HomeMy WebLinkAboutTHAYERMOORE HEIGHTS BLK 3 LT 5Thayermore Heights Block 3 Lot 5 #015-081-10 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231121 PID Number: 015-081-10 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name TIMOTHY T OWALIA ABSORPTION FIELD — ADVANTEX FAP 2.0 ❑ Deep Trench ® Wide Trench ❑ Bed ❑ Mound Site Address 9841 GROVER DRIVE, ANCHORAGE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 2.0 GPD/SF 3 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2 Ft. Gravel depth beneath pipe 1 Ft. Subdivision Block Lot THAYERMOORE HEIGHTS 3 5 Fill added above original grade VARIES 0.6-0.8 Ft. Gravel length 53 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 300 Ft z 1 NA Ft. Well 50'+ 50'+ 255'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ® Other ADVANTEX Manufacturer ORENCO / ANCH. TANK Capacity 1500 Gal. Surface Water 50'+ 50'+ Material FIBERGLASS Number of compartments 2 Lot Line 101+ 101+ NA Foundation 10'+ 10'+ LIFT STATION Manufacturer ORENCO Capacity 1500 Gal. Remarks NEW ADVANTEX SYSTEM Alarm location BASEMENT Electrical installed by DRS Installer QRS PIPE MATERIAL House to tank 3034 drainfield Tank to 3034 Drainfield 3034 Co/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspectionddates: 1s` 7/25/2023 2„d 7/26/23 Location and description 3°' 7/26/23 4'h 7/31/23 TOP OF ADVANTEX POD ON-SITE WATER AND WASTEWATER SECTION APPROVAL '•:tA,,� Conditional Approval: Date'low . 49- ....:.. . Curtis Huffman Septic Syste Approved ��'• CE 128991 •`�% ��s�F Date • . s/z/zo23, . • ���� •.202 11�F�pROFESS10NP4� OFE06W Xote: this approval does not include well permit requirements. \ kmev u071 10) PID:015-081-10PERMIT:OSP231121 FIRST WATER CONSULTING -0 RUSSELL CIRCLE 1 30!' 0 S89*57'00"E 108,71' R Lij LIJ Cn 0') N o C11-1 0 > 0 cU Qf 0 30 I ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: THAYERMOORE HEIGHTS LOT 2 BLOCK 3 PLAT 2021-39 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners, responsibility to determine the existence of anv easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE- SCALE;E-MAIL- AUG 1, 2023 1 "=30' schuller0ok,net 23-027-2 DRAWN BY, ICHECKED BY: GRID NUMBER: . BOOK PAGE JLS SW2439 230247 AMW OF 4 Nk\j AW 0 0,P49TH 1_ 1. . . 'JL l� � ..� L ......... ........ .. ...... ?A ................................... JOHN L SCHULLER.- 0 't � cD 0 • 13-10408 '1831 Talkeetna Street Ar 'V. sem"' Anchorage, Alaska 99508 �, ®► k0 f e's Sion& AVW (907) 227-1455 office lk(907) 274-4992 fax MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program �01� ,S� PO Box 196650 4700 Elmore Road tk r Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 2 it http://www.muni.org/onsite J Departrnent On -Site Wastewater Disposal System Permit Permit Number: OSP231121 Effective Date: 6/14/2023 Work Type: Septic Upgrade Expiration Date: 6/13/2024 Tax Code Number: 01508110000 Site Legal Address: THAYERMOORE HEIGHTS BLK 3 LT 5 G:2439 Site Mailing Address: 9841 GROVER DR, Anchorage Owner: O'MALIA TIMOTHY T Lot Size in Sq Ft: 25200 Design Engineer: FIRST WATER CONSULTING Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: P CJ C— Date: Issued By: (/�,— Date: l� 7 20 z MUNICIPALITY OF ANCHORAGE Development Services Department ^ =rte Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel 1. D. 015-081-10 Property owner(s) Timothy T O'malia Day phone. Mailing address 800 E Dimond Blvd STE 193 #906 Anchorage, AK 99507 Site address 9841 Grover Drive Anchorage, AK 99507 Legal description (Sub'd., Block & Lot) Thayermoore Heights Block 3 Lot 5 Legal description (Township, Range & Section) Lot Size 25,200 Sq. Ft. Number of Bedrooms In APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ® Initial ❑ Single Family (SF) X❑ (w/wo AD U) Septic TankXQ Upgrade 1XI Duplex (D) ❑ Holding Tank ❑ Renewal ElMultiple 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. (Sig iiafdre of property owner or authorized agent) Permit/Rush Fees: Waiver Waiver Fees: Date of Payment: Date of Payment: Receipt Number: 7 12.040 Receipt Number: Permit No. 0S P23 112-1 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! May 26, 2023 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: THAYERMOORE HEIGHTS BLOCK 3, LOT 5 The property owner has requested we obtain a permit to upgrade the failed septic system of the above referenced lot. We propose to install one shallow trench with Type IIA & MOA approved sand and a 1500-gallon Advantex FAP 2.0 system to serve the existing 4-bedroom residence per the attached design. The design is based on the recent test hole conducted on May 8, 2023. No groundwater was observed at test hole excavation but was monitored at 12’ from existing grade. Area septic systems and soils show slower percolating soils and deep septic systems. The pending AWWTS is forthcoming from the owner, and we will submit once received. The slopes are moderate at 7-12% at the proposed upgrade location. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231121, Curtis Townsend, 06/14/23 FIRST WATER CONSULTING THAYERMOORE HEIGHTS BLOCK 3, LOT 5 DESIGN CALCS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC SYSTEM NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. NO WELLS WITHIN 100' OF PROPOSED SEPTIC SYSTEM STAKE 50' WELL RADII PRIOR TO CONST. VERIFY WELLS & STAKE 50' PRIVATE WELL RADII PRIOR TO CONST. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231121, Curtis Townsend, 06/14/23 FIRST WATER CONSULTING DESIGN DETAILS: THAYERMOORE HEIGHTS BLOCK 3, LOT 5 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231121, Curtis Townsend, 06/14/23 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: THAYERMOORE HTS. B3, L5 PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/24/23 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 SM/ml-GM W/ large boulders 5 6 7 8 9 10 11 12 13 14 15 16 17 BOH 18 19 20 Reading Date Gross Time Net Time Depth of Water Net Drop 5/17/23 30 min 6” 11/16” 30 min 6” 11/16” 30 min 6” 11/16” PERCOLATION RATE 44 (MIN / INCH) TEST RUN BEWTWEEN 3 & 4 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: 12’ DATE: 5/17/2023 TESTHOLE # 23-1 DATE PERFORMED: 5/8/23 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: Material appears to be consistent w/ some large boulders. VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: TIMOTHY T O’MALIA 5/24/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231121, Curtis Townsend, 06/14/23 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this'2, Day of of 20 2; , by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. 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 AN ADVANTEX SYSTEM located at (legal description) THAYERMOORE HEIGHTS BLOCK 3, LOT 5 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. 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. 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) Page 1 of 3 '% Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. TD Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. To Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. 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. r Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. 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. Severability. 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 3 OWNER: By: l r� � =- (signature) Date: 6 •13.2v 2� (print name) AAI zan a STATE OF A47A-SY64 ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoi g instrument was acknowledged before me this day of JuAe , 20_a, by l t Yv� 0' Kc U(u- — ®�0®40969669��8®BB NOT UBLIC R �4J zvna— ®�® o�G��No.�Or°O®®m My Commission expires: D3- R 4 aba a ° �M Q ate° ° m MUNICIPALITY: J By: A (signature) CAJ (L'T) S D w —S F�.,eprint name) Qco° �1�® C.) ; O n0 •?s,� �0 •�� � oo �J b o®s'OOPA G� ®P180lt Date: �� Title: C I V I (rev. 05/18/2018) Page 3 of 3 0 N RUSSELL CIRCLE 0 N S89°57'00"E 108.71' R= Uj 01-11w Cn 0') > N D � w >1 # 0 �0/ V 1y P o 0 z 30' I r i ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: THAYERMOORE HEIGHTS LOT 2 BLOCK 3 PLAT 2021-39 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shouli any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: E -MAIL- APR 29, 2023 1 "=30' schuller0ok.net 23-027 DRAWN BY:ECKED BY GRID NUMBER: BOOK/PATE cLI JLS SW2439 230135 �•AMW .. • ...Az a L Amw �. . <1 �-�° A00 1P Okhb 49TH �^ �.:..... ....... ...:..�� zr ?A �..,.:.. ...................:..`.� HN L. SCHULLER . c / LS --10408 ��'� `:- • / 1831 Talkeetna Street �a • •� °.•r• ,o Anchorage, Alaska 99508 Ar6 .e► �4 \� o f� „�,,, (907) 227-1455 office ��, ssia���•� (907) 274--4992 fax MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION DEPARTMENTENVIRONMENTAL HEALTH & ENGINEERINGTAL DIVISION IVISIONTECTION NOV 2 Q 1979 825 LStreet - Anchorage, Alaska 99501 Telephone 200.-4720 ON-SITE SEWAGE DISPOSAL. SYSTEM AND/OR WELL INSPECTION RE � NAME PHO NEW } K CNNLTH / (_S C} L %6' �%3 f ❑ UPGRADE 1,6o MAILING ADDRESS OV7 W .7701 AU LEGAL DESCRIPTION /. 5 P3 r84YFAMOAC tars. _ _ -- LOCATION NO. OF BEDROOMS G 2 v V L %L S'T Well Absorption arca DISTANCE TO: Dwolling PERMIT NO Q L Z 6 Ll F- Q Manufacturer Material No. of compartments �' Liq. capacity in gallons �7JQ IF HOMEMADE: � Inside length Width Liquid depth jO'Z_ DISTANCE TO: WeOwelliny ll PERMIT NO. 2 z Manufacturer Material Liquid capacity in gallons FQ- ❑ wx �— DISTANCE TO: Well tip-,( /// Foundation Nearest lot line PERMIT NO. J 1 z No. of lines Length of each line Total length of lines Trench width Distance between lines P Z W �/: (5, nom. _inches Q F Top the to finish Mater al beneath tile Total effective absorption area of grade p 2 ,_ Fid r (inches % 6 - " Length Width Depth PERMIT NO. L (7 h N Type of crib Crib diameter Crib depth — Total effective absorption area LULU w Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. J J W Building foundation Sewer line — Septic tankq� Absorption area(s) DISTANCE TO: q� OTHER PIPE MATERIALS RLASi/C 341141 /NT' Y' o ✓T OF — VL L TAN/C — PGM. p6.457/c- )Ito O/Iit/N /lPf- SOIL TEST RATING — INSTALLER 6/1& Y /9 < [- (, el -T REMARKS TAcn,c/; — — / l� Fire "�,t — � n `' -o �(• �; ♦- j � a• nr � (�� t �z 5, P F ..a9 a -s y7e cell ` j 0 APPROVED DATE LEGAL 72-013 IRev. 3/78) snik iml-Thm so I-i-minn UIF JOAN L._ COMOOMM. MATO V, 111 1. F `i, 10 1 v 11 IF LF&M 11 N r A � 1 1 j IFIF: DMI -I 01 11 TWITAI nR PIT IS TIF DYST91ACK AIRN 110 Ji 1. )h W (il o! jiji.� Ii''If i�� RCCC I f thl !'I[- THK P WAVATT ON c I H `0 WT), 111410 14T Pic, 501 1,1117qu Ful? INTSIFIFS. U11: 1,J:::l IN Is HF: WNYMIA11 M4 A-1 is (ARKMA. 111010IJ! 1 If: 01.1 1 min I Av RuTrum IN rw uunwirltum um runn Q F" W T Q7 -1-0 WAR< j7v I V, Q Q HX)PT !ply 1TI! 11 - Y M f Npinao 111 pT QQ KAPTIhad y 1 A y f AV, M I jj! 1 (1.1 I Cil, MY& pjMn 7 KOMP 1 f i "I c i: Is:FW ANY 9YS URN A T THOU F F T NRL T NSPPCT f AN OF& &FIRROVAI IW A 117 QUIPHRITIM k"I Q JA U Mu.TTI "r ru PIROSMAW I' M4 wKY011111 1103TAPAX BET91TAI R =1 FIT; My OWSW MR+ MAMA! 0MAWN 1! ).T 1-:1 1::(? f lv E '.4f'::: i.! I :: I .I._.: 1..1(':'. RIGI-I �j ',Ijr"!I. U:, 4i:[ I Fr (I PHij- fn M� 1, IIII'vi !_Ji"f:,J "'.1 " WK 10 T 1, J,;:: I F:) 71-20" T, K F� X F, T vo &F vn RAVZK_p X10 5117M AV v Y' SOILS LOG MUNICIPALITY OF ANCHORAGE ?.� r DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ,'✓-' PERCOLATION 1 � TEST Pouch 8660, Anchorage, Alaska 99602 276.2221 SOILS LOG - PERCOLATION TEST PERFORMED FOR: I/ 7n(� L— DATE PERFORMED: LEGAL DESCRIPTION: /'J /'A1 i;fity4-"q '4702 c /-/Is-- DEPTH (FEET) 2 �- 3 4 rVh 5 6 --_ 7 s 9 10- 11 12 13- 14- 15-,--- 16- 17 31415 --1617 18 19 20 SITE WAS GROUND WATER S ENCOUNTERED? - P i IF YES, AT WHAT E - DEPTH?--- Reading Date Gross Time Net Time Depth to Water Net Drop !7 �— /0-/7 20P(l 4/ 1047 t PERCOLATION RATE_ /& .91N, (minutes/inch) TEST RUN BETWEEN m!�i— FT AND+-.-- FT PERFORMED BY:_C///T V /L? & 14 e)77 _CERTIFIED BY: �&Sde"! .DATE: 14-17� 72-008 (7/76) Vl E__9" I C_- I F-° of L.:1 " r "-e a -e F=' Fs Fr•A C, A'-9 rt FP;' f -i p7i IE= DEPARTMENT HEALTH AND ENVIRONMENTAL 'OTECTION 825 ''L STREET, ANCHORAGE, AK. 99 0i _'E•4-47'0 F•A EF: E— F_. F= r=— PERMIT NO. r ,30015E ? APPLICANT KENNETH POOL 907 WEST 27 AVENUE #6 9950:' 276-7730 L.OI:ATION GROVER STREET LEGAL. LOT S,SLOCK 3> THMYE RMOORE`SiD 1 LOT SIZE 22000 SQUARE FEET MINIMUM DISTANCE BETWEEN A WELL AND ANY ON.—'SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIMATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL. DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE; SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE 15 75 FEET. WELL LOGS ARE 'REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 20 DAY OF THE: WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. _SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE:. AVAILABLE TO INSURE PROPER INSiTAL..LATION. F="EFF?Vl 3: —F" :: F= ]E: EE_ -"6 fl_ Win; KF4 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON --SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ISSUED APPLICANT KENNETH POOL ISSUED V4. 0 r ,, V4. 0 f 11 00, sme&n R14DUmu EQ1�L�a� LL4Dg: 4slL• at.AA a➢�B5® �914m'�' rte✓ Il�t- - if lGH WATER WELL DRILLED AND CASED OUT TO THE; DEPTH OF _-134 3eet, -If..!..f"iD AT 'THE RATE OF $19.00 PER FOOT. "Ir_: PE:RTY OWNER– l'Ut.. Xen. Poo.te 276•-7730 .%':ATION OF WELL SITE— JAO B.tk' I'iILLk'Ct _BVm Le Gtcttvr of R'wrcr)w t Un Ubin, .7,67o2k.�o Nr'l.' L. LOG: _J%•'�'-�) ^�� _.Sd�i`lr rflLi� t ra l rrr.i ,t fr '3 (N/ r l �i or /ra r.`l eft, �--- _ ,_)„�-+••_ t ! 7r�,', nJinrrn.l_ hn! n -r ! r I<#lrrl'T.FrrrP,! tni;lh .`Jn?Tr.lnra ArAnrlor _ -- 1.£2,_�4� �1_goa c .pnrt t�-teh” r rur.rn.a �dr�.d�lun.r�4c !iri>`,n:r. �,�rn�Iv.S�i,ol��P�y rccz-14 Bya Mbutte f vvehc ,crotidG1e�t, 'yoLis 2 7 n_c �_ S,nare�.trd in. 30 ,°q 1/2 HohAeSu.1�2e�r�iG(_e-�zur ,�h.at�d_lye dnAta,Uad�ten, Pelt- . _1rabtnm_ 01 Ne -U Se.cr t: 319 X 134 deet: 32546„00 22.00 iNCL,UDES ALL LA13OR AND MATERIAL. FOR COMPLETION Or SAID DRIL.LWG. CH–CK PAYABLE TO RAMPART DRILLING WORKS FOR THE. SUNT OF THANK YOU VERY MUCH. �2s6a,.00 BERNIE CLAUS 7 OF RAMPART DRIL LING WOPKS CHARGEOF IV,% PER MONTH WILL DE: ASSESSED ON PAST' DUEACCOUNTS. MUNICIPALITY OF ANCHORAGE Development Services Department4 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel 1. D. 015-081-10-000 Expiration Date: Legal description THAYERMOORE HEIGHTS BLK 3 LT 5 Site address 9841 GROVER DR Anchorage AK 99507 Current property owner(s) O'MALIA TIMOTHY T 11/17/2023 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 8/17/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-081-10 Complete legal description THAYERMOORE HEIGHTS BLOCK 3 LOT 5 Location (site address) 9841 GROVER DRIVE ANCHORAGE, AK 99507 Current property owner(s) TIMOTHY O'MALIA Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ® Plastic ❑ Concrete ❑ Fiberglass Age _NEW - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ® AWWTS ❑ Bed ❑ Deep Trench ® Wide Trench ❑ Seepage Pit Waiver request for: Distance: Expedited review requested: ❑ By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ ? �� Date of Payment l 2 $t fir= 2,3 COSA # ':�C 23 ) 2 76 Waiver Fee $ Date of Payment Waiver # COSA Application 2022.doc COSA Checklist AX.docx COSA Checklist Legal Description: THAYERMOORE HEIGHTS BLOCK 3, LOT 5 Parcel ID: 015-081-10 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 6/7/1980 Total depth 134 ft Cased to 134 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 5/15/2023 Static water level at beginning of test 84 ft. Well production at time of test 3.3+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 4.75 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 4/27/2023 & 5/16/2023 Comments Sullivan installed new sanitary seal. B. TANK DATA Measured operating fluid level in septic tank NEW Date of pumping NA – ADVANTEX FAP 2.0 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: NEW ADVANTEX SYSTEM D. ABSORPTION FIELD DATA – NEW FIELD INSTALLED 7/28/2023 Which system tested (date installed) NEW FIELD ALL standpipes present per record drawing Total measured depth from grade 3.8 ft (max) Measured depth to pipe invert from grade 2.6 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date NA – NEW Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: NEW SEPTIC ADVANTEX SYTEM TANK & ABSORPTION FIELD INSTALLED 2023. COSA Checklist AX.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No *50+ ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No *50+ ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No *50+ ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No *50+ ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *May meet conventional septic separations, but system meets CATIII separation distance code requirements. G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 8/1/2023 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 8/1/2023 MUNICIPALITY Or, ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of of 2001 by and between ,herel n the "OWNER," and the Municipality of Anchorage, herein the "M IPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. 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 located at 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. 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. 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) Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 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. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. 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. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. 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. Severability. 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 3 ;nature) Date: nt name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoininstrument was acknowledged before me this ! day of 20-2-!� by r S NOTARY PUBLIC FOR A ASKA Commission CJ. 11,t SKA . _.My IC 'f"elloplombet expires: Ign 11, 2024 IPlL ll Y: Z (signature) Date: _(print name) Title: (rev. 05/18/2018) Page 3 of 3 • MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES a� 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.# �,t�-ne i -1n HAA# c. 2 LQ j\ 1. GENERAL INFORMATION 4t'lL,1-0s Complete legal description Lot 5; BEack 3; ThayewonAubdiviz ion Location (site address or directions) 9841 Gnovek Dni.ve Property owner Cha&tm E. 9 Cynthia S. Fitch Day phone w 346-1790 564-1655 Mailing address P.O.Box 111797 Anchorage, Akahha 99511-1797 Lending agency r:t tj Mrilitnano Day phone Mailing add Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: XX Individual well Community well Public water Day phone NOTE: If community well system, provide written confirmation from State ADE:C attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX Holding tank -- Community on-site Public sewer -- NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72.025 (Rev. 1/91) Front MOA 421 lzo Vow AGBo Mn .9H) Szo-EL •>laom s,jaaul6ua leuoissa;oid oql ul suolsslwo ao saaa0 ao; apsuodsw Sou si abeaogouV;o llpedlolunlnl oql ponssl sl 03.01;14,00 a aao;aq elep az(leue ao suolloadsul lonpuoo lou 0P SHH4lo sea (oldw3 ,sluewaalnbei alels pue lejapa; uleliao Nslles oliepio ul suollnlllsul 6ulpual alagl pue sawo4;osaasegaandolAsa4,nooaseslglscopSHH(1agl•eilselV;oalelsaglulp ielsl6aaaaaul6ueleuolssepAd luapuadepul ue Aq anoge g gdea6eaed Ul u9nl6 suopluesaidaa eql uodn Aluo paseq sale01;14,aC) lenoaddV Allaog3nV g11eaH sanss! (SHHO) saoin)aS uewnH pue gP91-1 jo luawliedaa a6eaogouy;o Allledlolunw ag1 Z�j/ Z/, 9 ale(] sluawwo0 IeuoRlppV :suollelndlls bulnnollo; 9q1 g11nn 'swooapaq a01 lenoidde leuolllpuoO U •panoaddes!(] •swooapaq JO; panoiddV x 3Hf11tlNJIS SHHa '9 oljd M H3dVHS a}e(]ainleu6ls s,aaaul6u3 �V LLS66 n)Isely'a®nla alBeg Z oN peoy oo ssaippV `JNI1133NION3 SS S auogd walk ;o aweN -uolloadsul slgl;o alep eql uo loa,4a ul suollelnbai pue 'seoueulpao 'sapoo alelS pue ledlolunw Ile 1411M aouelldwoo ul sl wags (s lesodslp aalemalsern ao/pue Alddns aaleM ails -4,o eql 'uolloadsul pue u011e611sanu1 (w woa; pue sail; a6eaogouy;o fllledlolunW aql woa; poulelgo uollewao;ul aq1 uo paseq 1eg1 (;laanaaglan; I -ulaaaq paleolpul ainlonals;o adAl pue swooapaq;o Aagwnu ag1 ao; alenbape pue leuolloun;'a;es sl wels/s lesodslp aaleMalsenn ao/pue Alcldns aalenn ails-uo a4l;eql smogs uolleolldde IenoaddV (luoglnV g1leaH S1141 JO uo11e611s9nu1 Aw legl ( pan I 'rnolaq unno4s elep uo11Ep1Ien aql;o se pue 019aa4 paxl;;e leas (w (q palpliao sV H33NIJN3 AS NO11O3dSNl dO LN3W31V.LS 'S Municipality of Anchorage C*3 Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Loa �'7MUkFLl� Parcel I.D. A. WELL DATA Well type AUPtITF If A, 13, C, ADEC letter. ADEC tj/A or attach water system number _ Log present SYN) YE�S Date completed 8(2� Driller �Ar�r�3liZ oU Total depth p 3H _ Cased to 3` 1 � Casing height Sanitary seal O/N) Wires properly protected (Y'N) FROM WELL LOG AT INSPECTION o z Date of test 6-� -go N-ao -� 2n r_n Static water level r• r t 11"11711 r co 0 co 0 Well flow d +g.p.m. 6'S 9 P•+� n n Pump level _ �iK g6 t — v < 0 N C,) n SEPARATION DISTANCES FROM WELL TO: z Septic/tatkirRg tank on lot_ c o oN 7A -K ; On adjacent lots b f Absorption field on lot ; On adjacent lots Public sewer main NJ Public sewer manhole/cleanout WA Sewer service line ro0 t4 Petroleum tank I wNE_ kNowN WATER SAMPLE RESULTS: Coliform Nitrate /r �, � Other bacteria Date of sample: N -j6-92 Collected by: S� S �/UGfNE�tLJ �, B. SEPTIC/HOLDING TANK, DATA Date installed --Tank size IabC 0A�- _Compartments CleanoutslbN) 0NF Foundation cleanout (v)N) &S—_ Depression (Y/6l)N6 High water alarm (Y,& — NIA Alarm tested (Y(S/�'///6 Date of pumping Ll -a 0 -5t z- _ Pumper _ A '- ROME. SCjt_u(c6.s SEPARATION DISTANCES FROM SEPTIC/M€ C TANK TO: Well(s) on lot 98 FRlm 'XO �TarvIC On adjacent lots WO r� Foundation 10'1- To 01'To property line Idr�- Absorption field __Water main/service line Surface water/drainage (00 r+ 72-026 (Rev. 7191) Front CONTINUED ON BACK PAGE C. LIFT STATION Da_to_ft ed I/T Size in gallons Vent(Y/N) High water alarm level "Pum Meets MOA electrical codes Manufacturer Manhole/Access at SEPARATION D181-ANCE FROM LIFT STATION TO: On adjacent lots D. ABSORPTION FIELD DATA "Pump off" level at Cycles tested Surface water Date installed /1 �ia�l �9 Soil rating [&> System type 12ENC,14 Length y6 Width 12,y (( Gravel thickness %6 / Total depth �1/ Total absorption area -�Z�c Sr Cleanouts present &N) ONE (i 7QGmck-3 r=Np Depression over field (Y/tv NC) Date of adequacy test y -a0 '9 2 Resultspas fail) PASS 2rGMn' y for f bedrooms Peroxide treatment (past 12 months) (Y/�l OT 1 Nuwr-If yes, give date NIA 'A X ZNsPVC7f0N 2WWZ-i. SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot I OU On adjacent lots too r{ Property line To building foundation a0 d To existing or abandoned system on lot 1J 1A On adjacent lots IOU/1� Cutbank 100 'F Water main/service line SC, 1a_ Surface water n (�� E Driveway, parking/vehicle storage area 5 7x Curtain drain I Vbhliv �Npwj E. ENGINEER'S CERTIFICATION 1 certify that f have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S & S ENGINEERING Signature 17034 Rattle Loop Road Na 204 Eat Ie River, Alaska 99577 Engineer's Name Date HAA Fee $ � d IVV Date of Payment 4 -ZZ— Cl Z Receipt Number 2Z :�? 410 6175-25) 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 ANALYSIS RESULTS for INVOICE # 52933 Chemlab Ref.# 92.1598 Sample # 3 Matrix: WATER Client Sample ID LS B3 THAYERMORE S/D PWSID UA Collected APR 16 92 # 17:00 hrs. Received APR 17 92 0 14:35 hrs. Preserved with AS REQUIRED Client Name :S & S ENGINEERING Client Acct :SNSEHGP BPO# PO# :NONE RECEIVED Req# Ordered By :R. SHAFER Analysis Completed APR 20 92 Send Reports to: Laboratory Supervisor STEPHEN C. EDE 1)S & S ENGINEERING Released By : / 2) ...................... >.>.................................... >.>....................................... >........................ , Parameter Results Unite Method Allowable Limits ------------------------------------------------------------------------------------------------------- "'---------------- NITRATE-- 1.3 mg/1 EPA 353.2 SO Sample ROUTINE SAMPLE COLLECTED BY: J.W. Remarks: ...................................... .............................................>.....,,......................................... I Tests Performed See Special Instructions Above UA -Unavailable ND- None Detected See Sample Remarks Above NA- Not Analyzed LT -Loss Than, GT -Greater Than QN S17S Member of the SGS Group (Societe Generale de Surveillance) Municipality of Anchorage, 4� Department of Health and Human Services Tom Fink, 825 " U' Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 June 11, 1992 Roger Shafer, P. E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 5 Block 3 Thayermore Heights S/D Waiver Request #WR920024, PID #015-081-10, HA920259 Dear Mr. Shafer: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are 95 feet from the private well to the septic tank on property. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will. require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil, Engineer On-site Services ljm:#6 Concur: (?ohnLSmi Program Manager On-site Services a. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# P I D # C) HA# *$�M, A)ng, Permit # Date Received: May 13, 1992 Legal Description: Lot 5 BLock 3 Thayermore Heights Engineer: Roger Shafer, P. E., S & S Engineerin 17034 Eagle River Loop Road, Suite 204 Eagle River 99577 Applicant: Waiver Requested: Septic tank to private well - 95 feet Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: Waiver is Granted: �_ Waiver is NOT Granted: List Conditions or Reasons for above: SfE 19 TTR('A/ED Date: (-/1' 92 By: Rec #: 23689/2081 Amount: $ 410.00 Date Paid: 5-13-92 j Ili, 91 VCR / 15,Vw EST Frog LoT S RLIr T#4 rCtPlfOyE hfiG HTS ILVAIvA LtES'T NkAlPER I,L,IQ92Oo 24 11i j. �w-MVER FvQ_ DELL ---7-0 -SE PrIC %I`aNll of IS FEE�- Iii _ ---- _ -- - 117 ME ;WrIL S_i'S_/ h__(�cVTS-COVSLI?kC_!-E_�— LA/ /Uov,_ -- - ---i�S n7-1c_Tl9NX conrsTlL uTCQ __To--- 4r/Lr2-E--4vfgrF-r_ 1'/GMT _ CouL��[cuGT _o j. _ Jf/J�t�R/jrUL_/C_H[GY_/•_BCNiEO- IL0Al 77M{ ---5/9,M COAl7Qt1IQ--S416Fi L JV A9,9&.41_6/IAOr_�wi. ---- - - jtFDl2 /JoI• T CF%cc��e�2T[o/2u2RoslE-S wilt LcsE__O_.%_-fi-£ - _ -- - it Tke w!`LL._b�fr5 _ORICL p /.v _TUivE 1i8D _TO7 _ Por:- - ------I�w_EL.J S_-_134F"E r' I-k3_Et2_-id__Tl-ye-.BoTf��/,_ SFv/ �tL- EaCOgmOrfIE'nOkTk FFa__TkF _ 619ou A, - '90P VC-- _/9Nn_-%VC_- e_LEAN---Iv a7"��_O t?n�a�G (,A'/9 iEL_ 4lT 1-72 tkR/s_ w-4TCn-r.rkn�a-�_lu�Tr /tir�L�rr _-T"//�vr _LMcree- -- �jARE- No _[al/FORM-v2_o_J'HL-2__Ci�CZkR<q--f7N0_ A N,, r6tgr6 ,- 11In ROBERT SHAFER, P -E. ROGER SHAFER. P.E. CIVIL ENGINEERS - A (907) 6942979 May 13, 1992 FAX 6941211 f9�[E gryfN. PtpS+'P HEALTH AUTHORITY 1Y A 1 APPROVALS Municipality o4 Anchonage DEPARTMENT UE HEAL"iH AND HUMAN SERVICES ATTN: John Smith 825 L S.trceet iJul$IAlca S"I"�IA83S WiNINN081AN9 SEWER &WATER P.O. Box 196650 'IF)V80IIJNV .10 AlIlVdIJINf1W MAIN EXTENSIONS Anchonage, Alaska 99519-6650 REFERENCE: Lot 5; Block 3; Thayermore Subdivision; 9841 Grover Drive SEWER & WATER INSPECTION Dear Mr. Smith, we have re.centty submitted a request Uor Health Authokity Approvat Uor the, re.Uerenee.d property. In :the. submittal we noted .the, measured ENGINEERING STUDIES distance between .the well and the septic tank cleanout was 98 Ut. (This AND REPORTS would put .the. distance .to the ctosut part ob the. tank at app)tox-imately 95 U.t.) This letter .is to request a waiver bon .the. separation distance between .the welt and .the. septic -tank serving .the hebe.aenced property at 95 U.t. WELL INSPECTION & FLOW TEST The. septic system was .in.6talted and inspected .in November., 1979. In 1980 the welt was erroneously d)Litted less than the. requ.i)te.d 100 U.t. Urom the. septic .tank. SITE PLANS For .the boltow.tng reasons we Ue.et the separation distance pnescAibed .in 18AAC.72 may be waived to 95 Ut. .in .this case: 1. The encroachment is upon the septic .tank only. Gene.ralty ROAD DESIGN speaking, a septic .tank dou not settve as a continuous source o4 contamination as would a le.achb.ield. 2. Although the septic .tank .is not cons.ide.nab.ty lower .in SOIL TEST elevation .than .the well, surUaci.ng eUUluent would not .travel -toward .the well due .to drainage pattern on .the property. 3. Topogra �p +hy .in -the, area suggests the subsm6ace m.Cgration ob PERCOLATION e66tuent would be, pe.rpe.ndieular to .the welt as opposed to TEST .towards it. 4. The .tog Uor :the reberenee.d well shows water was not encountered unti,t a considerable depth oU 132 U.t. Above this STRUCTURAL& depth are several tight clayey layers o{ soil. These poorly MECHANICAL permeable Boit laye.0 would also detour migration oU e.6gue.nt INSPECTIONS .toward .the. aqu,iUer. ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 Page Two Lot 5; Block 3; Thayenmone Subdivi6 ion; 9841 GnovvL Dhive May 13, 1992 Ib you have. any que,5:ti.ons on nequ,ihe, add, tiona2 .in{onmati,on Uoa youh ae.v.iew, ptea,se contact ua. S,incen.eky, ROGER J. Sf1I RR, P. RJS/gm 0' -�`.' '�r:»Z 7 r=••:Ci ATU MAT XT T -� I ni v 'rco i M'( i' d I ---- (ow,� OF 14 � • V y SPall IM � ; E J:�d •� � I . ^ i• a ��/'(�j�1�1(,•�./H N�T�{H// I /Uj'.v/� e r r • . r v p- 0 0SI u ° f 5hanc A. Bolt ; .q +J'. �• IS 6914 +O 0/?Opcssfoiact VFQ„~° P.6p / v Qv JL � Cc\`\ \ •�'S O VJ n l; 7 I N6S'"S7�✓ /B�.ou 111 " 301 AS-HUILT "VEY (NO CORNERS SET THIS DATE) THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTION$ SPECIFICALLY TO BROW ANY CONFLICTS EASEMENTS OF RECORD, OTHER BETWEEN EXISTING STRUCTURES AND FLATTED LOT LINES THAN THOSE SHOWN ON IMF, OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING RECORDED PLAT, ARE NOT ADDITIONAL STRUCTURES OR FEHCEME$ SHOWN HEREON 1 htrely eenify that I have performed a Martgsgea'a Inspectiofl of the following dosorliAd prcFNrtyt„ _.� 10'i 5, BLOCK 3, 10YERINx)RE NEIaHTS SUS. Anchorage Reco7F Diatrlet, Atesko and that the lmprevernanto situated thereon ere within the property lines and do rat ovar•tep or encroach on the property lying addacent thereto, that no )aprovm. rite crr property lying AdWent thereto ancvoech at the premises In Question end that there sre no roadways, trenemission tinea, or other visible eeeemente on sold property except ee Irdlceted hereon. Dated at Art;hdrage, Moak: this 5� /rh dsy of •f1Pr 191;. f•Gd?g•35 HOLT AND ASSOCIATES LAND SJAVEIOAS ^i /oG � ^U r - •I v 'rco i M'( i' d I ---- (ow,� OF 14 � • V y SPall IM � ; E J:�d •� � I . ^ i• a ��/'(�j�1�1(,•�./H N�T�{H// I /Uj'.v/� e r r • . r v p- 0 0SI u ° f 5hanc A. Bolt ; .q +J'. �• IS 6914 +O 0/?Opcssfoiact VFQ„~° P.6p / v Qv JL � Cc\`\ \ •�'S O VJ n l; 7 I N6S'"S7�✓ /B�.ou 111 " 301 AS-HUILT "VEY (NO CORNERS SET THIS DATE) THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTION$ SPECIFICALLY TO BROW ANY CONFLICTS EASEMENTS OF RECORD, OTHER BETWEEN EXISTING STRUCTURES AND FLATTED LOT LINES THAN THOSE SHOWN ON IMF, OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING RECORDED PLAT, ARE NOT ADDITIONAL STRUCTURES OR FEHCEME$ SHOWN HEREON 1 htrely eenify that I have performed a Martgsgea'a Inspectiofl of the following dosorliAd prcFNrtyt„ _.� 10'i 5, BLOCK 3, 10YERINx)RE NEIaHTS SUS. Anchorage Reco7F Diatrlet, Atesko and that the lmprevernanto situated thereon ere within the property lines and do rat ovar•tep or encroach on the property lying addacent thereto, that no )aprovm. rite crr property lying AdWent thereto ancvoech at the premises In Question end that there sre no roadways, trenemission tinea, or other visible eeeemente on sold property except ee Irdlceted hereon. Dated at Art;hdrage, Moak: this 5� /rh dsy of •f1Pr 191;. f•Gd?g•35 HOLT AND ASSOCIATES LAND SJAVEIOAS ^rs<�S-zAlt ll®Y prAx.AUA 0:9502 a44-7714 114 If h:H WA7ER WELL DRILLED AND CASED OUT TO THE DEPTH OF. . 134 Teeit. "Fii..l_1 D AT THE RATE OF 319.00 PER FOOT. !"o:.PERTY OWNER rl• Ken Poo.te 276-•7730 ...::CA'riON OF WELL SITE— Lt" Bip. Ste' ;-'I-:.!LLFR Be&n,Le CLcu-w of- Rampn/Lt n.g 00&k4. — vl:L 1. LOG: )ri....._•�cr IJnbfl,�inIl..._1iQ1C�—Cdl1L�—rrA.fl2 �r�°� Cfh Ct rio-1. Solrn.Ynl n;,�/r�,;� IrCLr iCi^h 0• 1%i-7,'ir I"tz�_34° A�caod c can vat✓ Genn nc q!rn.l nholrr{n.yn_r Inon7 nitt�drr.rt ,g R, 74 ave _�en,�r_a,l� nvn. m.irw.te. P vv_n_,_i good We�Lf.. llatu,_ .�,tnnd .ln cr�a.inYcnmen t�Jd. ,in. ,`3ll ,°�. 1/2 Ho"e, Sahirte�ut&te rye! al,6hal'l.d tre tnAtat.ted ,ten .feet a -,U .bo -t -tam. on.r: r be.0 Seat: 919 X 134 fleet: 92546.00 ;522,00 ';T INCLUDES ALL LABOR AND MATERIAL, FOR COMPLETION O'F' SAID DRILLING. 92560„00 CF1-CK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF _.—.... THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART DRILLING WORKS CHARGE 0 r I 4; PER MONTH ':PILL BE ASSESSED ON PA5 f DUE ACCOUNTS. MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I, ENVIRONMENTAL ENGINEERING DIVISION NOV 2 0 1979 �� 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 UN -SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REM ED NAME PHON/ [NEW _ IG C/V/t/LTpH / oOL 276-%7,30 ❑UPGRADE MAILING ADDRESS W 2 7 TN /N LEGAL DESCRIPTION G 5 /,'3 THAYERMc2E NTS. _ LOCATION NO. OF BEDROOMS G /2 oy �C /'L S7__ 1�_ DISTANCE TO: Well Absorption area �,o� /N Dwelling PERMIT NO 1 �n 6 z I/ O Y a. Z wy Manufacturer Ci/i-L'C'/L Material 7,CL- No, of compartments y Liq. capacity in gallons /z�0 IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. 2 z Manufacturer Material Liquid capacity in gallons o Well Foundation Nearest lot line PERMIT NO. LU DISTANCE TO: ,ti O- /r✓ /O' 72062Ll J w Z No. of line Length of each line Total length of lines Trench width Distance between lines H Z ww _inches I.. Top of file to finish grade 2 Material beneath tile ©�" q / (- inches Total effective absorption area %36 -� G fi Length Width Depth PERMIT NO. W (9 F Type of crib Crib diameter Crib depth Total effective absorption area w° N Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J w Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER 267O6 Lr PIPE MATERIALS 171,4S0G 2034 /NTo Y 0 V mF TAN/C — fE4,/' el-AST/G ))fn Oi1.AiN 0/1'C SOIL TEST RATI NG c/ FO 1 INSTALLER G/4/LYLerl-T 0 REMARKS TA rnb0/t, APPROVED DATE LEGAL I 72013 (Rev. 3/78) Municipality o i �1. � �Anchoragse 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 26441 1 1 GEORG(- M. SUI. LIVAN, MAYOR III PAR IMI -NT OI- IIFAI III ANO I: NVIRONMENTAL PROTECTION August 15, 1980 Kenneth R. Pool 907 West 27th Avenue #6 Anchorage, Alaska 99503 Subject: Lot- 5 Block 3 Thayermoore Heights Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: �(1) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. 2) A well log submitted to this department for our V review. (3) The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. This will need to be reinspected by this department. if there are anylfurther questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: First Federal Savings and Loan Post Office Box 4-2200 99509 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS cr' `7YL TIME TIME TIME SINGLE FAMILY ❑ One El Four ❑ Other__ 49 DATE DATE DATE - - —_— 7. WATER SUPPLY — - - - X INDIVIDUAL* INSPECTOR ---- INSPECTOR - -- INSPECTOI��n� _❑ PUBLIC UTILITY MUNICIPALITY OF ANCHORAGE - MUNICIPALITY OF ANCHORAGE DEPT, OF H:-;,I.TI & _ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT E(DRARbNMENTAL KOTECHON 825 L Street - Anchorage, Alaska 99501 /❑ PUBLIC UTILITY • 0*0 AUG 12 1980 ENVIRONMENTAL SANITATION DIVISION - Telephone 264.4720 R I � � REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER I I DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER ROO,L�?-1 PHONE y,30 MAI LING ADDRESS i7orl n • L / - PROPERTY RESIDENT (If different from above) - PHONE -- — 2, BUYER-- - PHONE MAILING ADDRESS - 3. LENDING INSTITUTION — — PHONE A'67 JtC-:D. SAV/sIc:s c 14AV MAILING ADDRESS -- -- 4. REALTOR/AGENT B— PHONE^ MAILING ADDRESS 5. LEGAL DESCRIPTION o&-? f :r 61 k 3 'tff YEi4iYtoa rem STREET LOCATION ce>RNCR pit- tR445 STEL . - - VOR. f CsA?Ol/E1� S7 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS. SINGLE FAMILY ❑ One El Four ❑ Other__ 49 ❑ Two ❑ Five Ell ❑ MULTIPLE FAMILY Three ❑ Six —_— 7. WATER SUPPLY — - - - X INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well - _❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM - - - - f� INDIVIDUAL/ON-SITE** V 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 2. WATER SUPPLY ,.. PERMIT NUMBER ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY DATE DRILLED ❑ PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM - PERMIT NUMBER ❑INDIVIDUAL/ON-SITE DATEINSTALLED ❑PUBLIC UTILITY Connection Verified 9 INSTALLER ❑SepticTank or OHolding Tank _ Size:''' I-1f•Tank is homemade SOILS RATING give dimensions: gQ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS Z'APPROVED FOR ._S BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 ( Rev. 6/79)