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Home My WebLink AboutTHUNDERBIRD HEIGHTS #1 BLK 7 LT 19A MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program / , s "• PO Box 196650 4700 Elmore Road' �t � Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 �. http://www.muni.org/onsite u �`CN Oft i.GE D l['tlrleat On -Site Wastewater Disposal System Permit Permit Number: OSP191265 Effective Date: 7/11/2019 Work Type: Septic Upgrade Expiration Date: 7/10/2020 Tax Code Number: 05158108000 Site Legal Address: THUNDERBIRD HEIGHTS #1 BILK 7 LT 19A GA 865 Site Mailing Address: 27608 RAVEN CT, Chugiak Owner: MONSON TRACY L & BONNIE J Lot Size in Sq Ft: 21500 Design Engineer: C&M ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: The Engineer needs to do an additional test hole prior to the construction of the septic field. Construction may proceed at your own risk before the 7 day water monitoring is complete. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. -- Received By: Date: 7/16/19 Issued By: Date: Nl un*dality ®f AnchorageW r Uctmnt 1': P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/`6VAIVER REVIEW * * * * Waiver#: OSV191053 COSA#: Permit#:OSP191265 PID#: 051-581-08 Legal Description: Thunderbird Heights #1 B7 L19A Engineer: CM Engineering The absorption field is approved to be perpendicular to the contours. See the engineer's cross section. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............................. ■ r Waiver is Granted: X Waiver is not Granted: Date: Approved by: Name of Revi� er **** VARIAN C E/WAIVER REVIEW **** MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section Parcel I.D. 051 581 08 ANCHORAGE ON-SITE SEPTIC/WELL PERMIT APPLICATION Property owner(s) TRACEY MONSON Mailing address Site address 27608 RAVEN Phone: 907-343-7904 Fax: 907-343-7997 Day phone C2007 - 0_-Z Legal description (Sub'd., Block & Lot) THUNDERBIRD HEIGHTS#1 LOT 19A BLOCK 7 Legal description (Township, Range & Section) Lot Size 54,632 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Waiver Fees: Absorption Field 0 Initial ❑ Single Family (SF) 0 Receipt Number: 0 3 d a D (w/wo ADU) Septic Tank ❑ Upgrade ❑ Duplex (D) ElHolding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. C&M ENGINEERING (Signature of property owner or authorized agent) _[ 5oZO Permit/Rush Fees. ' D Waiver Fees: Date of Payment: a� o? �� Date of Payment: Receipt Number: 0 3 d a D Receipt Number: Permit No. DS pI 1nb5 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc (Eptan(_iZusm C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System replacement for Thunder Bird Heights #1 Block 7 Lot 19A Dear Reviewer, The above referenced property is currently served by an older, failed septic system. The owner would like to replace it with a new septic 4 bedroom system. We are proposing to install a new advantex septic tank and a new drain field. The old tank will be demolished per moa requirements. Our review of available documentation and field investigation show that this project will not adversely impact any nearby Wells, Wastewater disposal systems, replacement disposal sites, or drainage flowing onto and off of the subject property. The adjacent lots are relatively large and are served by public water. The existing drain field is likely in the utility easement and likely over the south lot line so it is not being connected as a reserve site. There is sufficient space for a new AWWTS drain field elsewhere on the lot with the use of a lift station. The proposed drain field will be installed slightly “cross slope” see included cross section. We are requesting a waiver because the yard area of the lot is extremely constrained and the topography is relatively flat. The system will be excavated to a maximum depth on the uphill side of 6’ based on the 9’ groundwater measurement in the 1980 testhole. Max excavation depth is always only ever measured from the high side of the trench. A new testhole will be excavated during construction to verify soil and groundwater conditions. If the groundwater table in July is found at a depth of 10’ or less or soils percolate slower than 15 minutes per inch, construction will be halted and the design will be modified. The new field is sized based on a 1.5’ effective depth and application rate of 5 gpd/sqft to cover variations in overburden depth, and some variation in soils conditions. The field will still have a greater minimum depth below the distribution pipe to provide additional “surcharge” volume. We are requesting approval of a wastewater disposal permit prior to excavation of the testhole. The lot is highly constrained and requires demolition of a fence and shed for equipment access. It is preferable to only access the site one time. The use of AWWTS greatly mitigates any risk of encountering unforeseen groundwater or poor soils. The system is sufficiently sized for poor soils and a lift station could easily be added if groundwater is found shallower than anticipated. A review of the records for adjacent lots shows percolation rates less than 10 minutes per inch and no logged groundwater table. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191265, Deb Wockenfuss, 07/11/19 A lift station is required unless grade adjustments are made to the tank and the contractor is able to achieve gravity flow between the tank and drainfield. The lift station pump must be an Orenco PF2005 High Head Pump or approved larger pump. The drainfield distribution pipe must be 1.25” diameter pvc with 3/16” holes drilled at 1’-0” on center. Included with this letter is a permit application and design package, including plans, and calculations. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini@gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE 7/10/19 4 BR HOME DR IVEW AY10 ' UTILITY E A S E M E N T THUNDERBIRD HTS#1 B7 L19A THUNDERBIRD HTS#1 B7 L20THUNDERBIRD HTS#1 B7 L18 RAVEN L O O P THU N D E R BI RD DRIV E NEW 5'x20'x2' EFFECTIVE MAX EX DEPTH 6' ON UPHILL SIDE OF TRENCH. DIST PIPE TO BE 1.25"Ø W/ 3/16" HOLES AT 1'-0 O.C.NEW 1500 GAL ADVANTEX W/ AX-20 POD AND LIFT STATION W/ PF2005 MIN PUMP SIZE DEMOLISH OLD TANK PER MOA REQUIREMENTS 1' CONTOUR INTERVAL MONITOR TUBEDECOMISSION OLD 5X100 DRAINFIELD NEW FCO RELOCATE SHED LOCATE EDGE OF EXISTING FIELD AND REMOVE ANY CONTAMINATED MATERIAL WITHIN 10' OF NEW FIELD OLD FIELD LOCATION IS POORLY DOCUMENTED EXCAVATE TESTHOLE TO 10' MIN. TESTHOLE MT TO REMAIN AFTER CONSTRUCTION. DOW N SLOP E FENCE SEE CROSS SECTION APPROX WATER VALVE LOCATION APPROX WATER LINE LOCATION. *SEE NOTE* C&M ENGINEERING SERVICES 907-854-5558 SITE PLAN LEGAL DESCRIPTION: THUNDERBIRD HEIGHTS #1 BLOCK 7 LOT 19A OWNER: MONSON DATE: 7/09/19 REV: 0 DRAWN: CB REF: SCALE: 1" = 30' CHARLES G BALZARINI CE-13854R EGISTEREDPROFESSIONALE NGINEER LEGEND CLEANOUT MONITOR TUBE NOTE: THE PROPOSED SEPTIC SYSTEM MUST BE INSTALLED GREATER THAN: 50' FROM ANY PRIVATE WELLS 200' FROM ANY PUBLIC WELLS 50' FROM ANY SURFACE WATER 5' TO ANY PROPERTY LINE OR FOUNDATION 5' TO ANY TEST HOLES 10' TO THE HOUSE FOUNDATION 5' BETWEEN TANK/LIFT STATION AND FIELD 07/11/19 NOTE: IF GROUNDWATER IS ENCOUNTERED AT A DEPTH OF LESS THAN 10' IN JULY,THE DESIGN WILL REQUIRE MODIFICATION. ADJACENT LOTS SERVED BY PUBLIC WATER, NO WELLS WITHIN 200' OF PROPOSED SYSTEM CONTRACTOR MAY ELIMINATE LIFT STATION IF GRAVITY FLOW IS ABLE TO BE ACHEIVED. AFTER TANK AND DRAINFIELD CO'S MUST BE ADDED AS SHOWN IN GRAYSCALE ON THE PLAN. MAX EXCAVATION DEPTH IS ALWAYS MEASURED FROM THE HIGH SIDE OF THE TRENCH Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191265, Deb Wockenfuss, 07/11/19 9.0' 6.0' 6.0' 3.0' 4.8' 2.5' 3.0' BOTTOM OF ROCK TOP OF ROCK GROUND SURFACE CLEANOUT MONITOR TUBE BOTTOM OF TOPSOIL LAYER 9' GROUNDWATER TABLE DEPTH BASED ON 11/1980 TESTHOLE MAX EXCAVATION DEPTH ADD FILL, SLOPE TO DRAIN, MAX SIDE SLOPE 4(H):1(V) 1.7' 2.0' C&M ENGINEERING SERVICES 907-854-5558 SECTION LEGAL DESCRIPTION: THUNDERBIRD HTS BLOCK 7 LOT 19A DATE: 7/04/19 REV: 0 DRAWN: CB REF: CHARLES G BALZARINI CE-13854R EGISTEREDPROFE S S I O N ALENGINEER 07/09/19 0 105 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191265, Deb Wockenfuss, 07/11/19 Residence: number of bedrooms 4 br Water usage/bedroom 150 gpd/br Water Usage 600 gpd type: SHALLOW TRENCH Application Rate 5 gpd/sqft conservative for expected soils. required absorption area 120 sqft trench width (W) 5 ft minimum effective depth 1.5 ft below distribution pipe see narrative Min Required Length: 18.72 ft MAX Excavation Depth: 6 ft Cover: 3 ft Insulation: 2" blueboard Effluent Pipe: Calc By: CGB Date: 7/10/2019 C&M ENGINEERING SERVICES 907-854-5558 Septic Design Calculations THUNDERBIRD HTS#1 BLOCK 7 LT19A RESIDENCE/LOT INFO DRAINFIELD 4" ASTM 3034 max excavation depth is measured from the high side of the trench Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191265, Deb Wockenfuss, 07/11/19 Pump Selection for a Pressurized System - Single Family Residence Project Thunderbird Hts1 B7 L19A Parameters Discharge Assembly Size Transport Length Transport Pipe Class Transport Line Size Distributing Valve Model Max Elevation Lift Manifold Length Manifold Pipe Class Manifold Pipe Size Number of Laterals per Cell Lateral Length Lateral Pipe Class Lateral Pipe Size Orifice Size Orifice Spacing Residual Head Flow Meter 'Add-on' Friction Losses 1.50 10 40 1.50 None 10 10 40 1.25 1 20 40 1.25 3/16 1 5 None 0 inches feet inches feet feet inches feet inches inches feet feet inches feet Calculations Minimum Flow Rate per Orifice Number of Orifices per Zone Total Flow Rate per Zone Number of Laterals per Zone % Flow Differential 1st/Last Orifice Transport Velocity 0.97 21 20.6 1 3.7 3.3 gpm gpm % fps Frictional Head Losses Loss through Discharge Loss in Transport Loss through Valve Loss in Manifold Loss in Laterals Loss through Flowmeter 'Add-on' Friction Losses 1.3 0.3 0.0 0.2 0.4 0.0 0.0 feet feet feet feet feet feet feet Pipe Volumes Vol of Transport Line Vol of Manifold Vol of Laterals per Zone Total Volume 1.1 0.8 1.6 3.4 gals gals gals gals Minimum Pump Requirements Design Flow Rate Total Dynamic Head 20.6 17.1 gpm feet 0 5 10 15 20 25 30 35 400 50 100 150 200 250 300 350 Net Discharge (gpm) PumpData PF2005 High Head Effluent Pump 20 GPM, 1/2HP 115/230V 1Ø 60Hz, 200V 3Ø 60Hz PF3005 High Head Effluent Pump 30 GPM, 1/2HP 115/230V 1Ø 60Hz, 200V 3Ø 60Hz Legend System Curve: Pump Curve: Pump Optimal Range: Operating Point: Design Point: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191265, Deb Wockenfuss, 07/11/19 MUNICIPAUTY OYANCHORAGE • M t �uv III Wity Big - THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of — of 20 r , by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 1.5.65.365. In consideration* of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as ADVANTEX located at (legal description) THUNDERBIRD HEIGHTS #1 LOT 19A BLOCK 7 2. Maintenance. Repairs and Alterations. (Owner is required to read, understand and initial each section) ;. Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. 74 . M, It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). -_. Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. . If ,Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) 1 Page l of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. �;rA.� Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. i Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. s . t -?',,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. -7't Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval.. I Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severabiii_g. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of O"ER: BY — , ,_2 (signature) Date: -,�� - /P z- - 11f a A-1 (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) They foregoing instrument was acknowledged before me this25'hday of u , 20, by 'ra lt'1t7Y�son NO A Y PUBLIC FO LASKA "'`{ : oFFic�a� SE M Commission ex ` . Reinhilde Graham 5 fres: 6, [ A_:T �)r NoiaryPu0licSfal:otAJaska �— : ", = MY Cc,nm. Ezpres 0111/2020 MUNI.CIPALIT/Y/: / By: (/(/ (signature) Date: 4911'7 (print name) Title: (rev. 05%1812018) Page 3 of 3 / / t.' P\'C SEPTIC Si1>-Pl'ES CTYP ~ K /' .~f <ro ~ .... W<C:>K>-8 ~ &/ ~' tjt <02" I I • / ; · ', /,/' I . ;· I ',,,, / ; · . ' I ' I ~ • ', / $ ' , . .... ·; ',, /· .......... , ~ ~ I ', ---x ,fp J..li! ii x'° -~ ~~ 19A I .10A)-, 04L> ', ... /, ... SA1ElJT£ ', '1t1E·H~ '-' ~ ct& o·~ ~a .Iv .n· -cv' .:y .cl$ 4'~ ~ 20 J, " 8/20/99 DATE AS BUILT ~• .. •r•"•-• •~ 0 Ai~--·~"······:·~' --~--·· £·~·· :.: .. 49nt ~ .... , * \ lI?ffJ-;;,·JiF]tWH,·~: lt'~~~~--~141 •♦2% .. ••. LS-5773 .••~rj J ♦ ~ ..... • •• ~ • ♦-er~ ••••••• ti'~•• ,411;,-.ot.J ■lono\-.; ♦• ___ , .. 46-27 FLO. BK . NOTES: Easements not appeorino on record .subdivision plot are not shown unless cle$cripti0n of ea.sement Is provided by clienr. It fS the responslbillty o1 the owner or bllllder, prior «> construction, 10 verify proposed buildint grodt rel alive 10 finish · grade and utiffties connections, ond to delermine the existence of any tasemenls, covenanl.s, or restrictions which do not appeor on the recorded sulxllvision plat. Elevations based on assumed darum unless otherwise indicated, ond bearings ond distances ore record data. S8S Engineering 17034 tAOL! llf\lU l.00I' IIOl.tl EM.tt fflO. MASKA '"77 (907)894-2'79 LEGAL DESCRIPTION LOT 19A. BLOCK 7, THUNDERBIRD HEIGHTS SUBDIViSION ADDITION 1:11 PLAT NO. SCALE GRID BJ-16 1· .. 30• NW 1865 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAl. ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR WELl_ INSPECTION REPORT PHONE . [] UPGRADE NO. OFBEDROOMS /7~ DISTANCE TO: ~'~/~'¢'z '~ Absorption area~/? Manufacturer .¢~y.~.~ ~, / Li iF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: We~l Dwelling PERMIT NO. Manufacturer Material DISTANCE TO: No. of lines,/ th o~lin~e~L' ~)dth /(inches Top of tile t ~ uid capacity in gallons Totat effective absorption area Width Depth PERMIT NO, Typo of crib DISTANCE TO: Well Crib depth Total effective aBsorption area Building foundation Nearest lot line O[as$ Sewer line DISTANCE TO: OTHER PiPE MATERIALS SOIL TEST RATING ./~-~ ~''] INSTALLER V~,¢~...¢¢.'~¢'- (.,9~ '5'''~'~ REMARKS / Distance to lot line S0ptic tank 72-01 ~ I(Rev. 3/78) DATE LEGAL F'ERMI T NO. DEPRRTME(.,IT (*r: HERLTH RH[:, ENVIRONMEN'['FIL P~"]]"ECT:(.ON 825 "L !5;TREE'('., FtNCHORFIOE., Rt.'.'.'. 99. 264-4720 CH I('ql --- :F~; 3[ '1- E %E-~; E (..,J E ~%.' F" E I1:~ (""t !' '"r ) RPPLICRNT KLEIN CONS'[' LOCFFf'IOIq THUNDERBIRD DRI',/E,.'RRVEN LOOF' '['"r'PE OF SOIL FtB'.E, ORPTION S'¢STEM hlF~;~.:;IMl.,li',l (.,lUMBER OF BEDROOMS = 4 2524 PRLMER., 8LRSKFt 7,':1.5-27Zt L. OT SIZE 2:t000 :~;[:.!IJFIRE FEE'r SOIl.. RFI'['I(,IG (SQ FT,."BR)= /.25 THE REQLItRED 2;IZE OF THE SOIL. RBSORPTION B'¢STEM IS: '('HE L. ENGI'H £)IMENSION IS TIqE LEi",IGTH (IN FEET.'." OF '['HE 'TRENCH OR DRtalNFIELD. 'THE [:,EF'"rH OF FI TRENCH OR F'IT I~:,..~LI~..D;.![*~S;F. Pif',ff'Z:E'"E~ETP~EEN'~'THE.~gLIj~.'[:FiCE OF THE GF.':OUi'.,I[:, FIN(:, 'I"I-tE. BOTTr)Mt:;. OF ~'"E'~-~i.~(;'~iT 1 ON.,---:: I N. FEET.. '~ 'THE GR~a',/EL [:,EP'['H IS; THE FIND THE BOT'FOM (:iD'-" THE EV, CR',/RTION ,.'.IN FEET). F'ERHI'[' F~F'F'LICFINT HRS THE REL=;PONSIBILIT'¢ TO INFORM THIS DEPFIRTMENT DURING THE INSTRLLFITION INSPECTIONS OF RN'r' WELLS FIg, JRCEN'r ]'0 THIS PROPERT'¢ RN[:, ]"HE NLIHBER OF RESIDENCE:r:; THFIT THE WELL WILL S;ER'v'E. .......... '"r ~..~ c) ,:: 2 .':.., · (,'.,~ --~; F" E(.: C: T' :E C) ~'-,,! ?2; E~ IF-:L" E-'_: ~,'--~ E t".~ L_l :E If~ EE.' D ............... 8RCKFILI_I'NG OP 8N'¢ S"r'STEI'"I 1.4ITHOU'I" FINFIL INSPECTION RI",ID FIPPF.'.O'¢FIL Bb' THIS DEPRR]'MENT WILL BE SUBJECT TO PROSECUTION. MINIMUM [."ISTRNCE BETHEEN R WELL RN[." RNY ON'-S;ITE SEWAGE DISPOSFIL S'¢S'I'EM I,'.-',; :L00 FEET FOR R F'RIVFITE WELL OR iSEI 'FO 2'0E1 FEE'F FROM Fq F'UBLIt] !-,.IELL [:,EF'EN[:,ING LIPON THE T',r'PE OF PUBLIC !.,IELL. MINIMUM DISTRNCE FROH R F'RI',,,'FITE WELL TO m PRI',,,'RTE SEWER LINE I2; 25 FEE]' FIND TO R COHM(JNIT"r' SEWER LiNE IS 75 FEET. OTHER RE6~IJIREMENTSi i'"lFSr' RPPL'¢. '.'SPECIFICRTIONS Ri.Ir:, CONS;TRUCTION I}IRGR. FIHS RRE RVRILI=IBI...E TO INSURE PROPER I(-,ISTRLLR'['ION. ]: CERTIF"¢ "I'HFI]" :1.: I RM F'FIIqlL..IRR WITH THE REQUIREMENTS FOR ON-SITE SE!.,.IERS FINE.', .t,.IELLS RS 2;ET F'ORTH B'¢ 'THE HUNICIPFILIT'¢ OF RNCI4ORRGE. ;~:: I WiLL INSTRLL '(fie S'¢STEM II'.,I RCCOR[:,RNCE WI'['H THE CODES. 2.: I UNDER:..'STRND THFrr' ']"HE ()N-SITE SEWER S~r'S'FEI',I MR'-/ RE.F..!UIRE EHLRRGEMENT IF THE RE:.=;I [:,ENCE I'5 REMq~[:,~L...E[:,,7/ TL] I_f/I~Mr',RE/__./~/ THFIN 4 E:E[:,F~,::,OMS. SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10- 11 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS PERFORMED BY: tS ~ S ,~,gj~e~,;~?:t;'i 72-008 (6/79) [] PERCOLATION TEST SLOPE SiTE PLAN ,/ WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE ~EST RUN BETWEEN FT AND -- FT (minutes/inch) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING /_o~- / CA ,' ;Be_oc~ -:2;' -/-/mux, J~c--xe~ Location (site address or directions) Z-~-'~OE:~ "~¢~¢/'~-¢-J ~ ~p~y.~n~r ~ X ~: '~:~,~'~ D~y ph~n. M~inng~ddr~ss~~ ~~ ~ :~z~-~., Lending agency Day phone Mailing address Agent ~ ~ ~ Day phone Ad dr~ss~ ~'~ ~ ~,/~ ~~ ~1 ~ ~ ~ Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide .written confirmation from State ADEC attesting to the legality and status of system. 72-~25 (Rev. 1/91) Front MOAI~21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEERING Name of Firm !7n.~4 Eagle Eiver Lool~ Road No. 204 Phone ¢o ¢i ~ - ~- ~/ -7 c~ Eagle River, Alaska 99577 Address Engineer's signature ~f/~,/¢/~ ~.~---'~-- Date %'/~/¢/* DHHS SIGNATURE Y Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~25(Rev. 1/~1) Bsck MOA#21 Municipality of Anchorage AU(; 09. 1999 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division ,~,:~,.m,~PAUTY OF ANCHO~ o, 825 L Street, Room 502 · Anchorage, Alaska 99501 · - Health Authority Approval Checklist Legal Description: ~ /"~,~ .~ ~g--O~,/,/,/,/,/,/,/,/,/~? ~ Parcel I.D.: A, WELL DATA Well type /"'~zC-g-~C:- If A, B, or C, attach ADEC letter. ADEC water system nu~..~9.r.~~-- ''~' Log present (Y/N) Date completed Total depth Cased to ~t (above ground) Sanitary seal (Y/N) ..Wires properly protected (Y/N) FROM WELL L~ AT INSPECTION Date of test Static water level Well production D~o~ sample: Nitrate Collected by: g.p.m. Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed ~(/<~,0' ranksize /~-~'--~ F°undati°n c'~an'°~t"~,~/~./~'~o~- Depression (Y~ ~O Date of P ~ ;~' ;'; '~)/~/'~ Pumper ~1~ ,'-~ ~ · / ' ~ ~; C. ABSORPTION FIELD DATA ~' ' Date ins;ailed' ///~ Soil rating (g.p.d,/ff~o~/2~ ~ Number of Compartments ~, Cleanouts~N)~ High water alarm (Y/N) '/V',,'/,/~- / System type Length ¢/~2' / ~'-' Totaldepth ~g Width ," Gravel thickness below pipe ~/ ~'' ~' Effective absorption area ~)~7 ~ Monitoring Tube present&N) ~ Depression over field (Y~. ~ O Date of adequacy test ~/~y~ Result~ail) ~5 For ~ bedrooms Fluid depth in absorption field before test (in.); ~ Immediately after'gal, water added (in.): ~ ~[/ Fluid depth (ins) Minutes later: ~ Absorption rate = ~ ~ g.p.d. Peroxide treatment (past 12 months) (Y~ ~/~ ~ If yes. give date ~ 72-026 (Rev. 3/96)* D. LIFT STATION Date installed .~-~~ns ' Manhole/Access (Y/N) _......---'""~ump" on" level at* "Pump off" eve1 at* · High water~ *Datum C~ed E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ~(.,~ ~l ~ On..~djae-ent lots Absorption field on lot ~On adjacent lots Public sewer main ...~'~ Public sewer manhole/cleanout Sewer/~e Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation Property line /~) '-/- Absorption field / Water main/service line /~/"/- Surface water/drainage /O~ '~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation ,/O/7~ Water main/service line Surface water r/ET~ ~/- Driveway, park ng/veh c e storage area Curtain drain '/ / /~'A/~¢ ~xJ ~,/ Wells on adjacent lots ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records~~s are in conformance with MOA HAA guidel~es ,'n effect on this date. Signature ~ ¢~ ~-~ Engineer s Name ~ Date ~ ~ ~ HAA Fee $ Date of Payment Waiver Fee $ Receipt Number Date of Payment Receipt Number 72-026 (Rev, 3/96)* SEWER&WATER I~JN EXTE N~IONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORfS WELL INSPECTION & FLOWTEST ROADDESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ROBERT C. COWAN, P.E. August 3, 1999 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services PO Box 196650 Anchorage, AK 99519 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 AUG 9 Municipality Or, 4'~°r~ra~eces Dept. Health &Human REFERENCE: Lot I9A, Block 7, Thunderbird Heights Subdivision Request you grant a waiver on the referenced property for the horizontal separation distance between the septic leachfield and the south property line at 0 feet. We do not anticipate any adverse effect on the adjacent property. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/sh 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 ° EAGLE RIVER, ALASKA 99577 Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.ancho rag e.ak.us S & S Engineering ATTN: Robert Cowan, PE 17034 Eagle River Loop Rd, #204 Eagle River, AK 99577-0000 August 13, 1999 Subject: Waiver Request for THUNDERBIPd2) HEIGHTS #1 BLK 7 LT 19A Waiver # WR990054 Lot Line Request for Parcel ID 051-581-08 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 0 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this Waiver, please call our office at 343-4744. Sincerely~ ~c~ JeffPoet Engineering Technician I~ On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~Q~q PID~ ~ HA# ~~Permit Date Received: August 9, 1999 Legal Description: Lot 19A Blcok 7 Thunderbird Heights Engineer: Robert C Cowan, PE, S & S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle River, Alaska 99577 Applicant: Glenn& Pat Radford Waiver Requested: Lot line waiver of 0 feet from the leachfield to the south property line. 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: 5~a.~iewer~- Rec ~: 05230/7528 Amount: $ 115.00 Date Paid: Ausust 9, 1999 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O, Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 1. GENERAL INFORMATION Complete legal description Lot 19A; Block 7; Thunderbird H~iqhts ~ ~ Location (site address or directions) 2?608 Rav~n Court Property owner Mailing address Lending agency Mailing address N.J. & Wendy Mabll~ HC-79n 300 Raven Court Day phone Chu~iak, Alaska 99567 Day phone 688-~486 Agent L~Anne Oldham McKenzi~ Real Estat~ Day phone Address Old Glenn Highway~ Eagle River, Alaska 99577 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: NOTE: 694-9035 Individual well Community well X× Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer XX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. NOTE: 72-025 (Rev, 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structu~:e indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address $ & $ ~NGINEER.[NG 17034 Eagle River Loop Road No, 204 Phone Eagle River, Alaska 99577 Engineer's signature Date DHHS SIGNATURE ~ Approved for /~'/-z~/'//).. Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: .~/~- .~'~ Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~)25 (Rsv. 1/95) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~-- o-T \~,¢~, -~v,,V~ ~ "~v&,O~c~, d~C, Parcel i.D. A. WELL DATA Well type /'~ If A, B. or C. attach ADEC letter. ADEC water system number Log present(Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot '~--o~ ~'~ Absorption field on lot ¢-oo" ~ Wires properly protected (Y/N) AT INSPECTION g.p.m. ; On adjacent lots ;On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~,\¢\%-&,O Tanksize \"~ ~.¢,A'L~ Compartments ~ Cleanouts~N) ¢ Foundation cleanout (Y/~ ~1~ Depression (Y~ High water alarm (Y~ /& ~Alarm ~:tested ~ ~';¢'(Y/N) ~ [~ Date of pumping ~ ~ ~ ¢~% ~ Pumper ~. O¢%P¢~ ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 2-'OO t't- To propertyline ~C~ Surface water/drainage On adjacent lots 'A/~ Foundation Absorption field '7 ' Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in galrons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N!- SEPARATIO.N_.DISTANCE FROM LIFT STATION TO: lot On adjacent lots Manufacturer Manhole/Access (Y/N) "Pump off" level at Oyctes tested Surface water D. ABSORPTION FIELD DATA Soil rating Date installed Length \ ~bO* Width Total absorption area Depression over field (Y/~,b Resu Its .(;~__¢s/tfail) Peroxide treatment (past 12 months) System type Total depth Gravel thickness ~::~, ~' ' Cleanouts present ~N) Date of adequacy test for ~-o 0 ~-~ ~) /~° ¢1¢~ 1/~[ ~ If yes, give date bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot %'oo~ To building foundation On adjacent lots Surface water Curtain drain On adjacent lots \o Property line To existing or abandoned system on lot Cutbank ,~/p. Water main/service line \&.- Driveway, parldng/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection, ,~ & S ENGINEERING i~'034 Eagle i~iver Loop Road No, 204[ ~, ';;, Signature EagJo i~Jver, ,~tlaska 99577 Engineer's Name Date ~- ~ ~ ~ ',SHAF EH ,, HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number DEPT. OF ENVIRONMENTAL CONSERVATION WALTER J. HIOKEL, GOVERNOR ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99503 (907) 349-7755 March 11, 1992 FOR: S & S Engineering PWSID # 211156 My review of the records on file in this office reveals that the Eklutna Thunderbird Heights Subdivision, Class "A" Public Water System, is in compliance with the routine coliform bacteria sampling requirements listed in Table C, and with the inorganic sampling requirements listed in Table B of 18 AAC 80.200. Sincerely, Byron r~ .... Environmental Engineering Assistant BR/cf APPLI '~NT FILLS OUT UPPER HA : ONLY Address Type of Residence Multiple Fami~ ~%. ~. of Bedrooms ~__ Water Supply t ~ Individual ~¥- ATTACH WELL LOG. A w~l ~og is required for aU wells drilled since June 1975. ~ommunity 1~'~1 For wells drilled prior to that date, give weg depth (attach log if available). ~ Pubfic Utility Sewer Disposal .,When Connected to Publ~~ ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACOOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Date Date Date Inspector Inspector Inspector Field Notes: ~2~::~ ..~ ,~ ~, '7~ .~. /~/:,:~. (~ APPROVED BEOROOMS ) DISAPPROVED ) CONDITIONAL A~EROVAL' Time Inspector JUL 06 19~3 I_TM "Mt~nicipali~y of Anchorage,, "Dept. of Heal~ & *CONDITIONS OF APPROVAL Soils Rating Well To Absorption Area Well to Tank Well Log Received Septic Tank Size /~,~'~ D~TE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOF]~ MUNICIPALITY OF ANCHORAOE MUNICIPALITY OF ANCHORAGE DEPT. OF DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~'~,~i~NMEN-h,,L ;.. ~[2CTION 82~ L Street - Anchorage, Alaska 99B01 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND 8E~ L~ DIRECTIONS: ~omplete all parts on pa~e 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPE TYOWNER PHONE / 4. ~EALTO~/AGENT t / , ~ PHONE LEGAL DESCRIPTION 6. TYPE NU~v,L~L-R OF~BEDROOMS [] One [] Four [] /~'_ SINGLE FAMILY [] [] Two Five MULTIPLE FAMILY [] Three [] Six Other 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well Icg is required for all wells drilled '~ COMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY dapth (attach Icg if available.) 8. SEWAGE DISPOSAL SYSTEM //~. INDIVIDUAL/ON-SITE** /~,~D YEAR ON-SITE SYSTEM WAS INSTALLED. PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev, 6/79} THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER I~] iNDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size:_ If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line §. COMMENTS I~,//APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY ~ 72-010 (Rev. 6/79)