HomeMy WebLinkAboutGREENBROOK BLK 1 LT 6Greenbrook
Block 1
Lot 6
#017-023-56
Quanics
GA.RNESS ENGINEERING GROUP, Ltd r ell`.
ENGINEERING , SALES „CONSULTING Alaska Authorized Dealer
January 5, 2024
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Program
4700 Elmore Rd. P.O. Box 196650
Anchorage, AK 99519-6650
(907) 343-7904
Ref: Greenbrook, Block 1, Lot 6 (12901 Von Scheben Drive, Anchorage, AK)
Memo concerning converting CAT III AWWTS to CAT II AWWTS septic system
To whom it may concern:
The permitted drainfield was installed on the referenced property in 2009 and started up after the
installation. ARM Septic Services LLC recently checked the monitoring tubes in the drainfields and
found them to be dry. In order to simplify the operation and maintenance of the system, we are
proposing that this unit be permanently configured as a CAT II system. Our justifications are as
follows:
The receiving soil has a percolation rate of 2.5 minute per inch (GEG TH#2). The drainfield has
a 2-foot sand filter, so the soil application rate for the sand is 4.0 gpd/sq.ft. for Cat II effluent.
The allowable soil application rate for Cat III effluent (after passing through the sand) is at least
4.0 gpd/sq.ft. The existing 2009 drainfield has 300 sq.ft. of absorption area. In short, the
drainfield meets the sizing requirements for 4-bedrooms receiving Cat II effluent.
At this time, we request that your department approve the removal of the jandy valve actuator and
placement of th;� valve in the open position.
51
Garness, P.E., M.S.
ufi�o F-00— CAT-
d+ Q_J/ 20z
l
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
Municipality of Anchorage
Development Services Department
Building Safety Division
�r;-`L
On -Site Water 8 Wastewater Program, 4700 Bragaw St.
-- P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343.7904 Page 1 of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SWO90003 PID Number: 017-023-56
Name: RICK & KELLY STONKE
Wastewater System: ❑ New ■ Upgrade
Address:
12901 VON SCHEBEN DRIVE "ANCHORAGE, AK
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 345-6193 4
ODeep Trench OShatlow Trench ■Bed OMound OOther
LEGAL DESCRIPTION
Sad Rating:
2.0 GPD/SQ. n.
Tea wpm nom o pini pail.:
2' TO TOP OF SAND n.
Block; Lot: Subdivision:
Depth to pipe bottom than anginal grafi:
Dhavei depth beneath pap.:
1 6 GREENBROOK
1.48 FL
0.52 Ft.
Township: Range: Section:
- - -
Fr added end'^ adginel pear
Grovel lehgth:
20
SEE DWG. Ft.
Ft.
WELL: ❑ New ❑ Upgrade
Dowel width:
15
Yumaer at Ina..
3
0..lanae aet"Nn ale..
5
FL
FL
Clepdcalwn Pmate. &9.Q: Totel D.Pth: Coved To' ,
Told aeeapgon p,p:
300
Pipe materiel:
3034/ F-810/SCH 40
�\ R
so. n.D
kataiNr. Dot. NeloMd:
A+ HOME SERVICES 1/27-28/09
TANK
Drwer. vN�� 11od: Static water Level:
n.
Ylele:
Prop set Al:
C." height #ip. Gaune:
GPM
FL
FL
SEPARATION
DISTANCES
0Septic 0Holding ■S.T.E.P. ■Other"
To
Septic
Absorption
Lift
Holding
ubk/Prlvate
Yp1N11°`wr.r`
GREER
oapantr in geliom:
1500
From
Tank
Field
Station
Tank
s..er linea
Well
200'+
zoo'+
200'+
-
25'+
1lalerfol:Numaer
3/16" STEEL
W pompanmenle.
2
Surface Water
100'+
too'+
100'+
—
—
LIFT STATION
Lot Line
$'+
1D'+
5'+
_
-
sue M galane:
1500
Yonalactura,
GREER 0UANICS
*ponip on level a:
ump oil level at.
Nph .oter glean at.
Foundation
5'+
10'+
5'+
-
_
TIMER
TIMER
44"
Pump Yate"Yodel:
ENetn`d-pectwn. Worn' " W.
Curtain Drain
NONE
KNOWN
P -TE -30 -PLUS
I M.O.A.
BENCH MARK
Remarks: -THIS IS A OUANICS AEROCELL UNIT
OLD TANK WAS COMPLETELY ABANDONED PER UPC.
Locobon she w.cdpG vh,_
BOTTOM tlP-Tgjm;.;ON SW CORNER OF HOUSE
Aeeumed; Elevate'' -'1 IO/
,900.70 Ft.
GEG, Ltd. t
Inspections performed by: Dates: 1sG, t/27/o9
ENGINEER'S L
SOF Op
2n18"-'11/27109
3rd 1/28/0911;.
Development Services Department Approval
0
jav �`C�........ 9sh0o
.1...............
Conditional approval: Date:
�p....:.....;
00
...ess.:
:•.J
fr A.
QQ a O
CE 3 ii O
hllldRDate:v6%
Q04°4d pFofesst^Oar
Reviewed and approved by:
(A.. 4/06)
a
4�0�0p
V
PERMIT NUMBER
SW090003 : AS -BUILT DRAWING
EXISTING
4 BEDROOM
HOUSE
A
DBL 1&2 B
NEW 1 S
GALLON STE
TANK
ST1
C01
MT2 Jv �
I 1 1650 AEROCELE
1 1 UNR
C04�� 1 +TMI1
CO3 CO2MT1 EW DRAINFlELD
1
I THJ2
I
GARNGSS ENGINEERING GROUP, Ltd.
..., . CONSULTANTS & GENERAL CONTRACTORS. •,-_•«-^••
1M1 c /IUM Ip.D. fort 101 . N.004wL A< wwi . A4R (901)w1 m • IN . �. w..pn.r�y�•.Mnpaww
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
RICK & KELLY STONKE 345-6193 2 OF 3
LEGAL DESCRIPTION: DRAWN BY;
GREENBROOK; BLOCK 1, LOT 6 PNB
TWE OF WORK: DATE:
ASBUILT DRAWING 02/03/0',
R. 01105)
PARCEL ID NUMBER:
017-023-56
A I B
DBL1
12.51
6.85
DBL2
12.51
6.27
C01
51.29
57.5
STI
54.57
61.32
650 1
62.97
69.22
650 2
64.46
71.22
MH
62.71
71.18
JV
67.29
74.96
CO2
87.36
90.47
COS
90.20
94.11
C04
93.61
98.11
MTl
86.69
89.41
M72
80.75
88.00
A C rness:
PERMITNUMBER: AS—BUILT DRAWING PARCEL ID NUMBER:
SWO —
SW090003 017-023-56
FINAL GRADE DANDY VALVE 650 OUANICS
�nn96.83nn INSULATION AEROCELL UNIT
TOP OF TANK
INLET - 92.44
INVERT OF BUNG
INLET- 91.94
-----
1500 CALLON GREER
--
STEEL S.T.E.P TANK
•3/16' DEEP BURIAL
FOR AEROCELL UNITS
FINAL GRADE
- 96.03+
F TANK
92.38
INSULATION
—FILTER FABRIC
•2 MOA APPROVED •: r•
TOP OF SAND ��� T.=�� ..t.•. "� i=
91.53 ..._.`_•,>'..... ix: __�1'A_ _^s :.. _��_'.
RELATIVE ELEVATION OF BOTTOM OF
TESTHOLE 82.33 (84.59 WATER)
TO
DISTRIBUTION
92.05
A OF BED
89.53
GARN`TESS ENGINEERING GROUP, Ltd.
pe. ASD
- - CONSULTANTS 6 GENERAL CONTRACTORS T-•�_• �....... O
mi L nm, •u=o, wrt ,oi . ANCHO L rK ww� • nn[ ponsn-��» . n, fao>).w-ur . •osne ....w.....a`..•w—•
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ••• • • • ....... ......• p
RICK do KELLY STONKE 345-6193 3 OF 3 Q P '` rey A. G mess:'
LEGAL DESCRIPTION: DRAWN BY: O u CE— 53 •' \<p^Op
GREENBROOK, BLOCK 1, LOT 6 PNBolp
�Op�! ' �.L�+1os• ' �Ao
TYPE OF WORK: DATE: rofesslo�
0
PROFILE ASBUILT 1 2/4/09
�.IsEB-5-2009 05:50P FRW:ED'S ELECTRIC INC 272 4590 70:3383246
Inspection Report
•�• Municipality of Anchorage, Building Safety Division
4700 Elmore Road
INFO 8 HELP (907) 343-6211
INSPECTION: VOICE (907) 343.8300 • FAX (907)249.7777 • www.muni.org
Name same
Company edds electric
Address 12901 VON SCHEBEN DR
Grid SW2839
Subdivision GREENBROOK
Work Description install septic lift station
Permit Technician MORISA, MARIAM ENE G.
Comments or Directions call to meet on site
Inspection Type Electrical:Retro Electrical
Comments (for inspector use only)
P.1
33
Permit 0 09.7161
Inspection Date 05 -Feb -2009 AM
Phono 272.4591
LOT 6 SKI TR n!a
Inspector leP �i�- _�RreAJ Date c42-3 09'
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SWO90003
Legal Description: GREENBROOK BLK 1 LT 6
Design Engineer: 0855 GARNESS ENGINEERING GROUF
Owner Name: Richard & Kelly Stonke
Owner Address: 12901 VON SCHEBEN DR
ANCHORAGE, AK 99516-3207
Date Issued: Jan 06, 2009
Expiration Date: Jan 06, 2010
Parcel ID: 017-023-56
Site Address: 012901 VON SCHEBEN DR
Lot Size: 0 SO. FT.
Total Bedrooms: 4 Permit Bedrooms: 0
This permit is for the construction of.
Q Disposal Field [✓ Septic Tank E] Holding Tank ❑ Privy ❑ Private Well F] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued
Date: *V_0
Date: 1
Municipality of Anchorage
Development Services Department
Building Safety Division ^
On -Site Water & Wastewater Program
4700 Bragaw St.
P.O. Box 196650
Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 01-4 - O� ) -5(P
Property owner(s) RICHARD & KELLY STONKF Day phone 750-8348
g address 12901ON SCHERFN e: *-ANCHORAGE, c.
Site address
Legal description (Sub'd, Block & Lot ) GRFFNRROOK. OT 6. BLOCK 1
Legal description (Township, Section & Range)
Lot Size
Sq.FI.
THIS APPLICATION IS FOR (® all that apply)
Absorption Field
❑
Septic Tank
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Zip Code 99516
Number of Bedrooms
THIS APPLICATION IS AN:
Initial
❑
Upgrade
Renewal
❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
GARNESS ENGINEERING GROUP Ltd.
Fe Of PFOpe-
c• u
Permit/Rush Fees: 1, O
Date of Payment:
Receipt Number:
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:,
GARNE SS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
October 16, 2008
Municipality of Anchorage
Development Service Department
On -Site Nater & Wastewater Program
4700 Bragaw Street
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907)343-7904
Ref: Proposed Septic Upgrade for Greenbrook; Lot 6, Block 1,
To whom it may concern:
The existing 4 bedroom house is served by community water and private septic system. The septic system
is in a state of failure and needs to be upgraded. We are proposing to install a 1500 gallon S.T.E.P. tank
with Quanics controls/floats, a 650 Aerocell pod, and a bed type drainfield. Two test holes were
excavated on the property. The drainfield will be designed around the 30 foot radius of test hole #1.
Comments regarding the design are summarized as follows:
1. SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the
percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system.
4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography within 50
feet of the drainfield is relatively flat.
We are unaware of iy adverse impacts this installation would have on adjacent wells or septic systems.
If you have any quMions, please contact us at 337-6179. Thank you for your assistance.
M.S.
Presiy�enV
N07T'' Attached is a site plan drawing, a design drawing, one soil fog, which are all part ofthe design package for
this septic system. (Contact G.E.G. Ltd. for 7 page construction specification letter.)
3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259
Ph: (907) 337-6179' Fax: (907) 338-3246 0 Wcbsitc: www.gamcsscnginecring.com
ALL PROPERTIES SERVED BY
COMMUNITY WATER SYSTEM.
CREENBROOK;
BLOCK 2. LOT 8
I
I
I �
I
I GREENBROOK;
BLACK 2. LOT 7
_ rw.
I
I
GREENBROOK;
BLOCK 1, LOT 7
CSEPTIC AREAD
MTN PARK
ESTATES; BLOCK
S, LOT 1
LRN PARK
BLOCK ESTATES LOT- 2/
I /
CSE
I �
I �
�c ;
�kAN PARK
I ESTATES /2;
BLOCW% LOT 3
I � \
EXISTING I I I\�
BEDROOMI I-
HOUSE I I CS-
I I 'D
WN PARK
ESI*TEBLOCK \'S LLOT •4
I I \
CSE
I � —
I 1/
AR�C
EA //
I I -� STN PARK
iSTATE
I I BLOCK SS LOT;
S
I
�aL /<
�TM\
BLOCK S, LOT 6
GARNESS ENGINEERING GROUP, Ltd. ;laN; .' 4
-^-•-•- y----•- CONSULTANTS S GENERAL CONTRACTORS - �- l o...... .,.
MI C TtlCll bp, !IA[ 101 � INblg4q, y( Nb) .Alp( (p»J,1)�IA � IM' (OpIuJ!-)}N I K611[ w�. Iq,
PREPARED FOR: PHONE NUMBER: PACE NUMBER:
RICHARD STONKE 907-345-6193 1 OF 4 �,� 111
LEGAL DESCRIPTION: DRAWN BY:
GREENBROOK SUBDIVISION; LOT 6, BLOCK 1 K.D.M.
TYPE OF WORK: DATE:
SITE PLAN 7/25/2008
Rw nl.K,
PROPOSED
GREENBROOK;
SEPTIC
BLOCK 2, LOT 6
SYSTEM
r
TH/1
(:SEPTICTH#2
ARS
}
IW
CREENBROOK;
BLOCK 1, L01 S
GREEN
BLOCK 2,. LO
T
LOTS
m
l�
ARa
Iz
tp
GREENBROOK;
GREENBROOK;
BLOCK 2. LOT 4
BLOCK 1. LOT 4
MTN PARK
ESTATES; BLOCK
S, LOT 1
LRN PARK
BLOCK ESTATES LOT- 2/
I /
CSE
I �
I �
�c ;
�kAN PARK
I ESTATES /2;
BLOCW% LOT 3
I � \
EXISTING I I I\�
BEDROOMI I-
HOUSE I I CS-
I I 'D
WN PARK
ESI*TEBLOCK \'S LLOT •4
I I \
CSE
I � —
I 1/
AR�C
EA //
I I -� STN PARK
iSTATE
I I BLOCK SS LOT;
S
I
�aL /<
�TM\
BLOCK S, LOT 6
GARNESS ENGINEERING GROUP, Ltd. ;laN; .' 4
-^-•-•- y----•- CONSULTANTS S GENERAL CONTRACTORS - �- l o...... .,.
MI C TtlCll bp, !IA[ 101 � INblg4q, y( Nb) .Alp( (p»J,1)�IA � IM' (OpIuJ!-)}N I K611[ w�. Iq,
PREPARED FOR: PHONE NUMBER: PACE NUMBER:
RICHARD STONKE 907-345-6193 1 OF 4 �,� 111
LEGAL DESCRIPTION: DRAWN BY:
GREENBROOK SUBDIVISION; LOT 6, BLOCK 1 K.D.M.
TYPE OF WORK: DATE:
SITE PLAN 7/25/2008
Rw nl.K,
NUMBER OF BEDROOMS: 4 NOTE: THE CONTRACTOR SHALL
GALLONS PER DAY (CPD): 600 HAVE THE SOUTH & WEST LOT
PERCOLATION RATE/S: 2.5 & 24 MIN./INCH LINES FLAGGED BY A REGISTERED
PROPOSED APPLICATION RATE: 2.0 LAND SURVEYOR PRIOR TO
MINIMUM ORAINFIELD SO.FT.: 300 CONSTRUCTION,
DRAINFI 1 D DESIGN•
MAXIMUM DEPTH: 4 FEET
WIDTH: 15 FEET
LENGTH: 20 FEET
M-OA APPROVED SAND FILTER: 2 FEET
EFFECTIVE: 0.5 FEET
REDUCTION FACTOR: N/A
ACTUAL SO.FT.: 300
Ll .
LETTER THAT PERTAINS TO THIS DESIGN.
TO OBTAIN A COPY OF THE LETTER
CONTACT GEC. BY PROCEEDING FORWARD
WITH THIS INSTALLATION, THE ENGINEER, \
WELL DRILLER, CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY
HAVE READ THESE SPECIFICATIONS AND \
AGREE TO ACCEPT THE TERMS AND
CONDITIONS OUTLINED.
\
\
I
EXISTING
\ \ 4 BEDROOM
HOUSE INSTALL FOUNDATION
EXISTING DRAINFIELD TO BE �� \ �' CLEANOUT
ABANDONED IN PLACE FOR
/S^� AL
FUTER POSSIBLE USE
\
DY VALVE
6v
EXISTING 1250 GALLON SEPTIC
�� TANK TO BE COMPLETELY
C r'2 ABANDONED PER UPC
INSTALL CLEANOUT
1PROPOSED
1500 GALLON
�TM 1 S.T.E.P. TANK
♦TH,2
4�OD
(JA'� 650 AEROC
I
Y
S LE: i
1' 40' PROPOSED ('
DRAINFlELD
OF
A op0�
Op
GARNESS ENGINEERING GROUP, Ltd.
- - - • CONSULTANTS 6 GENERAL CONTRACTORS— ......
• • • • • • • • • • • •�
3MI L n N&A Wu ,e, • m ocpw . m eaw) . ACK (M1}U)-111e • fA. (YO»A]e-7i4 . some �..yav ...nyiwyy,aan
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
RICHARD & KELLY STONKE 1 345-6193 2 OF 4 OQ m '•,
ess.:
LEGAL DESCRIPTION: DRAWN BY: Q p. CE-79 3 .`p
�D��e�-''
GREENBROOK, BLOCK 1, LOT 6 K.D.M. 1QJ1.Q�QVb'
NN
TYPE OF WORK: DATE: 40 Oprp lessl0f'0x0
PROPOSED SEPTIC SYSTEM DESIGN 8/27/2008 �O�O000���
ca...onOSI
FROM
TRICKLING
FILTER
MOUND IS TO BE TOPSOILED
AND SEEDED
MT
1 20• I
CO
GRADE
CO
2'�MOA,(IPPROVED
GARNESS ENGINEERING GROUP, Ltd.
............. «.—,— CONSULTANTS d GENERAL CONTRACTORS ����••�+��—•
JAI L TIO(M 11010. LA! 101 • M1CRpWL Wf M • NCI( • IN (001).Lb-�1N q91[: �w.,v.w,yrYyar
FABRIC
CO MT
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
RICHARD & KELLY STONKE 345-6193 3 OF 4
LEGAL. DESCRIPTION: DRAWN BY:
GREENBROOK, LOT 6, BLOCK 1 K.D.M.
TYPE OF WORK: DATE:
PROFILE DRAWING 8/28/20(
(R". Ulm)
ORIGINAL GRADE
d V
oF.. �....... q�;4p0
•fir
GARNESS ENGINEERING GROUP, Ltd.
-• ••- - • -•• CONSULTANTS 3 GENERAL CONTRACTORS-.--,
ISOIL
ONTRACTORS-.-
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: CREENBROOK; BLOCK 1, LOT 6
PERFORMED FOR: RICHARD k KELLY STONKE DATE: 7
DEPTH ____
(feet) ��3_ ORGANICS TEST HOLE #1
1
7
8
9
10
11
12
13
14
15
16
17
18
DEPTH TO
GROUNDWATER
DATE
5'
7/30/08
SOIL CLASSIFICATIONS
8/7/08
9.55'
9/17/08
7.04'
10/15/08
6'
—
20
2
3:40
30
4 3/4
1 1/4
GW
3
•.
—
6-
—
PERFORMED
4
111111111ML
30
4 3/4
1 1/4
5
I� ill'GM
—
CL
—
6
4:42
30
N/NH•
•
SW
.♦.,�
IllilllllMH
SPCH
�i
�y/OH
sm SC
7
8
9
10
11
12
13
14
15
16
17
18
DEPTH TO
GROUNDWATER
DATE
5'
7/30/08
3.54'
8/7/08
9.55'
9/17/08
7.04'
10/15/08
TH/2
TH11
4 BEDROOM
HOUSE
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
8/4/08
1
3:10
—
6'
—
20
2
3:40
30
4 3/4
1 1/4
COMMENTS:
3
3:41
—
6-
—
PERFORMED
4
4:11
30
4 3/4
1 1/4
5
4:12
—
6"
—
6
4:42
30
4 3/4
1 1/4
19—{
PERCOLATION RATE 24 (MIN./INCH)
PERC.
HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 2 FT. AND
3
FT.
20
A FOUR HOUR PRESOAK WAS PERFORMED:
E YES ❑ NO
SOILS LOGGED BY:
SUSAN OSWALT PERCOLATION TEST PERFORMED BY:
DAVID GARNESS
COMMENTS:
PERFORMED BY CEG,
Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS
PERFORMED
IN ACCORDANCE
WITH ALL STATE AND
MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: io
h6laQ
ooaoo 4D
OF pp
4.S'�1'�
GARNESS ENGINEERING GROUP, Ltd. TH ?- 0
- •• - • CONSULTANTS & GENERAL CONTRACTORS+•--.... «- Q O : 4 I- •�p 00
........... . . ...... .........0
3I01 L 11gON ep•D, SMC 101 . NK1gN4L M. •YJO) • hgI1L YO) )-!I)Y • AC •0) -JtM • •[BSOL •s••.•�N^•r+9�o•m
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: CREENBROOK; BLOCK 1, LOT 6 13 e Gar ss..-• OO
PERFORMED FOR: RICHARD k KELLY STONKE DATE: 7 30 08 °i —79j53 `cppp
DEPTH__— �olesslo
p d/°o\
�o
(feet) �ORGANICS TEST HOLE#21����000��oo
t
SOIL CLASSIFICATIONS
2
GW ^ ORG EXISTING I '
3 S.SaGP ML 4 BEDROOMI
GM CL HOUSE
q GC OL
SM .00000 SW MH
SP CH I I
5 SM i i OH
6
SC
7
' !
8 ♦ THII
TH/2
I
9
• •r CAFE-_____
yr
to—••.,r: SP/GP .loo'
•• al
.,. �, �,
it-••
B.O.11.
12
13
14
15
16
17
18
19 PERCOLATION RATE 2.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 3 FT. AND 4 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: YES ❑ NO
SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: DAVID CARNESS
COMMENTS:
PERFORMED BY CEG, Ltd. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS ERF RMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Dw
DEPTH TO
GROUNDWATER
DATE
9'
7/30/08
8.58'
8/7/08
9.2'
9/17/08
DRY
10/15/08
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
8/4/08
1
3:12
—
6"
—
2
3:27
15
0
6"
3
3:29
—
6'
—
4
3:39
10
1.5"
4.5"
5
3:40
—
6'
—
6
3:50
10
1 3/4'
4 1 /4'
7
3:51
—
6"
—
8
4:01
10
1 3/4"
4 1/4'
9
4:02
—
6"
—
10
4:12
10
2"
4'
11
4:13
—
6'
—
12
4:23
10
2'
4•
opoopp�
1500
2000
o�
HN M
Ov � ••• � W ••• / �oOV
N N N
C
NIG WATER ALARM
��TDcA
M�r,``Ql
AL
O^
LL- D
N
=
12
NOTE: FLOAT LEVEL IS FROM BOTTOM OF PUMP/BASKET
TO THE CENTER OF CORD.
. cb
Q�� Sa : •' Qagoo
o�
�p0
• fwn[ hn
• arwnrt
• ww[ 1o+r
• au.na � {cEI
Y IWN:�°M O Q
a
C77
a
°
/ L,
Cj
••wr.a az
r°uuu. aurtm°
pu ••a
i:a�
M
r totuna. K
t'
F• m •• W
a.•al
(n
U pp
J
M
a•m.•uff
LnzeT
Vic:-'..oYs " `•
., ':. W O
1500 CALOON S.T.E
;p;,.:.,•+(:;:-�7t%,-.:e:'..'
9p W
wne
QS Y Ld
U
O W
Y
ED W 2
a o
LO F"
V1 1�
awmon.—
L= r
O Z
J
J <LAJ
Y
Y O
co O L. •7j
O o0 O
D=
N
um YZ ¢�
N
O4 LLW wU
o 0o a�
Wco
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETNVEEA' 1UNICIPALI.TY OF ANCHORAGE
ANDiC
THIS MEMORANDUM OF UNDERSTANDING made and entered/ into as of this
�3�c(Day ofQee-emi)ce- of20C�',byandbetween ;t/,,a1 `kt//KSi�^kG
~—
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Memorandum of Understanding agree as follows:
1. ADVANCED AVASTE\VATER TREATMENT SYSTEI%IS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWWTS), described as OLtan i(, S Acrote 1 I located
at L r e ert brt,n k 6) I L C , Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an AN'WTS that
Includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design. Prior to
performing any alterations to an AW WTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65.
B. Certificate of On -Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with AMC 15.65.
These approvals certify that the systems are adequate for the homes that
they support and meet the codes that were in place at the time of system
construction.
C. Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
D. Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AR'WTS that were included in
the original design which would allow the A W WTS to continue to
perform as designed.
E. Permit (Construction) An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating) An Advanced Wastewater Treatment System
Operating Permit. An annual permit, issued by the Municipality, that
allows the Owner to operate an AW WTS, upon meeting all the
requirements of this agreement, the conditions of Operating Permit, the
requirements of the On -Site Wastewater System Construction Permit and
all relevant provisions of AMC 15.65
3. Fee. Owner shall pay to Municipality an annual fee of O
($ 0 .00), payable on or before the issuance of the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date of the approval by the
Municipality of installed system.
4. Term. The term of this Memorandum of Understanding shall be for the life of the
A W WTS.
The terra begins on the date of approval by the Municipality of the installed system and
shall continue while the AW1i'TS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of On -Site approval is issued to
the new owner or transferee of the property.
S. Alterations. Installation and Removal of Additional Enuipment. Owner agrees
not to make any alterations, removal of parts or additions to the AR'%'TS without a
Construction Permit from the Municipality.
6. Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding, the Owner shall
maintain AWWTS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding, and any extensions or
renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2)
maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs.
Further, Owner agrees to comply will all applicable ordinance, laws, regulations,
rules and orders for the AW WTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owner's AW WTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the Owner's A W WTS
Operating Permit is: 11.1 t , Le. i CCL
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AW WTS are codified in AMC 14.60.
D. Owner agrees that only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
B. Owner agrees to grant the Municipality reasonable access to test and inspect the
AW WTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
G. Owner agrees that the relevant provisions of the standard specification guidebook
for A W WTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AW WTS.
7. nomvaiver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any way effect the validity of the Memorandum of Understanding or any part
hereof, or the right of such party thereafter to enforce each and every provision
hereof.
8. Amendment.
A. This Memorandum of Understanding shall only be amended, modified or changed
by a writing, executed by authorized representatives of the parties, with the same
formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this contract, the only authorized representatives of the parties are:
Owner: K I L A a r d <
Anchorage: Purchasing Officer
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding 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 Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
ORT ER:
By:
Date:
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
MUNICIPALITY:
By:
Title:
Date:
) ss.
The foregoin 'instrume(�t was acknowledged before me this btuay of S bntA_ _ br+�. ,
20 t) g, by (� s4r r-2 �T—
=?AyC&..6xb*aEXP1M:Av&23,3010
L
Y P LIC FOR ALASK4
IC
mission expires: •� • I Y
q.20, 2010
September 6, 1979
R.F. Westover
mYlrck .. Nwtlan and Hayes
750 1 Street
Anchorage, Alaska 99501
Subject-. Lot 6 Block 1 Green.bcook Sub -division
inspection _-RReport
The subject system inspection report can not be approved by
this department until the report haS been stamped by a
registered •en gineer (States of Alaska seal) and signed by
s ate .
if there are any further questionsp please contact this
office at 264--4720..
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
P,CP/l j%,
cc, LockWOOd Homes, Inc -
4611
4611 Business Park Douelvard. 99503
MUNICIPALITY OF ANCHORAGE
OF HEALTH & ENVIRONMENTAL PROTECTION
DEPARTMENT
I ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501
Telephone 264.4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE
F-1NEW
NAME
ao
O
XUPGRADE
MAILING ADD SS 6:a
GL
LEGAL DESCRIPTION141,
0
NO. OF BEDROOMS
LOCATION
O 417
Well Absorption area
Dwelling
P RMI NO.
'20
DISTANCE TO: �'
72
Uy
H Z
Manufacturer Y�
M ri
compartment
No. of s
aQ
C
uJ
to ~
In. capacity in gallons
Inside Ig nyth
Width
Liquid defjjh�
� IA
IF HOMEMADE:
�I/
Well
Dwelli
PERMIT .
I] Z
DISTANCE TO:
OO Q
Manufacturer
Material
Liquid capacity in gallons
2 f-
Wel
FoundationNearest
of IiryE
PERMIT r O
-i
DISTANCE TO:
W
J LL Z
Z
No. of lines a� Leng 9f eac li� /
Total length yf lines
Trench widtfyj
inches
Distance between lines
z
w
F
ccTop
_
of the yo finish gra1W
Material beneath tile //
�� A� inches
Total ey a orption area
>
o
a f/ 36
//
Length Width
Depth
PERMIT NO.
W
UTotal
Q I--
Type of crib
Crib diameter
Crib depth
effective absor tion are
aK
w
Lu
Well
Building foundation
Nearest lot line oe
y
DISTANCE TO:
Class A
Depth
Driller
Distance to lot line
PERMIT NO.
J
A
w
_
Building foundation
-_
Sewer li a
Septic tank
Absorption area(s)
DISTANCE TO:
OTHER
PIPE MATERIALS
LAOS 5"
SOIL TEST RATI G
INSTALLER
REMARKS
u
a
1 0 41
41-71
rip,
00
of 110 1
�J L
i e �l✓
,, ,.
APPROVED DATE
LEGAL
ti.
77'017'!Q,,v, 3"8I
THE REQUIRED : i„>E
OF THE. SOIL, ABSORPTION s'•r''sTEM I,.=,:
e o "G :d�' _ ° T.�-q_,
_€"HE"
LENGTH DIMENSION
I : L_EN TH ::Ira FEET)
OF' THE TRENCH OR r-.lRA I NF I E_L _D.
THE
DEPA€='l"rlErdl'
"1_`
Cir 'r�EF=11_TH Arab Era'; IL::C�r�rl�:.r� � fel._ F'f=a-iTE�_; €I�-�N
���yc�lolc
GROUND
82
STREET, AN ti�+RAGE. t=i:f. - . ._ ..
i
.LL64-- �-'1'. 20
THE
GRAVEL. DEPTH IS THE
MINIMUM DEPTH OF GRAVEL.
BETWEEN THE OI_i"EF191_l._. PIr`i_
AND
PERMIT
NO. r.: 790090
FiPFIL.I CANT
LOC:KWIOOD HOME -t.
INC 4611 BUSINESS NES PARK
°.a. ......
L.00:AT I Ora
VON SCHEBAN DF:
LEGAL.
Lr_; B1 GREENBROOK
S/D I._CO' SIZE =i_JI.
FIFE
TYPE OF SOIL.
ABSORBT I Cera :_i'•r
STEM I S : DF:A I NF I E.L.L.'i
t'iA <; I MUM NUMBER
OF BEDROOMS
= 4 SOIL RATING 'SQ FT,,'F,F:) f.,55
THE REQUIRED : i„>E
OF THE. SOIL, ABSORPTION s'•r''sTEM I,.=,:
e o "G :d�' _ ° T.�-q_,
_€"HE"
LENGTH DIMENSION
I : L_EN TH ::Ira FEET)
OF' THE TRENCH OR r-.lRA I NF I E_L _D.
THE
DEPTH OF A TRENCH
OR PIT IS THE DISTANCE:
OR
BETWEEN THE SURFACE OF 'THF:
GROUND
AND THE BOTTOM
OF THE EXCAVATION (IN
FEET).
THE
GRAVEL. DEPTH IS THE
MINIMUM DEPTH OF GRAVEL.
BETWEEN THE OI_i"EF191_l._. PIr`i_
AND
THE BOTTOM OF THE:
EXCAVATION (IN FEET:.
PERMIT APPL_ I CANT HAS THE RESPONS I B I I_ I T', TO INFORM 'THIS DEPARTMENT FAIR I r•:IG TI -IF,
INSTALL-ATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS P€TOF`EF'TY Ara) THE
r•4LIMBER OF RE'_ IDENG'ES THAT THE WELL_ WIL.L SERVE.
_r
-4 10_E P -°A "=' < = iE ^ A.' -T ^'= A"E". '. '.`. A.--� h_. _�_ :'�'= LF,=' ";'x _.._ .___..._.....
E:AC:KF I L_L I ray:, OF ANY SYSTEM WITHOUT FINAL Ir'aSPE:CTIOra AND AF'PE=:O VF=tl... F.*.' THI::
DEPARTMENT WILL. BE SLIBJEC:T TO PROSECUTION.
MINIMUM D I sTAr•aC' E: BETWEEN A WELL AND t=FP"Y or•a—s I TE SEWAGE CEI :.�L='0Sf-lI S'r -n-FFM r'-
100 FEEL- FOR A PRIVATE WELL_; OR
.150 TO 200 FEET FROM A PI_IE,t_IC: WEL.L DEPENDING UPON THE T'A'PE: OF Pt_IE,L.iG I.1E:L..L..
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRANC; ARE'
AVAILABL.E TO INSURE PROPER INsTAL.LATION.
I. CERTIFY THAT
1: I AM FAMIL.IAR WITH THE F:EGUIREMENTS FOR Cera --=;ITE_ SEWERS
FORTH BY THE MUNICIPALITY OF
2: I W11 -t- I' NSTAL.L. THE `=,'�' TEt'1 Ira ACCORDANCE WITH T€ -IE'. CODES.
I FrdC>Ef " •l"Arab "€'HI=1l THE C ira— ITE SEWER ' 4':::TEr.l MAY REQUIRE
RESIDENCE IS REMODEL TO I rat-1-F_FDE hiIDRIE THAN 4 BEDROC tt &
Eral_ARGEMENT IF THE
IIe�' h and Environmental Prote 'ton
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
264-4720
INSPECTION REPORT 011 -SITE SMAGE DISPOSAL SYSTEPIA
NAME - 5. Q_Fick ---- _.---------MAI LING ADD RLSS,6M_V_.'I�NmoND
LOCATION!4 N--�kr-- V-0_ _-_._ __------- LEGAL
SEPTIC TANK
DISTANCE C0111M lNUMBER OF
Qe�(Z_ -- r,�nrF.RIAL_ `TCt _--_coMPaRTnnENr-- 7�
FROM
t_IQUID DCPTEI _,V � A___ LIQUID CAPACITY1'A50 GALLONS.
TILE DRAIN FIELD:
FT �� TOTAL LENGTH lj T,
DISTANCE E=ROM WELL-_._..-_____F=OUNDATION-8_._-_NEA11REST LOT LINE _.--_._...... -OF LINE
# of Lines (_?�)_MCDISTANCE BETWEENEJfdES �_l�- _TRENCH WIDTI-1 �D IN. TOTAL EFFFC1 P/E
ARSORPT ON AREA __ '____-..___--._ SQ. Fr. LF_NG'rH OF EACH LINE-
lt DEPTH OF FILTER q
DEPTH: TOP OF TILE TO FINISII GRADE-� __-__r� AIERIAL BENEATH TII_E�U ___IN. ABOVE TIE_E IN.
SEEPAGE PIT:
DIAMETER _OR WIDTH-__, LENGTH_,
Log Crib Rings_ Crib Size: DIAMETER_-__DEPFT1.—_DISTANCE FROM: WELL___
TOTAL EFFECTIVE
BUILDING FOUNDA-I ION ____-. NEAREST ED LINE ___..—__ . ABSORPTION AREA (WALL AREA) _SOA- SQ. FT.
Well�-
Class : Depth -
Well Distance To: Lot Line
Bldg: Sewer Line.
lag-5m Materials: «
�
-
# of Bedrooms:
Installer:
Remarks:
;4-17T
,-
:_II
DATES\VA�j&
APPROVED �t—
-----
�v F::7
DEPHRTMENT OF HEH[_TH HND ENVIRONMENTHL PRQTECTION
825 STREET/ ANCHORAGE/ HK 99501
264-4720
W-7. L -_g FF;? i=." F=." F-?. 1 1 ~a
�PPLICHNT LES PACE LOCKWOOD HOMES 1601 E DIMQND
�OCHTION VBN SCHEBEN
LOT SIZE 44450 SQUHRE FEET
TI
[HE DEPTI-1 (,*IF A TRENCH OR PIT IS THE DIST 1 E BETWEV-.A'J THE SURFACE OF' THP'
THERE I'S NO SET WIDTH FOR TRENC'HE S.
J, �3���="-F T. "I F---- 1 EE A - eg ff":?� C --A c3i n-. U.__ i__ 1C, ff . .......
�e���x� ��,� ���------~—�
H PHCKHGE PLANT MAY BE INSTF-i 1 THE PERMITTEE'- OPTION SUBJECT TO THE
FOLLOWING CONDITIONS:
1. EITHER H CLASS I APPROVED PLHNT MHY BE INSTHLLED.
2. H CONTINUOUS MAIN REEMENT IS REQUIRED. IF H MHINTENHWCE
AGREEMENT IS NQT NT YOU MAY BE REQUIRED TO ENLARGE THE SOIL
ABSORPTION SYSTEM YOU MAY BE SUBJECT TO PROSECUTION.
�W 10��'���������� F F J I lF__�
BACKFILLING OF HNY SYSTEM WITHOUT FINAL_ INSPECTION AND HPPROVHL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTHNCE BETWEEN H WELL. AND ANY ON-SITE SEWAGE DISPQSHL SYSTEM IS
i00 FEET FOR � PRIVHTE WELL QR 200 FEET FOR H PUBLIC WELL `
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONS TRUCTION DIHGRHMS F -1-:E
HVAILHBLE TO INSURE PROPER INSTALLATION.
1 "'IF' ��>--." F--:' R:Z' 07--_ �E7. i����
I CERTIFY THAT
1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL IN' THLL THE SYSTEM IN HCCORDHNCE WITH THE CODES.
I UNDERSTHND THA
THE ON�SITE SEWER SYSTEM MAY REQUIRE ENLf�RGEMENT IF THE
RESIDENCE IS 6 MOED TO INCL"_ MORE THAN ] BEDROOMS.
SIGWED:
ISSUED �X���-��
C
,p
y .
4. 'C0121t2tiction Sres% '=ab
"One test is worth a thousand opinions"
2204 Cleveland Anchorage, Alaska 99503
Performed For Les Pace Date Performed2�76
Lenal Descrintion: Lot 6 Block 1 Subdivision Greenhr)Dk _ _
This Form Renorts Soils Loa yes Percolation Test_yes
Denth
G Soil rharacteristics
.eet
Topsol
2 Grovel. (QP)
4
6
8Silty Sandy Gravel
—
at�il� Ground water level
12 —
14 Bottom of Test Hole
16 —
18-
20—
Was
8-20--
Was Ground Water Encountered? yes
IF Ves, At what Denth? - 10 ft
!7
I�
Reading6Da
Gross Time Net Time
Denth to
inches
H2O
Net Dr no
inches
t
J
i
3-1/2
0
I
F
/
I
hrs
I I
I
8/25%-76
I �
0
!7
Percolation Rate 1"/10 Minute
Proposed Installation: Seenaae Pit Drain field
l_. Deoth of Inlet Denth 7o Bottom Of Pit Or Trench
COMIS!ENTS: 165 square feet drainage area required per bedroom.
Perc test performed from minus 4.5 to 6 feet below
groun.d sur ace.
�.
Test Performed By
4 R2dz Data Certified Bj : CONSTRU_CTIOu TEST
nes DMackDate; 8/27/76 LA
I�
Reading6Da
Gross Time Net Time
Denth to
inches
H2O
Net Dr no
inches
t
J
0
3-1/2
0
F
/
Saturate f r 24
hrs
_
8/25%-76
0
3-1/
8/25/76
10
min
5--7/8___
_
8%25776
20
min
^ 7-1/2
-- -8-5L8
1=5Z
_
r 87 25776 30 min
— ---
1 8/25/76
40
min
9-V8
r
_1
---1 8/25/76
- 50
min
10-V8
1
�—
8/25/76
60
min
11-5/8
_ 1_
Percolation Rate 1"/10 Minute
Proposed Installation: Seenaae Pit Drain field
l_. Deoth of Inlet Denth 7o Bottom Of Pit Or Trench
COMIS!ENTS: 165 square feet drainage area required per bedroom.
Perc test performed from minus 4.5 to 6 feet below
groun.d sur ace.
�.
Test Performed By
4 R2dz Data Certified Bj : CONSTRU_CTIOu TEST
nes DMackDate; 8/27/76 LA
'I(
C 6(U -z ik,-. A
I
A L
14 ( I
ftco-ru C.
SLI ry) p
MUNICIPALITY OF ANCHORAGE'
• DEPARTMENT,OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On -Site Services Section r
P.O. Box 196650 ? Anchorage, Alaska ...99519-6650 ` S
343-4744
t r
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING'
Parcel I.D. # I)1`3 — Q HAA # 1��1"1S �3'1�1
1. GENERAL INFORMATION
Complete legal description Lot 6 Block 1 Greenbrook Subdivision
Location (site address or directions) 12901 Van Scheben
Property owner,..,' Larry', Tankersley Day phone 345-0478
Mailing address 12901.; Van Scheben , Anchorage, AIC 99516
Lending agency _ Day phone
Mailing address +'
...ma:.,
Agent Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual well
Community well X
Public water
NOTE: if community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site x =-
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) Froht MOA N21 " -
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system Is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
_ n
Name of Firm
Address 206 E.
Engineer's signature
6. DHHS SIGNATURE
Approved for bedrooms.
Disapproved.
Phone (907) 272-9336
Date
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
By: Date l5
CAUTION
The NiurncipalitKof Anchorage Department of Health and Human Services (DHHS) issues Health Authority
_"/`,,Approval Certifi Ates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending institutions in orderto satistycertaln federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/81) Back MOA 021
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744
Legal Description: Lot
A. WELL DATA
Well typecommunity
Log present (Y/N)
Total depth
Sanitary seal (YN
Date..of test _
Static water level
Well production _
Health Authority Approval Checklist
Block 1 Greenbrook Parcel I.D.: � f
M ^'
If A, B, or C, attach ADEC letter. ADEC water system number 210346
M
Date completed
WATER SAMPLE RESULTS:
Coliform
Cased to
F2t • k&rr1:1r10�Cilei
Date of sample:
B. SEPTIC/HOLDING TANK DATA
Nitrate
Casing height (above ground)
Wires properly protected (Y/1)
g.p.m.
Collected by:
AT INSPECTION
Other bacteria
g.p.m.
Date installed 1/24/78 Tank size 1250 Number of Compartments 2 Cleanouts (YN
36
Foundation cleanout (YN Y ' Depression (Y" N High water alarm (YN N
M' uKdcY- suvroowt w � pow
Date of Pumping 8/4/95 Pumper Roto—Rooter
C. ABSORPTION FIELD DATA
Date installed 1/78, 8/79 Soil rating (g.p.d./ft2 or ft2/bdrm) 165 System type Trench �Z)
Length 63ft, - 45ft Width 30 in Gravel thickness below pipe Oft, 3f Total depth Eft, 5ft
Effective absorption area 774 Monitoring Tube present(Y/N) Y Depression over field (Y/M N
Date of adequacy test 8/20/95 Results (Pass/Fail) Pass For 4 bedrooms
Fluid depth in absorption field before test (in.); 26.25 Immediately after 915galwater added (in.): 35.75
Fluid depth 6S Minutes later: 34.375 (in.) Absorption rate = 610 g.p.d.
Peroxide treatment (past 12 months) (Y/1) N If yes, give date
D. LIFT STATION 'd/A
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
Size in gallons
"Pump mi" level at*
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO: N/A
Septic/holding tank on lot ; On adjacent lots
Absorption field on lot ; On adjacent lots
Public sewer main
"Pump off' level at*
Public sewer manhole/cleanout
Sewer /septic service line Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 9 ft. Property line 20+ ft. Absorption field 15 ft.
Water main/service line 20+ ft Surface water/drainage N/A Wells on adjacent lots 200-1- ft.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation _ 9 ft. Water main/service line 30 ft.
Surface water None observed
Curtain drain N/A
F. ENGINEER'S CERTIFICATION
1 certify that 1
in conforrnanr
Signature
Driveway, parking/vehicle storage area 12 ft
_ Wells on adjacent lots 200+ ft.
field inspections and r,
felines in effect on this
HAA Fee $ :%rr e6q) Waiver Fee $
Date of Payment �J -ail Date of Payment
Receipt Number �� ��5 i�Receipt Number
Rev. 8/95 OSS: haa.wk.doc
ystents are
INV
yoICE
�0�0C;200 V92 SEWER AND DRAIN
CLEANING SERVICE
P.C. BOX 112688 PHONE 345-2513 ANCHORAGE, ALASKA 99511-2688
Job Address
CUSTOMER �OFIIDER #
iDATESALESMAN TEflMS-30 DAYS
TRIP
ADDITIONAL LABOR CHARGE HRS.
I
n
PUMPING SERVICE ; SO C> (GAL.) HRS. @
HYDRO -JET SERVICE HRS -
TV CAMERA INSPECTION HRS.
'MATERIALS
TOTAL FOOTAGE CLEANED OR THAWED
PROBABLE CAUSEOF STOPPAGE
LINE CLEANED
❑ J013 NOT GUARANTEED FOR FOLLOWING REASON.
WORK ACCEPTED BY
ABSORSTION FILL DATA SHEET
IPRQIECT
JOB NO.:�3�1
�2�•i 1
! Oaic:0-20-95- PAGE' OF
C ESCF�TICN: 1 Ll It 5
LEGAL LCCAT:CN OF TEST
t -t-2
PHYSICAL LOCATION OF�}p.CTEST
U
/C/ c�G�� E' !/L
q GRAVEL - �! - ,� DEPTH TO
, A PIPE 6CTTCM: 2 8
TOTAL DEPTH:
GRAVEL WIOTH:1
30 NLu6ERCFLINES: TOTAL ABSORSTIONAREA: '7 T7 ! �.
--
NOTES
TOTAL
OEIFTHFROM
J\P
Ec7.'STIM
TIMEOFDAY - I (MIN)
80TTCMCF
MCNITCRNGTUSE)
A D I
ED IRA�ft.
MP(GPMIY`JGI•`
'/� G I..-
IG ,.. I�
G/� DI
COWENI S
.
qZ
I,
iI
5" i
5o
/o
S,, Z3
I io9;0o
Iv;7
zt75 I:.�r'
!�p.l.
,
y,o I
.yo
/0 00 16f
I
B 75
z o I
r 0 12
31
I o' I
►v
/n;tS !v
z5!
y,o0.)
'`3.0
. ��,•3 � ,. _
%a
i ::io.:sU !a.zsj
,l,zSl..�Z:�
E
is`
I--2�C�
I�411
;►�
I o
I �a;7s Ih�zsl
12.o
L_izo
130
.Bppd
!
s
I
.y;so
.!-�
G;,iz;3�
I i�-O
!..� f-�,�/25
! •$?$I'��%,�`dr($
! z. -C> .!''
Lfl `!3ZCo�
!-; O� :!
:``:!
�:, l�/
! ':'.(� '_!'
-,Z ' �.%
! I
I� •.Zi��
! z •.0,
-
l
.I..
.:
•: t,-..,53 :�.
I�, ;_�:� t
I:: Y/3.o.-
j".v.,5
16.,�s!._2,
..!�._
.0,-.13
��;h.f�ro.t.:!�
C.
c7
S
i
ke
I
V
I iliwo
lyZ
f
: Z
!' �`a f4•i
'A�a,�s-
I-.�-1
k,.s;4�Yz,r��l��:���.I�*���;�.��.�
clay
'=�1�:
to
77
17:
I
4t
, 'zs .Ij-s`
I t
I Z r
17zl,s�•�ti
l c
I n. {
C
)Z, z s''
; v
I' "lp
z: S
i t s SIS
�' 1
1I
'$'�-•g
� i0
! tz,"rs
I.s
! �.s
I ?,s" I z s =�'!�
�.Y:�
so.
! g,r3B
lU ! 17, 7!;-- Io
IG,S ZU' I -2 C)
'7; i S" ! S
! 7.3 E S O o`u
a:U3 )a ly s l ' 2'15SO ;78o':I sa
� 9'. 13 lv 1 )S � �s' i Y•'75- S : S o =�3a` ! !moo
1 `l _ `V'7 .`T �I s:5 I S
�3 j 15- s 1 s�
SL�s- OTC)
hater Absorbed (Gallons
N W i CT O+ v 2 {DQ
Q N W � 4>• T v m V O p
CID
�
T
Separation Distances
Well at Inspection
Minimum Distance
Required
`y
Date of test
Separation Distances
Well at Inspection
Minimum Distance
Required
Data from Field
Date of test
Static water level
Well flow
Pump level
Separation Distances from Well
to:
Septic/holdingSeptic/holding tank on lot 1100
ft. A&8(200 ft)C(150 ft)
- • -
Septic/holding tank on adjacent lot
Absorption field on lot
100 ft.
Absorption on adjacent lot B)
Public sewer line
Public sewer manhole/cleanout
Sewer service line
100 ft.
Petroleum tank
Separation Distances from Se
tic/Holding Tank to:
Well(s) on lot A
Wells on adjacent lots
-
Foundation
5 ft.
T .
Property Line
5 ft.
Absorption Field
5 ft.
Water main/service line
10 ft.
ia+
Surface water/drainage
100 ft.
Separation Distance from Lift
Station to:
Well on lot B)
Well on adjacent lots
Surface water
100 ft.
Separation distance from absorption field to:
Well on lot
_=
Well on adjacent lots
Property line
10 ft.
-
Building foundation
10 ft.
- -
Existing or abandoned system on
Existing or abandoned system on adjacent lot
Cutbank
I-
Water main/service line
10 ft.
Surface water
100 ft.
Driveway, parkin /vehicle storage
10 ft.
Curtain drain
MEN
so
moommommum
0!;Mml
m
MEN
on
woommommml
ON
M,
M-
smimmummmomomm
ON
M-
o
o
jk
fI
------
t4
/�< � r� _
_�� ) � � '1 � � i (�)
,[�� �>` �, t.�.
Vim""`
(� � �� � ,
5. LEGAL DESCRIPTION
DATE RECEIVED
INSPECTION APPOINTMENTS
STREET LOCATION
TIME
TIME
TIME
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
DATE
DATE
DATE
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
INSPECTOR
INSPECTOR
INSPECTO
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. Of -
825 L Street - Anchorage, Alaska 99501 ENVIROMMLNI -',.i- -CT ION
ENVIRONMENTAL SANITATION DIVISION 1-)c`•1., l' 2]u
Telephone 264-4720
I �\j�'¢
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW- 9CFi IW)
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTYOWNER
PHONE
Relocation Realty Service Corp. (Pope)
Vacant
MAILING ADDRESS
NHN Von Rphpbon Dr- (Off Dearmond Rd. )
PROPERTY RESIDENT (If different from above) -
PHONE
2. BUYER
PHONE
Larry L. Tankersley
-
MAI LING ADDRESS
SRA -Pox
3. LENDING INSTITUTION
PHONE
Alaska Pacific Bank
276-3110
MAILING ADDRESS
101 W. Benson Blvd., Anchorage, Alaska
4. REALTOR/AGENT
PHONE
Jack White Co. 3201 C. St. Anchorage, Alaska
277-1553
MAILING ADDRESS -
3201 C. St., Anchorage, Alaska 99503
5. LEGAL DESCRIPTION
Lot 6, Blk 1, Greenbrook, Sub.
STREET LOCATION
Von Scheben Dr. (
off Dearmond Rd. -4th house on the left )
6. TYPE OF RESIDENCE
NUMBER OF,BEDROOMS
❑ One 111' Four ❑ Other
Cog SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
❑ INDIVIDUAL*
* ATTACH WELL LOG. A well log is required for all wells drilled
EX COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
XM INDIVIDUAL/ON-SITE**
tYEAR ON-SITE SYSTEM WAS INSTALLED.
❑ PUBLIC UTILITY
j 1-12
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
72-010 (Rev. 6/79)
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE
❑ TWO
❑ THREE ❑ FIVE ❑ OTHER
❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: I SSD If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL T0:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
0 ---APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
BY
QC
72-010 (Rev. 6/79)
5. LEGAL DESCRIPTION
MUNICIPALITY OF ANCHORAGE
STREET LOCATION
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501
NHN Von Scheban Drive,
•
{
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 264-4720'
a I "L
{ = + a
❑ Two ❑ Five
S�
RFuUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing.
1. PROPERTYOWNER
❑ INDIVIDUAL*
PHONE
LOCK1400D HOMES INC.
since June 1975. For wells drilled prior to that date, give well
274 6587
MAI LING ADDRESS
B. SEWAGE DISPOSAL SYSTEM
4611 Business Park, Anchorage, Alaska. 99503
TA INDIVIDUAL/ON-SITE-'
PROPERTY RESIDENT (If different from above)
PHONE
2. BUYER
by this Department.
PHONE
ROBERT ALAN POPE AND JOANNA POPE
MAILING ADDRESS
NHN Von Scheban Drive , Anchorage, Alaska. 99507
3. LENDING INSTITUTION -
PHONE
The First National Bank of Anchorage
279 0622 X204
MAILING ADDRESS
-
P.O.Box 4-2090, Anchorage, Alaska. 99509
4. REALTOR/AGENT
PHONE
Area Realtors.
MAILING ADDRESS
5. LEGAL DESCRIPTION
Lot 6, Block 1, Greenbrook
STREET LOCATION
NHN Von Scheban Drive,
Anchorage. AK.
6. TYPE OF RESIDENCE
NUMBER OF BEDROOMS
❑ One ln� Four ❑ Other
XXI SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
❑ 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.)
B. SEWAGE DISPOSAL SYSTEM
TA INDIVIDUAL/ON-SITE-'
**If individual/on-site, give installation date
If system is over two (2) years old an adequacy test is required
❑ PUBLIC UTILITY
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010(3/78)
THIS SIDE FOR OFFICIAL USE ONLY
INSPECTION APPOINTMENTS
DATE RECEIVED
TIME
TIME
TIME
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYS TEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified _
PERMIT NUMBER
DATE INSTALLED
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: .—If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
-r0'rAL ABSORPTION AREA
MATERIAL
4. DISTANCES
WELL. T0:
Septic/Holding Tank
Absorption Area
Sewer Line
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
9)/APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
BY (Title)
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
r
,sa4_
N RO
ElyEY.+
995
— terra IJ
F >
a
•
OJR py.>J
G2EEK -..° • • •���� I.�
RAfSBr � '-�� G • I�
_I L -- o
175
DeArmoun Road Area Reference Map -P14 180 Q®A 182
181
r
187
ISAACS PUMPING SERVICE
ISAACS PUMPING SERVICE
(Norm Tibbetts, Owner)
DATE
6218 Quinhagak Street
ANCHORAGE, ALASKA 99507
Phone 344-0114
-.
TERMS
PLEASE DETACH AND RETURN WITH YOUR REMITTANCE
G
S
DATE
INVOICE NUMBER/ DESCRIPTION'
CHARGES
- CREDITS I > BALANCE
- - -
BALANCE FORWARD � )
�
n
,Y Y
\ n � e .;
-�' A
�i'i
-• ..
. , s`
_
-.-
JC—i'1
/1^
ISAACS PUMPING SERVICE