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HomeMy WebLinkAboutBROADWATER HEIGHTS BLK 1 LT 5Broadwater Heights Block 1 Lot 5 #050- 081- 24 On -Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111348 Tax Code Number: 05008124000 Work Type: Well Initial Permit Effective Dates: December 07, 2011 to December 06, 2012 Design Engineer: Subdivision: BROADWATER HEIGHTS Site Legal Address: BROADWATER HEIGHTS BLK 1 LT 5 G:0253 Owner/Address: SECRETARY OF VETERANS AFFAIRS % BANK OF AMERICA ATTN: VA REO MS TX2-98 2375 N GLENVILLE DR RICHARDSON TX 750820000 Site Mailing (Address: 18335 MC CRARY RD, Eagle River Lot Size in Sq Ft: 24474 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank N Privy N Private Well Y Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received B Issued By: By Date. 12-Z Date: 2 7 / MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. osy _000(-ZL( Property owner(s) ivy i cj. \o & 4-'�no�e �a. �,� Day phone t'qo A &S7 Mailing address _ 44 c S'S` e� �►.�� LIL D2 Jo lc[afin� Site address 15 3"+ s Y1n ,v ll 2�j Z a�-T Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size Sq. Ft. THIS APPLICATION IS FOR: (10 all that apply) Number of Bedrooms THIS APPLICATION IS AN: Absorption Field ❑ Initial ❑ Septic Tank ❑ Upgrade ❑ Holding Tank Renewal ❑ Privy ❑ Private Well ❑ Water Storage tK THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. Permit/Rush Fees:( Date of Payment: Receipt Number: Permit No. n S GABuilding\On Site\FormsVient Forms\Permit App 010411.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 1/11) 9MORWESCO Norwesco is proud to be the world's largest manufacturer of molded poly tanks. For over 25 years, our customers have relied on Norwesco tanks for premium duality and reliability in performance, Norwesco tanks are manufactured to strict duality guidelines to ensure years of high-performance use. Mugged, impact -resistant, cine -piece seamless polyethylene construction make our tanks suitable for the storage and/or transport of most liquid chemicals. Norwesco tanks are manufactured using resins that a_ '* s W,' W; ri Norwesco tanks will be delivered to you with a fitting installed when applicable, but may also be ordered without a fitting. 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S -�— 'i 5 cid— w�► ( I A wvew.norwesco.com Municipality of Anchorage Page ► of Z 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 W (_) tf- 0 0 S C1 PID Number: _05-0 -0$1-ZY Name: k� rd11CR Wastewater System: ❑ New [Upgrade Address: 1�3 S � C�4{z - cid(' ! 9K7 ABSORPTION FIELD Phone: — ' 67 ti No. of Bedrooms: D Deep Trench hallow Trench O Bed ❑Mound []Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/Sq. Ft. Lot: Block:' Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe BpQ1:1:u.li• I i- fL S 2.3 Ft. Ft. Township: • ' 7_/q JJ Range: Z In I Section: I Fill added above original grade: Gravel length: Ft. Ft. WELL: ❑ New ❑ Up Gravel width: •5 Number of lines: Distance es: etween lingrade Ft. Ft. Classification (Private, A,B,C): Total D t Cased To: Total absorption area:+ Pipe material: j Ft. Fl. I 0 SO. Ft. 4 P FX610 Driller: _ Date Drilled: Static Water Level: Installer:_ Date Installed: Ft. a(2ArJtECt S /2 0 Yield: Pump Set at: Casing Height Above Ground: TAN K GPM Ft. Ft. SEPARATION DISTANCES O Septic O Holding T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity In gallons: From Tank Field Station Tank Sewer Lines D 2 ^N 'J 15-00 Well (Dy � o? _ / %S Material: Number of Compartments: T loo vAire_ Surfac Water +Icy I-foJ t f►uo' LIFT STATION Lot Line / / 30 — , 3 Size in gallons: Manufacturer: b4bmluriex 15_00 0P_6"co Foundation C { ( 3� r "Pump on" level at: I , "Pump off" level at: ►I14-2 , High water alarm at: � � / , c� CurtainXr Drain f SO 4 $p 50 — f5D Pump Make 8 Model P t7-o5 Electrical Inspections performed by: 7S'r.)e. 5or,' C-LF SPI . L_ Remarks: .�' x v M . BENCH MARK ii t j w i r 't1r41 lJ R. Location and Description: 57- Lo7- 6001..1 E: iC Assumed Elevation: j(20. D Ft ENG1,,qWjW,UAL S� Inspections performed by: 000b �f 40Y - Dates: l st—L� • i •• 2nd 6K= CHRISTOPHE P_ WOOD Department of Health and Human Services approval '• C-JUL Reviewed and approved by: Ps'"tDate: -;.-- 6z- • �ossioNP�-cam 72-013 (Rev. 9/91) MOA 25 v // Permit No. SW040059 Page 2 of 2 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: _LOT 5. BLK. 1, BROADWATER HEIGHTS PID No.: 050-081-24 gwNn TIM MlK'W ".111M no MIMM MR119EMM KNIMMEMW WELL ADVANTEX SEPTIC SYSTEM �0 `+ x OU TDP DF SOUTHWEST LOT CORNER ASSUMED ELEV . 100.00' ELEVATIONS (NOT TO SCALE) a- rt'.L ADDED .7' 2.3 ' H13LE WATER TH-91.6 n4-7/. 2 -STY HFRAME E \ : 2MCj1 I \ I I WELL ADVANTEX SEPTIC SYSTEM �0 `+ x OU TDP DF SOUTHWEST LOT CORNER ASSUMED ELEV . 100.00' ELEVATIONS (NOT TO SCALE) a- rt'.L ADDED .7' 2.3 ' H13LE WATER TH-91.6 n4-7/. '.CrV H ISTOPHER R. WOOD: 1 QOJ►' CE -10387 v�oo �4n�PROFESS10NPo I \ I I � I I I I SCALE 1"=40' o zo I ® — TEST HOLE I0 - MONITOR TUBE I o - SEWER CLEAN OUT -� - WELL I I - NEW LEACH FIELD I I I I I I I v I I I 5/07/04 I ENGINEER'S SEAL 40000p0 OF A 0 I :• .S,�Op4 oo'A '.CrV H ISTOPHER R. WOOD: 1 QOJ►' CE -10387 v�oo �4n�PROFESS10NPo IZising bon Electric. Inc. . � T. Y 14916 Voodland Drive t �•? , Eagle River. V, ., . � 99577 .,. (907)622-6/// May 11, 2004 Re: Lot 5 Block 1 Broadwater Heights To whom it may concern: The lift station at the above referenced property has been wired in accordance with NEC and State/Local codes. Thank you. Sincerely, Kevin S. Hornbuckle, Owner Administration License Number 1284 Specialty Contractor License Number 27285 LEGEND -- - OVERHEAD UTILITY UTILITY POLE C O - SEPTIC PIPE + - WELL — — - EASEMENT - DRIVEWAY 0* �%K h� C; HOU E ,4 h)� O t:0••f�. 0 `SOS j'.'; + •!• ,'�• SEPTIC SYSTEM • '3d.1•• '•f. •.t �. •f i Quo OF ...A �\ x.'49 TH �\ ���,..,............... : ............ .D O ............ .... • q LOUIS A. 6UTERA • �� D°O LS -9338 p p��n�°ressional �°aoo '9i ,50 to to V SCALE, DATE BY: L. BUTERA & ASSOCIATES A SB U l L T SURVEY 1"a50' 05/7/04 e,nt P.O. Box 773294 10421 VFW Drive LEGAL: LBUTERA Project No: 03-025 Eagle River, Alaska 99577 LOT 5, BLOCK 1, BROADWATER (907) 696-7375 FAX: (907) 622-5195 HEIGHTS SUBDIVISION I CADD File Name: 03-025AB I hereby certify that I have surveyed the following described propertyi LOT 5, BLOCK 1, BROADWATER HEIGHTS Anchorage Recording Precinct, Alaska, and that no encroachments exist except as Indicated. It Is tete responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Under no circumstances any data hereon be used for construction of fence lines, or for establishing boundary lines. MAY -11-2004 1806 S&S ENG I NEER I NG 907 694 1211 P. 02 .... *EW & VWM Dc"McsnVES NOW -POR!$ WMLW WnM LFLWT= 1INR" Roam WTOT PSno WIQN 7157 sra,n7uPALa KOWWx MmEcnow CNWM WA3TCWATQq tem P08M'c c owAN. pF_ RonEW&SHAFER PE CML ENGINEERS (907) 694-2979 FAX (907) 694-1211 May 11, 2004 )eagle River Engineering 10421 VFW Rd. Eagle River, AK 99577 REFERENCE: Lot 5; Block 1; Broadwater Heights Subdivision This letter is to certify that the well on the above referenced property was permanently decommissioned in accordance with the Municipality ofAnchorage requirements on May 8, 2004. If we may be of further service to you, please contact us. Sincerely, .-)WZ 4 --- Robert C. Cowan, P.E. RCC/ts 17031 NORM EA= AMM =P • SUFM 204 . MLE RIVER N-4SKA.9"U TOTAL P.02 ZOO/ZOO L6Z£ V69 L06(X�d�) 9NIa33NI9N3 a3AId 31,90 Z1:01 (03M)b00Z-Zl-AHW MUNICIPALITY OFANCHORAGE S/ l O L l — `%"J D n vDevelopment Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Apr 15, 2004 Expiration Date: Apr 15, 2005 Permit Number: SW040059 Parcel ID: 050-081-24 Legal Description: 1BROAlJWATER. `HEIGHTS;BLK 5Y�, Design Engineer: 0848 Eagle River Engineering Services Site Address: 018335 MCCRARY RD Owner Name: MARY & BEN GRANADE Lot Size: 24474 SQ. FT. Owner Address: 18335 MCCRARY ROAD Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER, AK 99577-7914 This permit is for the construction of. ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: , I MWA/M Iwo IF Date: J �a0 Oct -14-03 12:57P Permit Counter 907 343 8250 P.01 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program AY AIT 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWERNVEI.I PERAMT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. _ O$ D —O`b) — Z y Permit Number SW0400 j 9 Property owner(s) 44 4A)l + JSo) 4R,4n/,4 b(r, Day phone 6 9 - S $3 t Mailing address (1) 14 33 S rH c CR�4Ry S 7'. Mailing address (2) G�Lg: R.rvg2- +/C %S77 Zip Code _ "5'77 Legal description (Lot, Block & Sub'd.) 0Ik+bt/h-79R liT5 _ L S 91 Legal description (Section, Township & Range) 7- 1WO 2 2_a S c= e 244 7� 2 Lot Size Acre q.Ft Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well 0 Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single FamJy Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: &46to ao Waiver Fees: 7.5'1a ° Date of Payment: 1-19104- Date of Payment: 1% Receipt Number: _�-02 7 4 Receipt Number: 3_oQ 2 _74 - (Rev. 12100) Eagle River Engineering services Christopher R.Wood, P.E. 10421 VFW Rd. Suite 201 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax April 8, 2004 Jim Cross, P.E. Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Broadwater Heights, Lot 5 Block 1, ADVANTEX SYSTEM Narrative & Permit Application Dear Mr. Cross: The proposed septic system upgrade will have very limited impact on adjacent properties for the following reasons: 1. This permit is for an Anchorage tank Advantex system, allowing reduction in leachfield area. 2. The surrounding lots are large, allowing sufficient room for septic sites. 3. Immediate neighboring septic systems are all +30' distance. 4. Reserve space is limited, and but the old bed could possibly be used in the future. 5. Drainage will not be affected and is not a major consideration in our design. This well and septic system will have little impact on adjacent lots, due to the large lot sizes. Neighboring wells and septic systems have been located and identified. Impact to future wells and reserved spaces will be minimal, or none. Drainage will not be affected by this design. Please see attached letter requesting a lot line waiver. If you have any questions please call our office at 694-5195. Sincerely, EAG R E SERVICES Christopher R. Wood, P.E. Principal \1997\03-025 nnvA TrEx NAR.Doc Eagle River Engineering Services Christophcr R. Wood, P.E. 10421 VFW Road Suite 201 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax April 8, 2004 Jim Cross, P.E. Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Broadwater Heights Lot 5 Block 1 Lot Line Waiver Application Dear Mr. Cross: The purpose of this letter is to request a waiver for the separation distance between the proposed Anvantex leachfield, and the lot line of the above referenced property. The distance we are requesting to be off of the lot line is 0'. The proposed site for the septic upgrade will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance, and wells +100'. 3. The lot line in question is common with the road right-of-way. 4. The road right-of-way is 60' wide, excluding any development (other than roadway improvements) within that right-of-way. For the reasons listed above, we believe that granting this lot line separation distance waiver of 0' will not impact adjacent properties. If you have any questions please call our office at 694-5195. Sincerely, EAGL R ENGINEE G SERVICES Christop er R. ood, P.E. Principal \2003\03 -025 wAI VER.DOC *x vN` fZCQkAE jt5D SEPTIC +150 WELL +200 i � tilos htK ABANDON OLD N PER MOA REOUI r1� �a S� EXISTING HOUSE LTERNATE % K LOCATION INSULATE DRIVEWAY �9\ ® - TEST HOLE • - MONITOR TUBE O - SEWER CLEAN OUT - WELL — — - EASEMENT — — - PROPOSED LEACH FIELD EXISTING LEACH FIELD - DRIVEWAY NO KNOWN CURTAIN DRAINS _1 l SEPTIC +30 WELL +200 KLYc Ckkb -LL Pt lz TrA4 Cizo SSS EMENT I \NEW pIrQ1 I 00 1500 GALLON TANK W/FILTER POD do I M PUMP BASIN F�o4 wit.} I WELL +zoo ABANDON EXISTING) FIELD IN PLACE ( I I I I ,epo � 3 o � R0-�tb 4/o9/c q LNraj:ryp4,_''. 12, l,.tv , . A E. WELL/SEPTIC SITE PLAN LEGAL: LOT 5, BLOCK 1, BROADWATER HEIGHTS SUB. OWNER: GRANADE CONTRACTOR: N/A JOB# 03-025WS I DATE: 4/8/04 SCALE 1 "=40' EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX. (907) 694-3297 �4 OFop f �. TOP ..... tf 0n '.CHRISHER•R. WOOD. � +6 CE -10387'' Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW Rd. Suite 201 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM — MOA CERTIFIED INSTALLER LEGAL: Broadwater Heights, Lot 5 Block 1 REV April 9, 2004 A. GENERAL 1. The well and septic plan is for a 3 bedroom single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. B. ADVENTEX SYSTEM AND SEPTIC TANK 1. Septic tank shall be a fiberglass 1500 -gallon tank capacity of MOA approved construction for use with Advantex system. Install as per manufacturers recommendation. 2. Install one AX -20 filter pod over septic tank capable of treating 600 gallons per day of waste flow. 3. Install Orenco 24" pump basin PB -2496 outside septic tank, with OSI pump model P30-05 and controls to allow 23 gallon dosing of septic leachfield. Set pump float to 13.5" above pump, timer for 1 minute dose time. Controls to be installed to MOA code by licensed electrician familiar with OSI applications. Controls to include web based monitoring system. NOTE: NO AUXILLARY PUMP STATION IS NEEDED IF A 2% SLOPE MINIMUM TO LEACHFIELD CAN BE MAINTAINED. 4. A municipal inspection report or receipt from a licensed electrician shall be provided to the engineer verifying lift station wiring to all applicable codes. C. DRAINFIELD TRENCH 1. The trench is to be located as shown on the site plan. 2. The total depth of the initial drainfield excavation is to be 4' relative to existing ground elevation at ground water monitor tube and end in scarified native GW soil material. The bottom of the trench shall be level, plus or minus 1.5". 3. A one foot layer of sewer rock is.to be placed over the native gravel. The 1.0" effluent piping is to be buried within the gravel layer with 2" of gravel cover over the piping. 4. The completed trench gravel and piping is to be covered with typar fabric material. 5. Soil or combination of soil and extruded board insulation to a depth of +3' or equivalent is to be placed over the leachfield. Soil shall be mounded over the trench to prevent runoff from ponding. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH= 4' GRAVEL DEPTH = 1.0' under effluent pipe, 2" over pipe (1.25 feet total) DRAINFIELD LENGTH= 25' DRAINFIELD WIDTH= 5' SOIL RATING= 5 GPD/ft' BEDROOM CAPACITY= 3 EFFLUENT PIPE = 1.25" from pump basin to leachfield then 11/4" manifold to 1" PVC with 1/8" holes oriented down spaced at 1.0' OC. 2 pipe runs in leachfield 2' between pipes 1.5' from sidewalls and end of trench. Twenty-four (24) hours notice required for all inspections. \2003103-025adventexTrench-spec.doc EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 03-025 Calculated By: CW Date: 10/13/2003 Legal: Broadwater Heights, L5, B1 Single Family 3 Bedroom Dwelling Advantex System TEST HOLE 1 Shallow Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = Percolation rate = Wastewater application rate = Required absorption area = Trench width (W) = Gravel depth (D) = 450 gallons 6 minutes per inch 5 gallons per day per square foot 90 square feet 5 feet 1 feet Required length = Shallow trench factor * Required absorption area / W Shallow trench factor = (W + 2) / (W + 1 +2 D) Shallow trench factor = 0.88 Total Excavation Depth = 3.5 feet Required length = 16 feet 03-025 Calc.xis 4:00 PM10/13/2003 • Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: RFQ ARAA/AbL:- DATE PERFORM LEGAL DESCRIPTION:ITCAU,JNT(-A 111S , i_S 9 1 Township, Range, Section r)y 122W S/ L ! rDEPTHJ SLOPE SITE PLAN (FEET) 'ffrlL! oRzF�t�Gsr ►312oJ'e,.1 �-f 1 1 2- 3- 4- 5- 6- 7- 3 a56 7 D tj 8- 9- 10 9 10 '11 12- 13- 14- 15- 16- 17- 18- 19- 20 21314151617181920 COMMENTS Cita t TRAcCS or sTLi � RAY SortL eozws WAS GROUND WATER Qo i Tv/1l p j os r ENCOUNTERED? N NoLE� Lg2CE 6ov%LbtA S IF YES, AT WHAT L VR EE:DPCVC DEPTH? IV 1A O u P E Depth to Wrier Aller Monitoring? N01JE Bale: 10/07/07- Reading 0 ! 3 Reading Date Gross Time Net Time Depth to Water Net Drop I IUp v M c'J " 2.. c ID n Z , 3 :to 6 yr_ ' 20 to 14r 3/i4 -to :3o I V 7 /G 9.30 L �• :C1 n �A RS `a N t) D iNtl 3D ,x .h I N 10hR tA� PERCOLATION RATE � (minutes inch) PERC HOLE DIAMETER 6 l� TEST RUN BETWEEN_ FT AND FT PERFORMED BY: 'D A AJ R EDZ I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:- 72-008 ATE:72-008 (Rev. 4/85) ' 4/15/2004 Alimi.cip ali..ty of Anchorage Marls Begich, Mayor Building Safety Division P.O. Box 196650 e 4700 Bragaw Strcet Anchorage, Alaska 99519-6650 • (907) 343-8301• Fax (907) 343-8200 h ttp://��1���•.miu►i.org Christopher R. Wood, PE Eagle River Engineering Services PO Box 773294 Eagle River, Alaska 99577 Subject: Waiver Request for Broadwater Heights Subdivision Block 1 Lot 5 Waiver Request 4WR040017 Parcel ID #050-081-24 Wastewater Disposal Construction Permit Number SW040059 Dear Mr. Wood: Your request -for a waiver of the required 10 feet horizontal separation from the .absorption field to property line has been approved. The approved separation distance is 0.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require .all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Daniel J. R th Civil Engineer On -Site Water & Wastewater Program Municipality of Anchorage Development Services Department • Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#: WR040017 PID#: 050-081-24 HAM Permit#: SW040059 Date Received: 4/9/04 Legal Description: BROADWATER HEIGHTS BLOCK 1 LOT 5 Engineer: EAGLE RIVER ENGINEERING PO BOX 773294, EAGLE RIVER, ALASKA 99577 Applicant: MARY & BEN GRANADE Waiver Requested: LOT LINE WAIVER OF 0 FEET FROM THE ABSORPTION FIELD TO THE SOUTH LOT LINE FRONTING McCRARY ROAD Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: ............................................................................... Waiver is Granted: Waiver Is not Granted: List Conditions or Reasons for above: Date: �- r' O By: Name of Revie .................................................... .. ...................... Rec#: OS50274 Amount: $175.00 Date Paid: 4/9/04 mumcipality of Anchorage Mark Begich, Mayor Building Safety DiN ision P.O. Box 196650 • 4700 Bragaw Street Anchorage, Alaska 99519-6650 • (907) 343-8301 • Fax (907) 343-8200 April 21, 2004 littp://wuw.mttni.org Ben T Jr & Mary J Granade 18335 McCrary Road Eagle River, Alaska 99577-7914 Re: Broadwater Heights Subdivision Block 1 Lot 5, PID 050-081-05 Dear Mr. Granade: it has come to the attention of this office that a water well on your property thought to have been permanently decommissioned in October 1997 in fact still exists. This water well is being encroached by a wastewater system located on Broadwater Heights Block 1 Lot 4. Our records indicate that in October 1995 you attempted to obtain waivers from our office for two water wells on your property to this wastewater disposal system on the neighboring property. The status of the water wells was that the furthest well from the wastewater system was producing adequate water and was connected to your house. The second well that was closer to the wastewater system in question had an inadequate supply of water, was not connected to your house, and was temporarily decommissioned. This office then granted a conditional waiver with a list of conditions to be accomplished of which one was to permanently decommission the second water well. These conditions were never accomplished and an unconditional waiver was not granted. In September 1997 a permit was issued to S & S Engineering for Broadwater Heights Block 1 Lot 4 to move the end of the absorption field on this property so that a 100 feet separation would be created between the producing well on your property and the wastewater system in question. As part of the permitted project the temporarily decommissioned water well on your property was to be permanently decommissioned. Subsequently on or about October 1997 an "as- built/inspection report" was submitted to our office by S & S Engineering that . indicated the temporarily decommissioned water well no longer existed and the wastewater disposal absorption field had been moved outside the 100 feet setback to the water well connected to your house. Please be advised that this office will not grant a Certificate of Health Authority Approval until we are satisfied that the temporarily decommissioned water well on your property has been permanently decommissioned pursuant to AMC 15.55. ,JF Page 2 Broadwater Heights Block 1 Lot 5 If you have any questions of the above, please feel free to contact us by phone at 343-7904. 7itnes ely, Cross, PE Program Manager On -Site Water & Wastewater_Program.__.._-__._._-..__. a ate' P°st* �V9 Municipality of Anchorage Page _�_of�i 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:PID Number: D�✓�DOP3 IZ�" Name: Wastewater System: ❑ Newpgrade Address: / c �__e'• ABSORPTION FIELD Phone: Z J l No. of Bedrooms: ❑ Deep Trench ❑ Shallow Trench ❑ Bed ound ❑ Other LEGAL DESCRIPTION Soil Rating: _A/�N t'IL�M;; Total Depth from original grade: vq GPD/S . Ft. Lot: Block: ` Subdivision: / 1�10 Depth to pipe bottom from original gr71e: Gravel depth beneath pipe �^ 0' "� Ft. Ft. Township: JRange: Section: Fill added above original gra e:� Gravel length: If Ft. 411�1 Ft. WELL: El New El Upgrade Gravel width: ��+ Number of lines: Distance between /%- .. Ft. Ft. Ft Cl tication (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: :,r-9 1c) Ft. Ft. / lQ'r SQ. Ft. Driller: Date Drilled: Static Water Level: Installer: Date installed:( C1 �I Ft. L� Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding -?(S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: (( kNv -I* Capacity in gallons: From Tank Field Station Tank Sewer Lines Gr I D4A-L-- Well < I �I < ( 1� Material: �j"f�— Number of Compartments: Surfac I DO' tC+ 00'4- . - LIFT STATION Water Lot Line f � I f ( 2� ", Size in gallons: 17l Manufacturer, �,n,� i ti+�=s"�-' IGS T-?� 11 IG Foundation I (� 22� / l d __ "Pump on" level at: "Pump off" level at: High water alarm at: Curtain v t ,y Pump Make & ModgI 0�a Ele ri ns ections perfor ed by: GG Drain �-I Remarks: �JCIST ` - BENCH MARK Location >and Description: —60tT'UM S?`ET_- Assumed Elevation: rte- r 1 ENGlN;,kVAL glij OF Aj ll ®00400 6'. E�j k av Co '06 S & S ENGINEERING% A 49 Inspections performed by: 17034 Eagle River Loop Road �Pdt"41 St Z Z •••••••••••° • .q •. m Eagle River, Alaska 99577 of 2� �1Z 2nd I 6 .•@ •• •• ♦ �a ; ROG RJ. HAFER o` ®♦I'`�'• Department of Health and Human Services approval N0' $ .0 5W �j 9�(O •••s.h•ee•••®ii(,�� Reviewed and approved b '�"*�`�' - �- Dater —� �'' ®% pR0FESS%rJ%' � 72-013 (Rev. 9/91) MOA 25 Permit No.2 izo;7-M Page -2— of �- Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: i2 G A`t- LL ttr i �az'� r1TZ l r.iSU�.P'f1 -pi4rr. n • r ►.lo W Pcs�L �t7L1 nl'� �� co i IZs otj STS? = ��TzM tFo use U46 72-013 A (Rev. 9/91) MOA 26 -r-19kVICY; 1-rr3 r -r`+1 n�su L-p.-M--C� "N1-Vg2- pz I \/I;-: f49I.9 --% eeeel ern eeo eeusierr R04� J.'8HAFWR OV•e No. El �„ er°eej a®eee4°�na ,�%��;FESS1k\)" � To: S & S ENGINEERING From: "SPARROWS" ELECTRIC, INC. 9-28-92 9:44arr. p. 2 of 3 EEIVE® SEP 2 8 19;,2 Munic;ipafiiy of Anchorage "SPARROWS" ELECTRIC INC_.. Dept. Hoaifh & Hurnan Services 7310 BULEN DRIVE ANCHORAGE ALASKA 99507 PH: 344-5534 TO: S & S ENGINEERING ATTENTION: ROGER SCHAFER RE: WIRE SEPTIC LIFT STATION LOCATION: 16335 McCRARY ROAD FAX: 344-5533 THE SEPTIC LIFT STATION DESCRIBED ABOVE I'S COMPLE'.CE AND OPERATIONAL AT THIS TIME,Septernber 27, 1992 WAS IT WAS WIRED BY OUR COMPANY AND PERFORMED BY LICENSED ELECTRICIANS,ALL WORK WAS INSTALLED ACCORDING, TO LOCAL AND NATIONAL STANDARDS OF THE PRACTICE'. TF THERE ARE ANY QUESTIONS CONCERNING THIS JOB PLEASE DO NOT HESITATE '10 CALL.. PROFESSIONALLY YOURS: --RA I G j. SPARROWGIRO`F'E ------------------------ (PRESfDENT) PAGE 1 OF 1 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:SW920289 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:DAM JEFFREY N & OWNER ADDRESS:18335 MCCRARY RD EAGLE RIVER, AK 99577 PARCEL ID:05008124 LEGAL DESCRIPTION: BROADWATER HEIGHTS BLK 1 LT 5 LOT SIZE: 24474 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: M ; UCS 4- L)L) DATE ISSUED: 9/16/92 EXPIRATION DATE: 9/16/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: INCREASE DISTANCE BETWEEN LATERAL TO 5.0' TO ENSURE UNIFORM DISTRIBUTION OF EFFLUENT. EXTEND SAND FILL AT LEAST 0.5' BEYOND GRAVEL AREA ( 46'X16') MOUND TO RECEIVE TOPSOIL AND SEED PRIOR TO APPROVAL. RECEIVED BY: ISSUED BY: DATE • DATE: It 9 t September. 10, 1992 fq CSE RIV ER. PV PS P HEALTH AUTHORITY ,, p tit.1- APPROVALS Mun cipay og Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.,O., Box 196650 SEWER &WATER Anchorage, Ataska 99519-6650 MAIN EXTENSIONS REFERENCE: Lot 5; Btock 1; Broadwater. Heights Subdivision; ROBERT SHAFER, P E ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694 121 1 SEWER & WATER INSPECTION Request you issue a permit to upgrade the septic system seuing the reberenced property. The existing teach4ietd was bound to be encroaching bedrock and parties ty o44 the property. ENGINEERING STUDIES The proposed system incorporatez a septic tank e44tuent pumping system. AND REPORTS The teach6ietd consists o4 a pressurized mound system to elevate the drain4ietd above bedrock.. We do not anticipate any adverse e44eets on ne.ighbor.ing properties by WELL INSPECTION & FLOW TEST the insta Cation o4 the proposed septic upgrade. 14 you have any questions on %equite add i.tionat inbormation 4or your review, ptease contact us. SITE PLANS S.incerety, ROAD DESIGN ROGER J., SHAFER, P. E., RJS/gm SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 mm UPGRADE SCALE ...------------------ - m Lor 6 O C 3 Q T rr, G) O Q I rnr �i QD No p R n r O II � II II V �D .p O � o � p O y �i r No n r O (n�Ocn� �D 0 r- :0 :o m D G) � D Z r cn O � O Z n M, �T D �l C v / O D �r O N r O (n y S 7 N I 9 SCALE UPGRADE /DETAILS W n r 3� r b rn � D O O I r u � y0 y O W n ? 2y n Z rTln Hl O, a� o 1(n hr� r O r r*1 ~ 460 2 m r �n Cl43Zt 4 . ~ i N N N N ' � r O UPGRADE /DETAILS o oft 0040 %e z 13E 1tCi® m • P -tr1 :r►r 41, ®wig W n y f 3� r b rn � D O O I r u � y0 y O W ? 2y o oft 0040 %e z 13E 1tCi® m • P -tr1 :r►r 41, ®wig W y f 3� b � D O O I r — y0 C) P �Ina �Z O ? 2y o oft 0040 %e z 13E 1tCi® m • P -tr1 :r►r 41, ®wig y f {Aq{ V V b � D r L7 D 2 r r — C) P ? So Z rTln O C 0 D m r r ~ i N N o oft 0040 %e z 13E 1tCi® m • P -tr1 :r►r 41, ®wig a Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST ,GIN R'Sa r ►�o• �" � X49 %'� " �rlsaaa ase a au a saaaaawdaa�` s a • aa.M• as .�saaa.. ROG R J. HAFER a No. 8215 ® 9 PERFORMED FOR:" deC DATE PERFORMED: LEGAL DESCRIPTION: Township, Range, Section: ,.GgEPTH C I'!'(' SLOPE SITE PLAN 1 � 2 . 4 II/1I M 7 E X 10I WAS GROUND WATER ENCOUNTERED? 11 IF YES, AT WHAT DEPTH? 12 13 Depth to Water Af�e�,,., Monitoring? �Y1` 14 15 16 17 18 19 I �D S L O Date:9 P ��� �a E �2 sn!-14U-10 _.... =M0M� th Water ... ��Li�9�� 20N PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS C4v • y FL' ITi�lk = PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) GREA 'R ANCHORAGE AREA BORA "GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME i). A, �TtK(fkri MAILING ADDRESS �� PHONE LOCATIONOFF CKNU"_NkUE LEGAL DESCRIPTION tAT /OCK/ 19WLl VAIC SEPTIC TANK: U t-'$1851�g DISTANCE(� NUMBER OF FROM WELL MANUFACTURER �Ff4C1� T�-�-- MATERIAL _ -re-e-L.- COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY !000 GALLONS. 'OV -4 PIT: PIT: �1S'x I�' X 3,�r I q NUMBER OF PITS �. DIAMETER 120� r OR WIDTH IS , LENGTHr , DEPTH J's LINING MATERIAL CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL 107 i TOTAL EFFECTIVE BUILDING FOUNDATION 31 , NEAREST LOT LINE ABSORPTION AREA (WALL AREA) ?60 SQ. FT. ADDITIONAL ABSORPTION (_0yV'tk&aw WELL:: TYPE -CONSTRUCTION- DEPTH BUILDING ( NEAREST ? NEAREST SEPTIC -1 FOUNDATION, LOT LINE SEWER LINE -,TANK 95 , CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: e,r r PIPE MATERIAL: C�c/F 1,�• LOT SLOPE: e %yam REMARKS: U"I, L 1Q4 W�An 6�Y73Gr. DAT P DISTANCE FROM: SEEPAGE /a11 SYSTEM DIAGRAM OF SYSTEM .— *A' APPROV FQj (� V CU.A.A.B. Form No. EQ -031 Scope ---��` ,- .1�10 M r r c GREATER ANCHORAGE AREA BOROUGH �4 DEPARTMENT OF ENVIRONMENTAL QUALITY A-; PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 aye TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT J2 of �(2171 / MAILING ADDRESS //, � PHONE INSTALLATION LOCATION / LEGAL DESCRIPTION - d�l� Bloc / �A/JLf.Y/' 7"["/c- /�/ 1S INSTALLATION OF: SEPTIC TANK L/ SEEPAGE PIT �f DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH - TO BE INST SOIL TEST RESULTS COMPLETION DATE ANTICIPATED : THIS PERMIT IS NOT VALID WITHOUT SOIL FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE 9ra TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK r FOUNDATION TO SEEPAGE PITC210DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEEPAGE AREA SIZE SEPTIC TANK , SEEPAGE PIT `� 4 ' DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK 1) / SEEPAGE PIT /rJo ' DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK _ DRAIN FIELD SEEPAGE PIT SEPTIC TANK, LM, SEEPAGE PIT_, DRAIN FIELD , TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROJiso REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. � / DATKT15fJt 92 APPLICANT'S SIGNATURE FORM NO. EQ -016 I i �.. f -_ I - _s,....� ..._. __._. --R�RT �. ..... _. I _._ ..... ., _,....._ I CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. � / DATKT15fJt 92 APPLICANT'S SIGNATURE FORM NO. EQ -016 0 & E ENUI NEER/NG & DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 Russell Oyster Earl Ellis 694-2774 333-5240 Civil Engineering Surveying Soils & Foundations Land Development SOIL LOG Performed for: Name: - � -c Tel . No.6OW b Mailing Address:C`�.c�x �a�>l k,�.� �K,��•77 Legal Description: Depth (feet) 0 Soil Characteristics 1 2 g Encountered: Yes No V If yes, 4 5 49: Proposed Installation: 7 Drain Field 8 9 10 11 12 Ground Water Encountered: Yes No V If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: � �V P►G��,� v to �� P �cc�t. c.��.��1_ 1/�S'�a��d�� Performed by: \-� ,,,,� �� ,, ,. Date: Z'\ ' M -w DRILLING, Inc. P. O. Box 4-1224 • 1310C International Airport Road Q (907) 274-4611 ANCHORAGE, ALASKA 99509 DRILLING LOG _ &AeY_ - Well Owner Ozan Location (address of: Township, Range, Section, if known; or distance main road se of Well Size of casing 6" Depth of Hole 6'-=5 @ feet Cased to feet Static water level ft. (xbw!%* (below) land surface. Finish of well (check one) open end Screen ( ) ; Perforated ( ), Describe screen or perforation Note. Well pumping test at .2111 gallons per O (minute) for - hours with ft. of drawdown from static level. Date of completion 17 i4oy, 1975 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color: and hardness TO organics TO € Silty, a71"avel TO 00 Bedrock- Gray _ TO 625' Bedrock-Gray-yntall Quart --z Stringejt,:_'f. TO TO TO TO TO TO - TO TO _ NNVWA Certified Contractor li ica e Nds. TO TO 2 - STATE in feet from I rurfea - ....SZ.�.:.TO__3 Diva dd&& of fonnotioru penetrated, size of moi"UL aoloohmod banbwr Onsiniee _ ^. - itedLree�k�•CI�AV �t. _B"=Ck ckev-Sorel l Quart: St i ng2rwater x t, b oporetic fractures NAVIVA C"fird Contractee MWIcn o x4s. 51.1 ft VM-- TO TO 2 — Sl(ATt I j _i.� UI - -A I I I kUI I L.I . Lliylitut_( Ui, •a1N- aw+e Fax Transmittal Mer.,.. raiz TO L t: v) 0•-rlrr a Aps.d R,,.44 4 L"W*F Post -It'" brand tax transmittal memo 70 # of pages From Co. Co. Dept. Phone 94j - 5/95 t r� FOX . �I Fox# IU U>1 -+1c1 .l i .1"_, �wuw. r faR� 344.3227 3ys-V46a O/�r.fp,,N,,.l�l � ©amw �Nahin QGWbrpkluY OY�R: M -w DRUIN(ir lna z4 -1.T6 P,Q, 8ee 104741 - 1OX* ON $*rears HIDh-V (Von 34.%B G ANCMQpAGE. ALAMA 9" 11 DRILUWD RVI: W011 Owner D, A. ST1:iri CHI — Use of WQ11 eAeatl.c . 1.ocatlon (address of: Township. Range, SMUOV, 0 knowot or distance mein road -- Lot I Blcc* T 5i:e of caainp. 6" ...a to of 1jole V5 feet Cased to. Ite feet Static water 1eve Z50 ft. (yq"") (below) land gurfwo_- Finish of wall (check cos) open and Screen ( ); Perforated ( ). Dgsl *e screen or "rforAtS None Well t M&I teat at. gxllous per 4tlS01f) (mipvta) foe 1 homey grit'` 1nC� - d drawdown irons static level. Date of aomptatlem Dune 25s 1974 WILL Loo Depth .in feet bvml ground st;rfut Give detalb of f=natiow penetrated, size of material, coW and hnrdutm 0 2 Surbps OrAani9 2 22 Cobble um"O.. 3:1ltx /sea — 27 m 2T3 73 3w 300 7CQ 475 Scarock• icrey A/A. 13 gZt:z strin¢erg;, Sr. &Met, rn •h.� SG. r t/��1 , NiVit'A l,)avdkd coo r lClutA wAft Ar'e'a I --CVSTOMER Mtmieipality of Anehorage C) Department of Health and Human Services 825 "L" Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor 343-4744 October 30, 1995 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road, Suite 204 Eagle River, Alaska 99577 Re: Waiver Request Number WR950053, Lot 5 Block 1 Broadwater Heights, P.I.D. 050- 081-24 Dear Mr. Cowan: The subject waiver request submitted by your office on October 5, 1995 may be granted provided the following conditions are followed and dye tests are negative. The requested waiver was for a drainfield on lot 4 Block 1 Broadwater Heights to the well on the subject lot. These conditions are necessary due to the unusually close proximity of the temporarily abandoned well, the source of contamination is almost directly upgradient from the wells in question, bedrock is encountered at very shallow depths, nitrate levels are already elevated in the well water and the A.D.E.C. Waiver Guideline points do not come close to the 16 necessary to justify the granting of the requested waiver. The conditions are as follows: 1. The existing temporarily abandoned well shall be permanently abandoned; 2. The well that is currently being used shall be grouted to a minimum depth of 40 feet from ground surface; 3. An adequate solution of dye penetrant shall be placed into the cleanout at the end of the drainfield on Lot 4; 4. The subject well shall be tested on day 3, 5, 7, 9, 11, 13, 15, 17, 19, and 21 after the dye has been added into the subject drainfield. 5. The subject well shall be retested for production, coliform and nitrates. If you have any questions of the above stated conditions please call me at 343-4761. Sincerely, Daniel J. Roth Civil Engineer On -Site Services MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#[) , n �1,�,jPID# 050-081-24 HA# Permit Date Received: October, 9, 1995 Legal Description: Lot 5 Block 1 Broadwater Heights Engineer: Robert C. Cowan, P.E., S &`S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle River, 99577 Applicant: Ben T. Granade Waiver Requested: The well on Lot 5 to Leachfield on Lot 4 of 95 feet. The temporarily abandoned well on Lot 5 and the leafield on Lot 4 of 80 feet; the temporarily abandoned well on Lot 5 and the tank on Lot 4 of 95' Criteria 1. Geology: Points: A. Water Table B Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: Date: By: Name of Reviewer Rec #: n/a Amount: $ Date Paid: - r s&S� 711n eizinc, October 6, 1995 r - c� \ ---A-L-1 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 RECEIVED HEALTH AUTHORITY Municipality of Anchorage OCT 91995 APPROVALS DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Municipality of Anchorage P.O. Box 196650 Crept. Health & Human Services Anchorage, Alaska 99519-6650 SEWER & WATER MAIN EXTENSIONS REFERENCE: Lot 5 Block 1 Broadwater Heights Subdivision SEWER&WATER INSPECTION you Re uest q y grant waivers for the horizontal separation distance between the following: 1. The well on Lot 5 and the leach field serving Lot 4 ENGINEERING STUDIES at 95 f t . AND REPORTS 2. The temporarily abandoned well on Lot 5 and the leach field serving Lot 4 at 80 ft. WELL INSPECTION 3. The temporarily abandoned well on Lot 5 and the &FLOW TEST septic tank on Lot 4 at 95 ft. The mitigating factors involved which support the issuance of the waivers are as follows: SITE PLANS 1. Reference to the site plan/topo, surface effluent would not flow toward the wells. ROAD DESIGN 2. The water supply source from the well in use is a confined aquifer separated from the surface by approximately 270 feet of bedrock. SOILTEST 3. In going from the septic to both wells there is heavy vegetation, this would prevent any surfacing effluent from reaching the wells. PERCOLATION 4. Generally speaking, septic tanks should not be TEST considered a "continuous" source of contamination. 5. The soils log for Lot 4 shows a GM (20 min/inch) material from 4 feet to 16 feet. This type of soils STRUCTURAL& MECHANICAL is considered y poorly permeable and would filter the INSPECTIONS effluent. ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page 2 October 6, 1995 Lot 5 Block 1 Broadwater Heights Subdivision In our opinion, the separation distance requirement prescribed by 18AAC.021 is not necessary in this case. The septic system on Lot 4 was installed in 1985. The wells on Lot 5 were installed in 1975 and prior to 1975. Therefore, the owner of Lot 5 is not responsible for any Municipal fees. If we may be of further service please contact us. Sincerely, Z lrzr� Robert C. Cowan, P.E. 1' = 50' SITE PLAN SCALE �s Z ci w / 0 :0 `b. I iD Cp /c) (./) rrr � OO I ;' I ,' / Ln p r Z / d cn rri / •: / is Ta AGO ME Environmental Services Inc. Laboratory Division 71 CT&E Rei.# s3,3491-1 Laboratory Analysis Report Matrix WATER Client Sample YD LS BLKi BROADWATER MGM s/D Client Name 8 L S ENGINEERING WORK Order 17269 ordered $y R. COWAN Printed Date 08/21/95 m 16:50 hrn. Project Name Collected Date 08/17/95 m 13:1S hra. Project# Received Date 08/17/95 0 16:30 hr.n. PWSID UA Technical Director STEPHEN C—EDE Released By Sample Remarks: SAMPLE COLLECTED BY: JOHN. QC AlloWable Ext. Anal Parameter Reeulte, Qual Unite Method Limits Date Date Inis: Nitratr N 5.17 D mg/L EPA 391.2 ............................................. `------- ----���"'__,.__._.,.-------------- 10. 00/18/95 CMP Z ................................................■..................*............................................ See Special Instructions Above UA w Unavailable *� See Sample Remarks Above NA ■ Not Analyzed U . Undetected, Reported vAlua 1e the practiCA1 quantification limit. LT . Laos Than D - Secondary dilution. GT ■ Greater Than 200 W, Potler Drive, Anchorage. AK 99518.1605 — Tel: (907) CNVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MI( rl 6�:2'ON TTZTd69L06 F- 9NUS31 til •2343 Fax: (907) 561-5301 V, MISSOURI, NEW JERSEY, OHIO, WEST VIRGIN! IW00 29:ST 96/TO/60 ME Environmental Services Inc. 'z-T.11rM Laboratory Division r�r�ia,,,irs��rr�e,,ir,,,,invite..l�.t�rlrosrar.�ir».►.r�ww, Drinkincr ReportBacteriaW Water Analysis for Total Coliform 200 Potter Drive Anchorage, AK 99518.1605 .r";-EAD INSTRUCTIONS ONREVERSE SIDE BEFORE COLLECT'ItYG SAMPLE Tel: (907) 562.2343 Fax: (907)561.5301 MUST BE ❑ PUBLIC NATER SYSTEM X.A. # _ter PRIVATE WATER SYSTEM ATER SUPPLIER Q Send Rerutrs ❑ Send Invoice atl! •tt.m. ]mv empeny. eme on!]rl nxM unr, um er Pa, Numser of my At1.l:if t!` tilt 1p Coat Setrd ResrtUs Q Send Irrvolee �� k X Zomn.ny.Aw V T ConurlmmMe LIiAy'.�]�frlS • - ]lair 0C6d@ SAiMPLE DATE: E ED. Month Day Year SAMPLE TYPE: Routine to 'Treated Water © Repent Sample (for routine sample ' Untreated Water %Kith Inb ref no. ) 0 Special Purpose Time Collected SANIPLE LOCATION By (Collected Phare Prim TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ,C— Satisfactory 0 Unsatisfactory o Sample over 30 hours old, results may be unreliable o Sample too long in transit; sample should not be over 4S hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received07 _-r- Tlltte Received Analysis Began Anniytienl Method: ArIvIembrane !`filter 0 f`IMO-MLIC ' t�,umber of colonies/ 100 ml. Result'! t.:. 95:3491 F71 �1 � Analyst C)al ` �►.✓ Fl)ks Jun t IDate, 9n/c�'— Time: Client notified of unsAtisfactory results; Plinned Spoke M•Ith Dale: y Time: 11 Foxed BACTERIOLOGICAL WATER ANALYSIS RECORD tMNIOp NlUG Result: Total Coliform - E. Coli Membrane Fiiterl Direct Count Colonles/loo ml Verification: LTB 8G8 COLIFIRNI nvre- ranN.Mrroerracurtnr Fecal Coliform Confirmation p Oro#-Woftacfa.ra Final Membrane Filter Res Its 'T" !'r"lroltl'orm/t0i1'ni ' �VJOW V 1 �� '? Reported ByBy... l�K � � Date Time � hrs Comments: , wG+••>r Member of the SGS Group (Soci6tA GA ENVIRONMENTAL FACILITIES IN ALASKA. CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICE �'t7 622 'ON T T Z T b69L06 4- ON 11S31 Id 1 de Surveillanool AN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA 3WWO0 CS:ST 96iT0i60 • Municipality of Anchorage On -Site Water and Wastewater Program '"�'�<�� ' (907) 343-7904^ MAR 1 4 2014 Certificate of On -Site Systems Approval Parcel I.D. 050-081-24 Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 5, Block 1, Broadwater Heights Subd. Location (site address) 18335 McCrary Drive Eagle River, Alaska 99577 Current Property owner(s) Michael & Angela Dyer Day phone (907) 822-7304 Mailing address 18335 McCrary Drive Eagle River, Alaska 99577 Real Estate Agent Vivian Coleman Day phone (907) 440-6392 2. TYPE OF DWELLING: R Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) ^Jaive7Vararce request foDistance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 57Waiver Fee $ Date of Payment 3 11 Y N [ Date of Payment -#-Receipt Number /T3q,- Receipt Number COSA# 05C-I41O`65- Waiver# 3 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well F Individual n Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ --u' fiIc vvater Systern ❑ Pubiie Sewer ❑ ^Jaive7Vararce request foDistance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 57Waiver Fee $ Date of Payment 3 11 Y N [ Date of Payment -#-Receipt Number /T3q,- Receipt Number COSA# 05C-I41O`65- Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation: Name of Firm Pinard Engineering Phone (907) 357-3647 Address PO Box 871347 Wasilla, Alaska 99687 Engineer's Printed Name Paul E. Pinard, P.E. 6. DSD SIGNATURE —AZ System #1 Approved for 3 bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms Date 3/13/14 bedrooms, with the following BY: a Original Certificate Date: The M ici lity Al rage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory_ Other COSA blue sheet r i c If more than 1 septic system is on the lot: COSA Checklist # of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Lot 5, Block 1, Broadwater Heights SUM. Parcel ID: 050-081-24 A. WELL DATA Well type Pvt If A, B. or C provide PWSID # NA Well Log (YIN) Y Date completed 11/17/75 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 625 ft. Cased to 22 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 11/17/75 3/6/14 Static water level Unknown ft 27 ft Well production 0.75 g P.M. 0.45 g p m WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 2.51 mg/L Arsenic ND ug/L Date of sample: 2/26/14 Collected by: Pinard Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic w/LS/Plastic Date installed 5/04 Tank size 1500 gal. Number of Compartments 22±LSLS Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) Y Date of pumping Not Needed Pumper See Advantex report dated 8/9113 C. ABSORPTION FIELD DATA Date installed 4/25/04 Soil rating (g.p.d./W or ftp/bdrm) 5 gpd/Sf System type Shallow Trench Length 25 ft. Width 5 ft. Gravel below pipe 1.9 ft. Total depth 5.5 ft. Eff. absorption area 160 ft2 Monitoring tube Y Depression over field N Date of adequacy test 3/6/14 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 560 gal. New depth 0 in. Elapsed Time: 105 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) None Known If yes, give date D. LIFT STATION Date installed 5/04 "Pump on" level at 75 in. Datum Top MH Cover E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lA station on lot Absorption field on lot Size in gallons 1500/STEP "Pump off' level at 73 in. Cycles tested 2 97'* 100'+ Public sewer main NA Sewer /septic service line 25'+ 50'+ Manhole/Access (Y/N) _ High water alarm level at Y 78 in. Meets alarm & circuit requirements? Y On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout NA Holding tank NA Animal containment areas Manure/animal excrete storage areas I UU SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 10'+ Water main 25'+ Water service line 25'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: r* r Property line Building foundation 10'+ Water Service line 25'+ Surface water 100'+ Curtain drain NA Wells on adjacent lots 100'+ Absorption field 10'+ Surface water 100'+ Water main 25'+ Driveway, parking/vehicle storage 25'+ F. COMMENTS Advantex system with gravity flow from tank to drainfield. OK for Realtor to PU COSA. Water storage is 500 gal tank. * Waiver previously granted by the MOA for these separations. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Paul E. Pinard, P.E. Date 3/13/14 Paul E. Pinard CE - 4793 COSA brown sheet 10-10-12.doc 08/13/2013 07:30 8686770 APLUS PAGE 05 208 470 gave 888■ ■ 888888 ■8■ ■ 888■ a. \ III III nw 8■ ■8888888 ■o8■ 8 8 8 vanTeXQ Meld Matntanance Report Annual Inspection ■ 8 ■88 8 8mango mpg MEN!g AnchorageTank 907-272-3543 Pn"*w /TAakligtl Current oo-� Michael & Angela Dyer Previoua Mike Blakeslee an@Address Previous pemm Pnun 18335 McCrary Road, Eagle River AK 99577 Roats 907-822-7304 Ax sse lU r Gawky ID r Pod t plu vae flair W Oen Ineped ich Al( -103406 1 SWO40059 1202677 RTU102188 0712312012 Retrieve O&M IIHa Daily dower,—,Y„_ Retire ratio_ Timer settings Perform Field Sampling/Obaervadotis NTU (15 x NTUs) pR (8-P) DO i2 -M Odor of Sample lypkal Musty El Earthy El Moldy Nontypical RKsuiride ❑cabbage ❑Decay Oily }lire In Pvu ❑Yep PrNo Foam In tank ❑ Yea IyiNo Check Control Panel F1 m Amps Oumarge Amps Audible and visual alarms VOK Dial tone Mlawtry only) S;.Yas ❑ No Inspect/Clean Pump System inspect Clean RlaaAld .............. ....... X Splice Box ....................r..K Flom cords. Fluel9........................ Pump ........................ BioWbaa Filter ................. Blotube Pump Vault ............ necln:ulatin(gs+plitter Val......... Comments Measure Sludga/Scum Sludpo Scum IstC nt 1) Current Previous Current Previoua 2nd Compartment Current Previous Currant Previous Inapect/Clean AdvanTex Filter Odor. II}INoma] ❑ Pungent Slomat Wi4ormal ❑ExcessWe livIdging/Ponding:„gbana/MlAor ❑Excessive Inspect/Clean Diechorge Pump system Inspect Riaulud Splice Box Float cords I�O�tl+er System Comppnertts Inspect clean Drs "flon nt ❑ Dime Observations Addltlonal Services R er ❑ Cleaned textile chaeta! ❑ReplF."Ekto:1 lug hams? parte {leanty. 0 ,a W Number Inspect Clean Latoraes 9 PGd B Bottom Pod Bottom lslake Vent Inspect Clean Roats Pump Impact Clean rela/Crttioes ❑ ❑ ❑ Roplaeod UV Items? appropriate selection) FinaVSafety Inspection RSV relnstated Manifold reconnected; gush valves closed Surnmary/Iiacommondebons tSyslem performing; no further action needed Date Fax completed form to 1-866-3847404 �gwaooneo on Control panel react ivatad ❑Tank needs pumping ❑ Other? PINARD ENGINEERING i 'i P.O. Box 871347 °f xY Wasilla, AK 99687 (907) 357-ENGR (3647) ADEQUACY TEST LOCATION: Lot 5, Block 1, Broadwater Heights APPLICANT: Michael & Angela Dyer 18335 McCrary Drive Eagle River, Alaska 99577 SEPTIC TANK TYPE/SIZE: Steel/1500 Gallons, per MOA Records ABSORPTION SYSTEM: Shallow Trench, per MOA Records DAILY FLOW: 3 BEDROOMS x 150 GAUBR = 450 Gallons TEST DATA JOB NUMBER: 14-036 DATE OF TEST: 3/6114 FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 3 SCUM: 0.0' SLUDGE: Minimal NEEDS TO BE PUMPED: Yes No XX CURRENTLY IN USE: Yes XX No Time Flow Rate Volume Cumulative Volume Septic Tank Septic Tank Soil Absorption System Comments pM (GPM) (GALS) (GALS) Liquid Level * A Level Monitor Tube I* A SAS Level Monitor Tube 2* A SAS Level 5:35 5.3 - - 4.0' - 0.0' Start Flow - Meter 262600 5:50 5.3 80 80 4.1' 0.1' o .0' 0.0' 262680 6:05 5.3 80 160 4.1' 0.0' 0.0' 0.0' 262760 6:20 5.3 80 240 4.1' 0.0' 0.0' 0.0' 262840 6:35 5.3 80 320 4.1' 0.0' 0.0' 0.0' 262920 6:50 5.3 80 400 4.1' 0.0' 0.0' 0.0' 263000 7:05 5.3 80 480 4.1' 0.0' 0.0' 0.0' 263080 7:20 - 80 560 4.1' 0.0' 0.0' 0.0' Stop Flow - 263160 *ALL MEASUREMENTS IN FT. TEST: PASSED XXX FAILED COMMENTS: System appears to be operating satisfactorily. There was no measurable liquid in the SAS MT prior to or at any time during the test. Reviewed by: Paul Pinard (3 'I Date: 3/11114 LOCATION: Lot 5, Block 1, Broadwater Heights DRILLER: M -W Drilling DATE WELL COMPLETED: 11/17/75 WELL DEPTH: 625' STATIC WATER LEVEL (top of casing): 27.0' PINARD ENGINEERING P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) WELL FLOW TEST JOB NUMBER: 14-036 DATE OF TEST: 3/6/14 FIELD STAFF: PJ Pinard 1�/ Time Elapsed Time Minutes Static Water Level Flow Rate m Cumulative Gallons Pumped Remarks 5:35 PM ---- 27' 5.3 --- Start Test — Meter 262600 5:50 15 54' 5.3 80 262680 6:05 30 107' 5.3 160 262760 6:20 45 160' 5.3 240 262840 6:35 60 199' 5.3 320 262920 6:50 75 236' 5.3 400 263000 7:05 90 290' 5.3 480 263080 7:20 105 312' - 560 Stop Flow 263160 RECOVERY 7:50 PM 30 329' Well isolated from water storage tank during test. 8:05 45 324' Rise shows a recovery rate of 27.2 gallons/hour or 0.45 gpm. 8:20 60 320' 8:35 75 316' 8:50 90 312' Water storage tank with a 500 gallon capacity supplements well flow. All well protection features are adequate. Average Flow Rate: 5.3 gpm Comments: DURING THIS TEST, THIS WATER SUPPLY WELL WAS CAPABLE OF PRODUCING 5.3 GPM. THIS TEST DOES NOT CONSTITUTE A WARRANTY OR GUARANTEE THAT THE WATER SUPPLY SYSTEM WILL CONTINUE TO FUNCTION AND PRODUCE AT THIS RATE. � Reviewed by: Paul Pinard l rA- Date: 3/11114 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE O THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this I `l Day of r f 0"t, . � ._ of 20 �; by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AW WTS), described as located at (legal/ descriptio/n). 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations, Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AW WTS for the entire term of the AW WTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AW WTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AW WTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: 3.+ (signature) Date: 03- Iq- I't 13�•«(�1�/ (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this /c/ day of A-(4 , 6G 201'( , byZ ri ,e T41�2 x0..�e�a✓ Y VUBX,IC: FOR ALASKA My MUNICIPALITY: By: (signature) Date: name) Title: Parcel I.D. 1. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 *C a Z K O SA Er CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Q z - 3 FOR A SINGLE FAMILY DWELLING 181-24 COSA # QSC M ` 5l Expiration Date: / O Z Comptlj�lbgal R ipitl9dl ,ot 5, Block 1 R Broadwater, Heights S Locon (site address) 18335 McCrary Drive Eagle River, Alaska 99577 .a :'k ayp i �+�t3qr aF ik�#i'i 9i ixg Current Property,Qre&(s): �a Dept of veteran Affairs Day phone Mad hg address s £� Lending agency �d*;ee a J Da hone YP Mailing address Real Estate Agent v; v; an rol eman Day phone ,1907) 440-6392 prudential Jack White Vista Real Estate Mailing Addre$ , - ' " + ` "A64 Centerpoint Drive, Suite 200 Anchorage, .AK Unless'otherwise requested;' COSA wdfie held by DSD for pickup. 2. NUMBER OF BEDR�OOM6::�',e ... _ 3. TYPE OF WATER'S.UPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Wel( " ' ` ' ® Individual On-site Q Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent, professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and.may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 99503 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my. investigation, based on procedures outlined in the 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 Pinard Engirlgering Phone ( 907) 357-3647 Address Pn Box 871347 Wasilla, Alaska 99687 Engineer's Printed Name Pali F Pinard, P. E. Date 11 /-9,11 5. DSD SIGNATURE ✓ Approved for bedrooms.-q1,F.0�*& Disapproved.' �Z e 1�� Conditional approval for bedrooms, with the following stipulations: .I -I,,, II II I ii.. cs `fAT M AMI, Its^ v WASTEWATERFROG ; -�s asp• Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: &A ,a/ j� Original Certificate Date: -Z- (Rev. 11105) Z- (Rev.11105) Municipality of Anchorage *r"40Development Services DepartmentBuilding Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 5, Bleck 1, Broadwater Heights Parcel ID: 050-081-24 A. WELL DATA Well type Pvt If A, B, or C provide PWSID # NA Date completed 11 / 17 / 7 5 Sanitary seal (Y/N) Y Total depth 625 ft. Cased to 22 ft. FROM WELL LOG Date of test 11/17/75_ Static water level Unknown ft. Well production 0.75 g,p.m, WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 1 .08mg/L Arsenic: ND ug/L date of sample: 10/24/11 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic w/LS/Plastic Tank size 1,50,.0, gal, Number of Compartments 3 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+8+ in. AT INSPECTION 11/5/11 136 ft. 0.23 g.p.m. �� e e en9fn Berg I e.ft ✓ reycerjrn9 WGt f'er 5'far age . �/%lGtJ �Cr Collected by: Pinard Engineering Date installed 5/04 Cleanouts (Y/N) Y Found JilPn clartou { Y/N) Yrepression over tank (Y/N) N High water alarm (Y/N) Y Date pin ide ".','4,Pumper Home has been Vacant 6+ months - no scum. 0000.0 . , dge C. ABS ► �► s m ©n 5116��/ t- tiferrn/ae a% pu.nptn9 emag r/o f• I7GGe3�ary . ,�nrWi lee Date iri s) . #., Soil r66g (g.p.d./ftz cX1t3MtW41q 5 System type Shallow Trench --- Length ,+'5`< ft�t,` �,u ' Width 5 ft. Gravel below pipe 1 •9 ft. �' 160 2 Y N Total depth iK ft •" off. absorption area ft Monitoring tube Depression over field Date of adequacy test 11/5/11 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 61 Q�al. New depth 0 in: Elapsed Time: 120min. Final fluid depth 0 in. Absorption rate >= 450+ g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) None known If yes, give date D. LIFT STATION Date installed 5/04 Size in gallons 1500 Manhole/Access(Y/N) Y ?3 '' yytimG le, o9 e "Pump on" level at 75 in. "Pump off" level at J�jin. High water alarm level at 78 in. Datum Top MH Cover Cycles tested 3 Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOTTO: Septic tank/lift station on lot >5 2-7 On adjacent lots 100"+ Absorption field on lot -100'+ On adjacent lots 100'+ Public sewer main NA' Public sewer manhole/cleanout NA Sewer /septic service line 25'+ Holding tank NA Animal containment areas' 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Building foundation 5' + Property line 10'+101+ Absorption field Water main - 25'+ Water service line 25'+ Surface water 100'+ Wells on adjacent lots 100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 31 * Building foundation 10 # Water main 25'+ Water Service line 25' + Surfacewater 100'+. Driveway, parking/vehicle storage 25' + Curtain drain NA' ' Wells on adjacent lots 100'+ 44 WAIVer 0SP/0/032 eeo PP F: COMMENTS * Waiver granted by the MOA for this separation. Advantex system,with gravity flow from tank to Since home , had been vacant, SAS was soaked J%9;-d% ••,••• G. ENGINEER'S CERTIFICATION for 2 days prior to �.�Q;••+•• test. See.engll,eer9 le- tr,'r • • certify that I have determined through field inspections and'. review of Municipal records that the above systems are ;0P ++ . + + • conformance with MOA COSH guidelines in effect on this date. • .. Engineer's Printed, Name Paul E. Pinard, P.E. •�' ;� ., C.E-4793 Date 1' 1 / 9 / 11 �� �++•+rte+++�+'��wi° COSA Fee $ 06 /11 Date of Payment Receipt Number (Rev. 4/10) Waiver Fee $ Date of Payment Receipt Number ■ PINARD ENGINEERING Paul E. Pinard Registered Engineer/AK & ID P.O. Box 871347, Wasilla, Ak 99687 (907) 357-ENGR(3647) On -Site Water & Wastewater Program Municipality of Anchorage 4700 Elmore Road Anchorage, Alaska 99519-6650 November 30, 2011 RE: Lot 5, Block 1, Broadwater Hts Well/Septic Comment Sheet on COSA Application Dear Mr. poet/Ms Wockenfuss: Reference is made to the "Comment Sheet" of November 18, 2011 (attached), from Debbie Wockenfuss, pertaining to the COSA application that had submitted for the referenced property. Each comment was discussed at some length with Debbie last week. The purpose of this letter is to document my responses to these comments. Each response is made in the same order and number of the comment. Also, to clarify, contrary to language in the "Comment Sheet", the paperwork/COSA application that I submitted was not returned to me. 1. A water storage tank, approximately 165 gallons in size, already existed for this system. Per discussions with Debbie, due to the low outputlyield of the well, a total of 500 gallons was required for tank storage. This means that additional storage of 335 gallons was being required. In response, a new 500 gallon tank has been installed in the garage. 2. The property has been vacant for more than six months; therefore the soil absorption system was soaked for two consecutive days immediately prior to conducting the Adequacy test on the septic system. A quantity in excess of 400 gallons was added to the system on each of the two days used in soaking the system and a total of 610 gallons was used for the adequacy test on this three (3) bedroom system. At no time, either on the two (2) days for soaking the system or during the actual test, was there any measurable liquid in the soil absorption field. It was also brought to my attention by Debbie, that another engineer had previously tested the septic system in April, 2010, atime during which the previous owners (prior to foreclosure) were still occupying the property and using the septic system. Debbie advised me that the system had passed the Adequacy Test at that time and that there had been no measurable liquid in the field at that time either. Given this information and the results of my recent testing, using higher than the required test volume, I feel that the volume of water used to soak the field was more than adequate. As such,l professionally support my finding that, under use, the existing soil absorption field is able to absorb in excess of the required 450 gallons per day. 3. This property has been foreclosed on and has been vacant; without a phone line for Anchorage Tank to monitor the performance of the septic system. i did contact Tom Varney of Anchorage Tank, requesting a copy of the maintenance records that he had on file. His e- mail response and records are attached. In summary, he states that the system has performed well in the past and that once someone moves in and reactivates the telephone line, that he will resume the remote monitoring. 4. This comment pertained to the separation between the well and the septic tank (97') and the waiver that was granted last year by the MOA. With the residence between the well and septic tank there is no direct line of sight. I had. used the figure of 100' from the 2004 inspection report that had been accepted by the MOA. Information from the COSA application of last year and the waiver for the 97' separation was not in the on-site files made available to me. The previous application and this separation problem and subsequent waiver, came as a surprise to me. Please make this correction for me in the checklist that I had submitted for the COSA. 5. Debbie states that a STEP tank has 2 compartments. To me this is really an issue of semantics. I have always taken the position that, with the lift station, there are three (3) chambers or compartments in a STEP tank. I believe that history will show that in my COSA applications to the MOA, that figure has been consistently used. However, if it is the formal position of the MOA that this has to be termed a two (2) compartment tank; please change the figure in my checklist for me. G. Per Debbie's comment, the "total depth" of the soil absorption field is from the existing grade. This question or blank to fill in on the MOA checklist has always been confusing to me. I had assumed that "existing grade" was the grade at the time of the installation: of the system. Debbie explained that it the current existing grade; in other words after any fill has been added to the original existing grade. That being the case, please chine the figure in my checklist from 4' to 5.5'. 7. The correct figure for "Pump Off', typed in the completed checklist that I submitted is 73". 8. The method of determining the value for well production was discussed at length with Debbie. She advised me that I could consider this comment as being resolved. I hope that this now satisfactorily resolves all the outstanding issues and that a COSA can now be issued for this property. The buyers are ready and very anxious to close on this property. If you have any questions or need any additional information, please do not %,q hesitate to contact me. .,',_,- M Sincerely, Paul E. Pinard, P. 11 ko i I 05117/2011 07:38 8686770 up Oasts■ ■ Palo■n PRO ■ a ll REP. ■tflf■l#■ '■11111 APLUS 171637 _ OPENS on Otis■■ rriw• a ■ !■ i ■o's �� Fwd iYl �rt Annual Inspection th madlYairg, Keith Foncrce 1.6335 McCrary Road, Eagle River AK 99577 ac sxe w e County 10 # Poe x AX -103406 SVV040059 202877 Retriew O&M Inial UaRy fi t MW rads _ Timor setting- perfbwm Field SamRlinWObservetimm NTU (i5 t+trt}s} phi (0-9157 D i2-% t. taco of Sample Typk;ad %" 0 softy Elm -my Dort typical ❑ SW de ❑ Cab WjQ C200MY my film in P1lrl ❑ Yes mo Foarrr In tank ❑ Yee fie Choi* Contrtll Panel FWmNrF Amps DlschwW AMC& Audlbte end vffivaialarnrs 00K DW fano "ffwry only} ❑ YAS ❑ N. lropeWClean Rump System Inspect Clean FUWJtid ........... ........ Curmnt PMVI ius Splice Box ..................... CUT,,pn3 INE Flpat fiords .... , .... PITv14Ug Flows .......................• ,r ❑ Pump ....................... 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B s #plgble W approwlate aolectlw } w B ltm Number De t Oft EirlHnafetyllllls Ctit>rl h��'�%' W reht"Ied N(Lids bnttsdOw on snRoid rr omnaded; fiurh valves clased Cann tori react tveted eummMIReconmendations Ni�GYS ant partormitlg; no Curtner WM novo OTanK n0W8 PUMping ± ❑ call for gory" IAlipasw -OL L rf f v6 ❑O mGet 5- < An -m to SiSnatura Fax completed form to 1-88+8-384 7404 LEGEND' 0 — 96PTIC PrI -+— WELL - EdENT '" e ® — dRMAY 0 MIA F� t � i �,,,,, ,.,...�j •fir � I ,r 4 3 i t rl,Us =11* auk }� P.O. 000f 7:PJ21?4 1 0427 YiRT Dr Fve LEGAQ, I�i� . Project No.�ii+1 ' E01714 r�Ivan, A1naka PiF57.7 LOP 5. BLOCK 1. 11ROADWAI R' (007) #M- 5. F ) 9026-81MyppHtS i6D4 191�7F1 CADD Flo Narrne I hwraby car -b that i ha#w ■urwrr ed the fattawlrtip clescrliota pro pwrt l LOT 15+ JIL13Ck Lr DLOi DVATER JVJ"HT hChwrade Ra or D Fred= #41ask�a, amd khat ria encrear, m*ntx exW* ox ewe as Indle�efad: v a rerapanalkkill y 0 Oho owner to 101U Till' *hw exlstamm of arWompenuin si cavvmunts+ or r em-tr 1g.bloris i h do nat upppltw an *he r ecardicd sulaoilrrlslanla% Undur+ ha err our ntweew anyr rata-ka httt`&Qln be used far carratruailen of #�arrer+ Wier. or Par tstala'Lid'h M2 boundary Liman, mm `� Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 * (907) 343-7904 s Fax (907)343-7997 http://www.muni.or-Q/Onsite Development Services Department On -Site Water and Wastewater Program Dent SPI n Department **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP101032 COSA#:OSC101008 Permit#: PID#: 050-081-24 Legal Description: Broadwater Heights, Block 1 Lot 5 Engineer: Garness Engineering Group Applicant: Patty Foncree Your request for a waiver of the required 100 feet horizontal separation from the S.T.E.P. tank to the private well has been approved. The approved separation distance is 97.0 feet. This waiver approval applies to the existing S.T.E.P. tank to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: �! �D Approved by: L(tet/ Name of Revie��MM er ......................................................................... Rec#: 061.816 Amount: 1 050.00 Date Paid: 4/28/10 **** VARIANCE/WAIVER REVIEW **** Broadwater Heights Subdivision Block 1 Lot 5 Parcel ID: 050-081-24 Waiver for 97 feet from well to tank Issued May 18, 2010 General 1. From the water sample, total coliform was 0, and total nitrates was 2.15 mg/L. 2. Any overflowing sewage would have to travel around the house to get to the well head. 3. Overflowing sewage would flow away from the well head. 4. The location of the system is in a visible area and any surfacing effluent will be seen and corrected. 5. The proposed system is the Advantex, Category III, nitrate reducing. Effluent meets secndary wastewater treatment standards and is constantly monitored with remote telemetry by Anchorage Tank and Welding. ADEC Criteria Points Water Table Depth of water bearing zone in well 151 feet Assumed bottom of tank and field 8 feet 143 feet 7.2 Soil Sorption Soil descriptions from neighboring well log DEC PTS Depth From Depth To Thickness Calc. Pts Silty Gravel 1.75 8 20 12 0.15 Bedrock 0 20 151 131 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 143 0.15 0.1 Permeability Soil descriptions from neighboring well log DEC PTS Depth From Depth To Thickness Calc. Pts Silty Gravel 1 8 73 65 0.33 Bedrock 0 20 151 131 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 196 0.33 0.3 Water Table Gradient - Water table slopes away from the water source 5.0 Assume 6.8% slope Horizontal Separation 97 feet between septic tank and well x=22/25+2.0 Total Points 15.6 A separation distance of 97' has points calculated at 15.6. No bacteriological pollution possible but chemical pollution possible but unlikely from household chemicals. 2.88 OSC101008 Broadwater Heights B1 L5 151' Water Table Gradient Calculation Broadwater Heights Subdivision Block 1 Lot 5 Appr. 192' 5/18/10 Broadwater neignts BI L4 fisted: fisted h —138' GAR ESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS April 9, 2010 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Waiver Request from Well to Septic Tank: Broadwater Heights; Block 1, Lot 5 The existing 4 bedroom house is served by a private well and septic system. During our site investigation work to obtain a COSA, we discovered that the well on the subject property is only 97 feet away from the existing 1500 gallon STEP tank on the subject property. We request you grant a 97 foot separation distance waiver from the well to the STEP tank. The following items are justification for the waiver: • The well and septic system are on opposite sides of the house. If effluent were to surface, it would be unable to travel uphill towards the well head. • The existing encroachment has existed for over 6 years. • The topography of the lot is laid out in such a way that if the tank were to overflow, the effluent would travel down the slopes in the complete opposite direction of the well head. • We are only asking for a 3% variance. • The existing septic system is a category III advanced wastewater treatment system that has remote telemetry which monitors the system 24/7. If a high water alarm is encountered, the certified service provider is notified and an audible alarm occurs automatically. This minimizes the potential for any effluent to surface or daylight. The alarm condition will be responded to by the service provider to make any corrections or fixes necessary. If the tank were to leak, a low discharge pump run time would create an alarm condition that the service provider would respond to. Based upon the aforementioned facts, it appears that there is minimal risk associated with granting the requested 97 foot separation distance waiver. If you have any questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com I i i / \ BROADWATER I \ HEIGHTS / BL CK 1, LOT � \ \ \ BROADWATER / \ I I I HEIGHTS BLOCK 1, \ LOT \ I I J 100' WELL RADIUS 97' WAIVER REQU 1 � I � I EXISTING 3 BEDROOM \ HOUSE \ I \ - I \ I I I °° \ \ I SCALE: 40' \ I _ o6oOp GAR NESS ENGINEER INC; GROUP, Ltd.;' CONSULTANTS E. GENERAL CONTRACTORS • • • • . •1 • • • • • • • • • • • ... ....... 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 " PHONE (907)337-8179 " FAX (907)338-3248 " WESSRE: —.gam—ngin"ring.com a PREPARED FOR: PHONE NUMBER: PAGE NUMBER: • • • • • • • • ................. . PATTY FONCREE 952-2659 1 OF 1 O ff ey I Gar ess..' LEGAL DESCRIPTION: DRAWN BY:Q0 $ � CE -79 3 BROADWATER HEIGHTS BLOCK 1, LOT 5 PNB TYPE OF WORK: DATE: 0 ap�ofessi014 WAIVER REQUEST 4/8/2010 �O�ppoo�a MUNICIPALITY OF ANCHORAGE �1 • 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. # ���� - oo, \ - QL1 HAA # C G01_'-)( `1 (r, 2D 1. GENERAL INFORMATION Complete legal description Lot 5; Block 1; Broadwater Heights Subdivision Location (site address or directions) 18335 McCroary Road, Eagle River, Alaska Property owner Jeffrey and Patricia Dam Day phone Mailing address Lending agency Day phone Mailing address Agent Virginia Kohfield - RE/MAX OF EAGLE RIVER Day phone 694-4200 Address 16600 Centerfield Drive, Suite 201, Eagle River, Alaska 99577 lttx� Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water XXX61. C � 4L NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX 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 421 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 f urther 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 5 e, 5E{p,lrGINEERING Phone Address 17.34 Eagle River loop Road No. 204 ,:(i , w;i a 99577 Engineer's signature 6. DHHS SIGNATURE Approved for %�) bedrooms. Disapproved. Conditional approval for Date �� tl .�ww�s�NO°• 4' ROGE J. AFER •.g No.B 5 pp G 11 4a OFESSOI,°® bedrooms, with the following stipulations: Additional Comments^-' By: Date 9 Y ItITIO 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: 'tel 0C -%L 1- . �� Parcel I.D. A. WELL DATA Well typIf A, B, or C, attach ADEC letter. ADEC water system number Log presen(Y/ ) Date completed I 1 I� Driller M "W Total depth Cased I Cased to ZZ� Casing height 12 "-r- Sanitary sea(Y N) Wires properly protected N) 7 rn Date of test Static water level Well flow Pump level FROM WELL LOG I I / I q 1 -4 -e, - U N>G�oydI3 0 4— 9 -p.m u Q "owl id SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 101 I 1 Absorption field on lot I O� AT INSPECTION o til Public sewer manhole/cleanout rJ I ZLpI�j Z- /7 r" Petroleum tank tii D rel t% l�.l nv.l N �01w r,r,l 00 C �u ; On adjacent lots 1OG ; On adjacent lots I 0V -t- Public sewer main o til Public sewer manhole/cleanout rJ o 1�1 Sewer service line Petroleum tank tii D rel t% l�.l nv.l WATER SAMPLE RESULTS: Coliform U Nitrate YUay I -Q-. . Other bacteria Date of sample:—1 ���'t7i Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ZZI�Z Tank size 12L. ST Compartments �- Cleanouts (Y N) Foundation cleanou (Y N) Depression (YOI High water alarm N) y Alarm tested6N) Date of pumping 04c,&J Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot o j / On adjacent lots I "i Foundation r�+ To property line Absorption field Water main/service line Surface water/drainage 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Z:-ZJq Z Manufacturer Size in gallons ��U G;:PL. S f'•�� Manhole/Access Y/ ) Vent&N) "Pump on" level at 4Z" "Pump off" level at �✓2 �� High water alarm level Cycles Cycles tested Meets MOA electrical code/N) Y — SEPARATION DISTANCE FROM LIFT STATION TO: J t Well on lot 10 On adjacent lots db Surface water D. ABSORPTION FIELD DATA Date installed I ��I1 Soil rating System type,�r�i�t�+JT5) Length ±4 2 Width Gravel thickness eq Total depth 4.z Total absorption area 4�1-. Cleanouts present (YO (- Depression over field (Ye Date of adequacy test ` ts- Results (pass/fail) f -A for _5 bedrooms Peroxide treatment (past 12 months) (Y& (' If yes, give date I -la SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 10 On adjacent lots 10 -Di -t- Property line 2 To building foundation fit To existing or abandoned system on lot (� + On adjacent lots ,;;?,70 -1 + Cutbank 00 ►� Water main/service line -{- + Surface water � Oro Driveway, parking/vehicle storage area Curtain drain IZAJou0�_]- E. ENGINEER'S CERTIFICATION 1 certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection? , 5 & $ ENGINEERING OF .44 ! a� �"" 117034 Eagle River Loop Road "" c� Signature No. 2'Q4 4 •" Engineer's Name Date e� ` st":v HAA Fee $ 170-00 Waiver Fee: $ Date of Payment Rv 24' 12-/ Date of Payment Receipt Number _74-C) r 0 1Z 1 Receipt Number 72-026 (Rev. 3/91) Back MOA 21 S & S ENGINEERING 17034 Eagle River Loop Road No. 204 Eagle River, Alaska 99577 g - Zto-g2 + �J►.r'1� O,� A%"r- pu>� f� lc PL)P C--� /,r- Purr P ►-1 Ems- 6�7-T MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date .SZ' 6 '10 (a) Legal Description (inclu lot, block, subdivision section, township, range) L. /— Wo 04//; T4'/L 17.1 Location (address or directions) (b) Applicants Name nnA Telephone - Home Business 3� 1-�7' �/� /UI Tele Applicants Address 19J 9O ?ZL3 6 ,S (c) Applicant is (check one) Lending Institution Buyer E::l ; Other E:::i (explain); (d) Lending InstitutionLLIiI"L s 7 Address 71,_ele)j 'l C (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: C)q rv� 2. Type of Residence Single -Family Number of Bedrooms 3. Water Suppl- Multi -Family Owner/builder i ; hi7 Telephone Other (describe) Individual Well Community Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite Public Community Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] • 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm Address , r..,,a "), v t.cIern 'n- ­ Date 6. DHEP Approval Approved for Approved-. ' (ENGINEER bedrooms By Disapproved Terms of Conditional Approval CAUTION Telephone�0/1� Conditional !1% A' C44 to ,%4 It THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 1 MUNICIPALITY OF ANCHOU01i DEPT: OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL ( HAA) "J U L 2 51984 CHECKLIST - FEBRUARY 1984 R C 1 V Legal escri tion: z 3 � / OCc�L�G f A. s�o Well Classificatio)a If A, B, cr C, D.E.C. Approved(Y/N) Well Log Present (Y)N) Date Ccmpleted /71VOL) %, 7J� Yieldp^,, Total Depth ' _ ��i `cased to 22 ' dLx-(tl Depth of Grouting V Static Water Level ! ��Co) Pump Set At u r Casing Height Above Ground 132 Sanitary Seal on Casing (Y Electrical Wiring in Conduit (Y Depression Around Wellheadlid)� Separation Qi6tanaes fran Well/ / '11'17 TO :'Septic/6 Tank on Lot :d g,!5 1 %7 ; On Adjoining Lots ADO To balrest Edge of Absorption Field on Lt b On Adjoining Lots /0,0 To Nearest Pub1$tp Sevier, Line �Ci /�- To Nearest Public Sewer Cleancut/Manhble / To Nearest Sewer Service Line on Lot Water Sample'. Collected By �^ P Pe/ Date Z c Water -Sample Test Results �' c G ✓ Camien'ts /ti If 9 Y -I �9 7JJ-V DEC &-,4 1 urf a A 7 zia cf//r',,:�' B. SEPTIC/HOLDING TANK DATA Date Install L V Size No. of Ccmpartments Standpipes (Y Air -tight Caps (Y Foundation Cleanout Depression over Tank (M) Date Last d�/��J Pumping/4aintenanee Contract on File t(Y for --_ Holding Tank High -Water Alarm (Y ) / Temporary Holding Tank Permit (Y/N) /%- Separation Distanees_�ran Septic/Holding Tank: / To Water -Supply Well -Y 6 6 F To Building Foundation 6 To Property Line /0-/- To Disposal Field 1'7 To Water Main/Service Line /D a To Stream, Pond, Lake, cr Major Drainage Course /J / �4 Camients C 41 A9/y/a' R A 7 ?WC #r_j [Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata A>d Type of System Design 130eel 7" Date Installed 1 5�1r% T Length of Field 6— Width of Field Depth of Field 0 12-/s Gravel Bed Thickness _ �- Square Feet of Absorption Azea J? Standpipes Present { ) Depression over Field ( Date of Last Adequacy Test 2 �' Results of Last Adequacy Zest ✓ Separation ,.Distance from Absorption Field: / To Water -Supply Well /a (3 To Property Line / Q 7' To Buildng:Foundation 3% j To Existing or Abandoned System on Lot / do/Adjoining Lots ��71 To ,'Water ,/Service Line ®� To Cutbank (if esent) To Stream%Pond%Lake/cr.Major' Drainage Course - To Driveway;aring Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at. Off" Level at High Water... Alarm Level'at Vent (Y/N) Tested for Pumping Cycles during Adequacy Zest. Meets MOA Electrical Codes(Y/N) Ccwents ** Check Permitted Bedroon Rating Against HAA Request ** I certify t#A I on the dat6lof t Signed checked, verified, or conformed to all MOA HAA Guidelines in effect Cornpav ,/F -'JL rvrr.ne.° L3�L1_4=16a______ ►v4 ALASKA K.BI/d5/s 'H - [Page 2 of 2 on. Aw Date ••. s MOA No. r • •b •eerM .�1u *'�' w Mb�rf OL, %*for °° •'� ' 1p l' Aw 2-15-84 f ,t 'r�o� BILL SHEFFIELD GOVERNOR ®EP's`. OF ENVIRONMENTAL CONSERVATION Telephone: (907) SOUTHCENTRAL REGIONAL OFFICE: Address: 427 "E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 274-2533 July 23, 1984 S&S Engineering SRB 196X Eagle River, Alaska 991577 Dear Sir: Subject: Reconsideration - Well to Septic Tank Horizontal Separation Waiver, Lot 5, Block 1, Broadwater Heights S/D (8521-wWA-006) The Department has reviewed the additional information submitted on bed rock slopes and well casing placement for the subject waiver and the Department hereby waives the horizontal separation between the private well and septic tank tiJ 85 ft. lincerely, yBruce E. Erickson Envi roniiental Engineer P3EE/msm cc: Robbie Robinson (MOA) /*�►�,t�as��p July 15, 1984 ADEQUACY TEST WATER AND SEWER INSPECTION WELL. INSPECTIONS AND FLOW TEST SITE PLANS ROAD DESIGN SOILTEST ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN EXCAVATION WORK State of Alaska Department of Environmental Conservation 437 E Street Anchorage, Alaska 99501 ATTENTION: Bruce Erickson N,uNICIPAUV OF ANCHORAGE DEPT. OP HEALTH & ENVIRONMENTAL. PROTECT10P1 ROBERT A. SHAFER CIVIL ENGINEER 694-2979 SUBJECT: Private well to septic tank horizontal_ separation waiver, Lot 5; Block 1; Broadwater Heights Subdivision (8521 -WA -006) REFERENCE: Our letter. dated June 10, 1984 and your response dated July 9, 1984. Request you reconsider your rejection of the subject waiver. Tn our telephone conservations subsequent to mailing of these letters, you indicated that you had two significant concerns in granting the waiver; (1) that the well casing terminated approximately 2 feet before it reached. bedrock. I believe this to be in error and that the well log reflects the well casing extending to a depth of 22 feet with bedrock beginning at 20 feet and extending to 625 feet. The second concern you had was in that it was your belief that the Municipality required a 100 foot separation distance from the well to the septic tank in 1.974; however, the on-site inspection report clearly shows that John R. Lee accepted a septic tank horizontal distance of 85 feet on July 30, 1974 at the time he inspected the system's installation. This septic system is located down hill :from the well. There is approximately 600 feet of bedrock between the point of discharge of the septic ef>luent and the bottem of the well. There is over 155 feet of bedrock between the septic effluent and the normal static water level in the well. This well and the septic system have been in operation for almost 10 years without any evidence of contamination. The coliform bacteria water analysis submitted dated May 28, 1984 was satisfactory. SRB 196X EAGLE RIVER, ALASKA 99577 page two Lot 5; Block 1; Broadwater Heights subdivision (8521 -WA -006) It is our contention that there is sufficient evidence to show that the separation distances required by 18.AAC 72.:021 are not necessary to prevent contamination of this well. If you desire quarterly water samples can be required over an indefinite period to assure the safety of the users. If we may be of further service, please do not hesitate to contact US. S:,ncere y e 0 ERT A. SHAF R, P.E. S/ss cc: Robbie Robinson Municipality of Anchorage Department of Health and Environmental Protection 6 AA h / U BILL SHEFFIELD, GOVERNOR V L sm DEPT. OF ENVIRONMENTAL CONSERVATION Telephone: (907) SOUTHCENTRAL REGIONAL OFFICE Address: 437 "E" STREET, SUITE 200 ANCHORAGE, ALASKA 99501 274-2533 Mr. Robert A. Shafer, P.E. S&S Engineering SRB 196X Eagle River, AK 99577 Dear Mr. Shafer: July 9, 1984 MUNICIPALITY OF ANCHORAGE '-'"T. OF HEALTH & ENVIR(xJPdIEi'4TAL Pi20TEC1 iC)�,j CEf; Subject: Private Well to Septic Tank Horizontal Separation Waiver, Lot 5, Block 1, Broadwater Heights Subdivision (8521 -WA -006) The Department has reviewed the subject waiver request and cannot grant the waiver because it was not shown that the separation distances required by 18 AAC 72.021 were not necessary to prevent well contamination. Sincerely, 4�uc�e E. Erickson Environmental Engineer BEE/msm cc: Robbie Robinson (MOA) _ J N p11C'HOWAOE q £ �„� A weV� AB ^'� ✓ EAT R AGE AREA BOROUGH Department of Environmental Quality �c PEfl ,11 `, yb 3330 "C” Stre t,nchorage, Alaska 99503 274-4561 / �a 9 . � (� 14 �v Date Received September 1, 1976 0 JA � P. Time of Inspection 11:00 a.m. C LX)o�� P� Date of Inspection �l REQUEST FOR APPROVAL INDIVIDUAL SEWER & WATER FACCILITIES 9-3-76 Friday Kennedy b FOR C Conv. 1. Approval requested by: Security National Bank 2. Mailing Address: 880 H Street Phone 279-1541 Property Owner: Dwight R. Bowden Phone: 278-3541 Mailing Address: 301 East Fireweed Lane 3. Legal Description: Lot 5 Block 1 Broadwater Heights 4. Location: Skyline Drive off of Eagle River Loop 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: Individual A. Type B. Depth 625' C. Construction 7. Sewage Disposal System: on—site system D. Bacterial Analysis A. Installed 1974 B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: r A. Well to: Septic tank Absorption area Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages GREATER ANCHORAGE ARc.I, BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA _ FHA CONV x 2. Property Owner: Dwiqht R. Bowden Mailing Address: 301 E. Fireweed Day Phone 278-3541 3. Name of Buyer: Jeff N. & Patricia Dam Mailing Address: 7920 Cranberry Street Day Phone 344-8956 4. Name of Lending Institution: Security National Bank Mailing Address: 880 H Street Phone 278-1541 5. Name of Realtor or Agent: Ann Davidson Mailing Address: 301 E. Fireweed Phone 278-3541 6. Legal Description: int. 5, Block Broadwater HPinhts Location: Eaale River 7. Type of Facility to be inspected: Spntic No. Bdrms. 3 8. Water Supply Type of Supply: Public Utility Individual X If Individual, number of dwellings presently served If Individual, depth of well 62,r2.__ 9. Sewage Disposal -System Type.o` System: Public Utility � Individual (on-site) x If Individual, date of installation 1974 l SA'CjGds / Page 2 of two pages - Re ;t for Approval of Individual �r & Water Facilities Legal Description Lot 5 Block 1 Broadwater Heights Subdivision Comments Approved i Disapproved Date d Approval;Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74)