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HomeMy WebLinkAboutHENKINS BLK 3 LT 15MUNICIPALITY OF ANCHORAGE r On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite n1 s Department On -Site Wastewater Disposal System Permit Permit Number: OSP231332 Effective Date: 10/3/2023 Work Type: Septic Upgrade Expiration Date: 10/2/2024 Tax Code Number: 05129240000 Site Legal Address: HENKINS BLK 3 LT 15 G:0755 Site Mailing Address: 19746 HENKINS RD, Eagle River Owner: PATTERSON JASON & JANA Lot Size in Sq Ft: 20038 Design Engineer: FORGE ENGINEERING Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: S S �-j� . V C_ Date: Issued By: Date: l C) MUNICIPALITY OF ANCHORAGE � .,,,f o , Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-292-40 Property owner(s) Jason Patterson Mailing address 19746 Henkins Road, Eagle River, AK 99577 Site address 19746 Henkins Road, Eagle River, AK 99577 Day phone Legal description (Sub'd., Block & Lot) Henkins Subdivision, Block 3 Lot 15 Legal description (Township, Range & Section) Lot Size 20/038 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑x Initial ❑ Single Family (SF) ❑X (w/wo AD U) Septic Tank [AUpgrade ❑X (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: bC(.5 Waiver Fees: Date of Payment: c 2 5 'LJ 23 Date of Payment: Receipt Number: b ST Gy 0 Receipt Number: Permit No. 0-5 P2 3 133 2 Waiver No. Permit App_'-'- September 26, 2023 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Henkins Subdivision, Block 3 Lot 15 - Henkins Road Septic system design Dear On-Site Services Engineer: The owner of the above lot would like to replace their aging holding tank, so we are submitting this permit application for the construction of a new advanced treatment septic system. The attached site plan identifies the location of the home, well, and septic location. The ground surface on the lot slopes very mildly toward the east at between a 1-5% slope. There are no slopes greater than 25% within 50 feet downslope of either the primary or alternate site. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The new system will be a minimum of 50’ from all wells and surface water, and more than 5’ away from the septic tank. Please refer to the attached test hole log, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231332, Curtis Townsend, 10/03/23 // // // // // // // // // // // // // / / // // // // // // // // // Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 1"=50' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND HENKINS SUBDIVISION, BLOCK 3 LOT 15 FEET 0 50 100 HE N K I N S R O A D 4-BDRM HOME 480 SEPTIC PLAN 9/26/23 APPROX. CREEK LOCATION 100' FROM CREEK AL D E R B E R R Y LA N E BARN SHED TH#1 480 475 DECOMMISSION EXISTING 2000' GAL HOLDING TANK PER UPC PREVIOUSLY ABANDONED SEPTIC TRENCH AREA (EXACT LOCATION UNKNOWN) NEW ADVANTEX FAP 2.0 SEPTIC TANK W/ PUMP VAULT 30' LONG x 5' WIDE, 0.5' EFFECTIVE DEPTH ABSORPTION TRENCH OUTSIDE 15' UTILTY EASEMENT MT MT PRIVATE WELL 200' RADIUS FROM COMMUNITY WELL ON LOT 1 (RECORDS UNCLEAR) 15' UTILITY EASEMENT (PER MOA MAPPING) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231332, Curtis Townsend, 10/03/23 HENKINS SUBDIVISION, BLOCK 3 LOT 15 TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER 1.25" PVC PIPE WITH 10x 3 8" HOLES AT 3' o.c. DRAINFIELD ROCK 5' 2' DESIGN FACTORS:SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW PERK RATE: 20.9 MIN/IN APPLICATION RATE: 4 GPD/SF 5' WIDE TRENCH SYSTEM 1500 GAL ADVANTEX FAP 2.0 SEPTIC TANK W/ PUMP VAULT BOTTOM OF TRENCH: 2' ABOVE GRADE FLOW LINE ELEVATION: 2.5' ABOVE GRADE 600 GPD / 4 GPD/SF / 5' WIDE * 1 RED FACTOR [0.5 DEEP] = 30 LF TRENCH REQUIRED (30 LF SPECIFIED) GEOTEXTILE FABRIC 6" 9/26/23 INSULATION MOA APPROVED SAND TO BOTTOM OF ORGANIC LAYER 2' 2:1 MAX SLOPES PROVIDE JUTE MATTING UNTIL VEGETATION IS ESTABLISHED Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231332, Curtis Townsend, 10/03/23 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 1 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING WAS WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING IF YES @ WHAT DEPTH? 20.9 9/6/23 1 2 3 GM (SILTY GRAVEL) Professional Engineers Stamp: YES HENKINS BLOCK 3 LOT 15 9/6/23 051-292-40 Jana Patterson 1 0 16 OB 30 Benjamin Schiller CE 12592REGISTEREDPROFESSION A L E N GINEER PERC TEST LOCATION TECHNICIAN: M. JAKUBISIN 3 0 16 6.5' 0.5' 9/22/23 COMMENTS: SITE PLAN 2 0/16 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED 9/26/23 BOH 1 0 1630 2 8 16 1 8/16 1 0 1630 2 7 16 1 7/16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231332, Curtis Townsend, 10/03/23 C ' Lot 1 I Lo11 � t 2 / N / LfnLrrY POLE �k t N 0 Lot 15 ry I 20.000 SJ. O ?00• WELL GRAVEL irj `� of ¢ • ^� � \ ENCLOSURE m 8.3' iv vE, r 3'0 cow32.2' \. 1 STORY rs.r. RESIDENCE n WITH LOFT / 32.4• WOODEN FENCE �t SEPTIC 84.0' PIPES o H off,/ 3� o' \ Lot 14 ?0 C17� Cb. v Q' / o°, NOTE: A PORTION OF FIRE CREEK RUNS ACROSS THE 1 PROPERTY AS SHOWN. (LOCATION FROM MOA GIS). MORTGAGE SURVEY X SCALE 1 = 40' GRID NW 755 Project No. 22-445/A1 Daryl Avenue, Anchorage, AlaskoQQ9�O4��441�9 Lang & Associates, inc. (907) 522-66476 Phone enlFax F /Professional Land Surveyors k0ongsurveycom Q jonathanOlangsurvey.com ov � : fs1dQ� I hereby certify that I have surveyed the following described property: LOT 15, BLOCK 3, HENKINS SUBDIVISION (Plot No. P-387) Anchorage Recording District, Alaska, and that this Mortgage Location Survey Is a representation of the conditions that were found on the date the survey was performed. This survey does not constitute a boundary survey and Is subject to any Inaccuracies that a subsequent boundary survey may disclose. The Information contained hereon shall not be used to establish any fence, structure, or other Improvements. tet` Dated this the 2!> Day of � s- ` at Anchorage, Alaska It Is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 51 e(Q 49TMlk vim( V. KEN1NET� G. CAI, o ..ISS-520g.••oy;pp6t, A O 1014A►.ipa AECC963 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 Was~ewater Disposal System and/or Well Inspection Report Permit Number: ~--~ ¢~, ~ 4::;'c:>~ PID Number: ~ [ Nam/~., ~, ~,~. Wastewater System: D New ~pgrade Add~ ~' ~ ~~ ~~ ABSORPTION FIELD No. of Bedrooms: Phone: ~ ~ ~ ep Trench ~ Shallow Trench ~ Bed ~ Mound ~ Other LEGAL DESCRIPTION soi~ Ra~GPD/Sq. Ft. Total Depth from original grade: Lo~ ~ ~BI°ck: ~ ~ ~ ~i Subdivision: 3epth to pipe bottom~grade: Ft. Gravel depth beneath pipe Ft. To~:~ ~Rang~ [ ~' ,Se~on~ _ ~ Fill added above origina, grade:~ Gravellength:Ft. ~ Ft. WELL: D New D Upgrade Gravel depth: Numb~ JDistancebetwee. lines: Ft. ~ Ft. C~'ication (Privete. A,B.C)~ -- Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Static Water Level: I~ller: [ Date installed: Yield: Pump Set at: Casing Height Above Ground: ~u .~. .~. TANK SEPARATION DISTANCES ~ s~pti~ ~Ho~aing ~ S.T.E.P. To Septic Absorption Lift Holding Public/Private Ma~a~ Capacity in gallons: From Tank Field Station Tank Sewer Lines Surface Wat~ ~ ~ ~ ~ ~ LIFT STATION Lot ~ Size in ga~lons:~ Line ~ ~ ~ [~ Foundation ~ ~ ~ ~ I ~ "Pump on" level at: "Pump off" le~ alarm at: Cu~ainDrain ~ ~ ~ ~ ~ Pump Make & Model Electrical Inspections performed by: Remarks: BENCH MARK I Assumed Elevation: ~ Inspections performed by: ~4 ~agl~ ~i~ ~ ~ ~: 1st ~0~0-~ I Department of He~h and Human Services approval '~"~'~ ~,., Reviewed and approved by: Date://-/2 -~/ 72-013 (1/91) MOA 25 Permit .o. '~.~. I~)1 ~ 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 Legal Description: HUNiCiPP~LiTY OF' [~EPARTHENi" JiF' HFAL. TH AN[) HUM{Z~N SERVICES P,,O, BOX fl.~}'~,'.~:.C:,, 825. "i...." S'i"REET~ REE:~H 5.02 &~NCH(]R¢~GE, ALASKA 9S7'5.;19-6650 PER~fi.Z'T' NUMBER~SUVIOOi5 i)E:Si(i~N E:N(~ZNE:ER:~q & S ENGINEERS OWNEF'. N~iME~Ai...ASKA FiOUSiNG FINANCE COFi:P OWNER A[)[:,F~EE;E;:+~"71S ,",L.E:",EFG?.E:REY L.N i...'::&4J ":,F'F (iE,"P","T 'i~ ~. HENKZNSE, Lr,."' ....... ' LT ~:~. January 16, 1991 ROBERTSHAFER, P.E. ROGERSHAFER CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER &WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 15; Block 3~ Henkins Subdivision; PERMIT REQUEST NARRATIFE Please refer to your files on the referenced property for the history of attempts to achieve a suitable on-site wastawater disposal system to serve the 3 bedroom, single family dwelling located on this property. The property owner, A.H.F.C. has elected to abandon efforts to insta~ an innovative on-site system on this property. Instead, they w~sh to install a 2000 gallon wast~wat~r holding tank as shown on the attached site plan. This property is generally flat with a gentle slope to the east. There are a couple of small surface water sources influencing the lot as shown on the site plan. The entire ar~a is known for its elevated groundwater conditions especially during the spring. The location of the holding tank as shown should not influence any of the surrounding properties. If you have any questions, review, pl~ contact ~. ~S/gm or require additional information for your 17034 EAGLE RIVER LOOP. SUITE 204. EAGLE RIVER, ALASKA 99577 · SCALE HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM W. E. Ward ALASKA HOME PROPERTIES 701 East Tudor Road Suite 100 Anchorage, Alaska 99503 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. October 3, 1991 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 RECEIVED OOT 1991 Mu ~ .~y of Anchorage Dept. Heatin & Human Services REFERENCE: Lot 15; Block 3; Henkins Subdivision; AHFC ~50133 Dear Mr. Ward, This l~tt~r is in response to your l~tter of October 2, 1991 on the referenced property. I received a call from W. J. Tack~t~ and Associates to inspect the installation of a holding tank on the referenced property. When I arrived at the time Mr. Tack,ti had designate~ he still did not have the holding tank installed as expected. Instead, he had a hole excavated where he had proposed the tank to be placed. At that ~ime I went over the following deficiencies with Mr. Tackett. The hole excavated for the holding tank was located only approximately 70 ft. from a stream locatzd near the property. This stream is d~signated in our design which Mr. Tack,ti had in his possession. On the design we showed the proposed tank to be located at least 100 ft. from the stream. When I informed Mr. Tackett of the required separation distance, he expressed some concern over the location of the sou~h property line and whether or not the tank cou~_d be plac~d 100 ft. from the stream and still r~ma/n on the property. At that time we took some measurements and found the property line to be near a power pole which would allow more than enough room on the property to s~t the holding tank. At that time we designated on the ground where the n~w hole was to be excavated for the installation of the holding tank. Mr. Tack~tt agreed to this position. Tack,ti and Associates, Inc. was not on the Department of Health and Human'Services approved excavators list and prior to our approval, he m~st be placed on the list of approved septic system installers. Pa~e Two Lot 15; Block 3; Henklns Subdivision; October 3, 19~I 3. Fhe sewer pipe which Mr. Tackett was using was not of an approved mo~al and needed to be replaced. 4. Mr. Tacket~t did not have a high water alarm for the holding tank as required by Municipal Ordinance. The holding tank did not have a 6 inch ~eano~t as required by Municipal Ordinance. During this first inSpection Mr. Tack~ expressed some concern over the ac~urancy of our site plan. I explained to him that I felt he was being deceived by the way the house was angled on the property, and that he had plenty of room to install the holding tank and maintain a~l proper s~tbacks. To the best of my knowledge the site plan we dev~oped is compl~ely accurate and it appears to be "somewhat deceiving" to only Mr. TackieSt. A ~ew days later Mr. Tack~tt called and stated that all the concerns of our first inSpection have be~n resolved, the tank is s~t, and he was ready to backfill. I then contacted a representative from this firm who was in the area to inspect the tank so it could be backfd21ed. My Inspector arrived thereafter and found they were only finishing the excavation of the new hole for the holding tank. Mr. Tackett apologized for not being finished and they discussed the difficulties of the job due to the muddy high water conditions. Mr. tack,ti was to call us when he was ready for an inspection. Once again Mr. Tackett called for an inspection. When my Inspector arrived on the property, he found the holding tank had already been covered. When questioned, Mr. racket~ said he had to cover the tank prior to inspection due to the high water conditions which caused the holding tank to keep floo~ng and shifting out of position. We did not take measurements at this inspection since the tank was already inStalled, the site was extremely muddy, and the equipment on the property would hinder the measurements. Once Mr. Tack,ti was off the prope~y, he called us for a le~t~r of comple~ion. We went out to take the final measurements and found the tank was instated only 92 ft. from the creek. I called Mr. Tack,it on Septemb~ 26, 1991 and asked him why the tank was not set 100 ft. from the creek as we had agreed. He stated that he was afraid of encroaching onto the property line a~d figured we could simply g~t a waiver. When I told him the cost and difficulties in obt~ning a waiver, he said he would talk to Bob MonSon and g~ back to me. I fe~l the inStallation of the watt,water holding tank within the creek s~back was either a result of Mr. Tack~t's attempt to deceive my inspector or due to Mr. Tack,it's lack of understanding of the importance of the separation distance requirement. At any rate, I never approved the inStallation of the holding tank in its present location, in fact, Mr. Tack~tt was. well informed of the required separation distanae both v~rb~y and by our site plan. Therefore, I do not fe~l that we should be h~ld responSible for the improper installation of the holding tank. Pag~ Thr~ Lot 15; Block 3; H~nkins Subdivision; O~tob~r 3, 1991 Furthermore, sinc~ th~r~ is littl~ r~ason why the holding tank cannot located I00 ft. from th~ cre~k, we cannot justify the issuance of a waiver. Therefore, obtaining a waiver for th~ l~ss~r separation distance may not possible. Sincerely, ROGER J. SHAFER, P.E. RJS/gm cc: MUNICIPALITY OF ANCHORAGE-DEPARTMENT OF HEALTH & HUMAN SERVICES Lori Crowder-JACK WHITE COMPANY - Eagle River W. J. TACKETT & ASSOCIATES 7105 SHOORESIN CIRCLE ANCHORAGE, AtASKA 99504 (907) 337-3137 Bill Ward Alaska Home P~operties 701 East Tudor #100 Anchorage, AK 99503 Re: Lot 15, Block 3, Henkins Sub. WA # 89307 AHFC # 51O33 MBS # 86043290 Subject: 2000 gallon holding tank Dear Mr. Wardi October 21, 1991 ~, ,0~*1a., This letter is in response to the letter from S & S Engineering dated October 3, 1991. We would like to clarify what we believe are incorrect statements within the five noted deficiencies and in the body of the letter: Deficiencies: 1. Our records indicate that no measurements were taken to locate the property line and that if exact designation was given for the location of the tank, then we must have completely misunderstood, as no marking or staking was used. 2. This is a correct statement. However, we have since obtained all necessary permits and MOA approval for this work. 3. This is a correct statement. 'However, piping was changed per the engineer's requirements, 4. This is an incorrect statement. The inspector for the engineer requested that we move the alarm which we had installed from the inlet end of the tank to the opposite end of the tank, which we did. 5. This is a correct statement. However, a 6" clean out was installed per the engineer's requirements. · With reference to the site plan developed by the engineer as being completely accurate, it would have eliminated the problem if we could have determined the exact location of the tank placement with reference to not only the creek, but also the property line. When the inspector arrived and told us to backfill, we had already partially covered'the tank to hold it down, but the connections and cleanouts were visible. We fully admit that we are new to this type of excavation work, and that we made some mistakes. It was never our intention, however, to deceive the inspector, -2- but rather our lack of understanding as to the exact placement location of the tank and the fact that we were concerned about placing the'tank on the neighbor's property. We hereby rescind our position that the work was completed per the engineer's requirements and stand ready to do whatever is required to complete our contract. It seems redundant at this point to re-excmvate the site and move the tank 8' if a waiver can be obtained from the health department for the existing placement. If you have any questions or directions for us, please feel free to call us at 337-3137. cc: Bill Gibbons AHP Sincerely, Roger Shafer S & S Engineering MOA - D___~pt.of Health & Human Services WJT:jvs SCALE MAR n ~ ]~ 9 ~L $CRO r~ .......... ~ -~;"-ROBERTA. SHAFER, December 5, 1988 ~'. ~ .....~ ~ J ~'~:~ CIVIL ENGINEER 694-2979 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 REFERENCE: Lot 15; Block 3; Henkins Subdivision Request you issue a permit to install a recirculating sand filter type wastewater disposal system., qn ~h.e ~ef~erence~d p~roperty. The system consists of a 2500 gallon s~t~ng/recirculation tank. Attached is a detailed drawing of the proposed tank by ANCHORAGE TANK AND WELDING, INC. This tank size is to be sufficiency large enough for a 3, 4 or 5 bedroom home. Wastewater from the recirculation tank is pumped into a sand filter. This filter has been designed using guidelines established by the Environmental Protection Agency. (EPA Design Manual - On-site Wastewater Treatment and Disposal Systems, 1980) The filter will be contained in the lower half of an eight foot diameter tank, 12 f~et long. Th~ bed area size is based on a hydraulic loading of 5 GPD/Ft for a three bedroom house (450 GPD). The distribution pipes will be embedded in a 6 inch layer of washed rock (3/4" - I~) b~ow which will be a 2.5 foot sand filter. Below the sand filter will be 4 inches of pea gravel. Below the pea gravel will be a 4" collector pipe embedded in 8 inches of washed rock (3/4" - I~"). The distribution pipe network will consist of 3 - 10 foot laterals spaced 2 feet apart. The pipes will be I inch in diameter with 5 - ~ inch holes in each lateral. The proposed lateral discharge pressure will be 5 feet of head. Given these parameters, the discharge rate will be approximately 25 gallons per minute onto the sand filter. The dosing volume is to be 120 gallons. This will equal a dose of 2 inches over the sand fi~ter. The dosing interval is to be 30 minutes. Therefore, with a discharge rate of 25 gpm, the pump within the recirculation tank is to be set on a t~mer to run for approximately 5 minute, ~vo times per hour. Once the water reaches a certain level within the recirculation tank, an electric solenoid valve is opened and the treated water is discharged into an existing drainfield. The drainfield was installed and inspected in July, 1982 under permit #820604. The drainfield is approximately 4 feet deep, 5 feet wide, 75 feet total length, and has an effective depth of I foot. However, it encroaches the water table, especially during periods of seasonal high groundwater. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 page two Lot 15; Block 3; Henkins Subdivision December 5, 1988 All portions of the entire system which have less than 3.5 feet of cover sh~ be adequately insulated with a hi-density polystyrene insulation. Attached for your review are the following documents: I. A site plan showing the proposed location of the well and septic system. 2. A cross-sectioned view of the proposed wastewater disposal system. 3. An on-site sewer/we~ permit application. 4. A settling/re~irc~ation tank detail drawing. 5. A recirc~lating sand fitter detail drawing. If yo~u~hav~questions or require additional information, please contact us. ~R~A. SHAFER, P E SCALE SCALE ROBERT A. SHAFER March I, 1989 CIVIL ENGINEER 694-2979 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL iNSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM Mr. Dan Roth Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 REFERENCE: Lot 11; Block I; Rabbit Creek H~ights Subdivision Eot 15; Block, 3; H~nkin.s..Subdivision Dear Dan, Attached are two copies of the revised drawings for a recirculating sand filter and a 1500 gallon settling tank with integral 1000 gallon recircalating tank for sand fdlter application. The changes include a larger sand size specification to prevent clogging of the filter media. We have also added an Ultra Violet water treatment unit to kill micro-organisms which might not be taken out by the larger sand filter media. We have deleted the 4 inch half rounds and installed infiltrators over the distribution pipes to act as splash plates which will better distribute the effluent over the sand f~ter. Request you continue processing the referenced applications for on-site wastewater disposal systems ut~zing these drawings as outlined in our letters dated November 28, 1988 and December 5, 1988. If w~mmay~be of further service, please contact us. S~/n~erelJ, j/ ' ~ ~P.E. / /ss 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 ROBERT A, SHAFER CIVIL ENGINEER 694-2979 January 17, 1989 HEALTH AUTHORITY APPROVALS SEWER &WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN ~ SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Mr. Dan Roth Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 REFERENCE: Lot 11; Block I; Rabbit Creek Height~ Subdivision Lot 15; Block 3; Hen~inS Subdivision Dear Dan, Attached are two copies of the revised drawings for a recire~lating sand filter and a 1500 gallon settling tank with integral 1000 gallon recirculating tank for sand filter application. These drawings have been revised per our meeting and disc~sion in your office with Lowell from ANCHORAGE TANK AND WELDING and Roger from our office. Request you continue processing the referenced applications for on-site wastewater disposal systems utilizing these designs as outlined in our letters dated November 28, 1988 and December 5, 1988. If we~f further service, please contact us. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECT[ON ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION '"?--'-, 2 '9 ]989 RECEIVED ROBERT SHAFER, P.E. ROGER SHAFER AuguSt 29, 1989 CIVIL ENGINEER~ (907) 694-2979 FAX 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE .' Lot 2; Tlmberline; Lot 11; Block 9; Rabbit Creek Heights; Lot 15; Block 3; Henkins; Lot 3; Block 6; Mann #2; Lots 4 & 5; Block 6; Rabbit Creek Heights; For each of the referenced properties we request you issue a permit for the installation of an on-site wastewater disposal system utilizing the Clearwater Waste System for treatment of the effluent prior to disposal into an absorption area. We are under the impression that you have given verbal approval of the Clearwater Waste System so attached for each property is a site plan showing the configuration of the wastewater disposal ..system and other pertinent property features. The reason each of these properties has been. selected for the Clearwater Waste System is as follows: LOT 2; TIMBERLINE: On this property exists a house and a septic system which was permitted and the installation approved in November of 1977. However, since that time there has been a small body of flowing water discovered to the north of the property which has been designated as a surface water source. This surface water source is located just 34 ft. from the existing leachfield. There is only one place on the property in which a leachfield could be located 100 ft. from the surface water source. (This is located in the Southeast quarter of the property). However, a soils test in this area shows the soils unacceptable for a standard on-site wastewater disposal system. We had request'ed approval of an "innovative" recirculating sand filter for this property, but due to approval delays we have switched to the Clearwater System. We now propose the inst~Zlation of a Clearwater System which will discharge into a new absorption area. This system is unique in that it wdll req~r¢ a separation distance waiver of 69 ft. between the well and the e~ting septic tank. There will also need to be a waiver of the distance from the new leachfield to the surface water source of 66 ft. We feel this waiver should be granted because of the treatment the wastewater will receive prior to being discharged into the leachfield. Page Two LOT 2; TIMBERLINE; LOT 11; BLOCK 9; RABBIT CREEK HEIGHTS LOT 15; BLOCK 3; HENKINS; LOT 3; BLOCK 6; MANN #2; LOTS 4 & 5; BLOCK 6; RABBIT CREEK HEIGHTSi AUGUST 29, 1989 There will also need to be a ~iver for the d~tance between the leachfield and a cutbank to 10 ft. We feel this wuiv~r should be granted in part because of the effluent treatment, but also since the leachfield will be installed at a sufficient depth as not to allow the effluent to surface through the cutbank. LOT 11; BLOCK 9; RABBIT CREEK HEIGHTS: On this property exists a 3 bedroom home which is nearing the completion of its construction. Soils investigation on this property show the soils to be unsuitable for a traditional septic system. The lot is highly vegetated with soi~ consisting of a 2 ft..organic layer overlying a clayey, silty, sandy grave~ layer. Groundwater level~ on the property were high with groundwater periodically high enough to saturate the organic layer. The mounded absorption bed type leachfield for this property is to be constructed above the ground surface with a 4ft. intermittant sand filter layer which will bring the absorption bed 4 ft. above the seasonally high groundwater level. This system is unique in that it will require a waiver of the required 2 ft. of natural, permeable receiving soil above the groundwater level. This property is also one which was proposed for the "innovative~' recirculating sand filter system. LOT 15; BLOCK 3; HENKINS: On this property exists a $ bedroom home with~a septic system which was permitted and whose installation was approved in July of 1982. However, since that time, groundwater monitoring in the area has shown groundwater levels as shallow as I ft. below the ground surface. Installation of the Ridgewaste System was approved for this property but construction was o~ly partially completed before financial and other complications halted the p~oject. The mounded absorption field for this property will be constructed by first removing I ft. of organic overburden and then installation of a 4 ft. intermittant sand filter. This will bring the absorption bed 4 ft. above the seasonally high groundwater level. This property is uniqu,¢ in that th~ proposed leachfield w~ be constructed over the existing leachfield area. This property will also reqaire a waiver of the required 2 ft. of natural, permeable receiving soil above the groundwater level. This property is a~o one which was proposed for the"innovative" recirculating sand filter system. Page Three LOT 2; TIMBERLINE; LOT 11; BLOCK 9; RABBIT CREEK HEIGHTS; LOT 15; BLOCK 3; HENKINS; LOT 3; BLOCK 6; MANN #2; LOTS 4 & 5; BLOCK 6; RABBIT CREEK HEIGHTS; AUGUST 29, 1989 LOT 3; BLOCK 6; MANN #2; On this property exists a 3 bedroom home. There exists no well or septic system. Construction of the home was performed with the owner unaware that a land use permit was required in their area. A soil test on the property showed the soils on the east end of the property to be suitable for a conventional septic system, however, there is an existing drainage ditchwith surface · water in it which prevents a septic from being installed in that area due to separation distance requirements. The soils on the rest of the property have been found to be unacceptable for a conventional on-s~te wast~water disposal system. The soils on the property consist of an organic layer approximately 2 ft. thick. Below th~ organic layer is a layer of clayey, silty, sandy gravel. Groundwater appears to travel under the organics on and within the underlying layer. Construction of the absorpiton area is to be performed by removing the 2 ft. organic layer and installing a 4 ft. intermittant sand filter which would bring the absorption bed 4 ft. above the groundwater level. This property will a~o require.a waiver of the 2 ft. of natural, permeable, receiving soil above the groundwater level. Lots 4 & 5; BLOCK 6; RABBIT CREEK HEIGHTS: On this property exists a small 2 bedroom house~ A land use permit was issued for the property in 1980 with the understanding that there will be no water and sewer faci~es. However, a well has been drilled and the owner now wishes to install a wastewater disposal system. Soils investigation on the property has found soils similar to that of Lot 3 ; Block 6; Mann #2. The mounded absorption bed is to be located on the high portion of Lot 5. As with Mann Subdivision #2, the 2 ft. organic layer is to be removed and a 4 ft. intermittantsand layer installed. This property will also require a waiver of the 2 ft. of natural, permeable, receiving soil above the groundwater level. We feel the Clearwater Waste System should be treated as an "innovative" system and each of the systems on these properties should be monitored closely for a designated period of time with monthly inspections of the mechanical operation. We al~o ~eel that discharge samples should be taken and tested for various quality parameters as prescribed by your department. We feel the sampling should begin after a "starting up" period and should end by mid-summer of 1990. At that time the system ~ no longer be labeled "innovative" and it wi~ be either approved or disapproved for general installation. Ending the sampling period in mid-summer of 1990, will allow time for new installations du~ing the 1990 construction season. Page Four LOT 2; TIMBERLINE; LOT 11; BLOCK 9; RABBIT CREEK HEIGHTS; LOT 15; BLOCK 3; HENKINS; LOT 3; BLOCK 6; MANN #2; LOTS 4 & 5; BLOCK 6; RABBIT CREEK HEIGHTS; August 29, 1989 We are of the impression the Municipality of Anchorage has monies set aside for innovative septic systems. We understand that some of this money was used for the construction of two innovative peat systems installed within the Municipality. Therefor, we ask that the Municipality bear the cost of labor and lab fees for monitoring and effluent testing of the systems once construction has been completed. During construction of the proposed systems, Nick Zorich Jr. of Clearwater Waste Systems, Inc. will be present for installer tra~ni, ng and construction inspecting of the systems. ~Any questions p~r .~ning to the 'Clearwater Waste Systems should be directed to Mr. Zorich at: P.0.Box 754 Astoria, OR 97103 Phone: (503) 325-5879 (503) 325-7620 The five owners of the referenced properties have been made aware that the proposed systems are innovative in nature and they will not be fully approved un~il such time that your depart~ent~feels the mechanical functioning and discharge characteristics of the systems is sufficient to warrant final approval. As a final note, if the Clearwater System is~not 'found satisfactory enough for fin~ approval, the contents ~f~ the ste~ tank which is lo hold the Clearwater System is to be removed and a high water alarm installed at the owners expense. At that time the septic tank and Clearwater tank combined will act as a holding tank with a capacity in excess of 2000 gallons. With approval of the installation of these Clearwater Systems we a~o ask that you approve holding tanks for these properties in the event the Clearwater System is not found satisfactory. If you~n~ny additional inform~tion for your review, please contact us. cc: FREDDIE MAC c/o George McCoy-Jack White Company Lloyd Barrus AHFC c/o Lori Crowder-Jack White Company Kaarina Brodsky Gloria Hampton & Ken Dodge SCALE 7_ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ~i~'N EW z74.0qq¢ m PGRADE MAILING ADDRESS LEGAL DESCRIPTION I '" LOCATION NO. OF BEDROOMS a- ~r~ Manufacturer~ nmkF~rao~. Tank ~'~'~'~+~ei No. ofcompartments~ i Liq, capacity in gallons I Cnside lengt~ Width Liquid depth ~ ~OO IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation Nearest lot line~ PERMIT NO. Leng~hof eachJine Total length of linp~m~ Trench width, Distance between lines ~,~ ~ ~ Top of tile to finish gra Material beneath tile Total effective absorption area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diamete~ Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot bne PERMIT NO. ~ Building foundation 8ewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE MATERIALS C.T q SOl L TEST RATING INSTALLER REMARKS ' i I I I I APPROVED DATE LEGAL ~' ......... *%:T,:,I i ch" 'r -' ! NSPE]]:T I OF,iS; OF' F!N"? J.'-iEL.!....':-:; ?[' J'¢*CC]q'T' -ri'. '! H! b, l:-?:.!...,h'~:.h:.'"'" '" ........ '""~ ,-' !:-~i"4i::, THE ?.,!Lh!FE:F: JiF F.:E:'T,]:[,E?.!EE':: THF!T' THE hi*:'~ ~T,., :EF'R'v'.E'. DF'P!qF;'TMTI'.!T !,.jTM.,.I....,_. (:E ::: E j'~!]T 'T'[! M i N ! MI.jM D i S'TFff.,K::E BETHEEN R J.,.F.:{L.L FiND Fii',iV ON-S l TE E;Ei,.!!:::!(]iD[ [)t :E;i::'O:~;FIL S'¢STEM Z S :j..i~HZi FEET Fi]iii: j;~ F'RIVF:iTE HELL OF: :i. SEi 'T'O ;2GEl FEET FROM ¢::I I::'UBL. ZC HELL [:qEPEF4[)iN(3 UPON THE T"¢I::'E OF' F'!_tE&..i[: HEL. L.. HiNIMUM D i:STi:::if':iCE FROM i:::I F'Ri'v'i:iT[~: HELL.. 'TO Fi F'P. IVF:iTE SEHEF~: LiNE IrE; ;25 FEET F~i",!D TI) i::l C;OHHUNIT'¢ E;E].,,iE:R LiNE ZE; '?'5 F'EET. OTHER P. EQU i RiEHEN]":E; MR'¢ FiPF'L'¢. SF'EE: i F ~ E:i:TT IONS FIi",iD COF,iE;TRLICTZ 0N D I I:::iGI:;i:F~!"iS FIRE FI'v'FiiLRE',L.E TO iNSURE PROF'ER iNE;T'RLL. RTZ i CEi:F:T' ! [::'"," THI::!T :L: i F:ihl F'f:iHt!....IFffR Hi'T'H 'T'HE RE)]EJIFi:EHENT:, i::'Cd~: (iN-SiTE SEHERS FIN[:, HELL:B RE; SET FORTH E!','T' THE HUN I C ! I::'FiL. ! 'F'~" OF FL,",!C:H(3F:RGE. 2: i H!L.L !N:,TFiL_L T'HE E;V:E;TEM iN FiCi]":OF;:[)I::i['.,!C[i[ i,.!!]'Fi TF:,'E CO,[:,E~S. 3: '_-": iJNDEF:STFi.ki[:, THFi]" THE ON-':i:;i'TE SEHE'iF: S?E;TEH MR'?' REQi. J I:.q:E ENL. F]I;~:CiiE:MENT iF THE F:E:SiC, E:NC:E IS REHO[:qELED 'T'O !NCL.LE)E: MOFiE: T'HFIN ]ii: E:EDROOh'iS. SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST 1 2 5 6 7 8 PERFORMED FOR: J O [/-~ ~'~¢'0~''''>, 9 10 11 12 13- 14- 15- 16- 17 18 19 20 SLOPE SITE PLAN WAS GROUND WATER r.~_ .~-. S 7 L ENCOUNTERED? , O P IF YES, AT WHAT ~ ! E DEPTH? (J Gross Net Depth to Net Reading Date Time Time Water Drop 'Z 5z ~ 0, ~' ~- o, o~ ~__ ~ ~ ~" ~'-~ PERCOLATION RATE TEST RUN BETWEEN 6 ~ 7 (minutes/inch) ,_~ FT AND '?'-~)'"~ FT CERT,~,ED.¥: DATE: 7- F:iF'PL i LOCi:IT :[ L...E i3l::ii · .iH SER',,,'iCES [:,BR JOHH HO L'tSE:!:: HEI',tK 1£ LOT 2Fq.-E!447 H i t.,l l HI...Ii,t i} I STFiNC[i: E:ETHEEI'.,i Fi HELL RI'.4D FIN's.' ON-S I 'I"E SE!.,.!FIGE D i SI::'OSI:~L SYSTEM i '_"']; ':LOe FEET FOR R PRZVf::!TE HELL OF.! :.t_5~} TO 2e{:."l FEET FRCIi',! UF'OI'-,! THE 'T'"?PE OF' P!JE:LiC HELl, .... i'!INIMU!'i i}iSTFii'.4C.[.£ FROI"'! F~ F'F4!?F:ITE HELl... TO R PRI',.-,'RTE SE!.,.!ER LINE )iS 25 'F'EET FIND TO F:I C:Oi"iMUi'.~IITY' SEi4ER LINE :iS 75 FEET. HELl. LOGS Ri~:E RE(NJIF::ED f~iqi} MIjST E:E ~:I-:{TL~F.:NED TO 'THE [:,EF:'RF.-:'i"!"!Ei'.~'I" HI't"HIi'..]. !.':~Zl DFt?S OF TI--iE HELL COI'"tPLET]:Oi'-~L CO"HER RE~i;:!LI!REtfiEi',~TS I"ii::!'.? RPPL.Y'. ::':PEOIF:t'C:FN'iONS t:~.i'.,I[:, CONS]'RUC'F!Ot'.,! F:!'v'R I L..F~:BLE TO ! NS-URE !::'ROPER Z NSTFIL. I_R]"Z Ci!',L I CERTIF:'Y' :i.,: i F~i"1 FFiM!!..,,iRR HITH THE RIE~]:!UiREPiEi",ITS FOF:: ON-SITE SEHERS F:!N[:' !,.!ELLS FI.'i"~; SET F'Oi:;~:TH Fi','~'' 'T'!'iE MUN i C: ! F:'RL. I 'T¥ OF Ft!",!CHORFi('iE. ;2:: i HILL INSTFiM_ THE S'~"S'TEM IN FiCCOF.'.DFt?,iCE HITH THE CO[:'ES. (907) 243-.7893 KEN JOHNSON John Moore P.O. box 4-604 Anchorage, Alaska Il(Bi N' S CO VIPA WATER WFZLL DRILLING PUMP SALES & BERVICE ( 2'74,.-0;~8 ) 3163 LINDEN DRIVE ANCHORAGE, ALASKA 99502 July 20, 1982 RE~ I.o% 1~ ELK ~ HEINKS SUBD. 0 ft 'to 2 ft 2 ft 'to 12 ft 12 ft to 25 £t 25 ft to 29 ft 29 ft to 3h ft 34 ft to 52 fto 52 ft to 71 ft 71 ft to 82 I% 82 ft to 92 ft 92 ft to 100 ft Fi~[i Organic peat Same with brace of grave], with some wood fragmerAts r,iedo gray & dark Er'ay :;i].t Same but wcei~s water Fracbused rock Same.. Purple ..More ~ecomposed.. Gray rock ..Solid Brown z.ock Solid We t rock Cased ~iater Level 0 ft. ( Almost ~rtesian ) Total de,th 100 ft. ( 102 ft. top of casing ) Yields: 2 GP~4 Set pump at 6C ftc. ( in casing ) <Permit 9: 820560 ~January 31, 1983 TO: Permit Applicant Subject: Lot 15 Block 3 Henkins Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 MUNICIPALITY OF ANCHORAGE Q Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-292-40 Legal description Henkins Block 3 Lot 15 Site address 19746 Henkins Rd Current property owner(s) Stroke Jeffrey Expiration Date: 11-15-22 The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: BOriginal Certificate Date: ZS r S r20? 2 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 VVIUHMPAUTY OF ANCHORAGE 0 4i -� Development Services Department 4 r Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 05129240 Complete legal description HENKINSBLK 3 LT 15 Location (site address) 19746 HENKINS RD Current property owner(s) STROKE JEFFREY 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 242-5276 3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑■ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: X Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 31 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee s-5-50 Waiver Fee $ Date of Payment y b� Date of Payment COSA # 0 S C 2 21 S9 5 Waiver # COSA Application—June 2022 Legal Description: HENKINSBLK 3 LT 15 Parcel ID: 05129240 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) 7-Z ro Date drilled 1982 Total depth 100 ft Cased to 64 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 36 in. Date of flow test for COSA 7/14/22 Static water level at beginning of test 1 ft. Comments B. TANK DATA Measured operating fluid level in septic tank na Date of pumping 5/2/22 % ❑ Required maintenance completed, if AWWTS Comments: Holding Tank -Steel D. ABSORPTION FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 3 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by NRimEng Date 7/14/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Alarm Tested Adequacy test date Results ❑ Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) Effective depth used in Effective depth remaining in in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic TanklLift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' E] Yes if No ft (E Yes if No ft Neighboring Tank > 100' FR] Yes if No ft Private Sewer/Septic Line > 25' On Yes if No ft Absorption Field on Lot > 100' E] Yes if No ft Holding Tank> 100' MN Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' On Yes if No It Q Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' On Yes if No ft Fil Yes if No — ft ❑ N/A - Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' Ful Yes if No ft Surface Water> 100' On Yes if No ft Tank to Property Line > 5' g Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' F1 Yes if No ft Private Wells > 100' M Yes if No ft Water Main > 10' Yes if No ft Community Wells > 200' n Yes if No ft Water Service Line > 10' Cj Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm NorthRim Engineering Phone 694-7028 Engineer's Printed Name —Steve Eng Date 813/22 COSH Checklist—June 2022 AV AV C :49TH ............. Steve Eng kid CE -6256 8'/3%2 N \ unurr POLE(SEE NOTE) APPROX. CREEK LOCATION ��S \ / Lot 1 oq / N / Lot f 1 s 5 20°•0, WELL GRAVEL iq /`~�- \ TRkSH ENCLOSURE F.B.. 20' x � / s.a• ao.r H i6 32.2 \ CANT m / 1 STORY OAF .l \P, �s.�. r RESIDENCE LO 2 // / WITH LOFT / J/ WOODEN FENCE t G � / a 8 SEPTIC / .01 PIPES o' \ Lot 14/' — 01 41 / oo, NOTE: A PORTION OF FIRE CREEK RUNS ACROSS THE I PROPERTY AS SHOWN. (LOCATION FROM MOA GIS). MORTGAGE SURVEY X SCALE 1- = 40' GRID NW 755 Project No 22-445/Al J� 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang 4Q,f. H s s3 ( d a t e s inc. (907) 522-6476 Phone (907) 522-4625 Fax Professional Land Surveyors ken0longsurvey.com OF A jonothan0longsurvey.com I hereby certify that i have surveyed the following described property:�� - . T �Q LOT 15, BLOCK 3, HENKINS SUBDIVISION (Plat No. P-387) Q * 49TH*' -- P ' v tJfj Anchorage Recording District, g g Alaska, and that this Mortgage Location Survey is a ' " representation of the conditions that were found on the date the survey was performed. a ` This survey does not constitute a boundary survey and Is subject to any inaccuracies A :. ��k'E* LAN I.- a subsequent boundary survey may disclose. The information contained hereon shall �, o G not be used to establish any fence, structure, or other improvements. a� � �,`a i"'F' �S-5202. •' J Dated this the ? �_ Da of a v i' Zu 2'� 4 ``b y at Anchorage, Alaska 0 p Noo �kh- 0�3510NA� It is the responsibility of the owner to determine the existence of any easements, �40SIONA- covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 Septic / Holding Tank Advisory Certificate of On -Site Systems Approval #OSC Subdivision: Henkins BLK 3 lot 15 Starting at 20 years of age the MOA issues Advisory's for steel septic / Holding tanks The Holding tank for this COSA / property is 31 years old. A leaking septic tank may be a source of contamination to the aquifer. Typical replacement costs range from $15,000 to $20,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of a 16 -year-old septic tank in failure and should be replaced. Mailing Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org Parcel I.D. # 05!-292-a0 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES. Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING NAA# 1. GENERAL INFORMATION Complete legal description Lot 15, Block 3, Henkin$ S~b Location (site address or directions) 19746 Henkins Rd Day phone Day phone Agent Cindy I,I~fcnn r,/r~ G~eat!and Realty Day phone 6q4-q'l 2~ Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: individual well Community welt NOTE: Public water If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: Individual on-site Holding tank X Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 Flealth 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 KND Enqineerinc] Phone 696-6111 20441 Ptarmigan Blvd Eagle River, AK 99577 Address o Engineer's signature DHHS SIGNATURE ~' Approved for ~ Disapproved. Conditional approval for Date 6/1 (;/94 bedrooms. bedrooms, with the following stipulations: Additional Comments Date 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 DH HS 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 inspeetions 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) B~ck MOA ~1 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 15 Bl k 3 Henkins Sub Parcel I.D. 051-292-40 A. Well Data Well type Private Log present (Y/N) On file Total depth 100' Sanitary seal (Y/N) Yes Date of test Static water level Well flow Pump level1 If A, B, or C, attach ADEC letter. ADEC water system number Date completed 7/82 Driller Cased to 69 ' Casing height Wires properly protected (Y/N) FROM WELL LOG 7/82 2.0 .g.p.m. SEPARATION DISTANCES FROM WELL TO: ;~ICti~/holding tank on lot +l 00 ' Absorption field on lot N/A Public sewer main 200' Sewer service line +50' AT INSPECTION 6/3/94 +1' above ground 8.6 ; On adjacent lots +100' ; On adjacent lots 1 00~ Public sewer manhole/cleanout 2I Yes +200' Petroleum tank +] 00' WATER SAMPLE RESULTS: Coliform ~) Nitrate < MI')~ Other bacteria Date of sample: 6/3/94 Collected by: CAL B. ~ERTIO/HOLDING TANK DATA Date installed 11 /4/'9'1" i ~: (Ytl~ili:,¥es'-'i · Foundation cleanout Cleanouts (Y/N) High water[.~larm (Y/N) ', :' Yes Alarm tested (Y/N) Date of pdmping 6/2/94 Pumper JR ' s SEPARATION;DISTANCES FROM{~EPTIC/HOLDING TANK TO: Tank size 2000 gal Compartments 1 Yes Depression (Y/N) No Yes Plumbing (contract) Well(s) on lot +] 00' On adjacent lots +'100' To properly line 1 0' Absorption field N/A +100' Sudace water/drainage Foundation +50 ' Water main/service line +50 ' 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed N/A Vent (Y/N) ~level at High water alarm level ~ Cycles tested ~"~......._ Meets MOA electrical codes (Y/N) ~ SEPARATION DISTANCE FROM LIFT STATION TO: Manufacturer Manhole/Access (Y/N) "Pump off" Level at Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA [)ate installed N / A Total absorpt~ Date of adequacy test ~'-"~'--~-..~Results (pass/fail) Water level in absorption field before test ~ Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) Gravel thickness Cleanout present (Y/N) System type Total depth Depression over field (Y/N) for SEPARATION DISTANCE FROM ABSORPTION FIELD TO: After test Bedrooms Well on lot N/A To'buildin_g..~ u ndat ion On adjacent Iots~-"~ Surface water Curtain drain On adjacent lots Property line To existing or abandoned system on lot Cutbank Water main/service line ~D__.~veway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I ce~'fy that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature ~~- Ke~neth.M. ~fus Date H~Fee$ ~ '~ Waiver Fees Date of Payme~ ~ ~/7 ~ Date of Payme~ Receipt Numar ~ ~ ~ ~ ~ ~ Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 1. GENERAL INFORMATION Complete legal description Lot 15; Block 3; Henkins Subdivision Location (site address or directions) 19746 Henkins Property owner Mailing address AHFC ~50133 WA #103393 Day phone Lending agency Mailing address Day phone Agent Shari Baker/JACKWHITE COMPANY Day phone 694-5500 Address 10928 Eagle River Road, Eagle River, Alaska .... Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well x×× 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 xxx 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 1¢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 Address Engineer's signature 17034 Eagle River Loop Road DHHS SIGNATURE ~/;,,/-- Approved for ...~.~/~'/%~,_~_~ bedrooms. Disapproved. Conditional approval for Phone bedrooms, with the following stipulations: Additional Comments Date 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 'LegalDescription: ~r'[~"~:~LtL~ ~"~'l/-i,.J,$ ~}~ ParcelI.D. A. WELL DATA Well type Log present~/N) Total depth Sanitary seal ~N) If A, B, or C, attach ADEC letter. ADEC water system number \/ Date completed -~ ."Z.D -- ~/Z.-- Driller Cased to L~ ' Casing height f ~ Wires properly protected(~/N) FROM WELL LOG AT INSPECTION Date of test Static water level ~ ~ t ' Well flow Pump level MUNICIPALITY OF ANCHOP, AO,~ ENVIRONMENTAL SERVICI~$ DiVISioN g.p.m, RECEIVED SEPARATION DISTANCES FROM WELL TO: ~l~-ie/holding tank on lot Absorption field on lot Public sewer main Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE Coliform Date of sample: Nitrate /'~. J L, .ff-z.~ Collected by: B. ~HOLDING TANK DATA Date installed ~1 -,/A' ~c~ j Cleanouts (~1) High water alarm ~YN) Date of pumping '7 ~ cl ~-- Pumper \ SEPARATION DISTANCES FROM ,~Ia,~B/HOLDING TANK TO: Well(s) on lot To property line Other bacteria S & S ENGINEERING !703~. E=~!." R!.-'er E~le River, Alaska 99577 Tank size ~ ~ Compartments Foundation cleanout ((~/N) '¢' Depression (YX~ Alarm tested ~'N) Surface water/drainage On adjacent lots Absorption field Foundation Z'~'7 ! · water main/service line 1~~'~ 72-026 (Rev. 7/91) Front · :CONTINUE~D ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Vent (Y/N) "Pump on" level at High water alarm level ~ ~tested Meets MOA electrical codes (Y/N) ~ SEPARATION DIS...T. AN~ FROM LIFT STATION TO: Well~ On adjacent lots D. ABSORPTION FIELD DATA Manhole/Access (Y/N) Surface water Date installed Soil rating System type Length .Width Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABS_..(~TION FIELD TO: Well on lot .--'""~ On adjacent lots To building foundat~~ On adjac~.~' ;~Vr~ti~r - Gravel thickness Cleanouts present (Y/N) Date of ade~ If yes, give date Total depth Property line To existing or abandoned system on lot Cutbank Water main/service line Driveway, parking/vehicle storage area bedrooms 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 inspe~i~'jon. Signature ~7n~4 Eagle River Loo~) Roa~ No. 204 Engineer's Name HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number ' A LI FILLS OUT UPPER HAl "iONLY Property Owner C & S CONSr~RUCTTON COM. P~Z~,,]'Y Phone Mailing Address PoO, BOX 3017, Palmer, AK zipC°de99645 688.3559 Buyer JEFFERY & SHERRYL TERRY Address SRA BOX 144 Eaqle River zip Code 99577 Lending Institution First National Bank· Eagle River Phone 694--3103 Address ]~a~l~ ~_~"~'r'. D,'~ Zip Code 99577 Realty Co. & Agent . Phone NONE Address Zip Code Legal DescriptDn LOT 15, BLOCK 3, HENKENS, SUB Street Location Type of Residence {~ Single Family [] Multiple Family No. of Bedrooms 3 [] Other Water Supply Q{[ Individual~ ~ ATTACH WELL LOG, A well Icg is required for all wells drilled since June 1975, [] Community 1¢-,,-~-'~ ~ (~ For wells drilled prior to that date, give well depth (attach Icg if available). [] P. qblic Utilityt, · Sewer Disposal [X Individual Year Individual Installed: Fall 1982 · S'~-ill ne%,7 [] 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~--X~ e ~ Inspector Inspector Inspector Inspector ( ~APPROVED BEDROOMS~ 'CONDITIONS OF APPROVAL ( ) DISAP~OVED ~ ( ) CONDITIONAL~R~AL' ~ BY: ~ Soils Rating Date ~er Installed Well To ~sorption Area Well Log Received '~/~ Well to Tank Septic T~k Size ~ HENKINS SUBDIVISION zo/9/85 Keith Bandt Platted: Zoned: Lot Description: P robl ems: Probable Causes: End Effect: September 13, 1955 (Plat #387) R6 in 1982. Previously, it was zoned UNRESTRICTED 61 lots and 3 tracts. Majority of the lots are 20,000 s.f. One of the affected lots is only 14,365 s.f. Water table has increased in recent years causing systems to fail and sewage to leak onto the ground Surface. Lots most affected are cross-hatched on Figure 1. Based on soil tests conducted in 1982 on several of these lots, water levels have increased 4-6 feet. System failure in this case can contaminate the shallow water table, and the potential exists for contaminating the deeper drinking water aquifers although no problems have surfaced to date. Due 1. e ® to a combination of 3 factors; Natural phenomena - A natural increase in the water table due to changes in the hydrologic cycle. There is historic evidence that the area affected was very wet, saturated by ground water, prior to development. There are presently many indications of saturated soil as evidenced by small streams, springs, and weeps within the affected area. Monitoring well data helped establish the boundaries of the affected area. A stream diversion around lots 8,9, and 10 may be a factor in fixing the water table elevation on Lot 15, Block 3, although the degree of impact is difficult to assess and is not the sole factor. Wastewater loading from septic systems probably aggravates the situation by contributing to the water table rise. Lots 12-15, Block 3 and Lots 5-6, Block 4 will be required to abandon their existing systems and hook up to a holding tank or package treatment plant (innovative) by November 1, 1985. Lots 3-4, Block 4 will be required to raise the absorption field to meet the proper separation distance to ground water. Curtain drain systems are not viable and have been excluded as an option. High fecal coliform levels found in a monitoring well on Lot 3, Block 5 are currently being investigated. The water supply well for this lot is in close proximity and is only drilled to a depth of 44 feet with a static water level of 6 feet from the ground surface.