HomeMy WebLinkAboutTHUNDERBIRD HEIGHTS #3A BLK 4 LT 10 Thunderbird
Heights #3A
Lot 10
Block 4
#051-721-38
NAME
[ 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
(gSK
MAILINGADDREBB
LEGAL DESCRIPTION
Lo'l- IO
LOCATION
DISTANCE TO: I W~.~, ~'
Manufacturer
ILiq. capacity in gallons IF HOMEMADE:
DISTANCE TO:
Well
DISTANCE TO: Well{~...~'s ~/!
NO. of ,ines~ Len§th of~z,l~l ne
Top of tile to finish grade .~/
Length Width
Type of crib ! Crib diameter
Absorption/~:~ ~ea Width C.~ T.~L_MateriaI.DWelling
inside length~
Dwelling
PHONE E~NEW
7¢~ 2S'~ [] UPGRADE
Material
Foundation~ ~.~_ / Nearest lot line~~' /
Total length f Ii es Trench width
~ ~ a~ h~ches
Material beneath tile .<~'/
Crib depth
NO. OF BEDROOMS
Liquid depth
PERMIT NO.
Liquid capacity in gallons
PER MIT~D._OO~7
Distance bet we e n/0/ge~
Total effe¢%a~rption area
PERMIT NO.
Total effective absorption area
Well Building foundation Nearest lot line
DISTANCE T~:
Depth Driller Distance to lot line
Septic tank
Sewer line
foundation
DISTANCE TO: ,~:~
+~oo
PERMIT NO,
Absorption area(s)
+.%0o
OTHER
PIPE MATERIALS
fig'Tm b
SOl L TEST RATING
INSTALLER
REMARKS
RF'PL. '_( CFff,!T
L. EGia, L
l':,p::: :' f..i. t'.;~,z I
L.:_t.E'l E:4 THU!'.,g.')E,RB Xr Ri:* HTS
LOT '-' ~"
:, .[ ~E
TREN Z H
· ,~ :::,..-,::,!: OF THE S3iL H6:,L,-..,-! .L, b'¢]:.!L-.N );'Si;:
THE LENGTH DIMENSION iS; THE LEHGTH (iN FEET) (Ilc THE TRENCH OR [:,RF!!NF!ELD.
THE DEF'TH OF' FI 'I"RENE:H OF'. F'IT IS T,'qE DI:STRNCE E,'E]"P~E:Ei'..~ TI--IE SURFRCE OF' TFIE
GROUND R!'.,iD THE E~OTTOM OF THE EXC:R',,,'RTZON (Zi'..i FEET).
'!-FIE:RE: ~:~i; NO SE-F [4:i:DTH FOF.: TRENCHES.
TFIE GRFF/EL .[:,EPTH ZS; THE M:[NZML!H DEPTH OF GRW,,,'EL BETHEEN THE E, ITFi:%.L. PIPE
FiHD !"lqE E=OTTOfd OF THE EXCRVRTION ,.'.'!N F'EETL
,.,~LIt.. ,.. a . . .
PF.q'i,' IT_ . n.""P'"rL.,.,._..-,'~*'""""'"'"~ ...... HR'-".; THE a.E_~,,-..i'.;:,.[rc,..L-,'-~: - ,-, · T*",!~, TO iNFORM ] HI;.," ":' [:,EF'RRTMENT " ~; T'.* .....
-T. NS;TR;..L.FiTION ' '- ........ ~-'.IEL. L. 5 c · ~ :~ ".~-~-. "i'(Zl
IN_':,FEL. I .I. ut'.,t:, OF I-IN'¢ , .......... I THIS ....... FIN[:, THE
NUHBi;:.F: OF RES;i[:,ENC:ES THFIT THE 14ELL b.ir~ L
F:Rr':k'F'ri i I '-h3 OF .'RN? S'¢S'TIEf'I !.,.!ZTHE~LtT F'iNRL iN':SPECTION F~I'4D h-.-~*,... ,, Il_ EW
i'ilhiIPiL.iM DISTRNC:E BETi,!EEN R !.,.IELL RND FIN? ON-'SITE SEI.,!RGE DISF'OSFIL. S"¢S;TEM ~'~;
::t.gEi FEET FOR FI PRiVRTE P.iEL. i.. OR :iX]E! 'TO 2E,2I FEET FROH .FI F:'LiE.'L!C H[':%L DEPE!"IDi?',iG
UPON "filE '!','¥F'E OF P!..!E:LiC HELl. ....
PllNI?'g.]!"! DIS:TBNC:E FROH R F'RI',,"Wf'E !,.!E]...L TO a PRZ',,,'F~TE SEF!ER L. ZEi",!E IS ;2:5 FEET Rt',ID
TO F:! E:OPIMUNIT'¢ SEiqEf;.: LINE ZS; 75 FE:ET.
Cfi'HER REE:IU;[REPiEi'~TS i"!Ff?' RF'F'L'¢. '.:SF'EC:IF):CRTZONS Fd',E:' CO.NSTRLICT]:C$! [:,:!:F~GF:FII"iS RRE
R',,,'I::!ILFIE',LE ':i'O INSURE PROPER IN:STFILLFiTtO?',L
i CE..-'-';;:'i-ZF'? T'HF!T
:t.: '[ Fif"t F:I::!f".fiL:[RR i,.i!TH THE RE~;!LI!REP!EF,iT:L-'; FOR ON-SITE SE!4ERS RND NEM....S R:S :SET
F'ORTH EW THE MUNZC:ZF'RL]:TS.' OF F~I'.!C:FIORRGE.
:2: Z i.,.ItLL iN'.STFILL THE S;'¢STEH }:I'.,! RC:CORDRh,!C:E k!I"FH THE
Z: Z UNE:,ERSTF!ND THRT THE E'i",i'-'SZTE SENER S?STEH HR'¢ RE(;~UZ!:;?.E ENi. RRGEMEN'i" ]:F THE
RESIDENCE IS REMOii>ELE[:, TO INCLLI[:,E idORE THFIN 1¢
O & E ENG,,~EERING & DEVELOi ,¢IENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Oyster
694-2774 SOIL LOG
Earl Ellis
688-2280
Performed for: L,
Mailing Address:
Legal Description: ~
Depth (feet) - Soil Characteristics
0
1__
2__
3__
4__
5__
6__
7__
8__
10
11__
12__
13~
PLOT PLAN
PERC. TEST
14__
15
16m
Ground Water Encountered: Yes.__
Proposed Installation: Seepage Pit
Comments:
No ~ If yes, what depth
Drain Field
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. # ("~'~/~\ ' '-}"~ ~ '-~
1. GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Location (site address or directions)
Property owner _'ST'evc'¢~ ~ ~¢~'~'~ ~ Day phone
Mailing address ¢2¢' ,~'¢'~' ~-'~-¢~- ~-~/~ (~4/¢.z~x~,~ /4~:
Lending agency Day phone
Mailing address
Agent j~)1,/~/~-~.~.',¢~-~-/¢.~ ~,~,vc-~'////'/r~.~,'~ Dayphone ~-~ /
Address }& ~¢~:::~O _('~-~-y~rC¢~/¢:-O ~ ~: 2. o I ~-~,~_e ~'¢/~ ~ ~$')'~
Unless otherwise requested, HAA will be held for pickup.~r~c~ (,~J~4~ e_ 6'~6*~2-f//7
NUMBER OF BEDROOMS: ~ N
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
Y
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA
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.
David IL Dayton P.E.
Name of Firm 2021ODonalar St. Phone
Chuglak, Alaska 99567
Engineer's signature ~ Date /~
DHHS SIGNATURE
/-,.
Approved for
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 DH HS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS 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 fRev. 1/91) Back MOA ~21
Legal Description:
A. WELL DATA
Well type /~¢
Log present (Y/N)
Total depth
Sanitary seal (Y/N)
Date of test
Static water level
Well flow
Pump level
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Parcel I.D.
If A, B, or C, attach ADEC letter. ADEC water system number c~
Date completed Driller
Cased to
FROM WELL LOG
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer service line
Casing height.
Wires properly protected (Y/N)
AT INSPECTION
g.p.m.
&zJ~.~ ~¢¢ ~%n adjacent lots
; On adjacent lots --
Public sewer manhole/cleanout
Petroleum tank ~ ~'~'"'
WATER SAMPLE RESULTS:
Coliform Nitrate
Other bacteria
Date of sample:
B. SEPTIC/I-I~L-4~hN~ TANK DATA
Collected by:
Tank size
/ P Pc: Comp~rtments ~'
Cleanouts (Y/N)
High water alarm (Y/N)
Date of pumping
SEPARATION DISTANCES FROM SEPTIC/H~L-i~'N'G TANK TO:
Well(s) on lot /V~o/¢~ On adjacent lots
To property line ~--5/'~- Absorption field
Foundation cleanout (Y/N) ~ .,,d ,: ' '~ ·
' DePression (Y/N)
~.///¢- Alarm tested (Y/N)
Foundation ~:~
Water main/service line
Surface water/drainage
72-026 (Rev. 7/91) Front ' CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size in gallons
Vent (Y/N)
High water alarm level
"Pump on" level at
Manufacturer
Manhole/Access (Y/N)
"Pump off" level at
Cycles tested
Meets MOA electrical codes (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot On adjacent lots
Surface water
D. ABSORPTION FIELD DATA
Total absorption area
Depression over field (Y/N)
Date installed ~,¢,~- 7 /?~"~-
Length ¢¢ ' Width_
Results (pass/fail)
Peroxide treatment (past 12 months) (Y/N)
rating l ~o ~'/,¢,,~- System type
Gravel thickness .JO ! Total depth
Cleanouts present (Y/N)
Date of adequacy test
for
If yes, give date
bedrooms
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot
To building foundation
On adjacent lots
Surface water
Curtain drain
On adjacent lots /'~'~/'~' Property line ,//~ '~
. To existing or abandoned system on lot ,/~x,'¢
Cutbank /~,'v'C' Water main/service line /L~/~,dZ~-
Driveway, parking/vehicle storage area
E. ENGINEER'S CERTIFICATION
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Dav]~ R. Dayton P.£.
20210 DonaZar St,
Signature Chuglak, Alaska ~567
Engineer's Name
Date ~/~74z~
HAA Fee $
Date of Payment
.eceiptNumber
Waiver Fee: $
Date of Payment
Receipt Number
WELL DATA
Well Classification '--~UL'~,~..-I C._ If A, B, C, D.E.C. Approved~'/,N~'
Well Log Present (Y/N) Date Complete~i Yield
Total Depth Cased to th of Grouting
Static Water Level Pump Set At
Casing Height Above Ground Sanitary Seal on Casing (Y/N)
Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot ~,(:::~C) ~ ~- ; On Adjoining Lots
To Nearest Edge Of Absorption Field on Lot -,z-J:~c~ ~ ~- ; On Adjoining Lots
To Ne, arest Public Sewer Line To Nearest Public Sewer
Cleanout/Manhole To Nearest Sewer Service Line on Lot
. Water sample Collected by ; Date
Water Sample Test Results
Comments ' ~'"~V~ ~ / ~) ~ 7_. I
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes~N)'
Depression over Tank ~l,~
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well
To Property Line ~ ~ ~''
To Water Main/~-vi~e Line
Size / ooo No. of Compartments
Air-tight Caps ~/,N~ Foundation Cleanout
Date Last Pumped
; for
Temporary FIoIding Tank Permit (Y/N)
?
To Building Foundation
To Disposal Field
~.0 ~ ~ To Stream, Pond, Lake, or Major Drainage
Course
Comments
Page I of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~/'- '? ""
Width of Field -~; (~
Square Feet of Absorption Area
Depression over Field
Results of Last Adequacy Test
Type of System Design "'7'~/../C..~"
Length of Field /-'/(5 /
Depth of Field ~:~ /
Gravel Bed Thickness ~-' ~
' /oo '/
Standpipes Present d¢~4'4')
Date of Last Adequacy Test ,~' "~' ~'~'~/-''
/
Separation Distance from Absorption Field:
To Water-Supply Well 7--'¢-'~ ~ ~ "P ["~v~-"4J r..-4 C. To Property Line
To Building Foundation · ~..,:2 ~ -"-
Lot
; On Adjoining Lots
To Existing or Abandoned System on
~O¢'~
To Water Main/,?~r44e. e Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
To Cutbank (if present}
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
I'/¥- Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have chec,ked, ~erified, or conformed to all/,.,/MOA and J-lA,~g uideli nes in effect on the date of this inspection,
Signed S & $ E~qmeerlag Date
SRB 196x
Company E~io
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (11/84)
INVOICE
D. R. DAYTON, P.E., R.L.S.
~)~x~ Chugiak, Alaska 99567
20210 Donalar Street
696-2417
August 27, 1992
Legal Description:
Date of Test: August 26, 1992
Septic Tank: 1,000 gallon, 2 compartment steel tank
Absorbtion System: 40' x 5' effective depth trench
S6~ls Rating: 130 Sq. ft. per'bedroom
Daily Design Flow: 3 Bedroom - 450 gallons per day
ADEQUACY TEST
Lot 10, Block 4, Thunderbird Heights Addn. ~3
(DHHS Records)
(DHHS Records)
(DHHS Records)
Test:
698 gallons of water were injected into the absorbtion system
in a 2 hr. 20 min. period.
Results:
The absorbtion trench accepted over 150% of the daily design
flow with a 0.35 ft. rise in the monitor tube. Within 40 minutes ·
after water injection was stopped, the liguid level dropped to
the original level.
Conclusion:
The absorbtion system is currently functioning adequately
for a 3 bedroo~ home
DEPT. OF ENVIRONMENTAL CONSERVATION
ANCHORAGE 'DISTRICT OFFICE
800 E. DIMOND BLVD., SUITE 3-470
ANCHORAGE, ALASKA 99515
August 13, 1992
WALTER J. HICKEL, GOVERNOR
(907) 349-7755
Mr. Ray Shafer
S & S Engineering
17034 Eagle River Loop
Eagle River, Alaska 99577
SUBJECT: Thunderbird Heights Subdivision
Class "A" Public Water System, PWSID 211156
Dear Mr. Shafer:
I have completed a review of this office's files concerning the status on the above-
referenced Class "A" Public Water System and found following:
Inorganic Chemical Contaminants:
Date of last samples on record:
18 AAC 80.200
09/13/89
Organic Chemical Contaminants:
Date of last samples on record:
18 AAC 80.200
06/04/92
Volatile Organic Chemicals (VOC's):
Date of last sample on record:
18 AAC 80.400
06/04/92
RadiOactive Contaminants:
Date of last sample on record:
18 AAC 8O.20O
Under current composite sampling
program
Total Coliform Bacteria:
Date of last sample on record:
18 AAC 80.200
07/06/92
Final Operation Certificate:
Date Issued:
Present in file
11/12/81
Outstanding Violations:
No
August13,1992
Page 2
Based on the above information, this Public Water System is in compliance with
State Drinking Water Regulations (18 AAC 80).
If you have any questions on the above comments, please do not hesitate to contact this
office at 349-7755.
Sincerely,
Michael Lu
Environmental Eng. Asst. II
ML/pf
CO;
Jaylene Peterson, Eklutna Utilities, Inc,
David Dayton
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF iNSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range) . .
Location (address or directions)
(b) Applicant Name ,~ ~~ Telephone' ~ome ~- ¢~ Business ~X~:
· ~, ~
(c) Applicant is (check one): Lending Institution ~; Owner/builder ~;
Buyer
Other
(explain);
Address
(e)
Real Estate Company and Agent
Address
Telephone
(f)
Mail the HAA to the folJowing address:
S & S ~ginee~ing
SRB 196x
TYPE OF RESIDENCE
Single-Family ~' Multi-Family []
Number of Bedrooms '-~
Other
WATER SUPPLY
Individual Well [] Community~D Public~r"
Note: if community well system, must have written confirmation from the State Department ot Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
I~ Public [] Community [] Holding Tank []
Onsite
Note: If commdnity well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
72-025 (11/84)
Page 1 of 2
ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained
from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm
Address
Date
Telephone
Approved fi~ Disapprov/ Con" .
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work. .
Page 2 of 2
BILL SHEFFIELD, GOVERNO~
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA g9501
Telephone: (907)
Address:
To Whom it May Concern:
According to records on file in this office the ~-(~7,~'~<~//~J~¢~]
~_:~. Water is in with the State
System
compliance
Drinking
Water Regulations
Sincerely,
T~,.n],.e . Time Je
Date Date Date
Inspector Inspector Inspector
Comments Conditional Approval
~edrooms
Bate Sewer Installed Permit No, Septic Tank Size
¢~R ~ Holding Tank Size
Soils Rating Well To Absorption Area Well Log Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Property Owner G~ ~. ~{. Co~s~uc~o~ Phone
Mailing Address S~A ~O~ 6~O5-A3, ~aer, A~ ~9645 745-2553
Buyer ~a~e8 ~. & Su8~ ~, S[ou[ '
Address S~& ~OX 628, W&Z~O~, A~ 99688
Ehone
Lending Institution ~x~~laska Bank of Commerce-Eagle zver Branch
fiq4-Pn~
Realty Co. & Agent Totem Realty, Inc.~William J. 8chlegel ~. Phone
Address 724 E. iSth AVneue, Anchorage, AK 99501 272-0571
Legal Description Lot 10, Block 4, Thunderbird Heights .
Street Lo0at[on Teal Loop Road
Type of Residence
~ Single Family
~ Multiple FamiJy No. of Bedrooms
~ Other
Water Supply
~ Individual A~ACH WELL LOG. A well Icg is required for all wells drilled since June
~ Community 1975. For wells drilled prior to that date, give well depth (attach Icg if
~ Public Utilit~ available.)
Sewage Disposal
~ Individual Year Individual Installed: 1982
~ Public Utility When Connected to Public Utility:
~ Holdin~ Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Municipality of Anchorage Page 1 of 2
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW000175 PID Number: 051--721--38
Name:WAYNE DEYKES Wastewater System: [] New · Upgrade
Address:
24845 TEAL LOOP CHUGIAK, AK 99567-5114 ABSORPTION FIELD
No, of Bedrooms: nd/~DO
Ph°ne:(907) 688--4247 4 DDeep Trench [3Shallow Trench [3Bed DMOU~.. ther
LEGAL DESCRIPTION ~.~/~.. ~/
Lot: Block:THUNDERBIRDSUbdivisl°n:HEIGHTS #3A Depth to prpe bottom from odgrnal grade: J~,,,~d~th beneath plpe:
10 4 ,- ~,X'~,.
Township: Range: -- Section: -- nil added o~v. o~ginol gmd.:.~_~ Ft.'~" Gravel rength:
Grovel wldth: ~ dumber of IrnesJ Distance between
WELL: [] New [] Upgrade ,/ Ft. PLI
o~. ~ ~ TANK
SEPARATION DISTANCES · sept~o [] Ho~d~n~ [] S.T.B.P.
From Tank Reid Station Tank Slower U.O, PREMIER PLASTIC 1300
We, 200'+ 200'+ - - 25% PLASTIC 2
~0o'+ ~oo'+ - - - LIFT STATION
Sun'ace
Water
Lot S'+ lo'+ - - -I ~1~
Line
Foundation 5'+ 10'+ -- -- --
Drain NONE KNOWN
I I
Remarks: BENCH MARK
~,C.~.V~" ~ ~::,~,T~, BOTTOM OF SIDING
100.00
WWC.' C.
^ ,,J ,f re t' ~..X.(?arn~'ss.""
Department of Health and Human Services approval ~(~ .... .... ...
y. ~.,~,..... -'~,%~. ' ....... .,~ ?
Reviewed and approved b ~u/, ,~7~ Date: ~ .J~'O'~
AS-BUILT DRAWING "o"¢-'~2~-~sR:
~ / ~ ~ / ST1 25.25 [ 10.42
, ~ / ~ / ~ ~.oo!~.,~
I ~ / / / DBL2 29.50 17.50
~ ~ / ] / FCO 23.67 7.33
~ / / co~ ;~.25 2e.~
;~ / / /
DATE: ~, /
~/~/oo ~
%,;"...~ .......... .'~.~
ALASKA WATER & WAS FEW3/I ER
PREPARED FOR: PHONE NUMBER: 3AGE NUMBER:
WAYNE DEYKES (907) 688-4247 2 OF 2
LEGAL DESCRiP'IION:
THUNDERBIRD HEIGHTS SUBDIVISION #3A; LOT 10, BLOCK 4,
TYPE OF WORK:
AS-BUILT DRAWING OF SEPTIC TANK REPLACEMENT
A B
ST1 25.25 10.42
ST2 27.00 13.4-2
DBL1 28.67 15.92
DBL2 29,50 17.50
FCO 23.67 7.33
C01 ,7,2.25 26.17
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jun 16, 2000
Expiration Date: Jun '16, 200'1
Permit Number: SW000175
Legal Description: THUNDERBIRD HEIGHTS #3A BLK 4 LT 10
Design Engineer: 0041 AK Water & Wastewater Consultant
Owner Name: Wayne Deykes
Owner Address: 24845 Teal Loop
Chugiak, AK 99567-5114
Parcel ID: 051-721-38
Site Address: 024845 TEAL LP
Lot Size: 29811 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
~ Disposal Field [] SepticTank [] 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date:
ALASIO= WATER & WASTEWATER
June 5, 2000
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: Septic Tank Replacement for Lot 10, Block 4, Thunderbird Heights Subdivision # 3A.
To whom it may concern:
The existing 3 bedroom house is served by private septic system, and a community water system.
The existing 1000 gallon septic tank has collapsed and must be replaced immediately. The
excavator (Green Construction) is going to remove the 1000 gallon tank and and replace it with
a new 1250 gallon tank (per the homeowners request). Thunderbird Heights is on a community
water system, so there are no well concerns.
Attached is a detailed drawing which show the location of the new septic tank. There are no
surface waters within 100 feet of the proposed upgrade. I am unaware of any adverse impacts
this installation would have on adjacent wells or septic systems. If you have any questions,
please contact me at 337-6179. Thank you for your assistance.
Sincerely, ~ ~ //
Je P.E., M.S.
President v
JUN 08 , 000
MUNICtPALI-f¥ OF ANCHORAGE
"IP~NMENTAL SERVICI~,~ DiW¢-,
6901 Debarr PPad Suite 2B ~ Ano~orage, AKN 99504 ~ (907)337-6179 ~ Fax(907)338-3246
NOTE: ALL PROPERTIES
SHOWN ARE SERVED
BY A COMMUNITY
U N D EVELO P ED WATER SYSEM
I I ~-EXl ~/ ~EPTJCST]hG
SYSTEM
,'/ / /,' w~* / "-~.~ ~b~'-. /
~SI~ WATER A ;VASTEWATER C.J.G.
WAYNE DEYKES (907) 688-4247
IHUNDERBIRD HEIGHIS SUBDIVISION ~3A; LOI ~0, BK
hh
SITE P~N
// TEAL LOOP ..... R~ ~AD
~/s/oo ~ 0~ A
~S~ WATER & W~TEWATER c.~.~.
CONSULTANTS, INC.~ 1"
P~EP~o ~o~: P~O~E ~U.~R: PA~E NU.~ER: .~ ~.:....~
WAYNE DEYKES (907) 688-4247 2 OF 2
THUNDERBIRD HEIGHTS SUBDIVISION ~3A; LOT 10, BK
DETAIL FOR SEPTIC TANK UPGRADE
A WWC, Inc., June 2000
ALASKA WATER & WASTEWATER
Onsite Wastewater Disposal System Standard Construction Specifications
I. REFERENCE PROPERTY: Thunderbird Heights Subdivision #3A; Lot 10~ Block
II. DEFINITIONS:
1. Property owner: The legal property owner or his/her representative.
2. Engineer: Alaska Water & Wastewater Consultants, Inc. or AWWC, Inc.
3. Contractor: The company hired by the property owner to install the septic system.
4. M.O.A.: Municipality of Anchorage, Department of Health and Human Services (DHHS)
III. RESPONSIBILITIES:
· Property Owner Responsibilities:
1. The property, owner shall contract with the contractor to perform the work outlined in these
specifications and plans, in accordance with M.O.A. requirements. There is no conttractual relationship
between the contractor and the engh~eer. The engineer shall inspect the work as, required by M.O.A. to
document the installation. Final acceptance of the contractor's work rests with the owner and the M.O.A.
2. The validity of the design site plan is limited by the accuracy of the as-built survey provided to the
engineer by the property owner or his/her representative. The property owner shall notify the engineer
regarding any known inaccuracies associated with the as-built survey. The engineer assumes no
responsibility for the accuracy of the survey.
3. The property owner is responsible for notifying the engineer of any unplatted easements, not shown on
the as-built survey, which the new well or septic system may encroach into.
4. The property owner shall notify the engineer of any seasonal groundwater or surface water runoff
conditions, known to him/her, which could potentially effect the operation of the septic system. The
proposed septic system must be at least 100 feet from any streams, ponds, creeks, swamps, bogs, or any
other surface water as defined by M.O.A.
5. The property owner is responsible for notifying the engineer if, to his/her knowledge, any of the
adjacent properties are used as a duplex, business, or multifamily dwelling. The new holding tank must be
at least 75 feet from any private well, 100 feet from any class "C" well, and 200 feet from any community
well, unless appropriate waivers are obtained.
6. The property owner and/or his contractor shall report to the engineer any observed condition which
would put the septic system in violation of State regulations.
7. Unless specifically agreed upon othe~wvise, the property owner is responsible for f'mal grading of the
areas which settle after construction. Prior to awarding the contract, the property owner should
communicate to the contractor any expectations regarding, but not limited to, post construction site
clean-up, re-landscaping, and restoration of any asphalt, fences, trees, decks, etc. that are effected by the
constmction.
1 of 3
AWWC, Inc., dune 2000
8. The property o~vner is responsible for payment of all the engineer inspection charges. The number of
inspections will vary depending on the actual field conditions encountered and the construction methods
used.
· Contractor Responsibilities:
1. The contractor is responsible for locating all buried utilities, easements, property lines, and surface
waters; and shall ensure that all setbacks are flagged by a registered land sm'veyor prior to construction.
2. Construction shall be in accordance with the approved site plan and design drawings, and any special
provisions directed by M.O.A. The contractor is responsible for notifying the engineer of any
discrepancies noted on the design plans or drawings, prior to starting work. The installation, materials, and
workmanship shall comply with all applicable State regulations.
3. The contractor is responsible for field verifying the separation distances to all adjacent wells and septic
systems, shown on the design drawings, prior to starting construction. Any encroachments that would
effect the installation, for which waivers do not exist, should immediately be brought to the attention of the
engineer.
4. Ensure that al~ materials being used are in compliance with the most current guidelines established by
the M.O.A.
5. The contractor shall ensure that the septic tank, lift station, or holding tank purchased has a burial depth
rating suitable for the actual installation.
6. Notify the engineer at least 24 hours prior to starting construction. If deemed necessary, a
preconstruction site visit shall take place. The contractor shall coordinate with the engineer any inspections
which will be required during ~veekends, holidays, or before/afier normal working hours (8:00 am to 5:00
PM). The property owner may incur additional charges for inspections which do not occur during normal
business hours. It is the contractor's responsibility to notify the engineer a least 2 hours prior to any
inspection.
7. The contractor shall report to the engineer any observed condition which would put the septic system in
violation of State regulations.
8. The contractor is responsible for f'mal grading so as to ensure that sm'face ranoff does not adversely
effect the septic system constructed, adjacent septic systems, or adjacent structures.
9. The contractor is responsible for obtaining approval from the property owner for any additional
construction costs associated with design modifications or changing field conditions, prior to doing the
work.
· Engineer Responsibilities:
1. The engineer is responsible for inspecting the installation of the septic system and preparing as-built
documentation, to the satisfaction of the M.O.A. Inspections are performed as necessary to document the
construction of the system to the satisfaction of the M.O.A.
2. The inspecting engineer has no direct authority over the contractors activities or construction practices.
Should the engineer identify conditions which dictate a design change, he or she may recommend that
work be stopped,, and/or the design be modified. If design modifications are necessary, the engineer shall
notify the property owner or his/her representative.
2 of 3
AWWC, Inc., June 2000
IV. CONSTRUCTION GUIDELINES:
· General
Construction shall be in accordance with the approved site plan and design ch'awings, and any special
provisions noted by M.O.A. All materials, components, and construction practices shall comply with the
M.O.A.'s latest ordinances regarding wells and septic systems, as well as M.O.A. policies. The failure of
the inspecting engineer to notice a material or construction non-compliance does not relieve the contractor
of his/her responsibility to correct such a deficiency.
· Septic Tank, Holding Tank, or Lift Station Installation:
1. The burial rating of the tank shall be adequate for the actual burial depth encountered.
2. The tank shall be level and sufficiently bedded to prevent settling or shifting o£the tank.
3. All standpipes on the tank shall extend a minimum of 12 inches above f'mal grade.
4. Tanks installed with less than 4 feet of cover shall be insulated.
5. The sewer service line from the facility to the tank shall be sloped a minimum of 1/4"
per foot, unless prior approval is obtained from the engineer.
6. The inlet and outlet lines from the tank shall be bedded in drainrock or the soil shall be adequately
compacted to prevent future settlement of the soil.
7. A foundation clean-out will be installed, 1-4 feet from the structure, if one does not currently exist.
8. Ali tanks shall be anchored to resist buoyancy forces in high groundwater areas. This applies when
there is not adequate soil cover to resist buoyancy forces. Engineer shall make this determination.
9. The final soil cover shall be graded so that there is positive drainage away from tank.
10. All holding tanks and lift stations shall have an audible and visible alarm inside the residence.
11. All lift stations shall be wired in compliance with all MOA guidelines and the Uniform Electrical
Code.
3 of 3
0981 DEBARR ROAD ~TE 2§
AHCHDRAGE~DK- 9%04
g07-337'6179
MERCHANT ID: 385200080043128
DATE: 06/07/00~ 10:06:54 AH
REC:DRD NUHBER: 00P-
ACCOUNT: 4888603RROgg2875 0Q/0~
CARO TYPE:
TRP,{~ TYPE: ,SALE
ZIP CODE: 9956? AV,S RE,SPDN,SE: Z
RUTH COOE: 038000
AMOUNT: 670.00
t AGREE TO PRY ABOVE TOTAL AMDUMT
ACCORDIHG TO CARD I~HUER AGREEMENT
PLEADE IMPRINT CARD
BOTTOM COPY CU,STOHER-TOP COPY ~ERCHA~T
ALASI WATER & WASTEWATER
CONSULTANTS, INC.
6901 Debate Road, Suite 2B Anchorage Alaska 99504
Phone: (907) 337-6179 Fax: (907) 338-3246
Invoice
1
DATE INVOICE ~/
6/6/2000 2000-238
BILL TO:
Wayne Deykes
24845 Teal Loop
Chugiak, AK 99567
P.O. NO. TERMS
Due on receipt
DESCRIPTION HRS/QTY RATE AMOUNT
PROJECT:
Thunderbird Hts Lot 1...
Site plan and design for septic tank replacement
Reimbursement to AWW for payment of the
M.O.A sewer permit fee.
Inspections will be invoiced after installation. The
inspections and submittal of asbuilt drawings to the
MOA will be $300.00
350.00
320.00
350.00
320.00
We appreciate your business.
Total $670.00
All invoices over 30 days old are assessed finance charges of 1.5% per month, beginning from the date the invoice was issued. A Property lien will
be filed if the invoice remains unpaid after 60 days (from the date of issuance). There is a $150.00 charge for the filing and releasing of the lien.