHenry Subdivision Health Authority Approval Certification Dear Robbie: On Monday, November 22, 1993, Whitters' Excavating, removed 4" to 6" of sand from the monitor tube on the new septic system located on the subject lot. The clear space inside the tube now extends to the bottom of the drain field rock. The system is now acceptable for Health Authority Approval Certification. Sincerely, Michael E. Anderson, P.E. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930387 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:MCHENRY MICHAEL & OWNER ADDRESS:3302 STRAWBERRY RD. ANCHORAGE, AK 99502 PAGE 1 OF DATE ISSUED: 9/22/93 EXPIRATION DATE: 9/22/94 PARCEL ID:01224524 LEGAL DESCRIPTION: MC HENRY TR A LOT SIZE: 43768 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DATE: DATE: ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, ALASKA 99524 September 17, 1993 Municipality of Anchorage Department of Heath & Human Services 825 "L" Street Anchorage, AK 99502-0650 Subject: Tract A, McHenry Subdivision Septic System Design Impacts to Adjacent Properties Dear On Site Services Engineer: The septic system on the subject property encroaches within the 100' separation on this and the adjacent lot. In addition, the system is more than 20 years old and an upgrade is needed. Soil conditions on the property are very good for an onsite system. No groundwater was encountered during exploration activities. If the system is constructed in accordance with the attached design the following statements can be made: The system, if constructed as designed, will have no adverse impact on the wells currently in use or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. o The system, if constructed as designed, will have no adverse impact on reserved space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. Sincerely, Michael E. Anderson, P.E. V,/. BO AV i:'. AVE, J .'J~HADY' ~-~.~H CT. ~/. TRACT A, MCHENRY SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom Home Percolation Rate.' 2 Min./Inch Application Rate: 1.2 GPD/SF Shallow Trench System 1000 Gallon Septic Tank 1' Gravel Below Pipe (3 Bdrms. X 150 GPD) / 1.2 GPD/SF = 375 SF 375 SF / 5' (Trech Width) X .87 (Red. Factor) = 66 LF / Therefore: Construct One Shallow Trench 66/LF with 1' Gravel Beneath Distribution Pipe. Well Logs in the area indicate sand to depths exceeding 100'. SHEET NO. OF SHEET NO. OF CHECKED BY DATE SCALE / ' ~' ~"~'' M~chc~l E. ~nd~rson Anderson -E SEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: 5 6 7- 8- I0- 11 12 13 14 15 16 17 18- 20- Township, Range, Section: SLOPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT ~ ~) DEPTH? p E Gro~ Net D~th to Net Reading Date Time Time Water ! Drop TEST RUN SETWEE. ~.1~. FT,,ND ~ FT COMMENTS PERFORMED BY: ~ I *~'~ ~Y THAT THIS T~ST WAS PERFORMED ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72.,008 (Rev. 4/85) ® Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 012-245-24 Expiration Date: ►v 0 V 1. GENERAL INFORMATION: Complete legal description MCHENRY; TRACT A Location (site address) 3302 Strawberry Road *Anchorage Current Property owner(s) Curtis Holema Mailing address Real Estate Agent 2. TYPE OF DWELLING: © Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 550-2144 Day phone 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑X Individual FZ Individual Water Storage ❑ Holding Tank ❑ Community Class_Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -5550 Date of Payment /2 Receipt Number Og193G COSA # Qfc Z 1 I `i 7Z Date: Waiver Fee $ Date of Payment Receipt Number Waiver # Tj 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 (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: L to Z i 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 upon 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 system/s. 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 to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for 5 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, N... f . ......:T. 2 fr.Y..:... ... ss.: IQ �° CE 795 ��ShrN •.�1� I�.�•"�to;o #AECC884 OF A* ON-SITE WATER AND with the foliowil ip �t V'ATER J PROGfAM ����ll ► i �S EK `ll��l\ OBy: 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_ Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory X Other T" 0_�L CL"� sore �( COSA Checklist Legal Description: MCHENRY; TRACT A If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1952(?) Total depth *105.5+ ft Cased to UNKNOWN ft Q Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 6/24/21 Static water level at beginning of test 75.1 ft. Comments *PER GEG TEST DATA B. TANK DATA Age of tank(S) 28122 years Tank type/material sE'MSTEE Measured operating fluid level in septic tank 49'139° 0 Standpipes/foundation cleanout per record drawing Date of pumping 7/12/21 D. ABSORPTION FIELD DATA Parcel ID: 012-245-24 Structure served by this system Well production at time of test 9.0+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑E Nc Coliform bacteria is Neve Nitrate mg/L M Nitrate less than MRL (ND) Arsenic!:>v: t\ ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, LTD Date of Sample 7/22/21 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: FCO INSIDE HOUSE PER 2005 COSA Which system tested (date installed) 7/27/99 Adequacy test date 6/24/21 M ALL standpipes present per record drawing Results Q✓ Pass For 5 bedrooms Total measured depth from grade 14.75 ft (max) Fluid depth prior to test 30 in Measured depth to pipe invert from grade 9.83 ft (min) Water added *915 gal ❑ N/A — pressurized field 35 New depth in pQ Monitor tubes go to bottom of effective. If not, state Elapsed time 120 min depth into effective n Code -required soil cover over field Final fluid depth 31 in ❑ System presoaked Absorption rate 750+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced N/A gallons If yes, enter date N/A Comments/Deficiencies: TESTED EAST TRENCH ONLY - WEST TRENCH DRY UPON ARRIVAL 8 STAYED DRY THROUGHOUT TEST COSA Checklist yellow sheet El 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' Q Yes if No Community Sewer Manhole/Cleanout > 100' Q Yes if No ft [ 7v Yes if No ft Neighboring Tank > 100' P11 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' E] Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' Q Yes if No ft Yes if No ft ft If septic tank is under driveway comment below J ff e or s. / Manure/Animal Excreta Storage > 100' COSA Checklist yellow sheet Community Sewer Main > 75' 0 Yes if No ft E] Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' ❑r Yes if No ft Property Line > 5' P1 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' E] 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' Q Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' M Yes if No ft Community Wells > 200' S Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS Adjacent to shed. G. ENGINEER'S CERTIFICATION X06000 , o OF A O�Q I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with TH MOA COSA guidelines in effect on this date. ....... .................� J ff e or s. / CE 79 (3 v COSA Checklist yellow sheet 4��� Pro f es sio°°ate ��00000� #AECC884 e MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904 On‐Site Water and Wastewater Section Fax: 343‐7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org Arsenic Advisory Certificate of On‐Site Systems Approval # OSC211472 Subdivision: McHenry, Tract: A A water sample revealed an arsenic concentration of 50.9 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On‐Site Water and Wastewater Program website (www.muni.org/onsite) or at 343‐7904. This advisory must be attached to all copies of the subject Certificate of On‐Site Systems Approval. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904 On‐Site Water and Wastewater Section Fax: 343‐7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org Septic Tank Advisory Certificate of On‐Site Systems Approval # OSC211472 Subdivision: McHenry Tract: A The septic tanks for this property are 28 & 22 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $7,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On‐Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. STRAWBERRY ROAD TRACT A LOT 2 LOT 3 LOT 2 LOT 1 LOT 1 SH ED S H SHEDSHED WINDOW WELL (WW, TYP) CHIMNEY 40.2'14.7'16.0'27.2'6.2'8.0'7.1'13.4'11.3'7.8'39.5'29.1'8.4'35.9'EXISTING HOUSE 10.0'10.3' 55.7' 56.1' EAST 164.92' WEST 164.93'N00° 02' 40"W 265.38'S00° 02' 50"E 265.38'LOT 330'30'10' TELEPHONE AND ELECTRIC EASEMENT10' TELEPHONE AND ELECTRIC EASEMENT10' TELEPHONE AND ELECTRIC EASEMENT 10' TELEPHONE AND CO (10) CO CO CO CO O 'D O W D A C R ESO 'D O W D A C R ESJO N -G LEN N M C H EN R YSU B D IV ISIO N MCHE N RY SU B D IVISIO N 3' ROADWAY AND PUBLIC UTILITY EASEMENT 3' NOTICE OF UTILIZATION 2006-072475-0 ED ELECTRIC EASEMENT WW WW COVERED AND SCREENED PORCH AREA 10' UTILITY EASEMENT6.1' 4.9' NOTE: THIS DRAWING SHALL NOT BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE EXPRESSED WRITTEN CONSENT OF LCG LANTECH. TRACT A MCHENRY SUBDIVISION AS-BUILT CLEAN OUT WATER WELL FENCE Asphalt Concrete Overhang Wood Deck LEGEND: DRAWN DATE: DRAWN BY: SCALE: CHECKED BY: 8/4/2021 SC ADS/SC 1" = 30' PLAT: WORK ORDER: 21103 82-182 FB/PG: 821/75 GRID: SW2226 ORDERED BY: CURTIS HOLEMAN SURVEY CERTIFICATION: LCGLANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPERTY AS SHOWN ON THIS DRAWING AND CERTIFIES THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS EXIST OTHER THAN NOTED OR SHOWN. EXCLUSIONARY NOTE: IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY LINES, OR FOR PLOT-PLAN PURPOSES. 250 H Street Anchorage, Alaska 99501 Survey Department Phone: 562-5291 Mainline Phone: 243-8985 AECC 668 LEGAL DESCRIPTION: ADDRESS: 3302 STRAWBERRY ROAD PARCEL #: 012-245-24-000 REF: N/A MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) .~ OZ_. ~'~FzA L,J ~'&"/L/L/V ~-o ~ Property owner Mailing address Lending agency Mailing address Agent Address Day phone Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm //~-,/'J ~%r~.~o*J ~/'~(~,~c':L'-P-,I~)/-, Phone Address Engineer's signature Date /0/7~(, o DHHS SIGNATURE Approved for --~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Rev. 1/91) Back MOA#21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~Z~'i~,~'-..'~' //t~/&/7/'~ ~c~. Parcel I.D. A. WELL DATA Well t yp e/O~;Y'~ Log present (Y/N) /~/ Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~j ~z..~)~j,.J Driller Casedto '~' ~0 / Casing height /~// Wires properly protected (Y/N) j~ g.p.m. Date of test Static water level Well flow Pump level FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/~h~ tank on lot // Absorption field on lot Public sewer main Public sewer service line AT INSPECTION ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout > %c~' Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria ~)~ Collected by: /'~-~ B. SEPTIC/H~I~IN~ TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) /~/~"~' Date of pumping Tank size /~,o~ ~a//~o,t.c Compartments ~ Foundation cleanout (Y/N) ~' Depression (Y/N) Alarm tested (Y/N) /,///,4-' SEPARATION DISTANCES FROM SEPTIC/',.~.,~ TANK TO: Well(s) on lot ///:'/ On adjacent lots /~7~- ~ Topropertyline /~ Absorption field ~'~ Surface water/drainage > ,~z:;~ ' / .~/~ ' / Foundation .Water main/service line 72-026 Rev. 3/91 Front MOA21 CONTINUED ON BACK PAGE C. LIFT STATION /v'//~-- Date installed Manufactu~ Size in gallons ~ss (Y/N) ___ Vent (Y/N) "Pu~ "Pump off" level at High water alarm level ~ Cycles tested Meets MOA elects (Y/N) PA~T~ SE DISTANCE FROM LIFT STATION TO: Well~n lot On adjacent lots Surface water D. ABSORPTION FIELD DATA / Date installed /c,/l//~ Length ~,7' Width ~ Total absorption area '~ 7~' Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Soil rating /, '~' ~'/~/~/~' Gravel thickness / Cleanouts present (Y/N) System type Yv/Ir?~- Total depth Date of adequacy test for If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~ To building foundation On adjacent lots Surface water Curtain drain On adjacent lots ~//~/ Property line >t7'~ ' To existing or abandoned system on lot >?-~" Cutbank /'//Y-'" Water main/service line >/~'~:~' Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature ,,>' ~-::~-~" ~ ....... ~ ,~.~ ~ .,~ Enaineer's Name , - , xc4-f,e-,' ~ ~-- ,~,',~-.~ ~- ~c.~,, ~:,~ ~,~,,;~ ~ .,;~; :,~.~,~;~,.:~ Date /O/'Z¢/~ ~ HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Sack MOA Waiver Fee: $ Date of Payment Receipt Number , fr _oCOMMERCIALTESTING & ENGINEERING CO. NMENTAL LABORATORY SERVICES ......... REPORT of ANALYSIS Chemlab Ref~ :93.5618-1 Client Sample ID :MCH~RY - 3002 STRAWBERRY Matrix :WATEE 5633 B STREET ANCHORAGE. AK 99518 TEL: (907) 562-2343 FAX: (907) 561-530~ Client Name :ANDERSON ENGINEERING Ordered By : Project Name : Project~ : PWSID :UA Sample Remarks: ROUTINE SAMPLE COLLECTED BY: M.E.A. WO~( Order :72363 Report Completed :10/25/93 Collected :10/21/93 ~ 11:15 hrs. Received :10/21/93 ~ 11:45 hrs. Qc Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init Nitrate-N 0.10 U mg/L EPA 353.2/300.0 10 10/22 LLM * See Special Instructions Above UA = Unavailable ** See Sample Remarks ~bove NA = Not ~alyzed U = Undetected~ Reported value is the practical quantification limit. LT = Less 'Fhan D = Secondary dilution. GT = Greater Than ~SGS Member of the SGS Group (Socibtb Gbn~rale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA. COLORADO. UTAH. ILLINOIS. OHIO. MARYLAND. WEST VIRGINIA, NEW JERSEY. SOUTH CAROLINA