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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.