HomeMy WebLinkAboutTIMBERLUX #2 BLK H LT 6 Municipality of Anchorage Page } of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~f.~ ct/ <~ ~)O/(:~ PID Number: (])/~ -- Name: ~14~-- ~*,m~F~/¢[..'c~ ~ ~/~ ~,O~ WastewaterSystem: ~New ~Upgr~de ~ ABSORPTION FIELD Phone: ~ No. of B~drooms: ~ ~ ~ ~1~ ~ ~ Deep Trench ~ Shallow Trench ~ Bed ~ Mound ~Other Total Depth fro original grade: LEGAL DESCRIPTION iso,.~,.~: ~ GPD/Sq. Ft. .~ ~OV~ ~'~ Lot: ~ BIock:~ %¢¢ ~Subdiv~i°n:~ lDepth to pipe bo~ from original grade: Ft. Gravel depth¢ beneat~ pipe '~ "'~ ~ Ft. Ft. ~ U New U Upgrade lGravelwidth: Numberoflines: lOls~ncebe~eenlines: / 0 Ft. ~ ~ Ft. Driller: ~a~rilled: StatlcWater Level:Ft. Installer:~ ~',~. ~, ;~ Yield: PumpSetat: Casing ' htAboveGround: SEPARATION DISTANCES u Septic B Holding ~S.T.E.P. To Septic Absorption LiE Holding 'ubli¢/Private Manufacturer: Capacity in gag~ns: From Tank Field Station Tan~ Sewer Lin~ ~* ~t~ Wel~ [~0/~ ~00~~ )O0~ ~J~ ~/~ Material~ ~ Number of Compa~ments: ~ Sudace Water BO/+ %p/¢ D~/~ z¢/~ LIFT STATION Lot Size in gallons: ~ Manufacturer: 'Pump on" [eve] at: "Pump o~' level at: Drain Remarks: ~¢~ ~% ~ ~,,~% BENCH MARK I A~um~ Eievatiom Inspections performed by: 41~ ~,uot~S, C-E, Dates: 1st ~/'s/¢¢ - ~'""~";~ t~ ~"~= F Depadment of Heal.nd Muman Se~ices approval '~;:%,~ Reviewed and approved by: Date: ~- 7-¢¢ 72-013 (Rev. g/gt) MOA 25 SW990019 ' 018-271-49 ~ ~-- .... -do~E~-- TIMBERLUX SUBDIVISION ¢2, LOT 6, BLOCK H (~ ..... r?; ~7-'~ .............. AS-BUILT OF SEPTIC SYSTEM UPGRADE ~.~ ~o. ..o.~ .~.~: rO~/.'..l.- ~_~ .... CAMPBELL & JILL SCHNEIBER 786-7457/545-6273 A.C.G. 1 = 40' 2 OF 2 Cress PC B ST1 10,3.1 43.8 ST2 96.6 4~.4 MH 95.0 4,3.3 MT1 85.1 44.2 MT2 84.0 38.9 MT3 52.0 63.0 brf4 51.1 59.9 !-Z2-~ 1~:£9 ~M ~LASKA TESTLnB Percent Passing by Weight 9075633953;¢, 2/ Z ~ O01 INSPECTION RF_~ORT IVIL~ICI. PALITY OF ANCI-IOltAGP. - IlULLDING SAFETY DMSION a~O0 IgAST TtJDOR ROAD, ANCI-IORA~I~, ALASRA RECEIVED JUN 4 1999 Municipality ol' Oept. Health & Human Services P/H£N 6'ORP. B~TION. g ARE M.~IDk', I'1.~'~£ G4d. Z FOR/NSP£C'I~ON DO ArOT RE3IOI'E ]1~II$ 6661'[ 'NflP CONSPICUOUS PLACE { MUST BE INSPECTED ~ REQUIRED FOE iNSPECTION SERVICE ~PECTION REQUEST LiNE 563.3484 OR FAX REQUEST 343-8235 MUNICIPALITY OF ANCHORAGE BUILDING SAFETY DIVISION 3500 EAST TUDOR ROAD TELEPHONE (907) 343-8211 ELECTRICAL PERMIT RETROFIT NO: Date: SITE ADDRESS; 4700 MANYTELL AVE PERMITEE/~)WNER: BRUCE RICHARD L & SALLY M CONTRACTOR; ALCAN ELECTRICAL ,~ ENGINEERING, INC. LOT: B BLOCF. J"rRACT: H SUBD: TIMEERLUX#2 TYPE: RETROFIT PROPOSED WORK: SINGLE FAMILY WORK DESC. Connec~ sewage lift station {nth) approved by doug 99- -7668 04/19/99 REMARKs: TOTAL CONSTRUCTION VALUATION: Permi~ Fee: $77, O0 $.00 Total Fee: $77.00 Date Pair~: 04/1g/99 Permit Issued By; HARTLEY, N~COLE T. Type: MASTER CARD Approvals: Number: Signature of pecmitee or Agent: Printed Name; ALL WORK IN STRICT CONFORMANCE WITH PLAN INSPECTION REQUIRED OF CHECK REQUIREMENTS AS PER JOl$ PRINTS. FIELD INSPECTION REQUIRED FOUNDATION EXCAVATION PRIOR TO PLACING ANY CLASSIFIED FiLL CONTACT THE UTILh"Y FOR APPROVAL OF BERVICE EQUIPMENT AND LOCATION PRIOR TO INSTAL- LATION, SER~/ICE CHANGES MUST BE SCHEDULED IN ADVANCE WITH YHE UTILITY COMPANY AND THE BUILDING SAFETY INSPECTION SECTION. J HAVE REAr3 THE,~,SOVE APPLICATION AND KNOW THE CON'rENT~ THEREOF: THE SAME i$ 7RUE AND CORRECT. I EURTHER AGREe!THE ABOVE WOP, K WILL ~E DONE IN ACCORDANCE WITH ALI, STATE, MUNICIPAL [,AW3, AND ORDINANCES. WORK I$ NOT COMMENCED Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human 9ervices 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us March 1, 1999 Jeff Garness, PE Alaska Water & Wastewater Consultants, Inc. 690I De Barr Road, Suite 2B Anchorage, Alaska 99504 Subject: Waiver Request for Lot 6 Block H Timberlux Subdivision #2 Waiver Request #¥VR990001 Parcel ID #018-271-49 SW990019 Dear Mr. Garness: Your request for a waiver of the required 100 feet horizontal separation from the S.T.EP. tank to surface water has been approved. The approved separation distance is 80.0 feet. Also, a waiver has been granted from the ISF systems to the drainage ditches located to the north and southwest of the propery of 50 feet. This waiver approval applies to the existing on-sitewastewater disposal system to surface water separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On-Site Water Quality Program WR# WR990001 Date Received: Legal Description: Engineer: MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet PID# 018-271-49 January 11, 1999 HA# Permit #~ ~he%~((]fqk~ (w/upgrade permit) Lot 6 Block H Timberlux #2 Jeff Garness, P.E., Alaska Water & Wastewater ConsultantB, Inc. 6901 De Barr Road, Suite 2B, Anchorage, Alaska 99504 Applicant: Bruce Gamble Waiver Requested: Waiver of 50' from the DroDoses ISF svstems and 80! waiver from the proposed S.T.E.P. tank et the drainage ditches located to the north and southwest of the property. Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: Points: 3. Other: Waiver is Granted: X List Conditions or Reasons for Waiver is NOT Granted: above: ~F ~/,/~/4/E~ ~£~ED Date: /- /?-9? Name of Reviewer Rec #: 04675/0112 Amount: $ 920.00 Date Paid: Jan 11, 1999 Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B N Anchorage ~ Alaska 99504 (907) 337-6179 N Fax (907) 338~3246 Consulting Engineers RECEIVED December 16, I998 Municipality of Anehorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O~ Box 196650 Anchorage, Alaska 99519-6650 ,l/Xlq 1 3 1999 Ig~UNJCIPALJTY OF ANCHORAGE ~_NVIP. ONMENTAL SERVICES DIVISION Ref.' Sewer Upgrade and Waiver Request for Lot 6, Block H, Timberlux Subdivision #2 To whom it may concern: The existing 3 bedroom house is served by an onsite septic system, and a private well. The existing drainfield will not pass an adequacy test and is believed to be encroaching groundwater. We are proposing to upgrade the septic system. Comments regarding the proposed upgrade are summarized as follows: 1. GENERAL: There are a number of site restrictions which limit the available area to put a new drainfield. These restrictions are summarized as follows: · The location of the the drainage ditches which periodically have flowing water in them. · The location of the well serving this property. · The presence of very shallow groundwater. As can be seen on the attached site plan and design, there is no available area to install a septic upgrade without obtaining waivers. On 11/30/98~ a site visit was made with Dan Roth of your department to determine the direction in which we should proceed. Per conversation with Mr. Roth, it was determined that the only viable option, that would justify the waivers, would be to install a innovative septic system. Consequently, we are proposing to install a bottomless Intermittent Sand Filter (t.S.F.) system. 2. WAIVER REQUEST: We request that your department issue a 50' waiver from the proposed I.S.F. system anda 80' waiver from the proposed S.T.E.P. tank to the drainage ditches located to the north and southwest of the property. As can be seen on the design, there is a natural embankment that has a higher elevation than the grade in the area of the proposed upgrade. It is our opiniou, that the direct flow of any possible surfacing effluent Will follow a natural drainage pattern that exceeds 100 feet before reaching any point of the ditch line. With the use of the I.S.F. system, the effluent should be well treated decreasing the chance of contaminating any surface water or groundwater. 3. ' SOILS: On October 10, 1998, three test holes were excavated and percolation tests were performed 'at the area of the proposed septic upgrade. A copy of the logs are attached. Groundwater was encountered between 4 feet in test holes #1 & #2 and at 7 feet in test hole #3. After seven day groundwater monitoring, water was found at 2.75 feet in test holes #1 & #2 and at 6 feet in test hole #3. One percolation test was performed foi both TH#1 and TH#2 between the depth of 1.0 feet to 1.5 feet and found the pere rate to be 6.7 minutes/inch. One percolation test was perfomaed in TH#3 between the depth of 2.5 feet to 3.0 feet and found the pert rate to be 21.8 minutes/inch. Due to the fact that the groundwater is so shallow in the area of TH#1 and TH#2, we propose placing the I.S.F. system within the 30 foot radius of TH#3. 4. SYSTEM DESIGN: Bottomless Intermittent Sand Filter (t.S.F.) a. Percolation Rate: 21.8 minutes/inch b. Allowable Application Rate for ISF: 2 gallons/day/fi2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. ~um Absorption Area: 225 R2 f. Effective Depth below pressure pipes: 3+ inches g. Width: 10 feet h. Length: 36 feet. i. Effective absorption area = 360 1~2 (>225 ft2 OK) j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: "Wasteflow' emitterline, 1/2 inch I.D, "Anchorage Tank". 1. Sand Material: Per Latest Guidance by Municipality of Anchorage m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than 1% passing the #8 sieve. We are proposing to excavate down to a depth of 2.0 feet, place a minimum of 6 inches of sand, install the air supply line, and cover it with 1.5 feet of sand. On top of the sand, we will place 3 inches of 3/8,inch pea gravel above and below the pressure laterals. We will use a conventional lift station (Amchorage Tank), equipped with a programmable timer so that flow can be intermittently dosed tO the ISF. 5. TOPOGRAPHY: As you can see from the attached topography site plan, the lot slopes at a grade of 5% to 10% running from approximately east to west. Also, as can be seen on the attached design, there is an embankment that wonid prevent any surfacing effluent from directly flowing into the ditch line. 6. MATERIALS AND CONSTRUCTION' PRACTICES: The materials used, and the construction practices will comply with DIiHS' "Intermittent Sand Filter Design, Installation & Maint~riance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (5th floor, 9th & L St.). 7. CLOSING: Given the site restriction, I think the ISF is the most viable option for this lot, short of install a Recirculating Upflow Filter, which would be more expensive. I am open Io any suggestions from your department, which would be an improvement to the proposed design. 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, or 244-9612. Thank you for your assistance. ' dAN 11 1999 MUNICIPALITY OF ANCHORAOI~ ENVIRONMENTAl. SERVICES DIVISION '\ LOT 7, BLOCK [\\ 'RMBERLUX S/D ~3 ,/ LOT 6, BLOCK G UaEBLUX S/D MANYTELL AVENUE / / / I I T[UBEBLUX S/D \ \ DITCH LINE WBH SURFACE (WAR/ER REQUESTED) LOT 2, BLOCK TJMBERLUX S/D PROPOSED SEFTIC SYS~M (SEE BESION, PABE 2 OF \ \ LOT 3, BLOCK F, TIMBERLUX S/D ~2 LOT 4, BLOCK ~UBERLUK S/D ' I \ ',, 3 ", BDRU BOUS~E \ LOT 5, BLOCK TIMBEBLUX S/D ~t2\~ / / / / / LOT 7, 8LOCK H, ~'IUBERLUX S/B #2 \ / PHONE NUMBER: 786-7457/345-627~ PAG E: = 100' 1 OF ;~ ALASlgt WATER. AND WASTEWA'f~t¢, CONSULTANTS, INC. 6901 DEBARR ROAD SUITE 2B, ANCHORAGE, AK 9950~ PHONE: (go7) 337-617B/FAX: (907) 33B-32~6 DESCRIPT[ON: TIMBERLUX SUBDIVISION #2, LOT 6, BLOCK H WORK: SITE PLAN FOR SEPTIC UPGRADE (I.S.F.) ~EPArED FOR: ~;~4~EI.L. BRUCE ~L & JILL SCHNEIDER BY: /15/98 A.C.G./J.L.M. I I I ~-'~c / \\ / / ~/// \ LOT 8, BLOCK t~ ~UBERLUX S/O MANYTELL AVENUE / ~ ~> ~ 1~3 I~EOROOM'cO ~ /' ! 3-- D' EH UNE / / SURF~E WATER ~ / / I f / ~, ~ STEP T~K~ I / . / ::,: ':':: ' ~ ~ ~ INTERM~EN~ S~D RLTE~, % ' ' ~CAVATE 10 WIDE BY 36 tOnG N '% ' A~ ORGANtCS). ~,~_F~ER ~'~ / ~ PRO, DE A O-10 PSI PR~SURE ~UGE AT A LO~O~ THE G~E IN ~E ~ OF / ~S~ WA~R A~ WAS~WA~ CONS~TA~S, ~C. T~g~ERLUX ~U~DW~S~ON ~. LOT ~. ~LO~ H ........ - .. · ' · DESIGN OF SEPTIC SYSTE~ UPSRADE PREPARED FOR: 786-7457/~45-6275 C~L · JILL SCHNEIDER '"" eRUC[ A.C.G./J.L,M, 1 = 40' 2 OF ~/4" I~LA, ~14, 40 RV¢ (HOb~, ~HI.~bPS. AN~ ~bLFddlN~ I l~1~ k N~ PROM INV~Rf, (t2~ILI. 1/4 INCH PlA, PbAd[~ CA~ ON I~KTrfOM ANP :~) (MIN,) 1/4" H~ PLAN VIEW Mf ~/4" PV¢ LAI~FJ~ (~YP,4) - MY 2' MIN. O~ COVER PROFILE VIEW -INSLI.AI1ON ~V~R r~A ~P-AV~b A~.&SKA ~tATEI~ & ~VASTE~VATEI~ CONS~o?TANTS, INC. 6g01 DEBARR ROAD S,JUrllE 2B. ANCHORAGE, AK. 9B5 PHONE: (907) 337-6179 / FAX: (807) .3~8-3246 LEGAL DESCRIP'iION: TIMBF'RLUX SUBDIVISION #2, LOT 6, BLOCK H, 1YPE OF WORK: BOTTOMLESS SAND FILTER (ISF) DETAIL PREPARED FOR:G~.~,~,~_.~t,[. PHONE NUMBER: BRUCE ~ AND JILL SCHNEIDER 786-7457/545-627~ DATE: JDRAWN BY: SCALE: IPAGE: ~.~ 12/15/98 J A.C.O./J.L.M. N.T.S. I ALASKA WATER. & WASTEWATER. CONSULTANTS, INC. 7,320 E. CHESTER HTS. CIRCLE * ANCHORAGE. AK, 99504 PHONE (907) 357-6179 * FAX (907) 338-3246 ISOIL LOG - PERCOLATION TESTI , PERFORMED FOR: BRUCE ~E-~ AND dill SCHNEIDER ~:~j~~ ~-~..-~..:...~ DATE PERFORMED: 10/10/98 DEPT. r--:-:r 6" 8" I=sT HOLE #1 I (,~.0 [~ - ORC ~ '~ ..... : o'~ ~ SOIL CLASSIFICATIONS MAN.ELL AVENUE rS~TE PL~ [ I": IOO' ~, GC ~OL (  ~...~ sw NH ~ SP CH .~/¢~ ~ SM OH ~ ~ /IMIIM ~~ B.O.H. ~ ROUNDWATERDEPTHTO DATE ~~C~ ~ 2.75' 10/~ 10 11 DATE READING CLOCK NET TINE WATER LEVEL NET DROP TINE (HINUTES) READING (INCHES) 12 9/4/98 PERC. H( .E W~ PRESOAKED 4+ HOJRS PRIOR TO TISTING 13 ..... ~ .... 5:19 6" 2 5:49 50 1 1/8" 4 7/8" 4 ._ 6:19 50 1 1/2" 4 1/2" 16 _ 6 .__ 6:49_ 30 1 1/2" 4 1/2" 17 18 19 PERCO~TION ~TE 6.7 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20 TEST RUN BETWEEN 1.~ FT. AND~~. COHHENTS: ~!I~~ THIS WAS PERFORMED I~ ACCORDANCE WITH ALL STA~A~D~ I~IPAL~ELINES IN EFFEOT ON THIS DEPTH TO DATE GROUNDWATER ~' lO/lO/96 2.75' 10/17/98 AL~SKA WATER & WASTEWATER CONSULTANTS, INC. ~--05 [SOIL LOG - PERCOLATION TEST] ,~(60'.'"~4/:b/~ [" ~'"..'~7.~4 LEGAL DESCRIPTION: TIMBERLUX~.~t~i~e~SUBDIVISION, LOT §, BLOCK H ~/.';.~.,. 1/7 PERFORMED FOR: BRUCE ~ AND dILL SCHNEIDER I ' DEPTH i ~ (,eet) j~ 6"--8" ORO 1_¢ ....... .  SOIL CLASSIFICATIONS MAN'YTELL AVENUE [SI.T.E P~L~, 2- il 7o~ ew ~ ORe q ........ 3- GM/ML ~ GP ~ ML 4~ ~ ~ °%° SW IIIIIII NH -- ~ SP ~ CH , B.O.H. ~ ~.4~ *'~+ ' ' / DEPTH TO ~.~= . ~ ~ GROUNDWATER u~.~ ~ X ~0, .~ k ~L. T57 .... 10,17,98' ~'~: ~0~ 11 -- nAY: D:AnlKI~ CLOCK NET TIME WATER LEVEL NET DROP 12-- ~ ........... TIME , (MINUTES) READING (INCHES) 13-- PERC. BENCH ]~_LOCATED B~EEN_~E~ HOLES ~D ~2. SEE TEST HOLE ~1 FOR PERCO~TION DAT~ 14-- 15-- 16-- 17-- 1B-- 19- PERCO~TION ~TE~ ~N/A (MIN./INCH) ~/~RC. HOLE DIA. N/A (INCHES) COMMENTS: DEPTH TO DATE GROUNDWATER 2.75' 10/17/98 , ALASKA WATEI~ & WASTEWATEI~ CONSULTANTS:, INC. 7320 E. CHESTER HTS. CIRCLE * ANCHORAGE, AK. 99fio4- ]SOIL LOG - PERCOLATION TEST] ,F/-~o:' /4-/; IH_/~I~' .'..?,f~,.,,...~ L.^L .ES*PT,O.: *OC H ...... , PERFORMED FOR: BRUC[ ~'"0;~{¢¢/L~_ mD aLL SCM.EIDER DATE PERFORMED: 10/10/98 I TEST HOLE #3] I~EPTH ~ · ~ ORG SOIL CLASSIFICATIONS J MANYTE[ L AVENUE ]SITE PLAN1 ML/GM ;~;:;~ 6W xxxx~ ORG ~SW HH ~ SM OH , $.0.H. ~ROUND~ATER .... Z' ..19110~/98. 6' 10/17/98 10 · 11 DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIME (HINUTES) READING (INCHES) 12 0/12/9! PERC. HOLE WAS PRESOAKED 4+ HO]RS PRIOR TO TEBTING 15 ___ 1 ,5:18 ~._ -- 6 1/2" .. 2 5:4B 30 5" 1 1/2" 14- __ 3 6:18 50 3 5/8"..__ 1 3/B" .... 4-_.__ 6:18 -- 6" ~ 5 .~ _~ 6:4B ~0'- 4 5/8" 1 3/~.c - 16 17 18 19 PERCO~TION ~TE 21.8 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20  3.0 FT. TEST RUN BETWEEN 2.5 F~. COHHENTS: PERFOMED BY A~SKA WATER · WAST~ATER I, ~ ~/~ ~ ~ , CERTI~ THAT THIS WAS PERFORMED~ ACCORDANCE WITH ALL STAT~ ~UNICI]~GUIDELINES IN EFFECT ON THIS / DEPTH TO DATE ~ROUNDWATER 7' 10110/98 6' 10117/98 P~ROPERTY OWNER AGREEMENT FOR THE~ MAINTENANCE OF AN ON-SITE WASTEWATER DISPOSAL SYSTEM This agreement, dated ~.4 ~V~7199--~-, is made between the Municipality of A~chorage Depaament of Health and Huma~ Services. (DHH$) and the property T~ agreement is made for the purpose of maint~inlng an on-site wastewater d~osal system oa the subject property. The property owners agree to tl~,e following: Submit to the Municipality of Anchorage, on an annual basis, an inspection and operation statement from a registered professional engineer. This inspection and . operation statement shall verify that the engineer.has inspected all effluent and air pumps, timers, and alarms, and that any deficiencies have been repaired and that the system is functioning as designed. (Signature) (Signature) (Printed Name) (Printed Name) ................................ Notarize Here ...................... -- ---- - - --- ----- personally appeared before me, u O~o~hO is personally known to ma ~' ~)C ~~( ~hoaa Sdant$ty X prov6d on the 6ath/a~$~at$on of , a credible witness f ~he aboy~ document, and he/she acknowle%ged tha~ he/she signed i~. Notary Public , , DEPARTMENT OF HEALTH & ENVIRONMENTAl.. PROTECTION  ENVIRONMENTAl. ENGINEERING DIVISION 825 L Street- Anchora~e, Alaska 99501 Telephone 264-472.0 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELl. INSPECTION REPORT NAME [] UPGRADE A'"NGADDRESS /3or DISTANCE T~ Well , ~ Absorption area Dwelling ~ PERMIT NO. ~ Z Manufacturer =m<D Liq. ~ Material capTt~&°ns IF HOMEMADE: Inside ,ength Width Liquid depth ~ Z DISTANCE TO: Well Dwelling PERMIT NO. O ~ ~ Manufacturer · -- ~ Material Liquid capacity in gallons ~ I /3 ~. Nearest lot line~ . ~ DISTANCE TO: ~ ~ I'/;~ Foundation Total ,ength of ~e~ Trench w~th._ Distance between lines ~ ~ ~ Top of tile to finish grade ~ /f Material beneath tile inches m Length Width Depth PERMIT NO. m--~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ m DISTANCE TO: Well Building foundation Nearest lot line ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(si OTHER ~ ~. SOl L TEST R~TI N G REMARKS 0 [ ] ~ z~I ~ ~ ~~~~ . ~,, Mt NIC>ALI Y C AN2HO~AG APPROVED '~.,~ ~0 ~ DATE LEGAL REL JV'ED 72-013 {Rev. 3/78) 0 0 Z OF ANCHORAG IVED PERMI!' NO. FiPF'LICFINT JOHN HENSt_.E'¢ F'O. BOX i~2)-2:t. 57 L. OCRTION L. ONGE;OI4 ,E MFf?q"EL LEGRL LOT .6 B H TIMBERLEX LOT SIZE 'TYPE OF' SOIL RB':];ORPT!ON .Sh.'STEM ):S: TRENCFI ]i:41:i¥,::~t.:.l SQURRE F'EE'." MR?,:!MIJM N_MEFr4' OF ErEDROOM?, = 2 ,:.;r'lIi RFtT!NG ,"-,!., Fl', I:m ...... THE REI;!IJIRED '..:_i:~ZE OF 'T~-IE.:,uIL.'-' flE, m,..R,:: """' '~T!l.J}~-" __,'r_,lEH':"'c-" ,. ILl;: THE LENGTH DIHENSION IS 'THE LENGTH (IN FEET) OF THE TRENCH OR DRFIINF:IELD. THE DEPTH OF R TRENCH OR PIT :.rE; THE DIS'FFINCE BETWEEN THE E.-URFFICE OF' THE GROUND RND THE BOTTOM OF' THE EXC:Ft',,,'RTION <IN FEET). THERE IS NO SET !4IDTH FOR TRENCHES. THE GRR'v'EL DEPTH IS THE MINIMUM DEF'TH OF GRW,,,'EL BETWEEN THE OLq'FRLL PIPE f~f.,Ig, THE BOTTOM OF THE E~<CRVFtTION (tN FEE'F). :,: ;,r.:,:-,- ,:- , -, ,HI.=, DEF'FIRTMEN'T DURINC4 F'ERMIT RPF'LICflH'F HH_, THE F..,__,F~r~..IEILtF~ TO INFORM T ,.- -, ~ INcTMLLHIION INSPECTIONS OF RN'¢ I,.tELLS R[:,JRCENT :Ti THIS PREPERT¥ FIND THE N_IHbER OF RES~:[,ENZES THRT THE WELL 1.4ILL SERVE. 6HL. KFILLING OF Rf.,F,-' c,,,::. :-. ..,-~._,TE. I1 b~ITHOU'F FINFtL INSF'EETI]N RND FIPPRO',,,'RL B'¢ T [:,EF'RRTMENT I.,.IILL BE" '- ' '-'' ''-'- .... ...::,UE,,)EL. 1 'FO FF.U.:,E__ FI. MINIMUM DISTFINCE BETWEEN R NELL RND RN"r' ON-SITE SEt4RGE DISPOSRL S"¢S'TEM IS :LEiE~ FEET FOR R PRI',,,'R]'E k!ELL OR :L5EJ TO 2E~E~ FEET FROM Ft PUBLIC WELL DEPENDING UPON THE T'¢PE OF PUBLIC WELL. MINIMUM DISTFINCE FROM F~ F'RI',,,'FtTE WELL TO FI PRIVRTE SEWER LINE IS 25 FEE!' TO R COMMUNIT? SEklER LINE IS 75 FEET. WELL LOGS RRE RECK.IIRED RND MUST BE RETURNED 'TO THE DEPRRTMENT I.,.I!THIN 313 OF THE NELL COMF'LETION. OTHER REQUIREMENTS MR¥ F~PPL.'¢. SPECZF!CF!TIONS RND CONSTRUCTION DIRGRRMS FIRE BVRILRBLE TO INSURE F'ROPER INSTRLLRTION. I C:ERTIF¥ THRT ±: i RM F'RMZLIF!R t.4ITH THE RE6!UIREMENTS FOR ON--'SZTE SENERF.; fiND WELLS tis SE!" FORTH B~.' THE MUNICIPRLIT'¢ OF' I~NCHORfiGE. 2: t P~ILL INSTRLL THE S'T'STEM IN RCCORDRNCE t.4ITH THE CODES. 2: ~ UNDERSTRND THRT THE ON-SITE SEI4ER S?STEM MR? REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED "FO INCLUDE MORE THRN ]: BEDROOMS. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ~'//SOILS LOG [] PERCOLATION TEST 5 6 7 8 9 13- 14- ~ 15- 16 17 18 19 20~ SLOPE WASGROUNDWATER ENCOUNTERED? ,F ~ES, ^T WHA~ DEPTH? DAVE PERFORMED: .~/ SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE minutes/inch) FT AND I FT 72-008 (6/79) d' f- 0 CY) � 0) � "T Ch C7 O O CY) CY) LL! 0 O LL a CLO O CL 2 ? 3 V Z N v a LL O � o d J ao C C :- O U N V N U) � L m (D CL Z p 3 D N U m 00 (0 O 0- 0- U) Q.U) cn U) U) i C O 4— O N 4�- a� A, N CD N M m C O m Q x w O O O I 0) ti N 00 O N L- m a - LI) 0) Q W 0) co JO L = U C J Q m w 04 04 Q J X .j D w w z O c 1- 0 d Q N U N O N -p m J fn �I ri. u Al U 0 70 a� 0 CL CL (a m N N 0 U) O c O N F— iii c O m .2- 0 0 O L U) 0 0 m O cu O Q CL m m C 0 c 0 A d 0 .O m O C d E O U \1 o 13 O 0 O CLO CL m ? 3 V N v N � O d C N t = V L O •O N N d N d O 0 o •C. Q. d > Q U > E N C O N U t m p 0 C a) cn 3 Ix .° z < E c c. m o CL p Q O EN v 0 v O •� C d L X X � d •> CL CL C CL N Y 0 •� > U N � Q c`c Ga a C O CU C ° 0) N O H1 Q , Q ` _ d Ri d z (n O Ya) O C N .� m d m 2OU¢�O _ V Q U) C Q Q. d r- Q Q COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: 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 Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade 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) If yes, enter date Adequacy test date 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: COSA Checklist_June 2022 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 ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No 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 ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F.ENGINEER’S COMMENTS 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 Phone Engineer’s Printed Name Date C&M ENGINEERING CHARLES BALZARINI, PE 4/26/24 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND �GREEMENT, herein the "AGREEMENT" made and entered into as of this Day of of 204 4) , by and between ��✓�w %�%(rS 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: I. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as IDSF located at (legal description) TIMBERLUX #2 BLOCK H LOT 6 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 tW Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 102 Owner acknowledges that the fine for failing to maintain and repair an AWWTS maybe 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. 619, 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. �L 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 U e C-4 ZO W Z_oanCL x # = W ti Z p c) �=3V)N Q a LL. O o Y w W O ~ U Q C) 2 Z to J T U C rri G .J r, -* n rn 0) m m co M � X O 01 LL 1— _ Z U � N a1 W f0 0 3 Ln a, W ++ U M v LL, $ c o z L L m in. 3 o�� UiLU N 0 O 3 4� O 4� O in Q `� (O E L C O o O 0 O 4- o a -J � 0 U toN t ~ U-) U C:� v C a�CC+ U Qj N 4J 0 Nca U N O co O QUiO QU cn E QJ N N }'� o J 2 o m N X a -0 cn >` N Ln L N o L-+' cn t a.J O cu ai v Q H >� ON cn a C U C 4J a O t]A -ai N t1A 4O Qj o _0 u 4 N o aj aj U `+-- 0 6 J N tn N U > _0 N 56 . 3 ' Lot 6, Block H Timberlux Subdivision Addition No. 2 36,408 Sq. Ft. +/- 4700 Manytell Avenue 3 Story Wood Frame House With Attached 2 Car Garage ; ; ; ; ; S S S S S S SC E TT N89° 56' 36"E 190.13' N80° 05' 05 " E 1 2 0 . 8 6 ' L = 2 2 .7 8 R = 2 3 0 .0 0 N 5 0 ° 0 0 ' 0 0 " W 1 0 3 . 9 2 ' L = 6 1 . 0 2 R = 7 0 . 0 0 L=7 8 .5 4 R =5 0 .0 0 2 0 . 7 ' 5.9' 2.9' 1.4' 1.6' 40. 9 ' 76 . 5 ' 16 . 0 ' 1 0 0 . 4 ' 31.1' N0 0 ° 0 5 ' 5 6 " W 1 6 5 . 2 6 ' 14.3' 25 . 1 ' 10 . 2 ' 2.5' 8.2' 8. 0 ' 8. 2 ' 7.6' 19 . 9 ' 12.0' W GR A V E L D R I V E W A Y EDGE OF GRAVEL SEE "DETAIL A" SHELTERLOGIC SHED SHED SHED METAL COVERED STORAGE WOOD SHED LOT 5 S OVER PROPERTY LINE OVER PROPERTY LINE 30' 30 ' W O O D R E T A I N I N G W A L L S LOT 7 10' U T I L I T Y E A S E M E N T 20' x 20' ANCHOR EASEMENT MANYTELL AVENUE L O N G B O W D R I V E 10 0 ' W E L L R A D I U S ; ; ; ; ; ; ; G E 36.4' 24 . 2 ' 12.6' 8. 6 ' 7.6' 23 . 6 ' 4.0' 26 . 9 ' 20.2' 17 . 6 ' 2ND FLOOR KICK-OUT 2ND FLOOR KICK-OUT ARCTIC ENTRY PREPARED BY: FRONTIER SURVEYS, LLC 650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518 907-460-1686 DRAWN BY: CHECKED BY: DATE: SCALE:GRID: SW3136 1.Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. Dimensions to property lines are plus/minus 0.1ft. 2.This document is created by Frontier Surveys for the purpose of an as-built survey for Emily Selix, only. 3.This document is based on Plat No. 70-256, Anchorage Recording District. 4.Some features may not be shown due to excessive snow/ice coverage. General Notes DisclaimerLegend 1. This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. RS 1" = 30ft 04/12/2024 24-066BH Scale 1" = 30' AN AS-BUILT SURVEY OF LOT 6, BLOCK H TIMBERLUX SUBDIVISION ADDN. NO. 2 4700 MANYTELL AVENUE CONTAINING: 36,408 Sq. Ft. +/- (RECORD) RECORD PLAT: 70-256 R E GISTEREDPROFESSIO N A L L A N D S URVEYORRachel N. Shoemake No. L.S. - 14646 Apr 16, 2024 DRAWING ID: MB "DETAIL A" SCALE 1" = 20' Electric Meter E Gas Meter G Water WellW SepticS Wood Deck Fencex SC Septic Cover Sign E Elec. Pedestal Tel. PedestalT MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box '196650, Anchorage, AK 995'19-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Feb 26, 1999 Expiration Date: Feb 26, 2000 Permit Number: SW9900'19 Legal Description: TIMBERLUX#2 BLK H LT 6 Design Engineer: 0041 AK Water & Wastewater Consulta Owner Name: Bruce Camble & Jill Schneider Owner Address: 4700 MANYTELL AVE ANCHORAGE , AK 99516-4121 Parcel ID: 018-271-49 Site Address: 004700 MANYTELL AVE Lot Size: 34000 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AACS0 ). 3. The engineer must notify DHHS at least 2 houm 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. 5. The following special provisions. THE ATTACHED PROPERTY OWNER MAINTENANCE AGREEMENT SHALL BECOME A PART OF THIS PERMIT. MUNIMNLITY of ANCHORAGE •, Development Sei vice Department • On -Site Water & Wastewater Program P: 907-343-7904 • F: 907-343-7997 • P.O. Box 196650 Anchorage, AK 99519-6650 • http:l,,1,�x-x,vw.mttiii.org/building Intermittent Dosing Sand Filter Maintenance Log Owner Street Address �i l k- Phone L '" �eegal Desc.:// Lg -P )� 4q �'/khz �T PID f) l 92� Septic Tank: c+ -Sludge level _inches *pumping: required es no -Pumping completed es n Absorption Field: -Liquid level inches -Flushing valves per approved design yes n -All flushing valves opened, distribution lines flushed, and flushing valves closed yea n Lift station: -Pump basket cleaned a no •Biotube effluent filter cleaned a no -Timer float setting inches -High' level float setting inches -Reference point f oU d14,- !S� •Pump on 70 seconds -pump off 6Q Minutes -Cumulative lifetime cycles 1 -Cumulative run time 4 % hours -Operation satisfactory e o Air System: -Air pump filter cleaned e no •Air pressure 15 psi -Date of latest install or rebuild 4% -Air system operationsatisfa dry not satisfactory Alarm System: • le and visual alarm inside dwelling s no a Dedicated electrical circuit s o Audib� ,yF -Float setting inches -Alarm system operation satisfacto not satisfactory Comments: ...... .. ....... lel- . r....- .. ... a........ ... .v"..�.:/f.. ...... .. .... h .. n .......... � N. ....,.•....• . •. .r.i/ ........................ t �U Maintenance Provider: Technician Date of maintenance 2 Company Z6�Kl Signature e /< <//, 51, 2 IDSF Maintenance Log_040313.doc C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Timberlux#2 Block H Lot 6 Dear Ben, This letter is in response to onsite review comments for the pending COSA for the subject property. • The tank is scheduled for pumping on May 7. The tank is at the bottom of a hill and is difficult to access due to snow conditions. Because it is scheduled and the system is on a AWWTS maintenance program, there is very little risk to approving the certificate. I do not believe a conditional COSA is warranted. • Two of the leachfield monitor tubes are jacked and leaning, however this does not impact the functionality of the system. I was able to push one of the jacked tubes back down. This is likely due to the shallow effective depth and limited fill over the system. I recommend these be monitored during normal maintenance. Jacking is likely to be an ongoing issue with this system unless the monitor tubes are extended below the effective depth or otherwise secured. I would generally not recommend excavating a mounded IDSF system unless actually necessary due to the presence of pressure piping and air hose which could be damaged. Further, the buyer has indicated an intent to replace the system with a modern AWWTS within the next 5 years. Thank you for your time in reviewing. Please do not hesitate to contact me at 907-854-5558 or by email cgbalzarini@gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE 4/24/24 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 RELEASE OF CONDITIONAL CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 01 R-271 -49 1, GENERAL INFORMATION Corn plete legal description HAA# Lot 6; Block H; Timberlux Subdivision #2 Location (site address or directions) 4700 Manytell Avenue ' Anchoraqe, AK PropenTowner Bruce Gambell & Jill Schneide~).ayphone 345-6273 Mailing address ~7~R ~nyt~l ] ArR. Anchorager AK 99516 Lendi6g agency Day ~hone - Mailin. g address - Agent Bob Rink/ Dynamic Properties -Day phone 261-7600 Address Unless oth~_rwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well XX Community well Public water NOTE: ~ , lng tO the legality and status of system. TYPE OF WASTEWATER DISPOSAL: nd If community' well system, provide written confirmation fror~'State ADEC attest- confirmation from State ADEC ; 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my ~eal affixed hereto and as Of the validation date showr~ 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 i~.i,~ COmPl!ance with all Municipal and State codes, ordinances, and regulations in effeji~§~E~a~}~f)~this inspection, Name of Firm WasteWater Consultar, ~1~ Phone Address e~B~,~ ~/~le~ 7/9 Engineer's signature ,, '~--'"~-,, Date REQUEST A RELEASE OF CONDITIONAL ~ Alaska Water & ~ HEALTH AUTHORITY APPROVAL DATED ~ '-'i 3/17/99. THE SEPTIC SYSTEM HAS BEEN Wastewater Consultants., It~ '~ UPGRADED IN ACCORDANCE WITH PERMIT #SW990019 $ A ~ ' AND,M.O.A. REGULATIONS. or'prior to, closing for the '~.~ ~~ ~, DHI-IS SIGNATURE pulations: Conditional approval for bedrooms, with th% fo~il Additional Comments ' '/,,.:/7 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 elgin eer registered in the State of Alaska. The DH HS does this as a courtesy to pu mhasers of homes and their lending institutions in order to satisfy Certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Legal Description: Municipality of Anchorage J~ E (~ E I V E D DEPARTMENT OF HEALTH & HUMAN SERVICF~¥ Environmental Services Division 825 L Street, Room 502. Anchorage, Alaska 99501D~'1~. ,~e~P~-..r~l~7~l~lch_orage · ~ Muman ~erv/cea Health Authority Approval Checklist A.' WELL DATA Well type ~',/~'-' Log present (WN) Total depth [ ~'-~ Sanitary seal (Y/N) FROM WELL LOG Date of test t~3/~/~/ Static water level Well production ~' g.p.m. If A, B, or C, attach ADEC letter. ADEC water ~/stem number ~LJ~Z~ , \1 ~-~-- ~ Date completed / Cased to ! ~ "7 [ Casing height (above ground) [ ~-//~ Wires propedy protected (Y/N) AT INSPECTION / WATER SAMPLE RESETS: Coliform Nitrate Date of sample: B. S EPTIC/Helat~ TAN K/DATA ~'"~ Date installed ~ I; Tank size ) ~-~ Foundation cleanout (Y/N) Date of Pumping x,J ~.~,~ · ~-~- .~/~ Other bacteria F Collected by: /~-',~d~, /.-,'J~. Number of Compartments__'~' Cleanouts (Y/N) ~/ ~-~ Depression (Y/N) /',JO High water alarm (y/N) '~ Pumper ~//~ C. ABSORPTION FIELD DATA Date installed ~dr"/c~~ Soil rating (g.p.d./ft2 or fF/bdrm) Length ~ ~ Width ./D Gravel thickness below pipe Effective absorption area ~, ~ Monitoring Tube present (Y/N)y Date of a'~'-d~~ Results (Pass/Fail) Fluid depth in absorption~ Immediately after Fluid depth (ins) Minutes later: L_-P--eroxide treatment (past 12 months) (Y/N) System type / ,'2~ Total depth ~ ~T~? ~A~J'P Depress!on over field (Y/N) /JO For bedrooms gal. water added (in.): ~t~J ~t~')~~ g.p.d. If yes, give date ~ 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level Size in gallons "Pump on" level at* T)cd~ "Pump off" level at* ¢~F-t¢l *Datum f~o", ~¢-i -~JI Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot / ~¢ /4- Absorption field on lot /CO/'+' Public sewer main .~J //¥ Sewer/septic service line 2~'/+' /..& On adjacent lots ¢/:~ - On adjacent lots Public sewer manhole/cleanout AY Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~' ['(- Property line -~ ¢~' Absorption field ~' Water main/service line /O (~ . Surface water/drainage. ~O/~ ~Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain Building foundation /0 /-¢- Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots l (~O /'~ ENGINEER'S CERTIFICATION ~ certify that~ have/~ef~r¢i¢ed t~i~ inspecti~ns and review ~f Municipa~ rec~;~,,~;~-* ~'~"~ in conformance ~ith MeA~A¢~eli~es in effect on this date. Signature Engineer's Nam/ HAA Fee $. Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number 72-026 (Rev. 3/96)* Parcel I,D. # 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 0182271249 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING NAA # ~~-I~'~-~'~ 1. GENERAL INFORMATION - CONDITIONAL - Complete legal description Lot 6; Block H; Timberlux Subdivision Location (site address or directions) 4700 Manytell Avenue Anchorage, AK Property owner Mailing address Lending agency. Mailin. g addCess Agent Bob Rink[ Address Bruce Cam4CDe-!-i & Jill Schneide~Day phone ~5-6273 4700 Manytell Ave. Anchorage, AK 99516 Day Chone Dynamic Properties Day phone 261-7600 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. 3 NOTE: Individual well Community well Public water xx If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WAsTEWATER DISPOSAL: NOTE: XX Individual on-site Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-O25(Rev. 1/91) Front MOA~21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of 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 da Name of Firm Address Engineer's signature ALASKA WATER // [ ,/ Alaska Water Wastewater Consultants. it~c, Shall be PAID $ or pdor to, closing for the Engineering Services Provided. DHHS SIGNATURE Approved for Disapproved. x××× Conditional approval for bedrooms. three(3) ! of this inspection. EWATEI~ Phone ;~ 7~/7~ REQUEST A CONDITIONAL HEALTH AUTHORITY APPROVAL DUE TO WINTER CONDITIONS. SEPTIC SYST~,M TO BE UPGRADED NO LATER T~IAN 15 JUNE 1999o bedrooms, with the following stipulations: Money shall be put in escrow in the sum of 1.5 times the amount of the highest bid cf ~ ~ fr .................. ~^~ by ~ ~==~ ............... the proposed wastewater SYstem pursuant to Permit #SW990019. Money in escrow shall not b~ ~l~as~d ut~Li1 Lhls of£1u~ has give[~ £1~al approval. The consurucnion of the proposed wastewater system shall be completed by no later than June 15, 1999. Additional Comments 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 raq uirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. RECEIVED · Municipality of Anchorage MAR 0 5 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 (907)~t3~1~ Lega Description: A, WELL DATA Well type ~.t~¥-~F_. Log present .~N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production Health A~u_thority Approval Checklist "~.,~z~y~ Parcel I.D.: If A, B, or C, attach ADEC letter. ADH© water system number [/'~--~ Date completed I'~ ~F( Cased to ~ I C~'sin~ h~ight (above ground) NC> Wires properly protected (Y/N) /2- FROM WELL LOG g.p.m. AT INSPECTION g.p.m. Bo WATER SAMPLE RESULTS: Coliform ' Date of samplei SEPTIC/HOLDING TANK DATA Date installed Foundation cleanout (Y/N) Date of Pumping ~hJ I~- Nitrate · ~ z.../ ~ ~/~. Other bacteria Collected by: 'X~ ~ Tank size { C)O~.~ Number of Compartments ~{~----~ Depression(y/N) ~QC~ Pumper __ Cleanouts (y/N) ~ High water alarm (y/N) hUg ABSORPTION FIELD DATA Date bstall~d I~l ~ I Soil rating (g~ or ft~/bdrm) ~ ~C) System type -2., ~-J ~' / /+ Gravel thickness below pipe Total depth . Depression over field (Y/N) __ For -~ Length 4r~{~ 'Width Effective absorption area ~O Monitoring Tube present (Y/N) V Date of adequacy test Results (P Fluid depth in absorption field before test (in.); Immediately after (ins) Minutes later:. Absorption rate = Fluid depth gal. water added (in.): q.p.d. ._Peroxide treatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* bedrooms Date installed ~'~ ~~ Manhole/Access (Y/N) __ .~spd-~p on" lev~_ "Pump off" level at* ;i;~;t,e res~ *Datum ~ E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main On adjacent lots On adjacent lots ~ Public sewer manhole/cleanout ~" Sewer/septic service line ~--'~" ! 'f'- Lift station ~-,'~ /'"SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO. ~l ~ [Foundation S ~" Property line '~ ~ Absorption field. S-- '~ ~ ~ Water maiWsewice line /0 ,+ Sudacewater/draina¢O ~ ':* Wells on adjacent lots ~ ~.J SEPARAT~O, ~STANCE FROM ABSO.PT~ON F~LD ON LOT TO: ~ D ~ Prope~ hne. ~ ~ Building foundation ~ Water main/sewice line Sudace water ~O ~ Driveway, parking/vehicle storage area ~udain drain ,~'ON:~~ ~LU ~ Wells on adjacent lots R ENGINEER'S CERTIFICATION / ,ce,i~thatlh~,t~in~ ~dinspectionsa,dreview in confo~anCe wire ~,¢ui~ ~ ~ effect on this date. Engineer's Nam/ ~ ~ t ~~ ~' ~ ~ ¢ Date HAA Fee $ Dateof Fa, ment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Rick Mystrom, Mayor Municipality of Anchoeagc Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.cLanchorage.ak.us 343-4744 March 12, 1999 Maurice K. & Carol A. Matthews Property Owner's of Lot 7 Block H Timberlux #2 3340 Arctic Boulevard #106 Anchorage, Alaska 99503-4550 Re: Separation Encroachment, Lot 7 Block H Timberlux #2, P.I.N. 018-271-48 Dear Mr. & Mrs. Matthews: During a recent evaluation of the wastewater system and water well on Lot 6 Block H Timberlux #2 Subdivision, the engineer performing the evaluation discovered that the well serving the home on this property is being encroached upon by the wastewater system serving the home on Jot 7. According to our records you are the owner of lot 7. The separation distance is 95 feet. The required separation distance is a minimum of 100 feet for a private well to a wastewater system. This is in violation of Chapter 15.65, The Municipality of Anchorage On-Site Wastewater Disposal Ordinance. The existing well on lot 6 was constructed in October 28, 1981 and the wastewater system on lot 7 was constructed in December 7, 1983. Because the well on lot 6 was in place at the time the wastewater system on lot 7 was constructed, makes the responsibility of resolving this encroachment matter the property owner of lot 7. Be advised that Lot 7 Block H Timberlux #2 Subdivision i~ not eligible for Health Authority Approval from this office at this time. The result will be the inability of the owner to transfer title of the property at the time of sale until the separation encroachment matter is resolved. If you have questions of the above, please contact me at 343-4761. Sincerely, Daniel J. Roth Civil Engineer On-Site Services Program Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Rd. Suite 2B ~ Anchorage ~ Alaska 99504 Phone (907) 33%6179 ~ Fax (907) 338-3246 March 3, 1999 Municipality of Anchorage Department of Health & Human Services P.O. Box 196650 Anchorage, AK 99519-6650 REFERENCE: Lot 6; Block H; Timberlux Subdivision Conditional Health Authority Approval request Request you issue a Conditional Health Authority Approval on the referenced property due to winter conditions. The septic system is to be upgraded no later than 15 June, 1999. Based upon the attached as-built surve~it appears that the septic system on Lot 7; Block H is about 95 feet from the well on the subject property. There is a significant ditch between the well and septic system which would prevent surface migration of wastewater to the well. The well was drilled October 28, 1981 and the neighboring septic system was installed December 7, 1983. Due to the encroachment occurring after the well was drilled, the burden of obtaining the necessary waivers should fall on the neighbor (Lot 7). Recent water samples indicated nitrate levels of .24 mg/L and no bacteria, indicating the well on Lot 6; Block H has been unaffected by the encroachment. If you have any question Or require additional information, please contact us. JAG/gd / / / / o T=08~ P.Ol/Og CT&E ReL# Client Name Project Name/# Client ~ple ~ Matrix PWS~ Tir~e ,. ~.,~,,/ Time Date Date Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Installed Permit No. Septic Tank Size __~:;/ Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY ~ ~ ~ Z Phone Property Owner Mailing Address ~, '~ ~' ~'~ Buyer Address Lending Institution ~ ~te~ . ~V~/~ ~7/~r/ Phone Street Location, ~C'~ ~~ ~ Type~idence ~ Single Family ~ Multiple Family No. of Bedrooms '~ Wat~r~pply ~ Individual A~ACH WE~L LOG. A well log is required for all wells driJ~ed since Jbne ~ Community 1975. For we~ls drilled prior to that date~ give well depth (attach log if ~ Public Utilit~ available.) Sew~isposal ~ IndNidual Year individua~ Installed: ~ ~ ~ ~ Public Utility When Connected to Public Utility: ~ Holdin~ Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.