HomeMy WebLinkAboutGREENLAND BLK 5 LT 3Greenland Block 5 Lot 3 #015-171-34 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241140 Work Type: SepticTank Upgrade Tax Code Number: 01517134000 Site Legal Address: GREENLAND BLK 5 LT 3 G:2636 Site Mailing Address: 4700 E 115TH AVE, Anchorage Owner: FLYNN DANIEL T & HEIDI S Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 6/27/2024 6/27/2025 ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing . eive48y: T SS c"eA -f"v " l--( C.- Date: Issued By: % Date: 3 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-171-34 Property owner(s) DANIEL T & HEIDI S FLYNN Day phone Mailing address 200 W 34TH AVE #914, ANCHORAGE, AK 99503 Site address 4700 E 115TH AVENUE, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) GREENLAND BLOCK 5, LOT 3 Legal description (Township, Range & Section) Lot Size 18,000 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial D Single Family (SF) ED -XI (w/wo ADU) Septic Tank I Upgrade RX Duplex D (D) Holding Tank EJ Renewal El Multiple Dwellings D Privy D (SF and/or D) Private Well M Water Storage El THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: ?zS — Date of Payment: _ 6/ 17, L-0- z;" Receipt Number: Permit No. 0 5? 2- y 1/ &-y V Waiver Fees: Date of Payment: Receipt Number: Waiver No. GAIDevelopment Services\Building Safety\On Site Water and WastewaterTormsUient Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! June 14, 2024 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT – ADVANTEX FAP 2.0 LEGAL: GREENLAND BLOCK 5, LOT 3 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank and pump vault on the above referenced lot. We propose to install a 1500-gallon Advantex FAP 2.0 with pump basin per the attached design to serve the existing 3-bedroom residence. The Advantex tank will be installed due to the existing characteristics of this small lot with encroaching wells. With the Advantex tank, the existing absorption fields can now be considered to serve 4 bedrooms - a larger number of bedrooms than currently. No groundwater was noted in the MOA on-site file, but if groundwater is encountered during installation 4 cubic yards of concrete may be required around the FAP flange for buoyancy. The lot and area are served by private water and any encroaching wells, easements, … must be staked prior to construction. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241140, Deb Wockenfuss, 06/27/24 FIRST WATER CONSULTING GREENLAND BLOCK 5, LOT 3 DESIGN DETAILS: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241140, Deb Wockenfuss, 06/27/24 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this Day of �i N) -6- of 20_j,!J,, by and between _ k>j A Kj i L_ S j , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as located at (legal description) ADVANTEX SYSTEM GREENLAND BLOCK 5, LOT 3 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 topay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). A�2"wner 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 thep otential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Pagel of 3 Owner acknowledges that the Municipality may request records of maintenance and pairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be /assessed in accordance with AMC 14.60.030. .Z/I Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Aeowner 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. j(z:� 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 Municipality of Anchorage Page ! of `:3 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: __%—__— --. _._ _ PID Number: 01 S 1�7_L Name: Wastewater System: o New 1W Upgrade DONAt-0 (3H(7 (3M(3A TccDO Address: H70a E rf5 P►ve. /•1Nct+. 14 Pic 995 r6 ABSORPTION FIELD Phone: 3 Y 6 " 3 §'8 f No. of Bedrooms: 3 [13 Deep Trench O Shallow Trench O Bed Mound ❑Other LEGAL DESCRIPTION Soil Rating Total Depth from original grade: �%' 8 GPD/Sq. . Ft. I ?, rJ Lot: Block_ Subdivision: Deplh to pipe bottom from original grade: Gravel depth beneath pipe 3 i 6-(?EE11 l /4N U 6,3 Ft- 6,2 Ft. Township: Range: :3w Section. 22 Fill added above original grade: Gravel length: 6( !,O FL Fl. _f2a WELL: Ex/gr ❑ New ❑ Upgrade Gravel width Number of tines Distance between lines 2, J l-1. .9 SG E PMN Ft. Classification (Private. A,B.CI: Total Depth: Cased To local absorption arca- Pipe material: Ft- FI % SQ, Ft. f ISM° OIA ScH EO H0 PVC Driller: Date Milled Slantwater Level_ Inslaller Date installed: rt cgaAis F_xcFlvr+Trnr6 Yield : Pump Sol at Casing He�ghl Above Ground. �{ TANK Exrsr!NG GPM FI Ft SEPARATION DISTANCES El septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lin Holding Public.,Puvate Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines 6('r Material: Number of Compartments: v Well to C.O. (00' FiS r — Sd' Watere > f00' > foo > foo - - LIFT STATION rx(sr'!NG-- Lot , y5 t G 116- - - Size in gallons: Manufacturer Line Foundation lot 65 D "Yo r — 0 "Pump on" level at _ "Pump off' level; High water alarm at: Curtain _ _ Pump Make 8 Model Electrical Inspections performed by: Drain - Remarks: Tesf hole #.t war V_e exc6cVcclYCl( BENCH MARK Location and Description: -la IB.S' er ermi� re urremenf• !`lo r0cfA(,( SOUTHWEST COr? NC-(� of DCC( -C cuuFer encaun1-ere (. So,( Wal sh hH r,,0 _ Assumed Elevation: ,S'011 C densely Coi„,(2ac1-ed. Tre,,ch wn oration a 1UCJ•00 I'L ENGINEER'S SEAL rrr- G!/01 YhGGe(Tle� W, adeCrl 19 uj��er remairy O3-� ar) O(a (UlJSr(lerf trench en kereo( werh eno(o-1`sYjAern. wtre Cvun @ The exuhng sor/ 1 rr l4 ooy pM1°eo, e t.� ;.: ry°- 1 �•;J� ex c>/ l ol) 9 /� becf u�cry ochunclaned to /ola.r�� avarlay/e /e {tccre r^Gro4nrcfuin, fr•t,` ° y •°" Inspections performed by: met k Zcch. Svc .Dates: 1st !2 /9 /9 / +` `•'.'ia,'�,',,` ._' •, 2nd_ 1219 /91 C•`ave c�°n ac ca°>vt noro7°vo�. tnr t3•:�� too ooc <°aaDava+nc Department of Health and Human Services approval i� Reviewed and approved by:—�•4--1 •<-1 n (�- Date: 72-013 (Rev. 9/91) MOA 25 ._ ti_ I Permit No. 5 W 9/ 0 3 70 Page 2_ _ of _ Municipality of Anchorage 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 Legal Description: 6:R0C_ 6AS7- 115 I'll AiE 72-013 A )Rev. 9/91) MOA 25 PIDNO.: Or, -17/3Y n1_Rnl v1Cw I" = 30' 5w11VC- T1c--S t�otl : (3LDP cod;°A° CcR kaf >: M.j, 831 10,5-1 Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 ENGINEER'S SEAL WSJai"Oei ea YO�il•eeaaf a.-fr oPrj l:Ii P r' 3e VOOfO eeo af�z ar,� t. tl.r Permit No.5: 9 f d_3 7�_ Paye —_�3 _ of _ 3 Municipality of Anchorage 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 Legal Description: 1,0T 3 , 3 L. r< �'� GREEN e-Rnr L> S,"D PID No.: _O ! S / 7 ! 3 t_ (oo' ­rGM (PoacH) I r00•a' 95 ( e)krsr y_tr- - r s r�+rlaN 90' M •LNv 93.0' t 72-013 A (Rev. 9/91) MOA 25 c=fNAr- czeAOC 96.7' 1. 0M16G(N41. 6rriApC- 97.7' C/}Ve) GAcK r -(w/, r-f1.TER F46RIC I'/Ifs' PC -13F P1 P1" INVSRr7 91. 35' 6OT'MONPl ^SEW cs13 6-' riAvc-L,." -r ri E -N C N GO rr01-I &r. Z' PRor-rc.e vL=Rr NO "ri(Z. SC 9LF Flattop Technical Services 11530 Echo Street Anchorage, Alaska 99516 T-. 4. #J. 0r?16% 30T. PO. 13 E E x. 00T. 7 9. (216/9 / F.NGINEE,q'S SEAL M A ` '4 "4 �r d e 4 P1 t 1J++euVc:•o"eoe"e•�a•eeoaoec.'e�s�- f•� • ' ��f/jam' ��J/�' W `��ae ucouo eav ('l --2co 4:� ° • d o a ,, w MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT NUMBER:SW910370 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:JUDD DONALD L & BARBARA OWNER ADDRESS:4700 E 115TH AV ANCHORAGE, ALASKA 99503 PARCEL ID:01517134 LEGAL DESCRIPTION: GREENLAND SLK 5 LT 3 LOT SIZE: 17000 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 '.CHIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 1I i -A 4 k__ )- / �f (UPGRADE) PERMIT DATE ISSUED:12/03/91 EXPIRATION DATE:12/03/92 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: A SOILS TEST SHALL BE PERFORMED TO A MINIMUM DEPTH OF 18.5 FEET AT THE TIME THE ABSO�R/PTION TRENCH IS CONSTRUCTED. RECEIVED BY: DATE: (2-15 / 9 ISSUED BY L K✓/ �V. ��/1/ _ DATE Mun►icipality of Anchorage Department of Health and Human Services dh�15 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343--4744 December 4, 1991 Ted Moore, P. E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 3 Block 5 Greenland Subdivision Waiver Request #WR910054, PID 4015-171-34, #SW910370 Dear Mr. Moore: Your request for waiver of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance is 88 feet from the well to a lift station and 2 feet from the leachfield to the property line. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-site Services ljm:#6 Concur: ,I /ohn Smi. /, P.E. Program Manager On-site Services J MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# 910054 PID# 015-171-34 HA# Permit # SW910370 Date Received: 11/22/91 Legal Description: Lot 3, Blk. 5, Greenland Engineer: Ted F. Moore, Flattop Tech. Services Applicant: ponald Tudd Waiver Requested: 88, Well to Lift station• 2' Trench to Tot Line Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: SEE 4rfi1' 1,0cW Rec #: OS2 244 Amount: $ 410.00 Date Paid: 11/72/91 0flVEI� F06 LOT 3 &/-.Y .S` 6 1 EjEA114A,,v sub; I,v�IvEr2 0(?UFsr F Nu�RE N WRWOos4 Iv�1�En._14F_c7 u_�sT Fare WEA[ roe EpriC L/Fr ST-W770v-f�8-�-- QRoqlNF/EL 0 7'0 L 07" L lw im 2 -L.G7' �vpJ Fl-IP,%7 C'OvrIV? hc7'RA9 /.v I96g. g 7 1�f1/J rlM-E w_R f $O _ 7Hkf -Alf - l G�.� h2S _ /.vr G_R�T) - --- f0/3I--6600- 4-77- 7wiF 71.EE -OF eO�.t>�i'u_cT/o,� or-- 7 -let Nfk-_iRoPol�G /2So 6,ga-0ry - - di le rti 1�4p. 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THE _ENG/�vE� _ P-ERFORAfz -He sr, ric _ - - lo, re L E✓rL rs -- - `r fuAnpraG -1P*TF-Gplrj F0 r- ,.I LuF�- T6 _ Fir T/ -FA R_7'waFd -Ioj BEET rte. 3v�., _ - - - (v -/t I F� So3 PJEJ /Nnr_ �R �-E a(•o _Det c 7"C�i.Y 91VP kcjv P67't 7 ,,. - - I E, -C_. S. _D_. Iw. G for S.C. I w_ Lt T, -c i z sT i/aiv 19&5,v i,v P41 e E Fate - - -06 Fk61NEE)q- UERIF 40 _zcF7 _ %- w_ TES 7-16Mr ru -un __Ca,v_rH,uJNB_?io,v- - - I PR�S�'a_T Rs_-� l�'�Su,iT Gl►�fiti T- wl�/��/� -- Civil, & EN1'MONME IAL ENGINEEIRING • I•:NERGY CONSERVAIION & ANALYSIS THEODORE F. MOOKE, P.L. 14530 ECHO ST. PH: (907) 345-1355 November 22, 1991 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to construct a new soil absorption trench on Lot 3, Block 5, Greenland S/D, located at 4700 E 115th Avenue. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review and approval. In conjunction with this permit application, we are also requesting waivers allowing continued usage of the existing lift station located 88 feet from the well and construction of the new soil absorption trench within 2 feet of the south property line abutting a dedicated alleyway. Additional backup information from DHHS files supporting the waiver request is also enclosed. The proposed soil absorption system will be constructed between test holes #1 and #2. As can be seen from the soil log for test hole #1, the native material between 6' and 16.75' in depth is a somewhat silty sand with a measured perc rate of 8 minutes per inch. Using the soil application rate of 0.8 gpd/square foot specified in the wastewater ordinance for soils with a perc rate between 6 and 15 minutes per inch, this 3 bedroom residence requires a total absorption area of Q x 150)/0.8 = 562.5 square feet. The proposed 50 feet of soil absorption trench with 6 feet of sewer gravel has a total absorption area of 600 square feet, which includes an allowance of 37.5 square feet for the effect of the ell in the trench. We propose to abandon the existing soil absorption bed in place and to utilize the present lift station to provide pressure distribution of effluent into the new soil absorption trench. Based on an observed lift station pump output of approximately 15 gpm, we have specified 3/16" diameter holes spaced 3' on centers in the distribution pipe. Each hole will pass 0.94 gpm with a residual head of 5 feet. The topography in the vicinity of the proposed constriction site slopes towards the northwest at approximately 2 - 3% The proposed project will have no impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any impact on reserved space/surface and subsurface, or on drainage. Waiver Analysis - see site plan The septic system was upgraded in 1982 by the installation of a lift station consisting of a 24" diameter galvanized culvert set in a poured concrete bottom with a sump pump set on the concrete floor of the lift station. This pumps effluent in doses of approximately 15 gallons each into an 1100 square foot soil absorption bed. The lift station is equipped with a separate alarm float which sounds an alarm mounted on the house when the fluid level rises approximately 6" above the normal "on" position. We measured the lift station to be located 88 feet from the well serving this residence; at the tune the lift station was installed it was the opinion of the engineer that Municipal and State regulations allowed installation of a lift station as close as 75 feet from a private well without the necessity of a waiver. There is no recorded discussion of this issue at the time the as -built drawing was submitted and apparently no question was raised by the Health Department at that time. During our 11/11/91 adequacy test of the wastewater disposal system (the soil absorption bed failed) we ran a total of 623 gallons of water directly into the lift station and and thus had an opportunity to observe it's performance over approximately 40 pumping cycles. The lift station performed as designed, and we verified the operation of the high level alarm. The lift station appears to be well constructed, watertight, and in sound structural condition. Because the bottom of the lift station is encased in poured concrete, it would not be feasible to relocate it outside the 100 foot radius from the well, and to do so would also further reduce the available area for future soil absorption system upgrading. There is no driller's log for the well serving this lot, however other documents on file at DHHS indicate that the well was drilled in 1968 and has a total depth of 105 feet. The well is located 69 feet from the cleanout of the concrete septic tank installed in 1970 to serve Lot 2, which was a legal separation distance at the time of construction, so no waiver is required for this. The well is located 65 feet from the cleanout of the septic tank serving the subject lot, which was also a legal separation distance at the time of installation. A 1979 adequacy test report by Tobben Spurkland reports the tank to be steel with a 2000 gallon capacity, however Carl of Carl's Excavating who upgraded the system in 1982 reports that the tank is actually a 1250 gallon concrete tank which was found to be in good condition at that time. On November 11 we conducted a yield test of the well. The initial static water level was at 42 feet below the top of the casing, and steady pumping of 758 gallons of water from the well at the maximum pump output of 8.3 gpm caused the water level inside the casing to be drawn down to 65 feet, but no further, and it returned to the original level within a half hour after the water was turned off. Based on this test we determined that the total yield of the well is in excess of 8.3 gpm. Water samples collected on November 6 were satisfactory, showing 0 coliform or other bacteria per 100 ml., and non-detectable nitrate -N. Since the subdivision is relatively old, well logs were not generally recorded. The only well log which we could find in this area is a 1982 log for Lot 9, Block 6, Greenland S/D, located diagonally across the street from the subject lot. This log indicates a total depth of 66 feet with a static water level of 39'. The owner of the subject lot reports that his well was originally 70' deep and was subsequently deepened to 105' to increase the yield. This being the case, it is logical that the log for 9/6 Greenland is probably representative of the soils to 66' at the site of the subject well also. The shallow soils indicated on the log are consistent with those encountered in the two test holes we recently dug on the subject lot. The following is a breakdown of how waiver assessment points could be assigned utilizing the procedure outlined by D.E.C.'s SCRO. Category Points Distance to water table (41' to static water minus 10' deep lift station = 31') 4.1 Soil Sorption (clay and sand) 4.5 Permeability (silty sand) 2.0 Water table gradient (essentially level in this area) 2.9 Horizontal separation (88') s 2.5 Total 16.0 Based on this analysis it appears that the waiver can be granted without undue concern as to the potential for contamination of the well from the lift station, should it leak or fail. An additional consideration supporting the granting of the waiver is the fact that should the lift pump fail to operate and the alarm not sound, wastewater would back up into the residence before it would daylight onto the surface of the ground. The reason we are requesting a waiver to allow construction of the soil absorption trench within 2 feet of the south property line abutting the 20' wide dedicated alley is to maximize the efficiency of utilization of the very limited area available on the lot for construction of soil absorption systems. The proposed configuration of the trench will utilize the best soils encountered in the test holes, and because the construction site abuts an alley rather than private property, there will be no impact on the ability to develop future wastewater disposal systems on adjoining properties. This configuration will allow for the possibility of one more upgrade to the soil absorption system serving this lot at such time as it is required. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. cc: Donald Judd cv nh"=r .sore, Ar3s, rmmvcp c�or 9 VA CAN r 1.ar ro VACArvT i,or 11 5 qPT� c n :Yif Flattop Technical Servi, 7.4530 Echo Street Anchorage, Alaska 99 1-.3, 35� Cr6E:EN IIAND -S /D WAret', sawr=R srsrs. S (TE Pl.q N SCA 1, C': /n= CO' D/err : if /511 DwN. Cr'. 77F'M Marc_ : Ttf lS IS N07- /+ 07-/i SURvA=rro PLAT, 14 4,4, 4,OC4rloN.S I+RC- APPRoxltvA4riss, M,T. SECTION PLAN View III =51_010 MOUND Covaq m4rf5R1A[, f211 avER Top oo-rmaNeH uNCs.gSS l r- leo GAtlTt=-t91, I/til' DIN t+&qi% 0'fr.. PIPc- -_. 1/yft-Z'/&I' SGWWR 6.AAv134 - H" DIA MON IrOR Tu[{C- PC-RF rflnLl SEIvGQ &RAVC-1, •q-- NArIV C- S11 -7Y SAND IF— A _A11 Flattop Technical Services 14530 Echo Street Anchorage, Alaska 9951Q L 3. 3 S Cr R C- EN G. A fel D S /G Soll� AO -SORPTION TRENC. Pt -AN � X-EECTroN D ATC If /9/ C> w N. G Y : 7"F -M Flattop Technica(Services 14530 Echo Street, Anchorage, AK99516 Phone (90 7) 345-1355 Lot 3, Block 5 Greenland Subdivision 4700 East 115th Avenue Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of construction of 50 lineal feet of soil absorption trench containing 6.5 feet of sewer gravel, and providing pressurized distribution from an existing lift station. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. 1.3 All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.4 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 2.0 Septic Tank: 2.1 The existing 1250 gallon concrete septic tank is to be retained in service. 3.0 Lift station: 3.1 The existing 24" diameter galvanized steel culvert lift station is to be retained in service with the following modifications. 3.2 The pressure discharge line to the existing soil absorption bed is to be disconnected inside the lift station, with care taken to ensure that the penetration through the side of the culvert is sealed watertight. 3.3 A new 1.25" diameter Schedule 40 PVC discharge line shall be run from the lift station to the new soil absorption trench, and connected up to the existing lift station pump with appropriate flex pipe and a quick disconnect union. The new penetration through the lift station wall shall be fitted with a watertight seal around the discharge line. 4.0 Soil absorption system: 4.1 The soil absorption system shall be constricted by excavating a trench as shown on the construction drawings to a total depth of 12.5' below ground level in the vicinity of test hole #2. 4.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. 4.3 A total of 6.5 feet of approved sewer gravel shall. be placed in the bottom of the excavation with the perforated distribution pipes laid level such that the distribution pipe inverts are no less than 6.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 4.4 The horizontal pressurized distribution pipe shall be 1.25' diameter schedule 40 PVC with 3/16" diameter holes drilled in the bottom every 3,feet. The end of the distribution pipe shall be capped and all joints shall be glued. 4.5 A 4" diameter monitor tube shall be installed in the location shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 4.6 Approved filter fabric shall be placed over the entire top surface of the sewer gravel before backfill with unclassified material. 4.7 The top surface of the cover material shall be raised a minimum of 12 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 4.8 Topsoil and revegetation of disturbed areas shall be the responsibility of the owner. 5.0 Inspections: 5.1 A total of 4 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at die right elevation, and conforms with the soil test information, (3) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of filter fabric, and (4) after final backfill and grading is complete. 5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 u Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST T". H. # 4 s-� �,"�:'.(ENGINEER'S�ERi�' •'Y,{ �ferff.e, •� ��' �G�foff 1. •f. �..�f°u„•� Ci; - 5 7 :, 6Y ��l �r, ff ffffa°fa�• �: •:� R#cavaFlw�' PERFORMED FOR: pyn Tu.o(1: DATE PERFORMED:__11 /ly /9/ LEGAL DESCRIPTION:1-3._(3,j 6reeotcrno( S /D Township, Range, Section: _S e c 2 2, T 12 /yr ri 3 DEPTH �^ SLOPE circ o, Al, (FEET) M I-. rill 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 1 G, X517 18 19 20 P 4- 5M rvo(o(ul3 sandy /ou/ M11 gray er!> ,Saac(� �rzlvPl M C dray srlf SM M v. v U riaY S r l y sand occc4slvnal �enJ�J o MAr SP WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 7 S L O P F Depth to Water Alter M' 7' Dr y Monitoring? Date: 1 22/9f Reading Date I fly Gross Time Net Time (/�r,n Depth to Water Net Drop X,2, 2" Pres yerk _ 12; 17 27 V-4 t 14,-o 1: 08 2 2 VY — 2 7 t 0 1:37.1,5" Z3 7116- /r61# 1# I :N7:1S 10 22 'rh 15// Ff I : Y7. NS 2 3 7/1 4# 2 1{ 57; y ! 0 2 2'/!y- / -7/00 h (f+U 1:56,'rS 23 P/ 161 t 14,-o2 06: yy 10 ? z '/y 2 3 5'/g 1 SY/6 22 s/16 /'�/l6 PERCOLATION RATE 9 (minutes/inch) PERC HOLE DIAMETER r ff. #'I TEST RUN BETWEEN 8• S_ FT AND _` 10._ FT COMMENTS —P[rc I-ejP Coq duc%a 9' Ss,' of T N m _` PERFORMED BY: F 1 "it"V %iG,hnlCRl feee c e_r I =1 _e.o� %ita+� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 11 / 2 2 /9 / 72-008 (Rev. 4/85) Flattop Technical Services Date 14530 Echo Street ,w °°�4'"�e� �! �Ea'L; 0 Anchorage, ,Alaska 99516 Net Drop • ..� Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES�7of...?moi?::;`; 825 "L" Street, Anchorage, Alaska 99502-0650 TFI O F. r•t°°RE SOILS LOG — PERCOLATION TEST l'/.` "'o�•. CE - 3532•o,i * ; A 7@' f,, .,000•��,, -1"• (+• �• 2 gym_<'r/v�, ..,�.��`�°� . PERFORMED FOR: --D old 7"vzri DATE PERFORMED: 11 //y /9/ LEGAL DESCRIPTION: L>3 DEPTH (FEET) P f 1 2• 3 M G, 4 lctno( S /p Township, Range, Section: S e c. 2 Z 7' 12 /y� (j 3S, CITC Ill nn� I ravel(y� Sandyr 5•rl>` maxed lenser of SP, 6P 5 M 1 dense tejF 6- 7 _ SP/Srr Sll�aNy S'd/ 8- 9 S r1 10 12 13 14 15 16 i3 -H. 18 19 20 yray,, SarnewAeAf r-t(l4/ WAS GROUND WATER l•Qhsp,,,( os S•(' ENCOUNTERED? IBJ S Nl a{ erra 1 tY IF YES, AT WHAT L DEPTH? 0 mary+nally e C (eianer flan Depth to Water Alter M' T. Dry 5rT in T.Fi• # jMoniterInD? Date: It / 22/9/ Reading Date Gross Time Net Time Depth to Water Net Drop L ----j PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER r K -#a TEST RUN BETWEEN FT AND . FT COMMENTS les 6 %1o(e wqr d"% {b COn47rm pn ilnui�x p,F Sr -1 rgaAeria•I P -_hs Cfe? Te'escC in T N #1. Re risen{�hv� erc race _ P m tart rt+GC r n '7� 1 PERFORMED BY: _F(al'}»n CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) c-vio %nev. 0! 10i MUNICIPALITY OF ANCHORAGE Pt � S I 43= O? J DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAMEONE WPHsONE �- �IIpGRADE MAILING ADDRESS `(`T50�- 5P,� 13o,( LEGAL DESCRIPTION re_e,`I v) LOCATION 11 5tt\ S�-ree t. N0. OF BEDROOMS DISTANCE TO: Well Absorption area Dwelling PERMIT NO. c) Y -- Q Manufacturer Material No. of compartments WF V) Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth 9 O Y DISTANCE T0: Well Dwelling PERMIT NO. Z 2 z Manufacturer Material Liquid capacity in gallons ❑ j DISTANCE TO: Well '1 a rl Foundation y Nearest lot line ) PERMIT NO. 1 !tu'14-Wr /' 1 J u. z No. of line Length of,�e?��ach line Total length of lines Trench wid. h J Distance betweep lines F, z 2 ?.r Tl Z J 2 2S 2 - 4iches �j ' /"''1 v1 l.- Top of tile to finish grade ( Material beneath tile Total effective abergtion area _ ❑ �1'. rn.Sj [� inches �� I I [7 _) Length Width Depth PERMIT NO. W (9 ai- Ma:u Type of crib Crib diameter Crib depth Total effective absorption area N DISTANCE TO: Well Building foundation Nearest lot line .a Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS p Jet p V C_ SOIL TEST RATING INSTALLER REMARKS cc 2 �1 i SA a- J APPROVED LEGAL33 CzDATE c7 li5 c-vio %nev. 0! 10i %mow' MUNICIPALITY OF ANCHORAGE Mt) A S1 r: \ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL. ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 284.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT $3o z/ rvr+mC . (V. or t ld I- �. ?_ ONENEW --� RADE fdAILING ADDRESS p � BCF gg50 LEGAL DESCRIPTION ts C LOCATION ' 5", Strc c t N0, OF BEDROOMS Well DISTANCE T0: orvUon arca Dwelling g ER PMIT NO. _ _ ���LLL... Manufacturer Material No. of c omwnm•nte w - Lint. capacity in gallons II'HOMEMADE: Imide length ^------•. h WidtI LGul ddepth b1= .pt DISTANCE TO: Welles _ Dwelling PERMIT NO. X moi• Mnnulecturer ^_ Material Iquld capacity In iallans w I DISTANCE T0; Well I U G Foundation y _ Nearest lot line I, NO hM�W/i � 2 W _ N3. of liney s -,q Langth2l rich link /� Yj�� �-�"'_ Total Ixnyth o� lines / Trench wi 7' X5,2•-ntchap Distance bet {t Imes ',: Top o till to finish rade g - __. Material beneath Zile Ota • aCtIM C Of (� Inches A/ II q,, w� angth Width Dep,n L Q� i. Crib depth Total effective •-borptlon area Type of crib Crib diametei y Building foundation! Nearest lot line DISTANCE TO: Wall .j Class Depth Driller Dissents to lot Iln• PERMITtorpNO W DISTANCE TO: Building foundation Sewer line Septic tank Abtlon area(s) by OTHER f Ct �•f'�IP A ERIALS V c . p t1 - 'SOIL TEST RATING I�� INSTALLER IS C� 8 3 f o N se IIEMARKS t ee *04 Iu XIS e A PROVED por �s f I� �u t; vI: I 1t ti I. r DAT -- 8Gterilwnd Bc, 72.013 (Rev, 9178) ft n' l333-I_i.L. Data Drilled:. Static Water Level- 32� feet Drax Down feet Total Feet of Caeir��� Tym M�kte�rlalDrilled t 9 feetto to C /Q X SO rl ----�e�e to to to Hefty Drilling LEGAL DESCRIPTION: S.R.A. Box 1553 H Lot 9, Block 6, Greenland Subdiv. Anchorage,Alaaka Um i Data Drilled:. Static Water Level- 32� feet Drax Down feet Total Feet of Caeir��� Tym M�kte�rlalDrilled t 9 feetto to C /Q X SO rl ----�e�e to to to Hefty Drilling LEGAL DESCRIPTION: S.R.A. Box 1553 H Lot 9, Block 6, Greenland Subdiv. Anchorage,Alaaka Um MUNICIPALITY OF ANCHORAGE Department : Health and Environmental ?rotection 825 L Street, Anchorage, AK. ..9501 264-4720 P_ermit # # HANDWRITTEN PERMIT # —'� 773 WI=- ON-SITE SEWER PERMIT Applicant: )10�1 1._. IL&88. Mailing Address: Location: a_) . Phone Number: Legal Description: 4-,f 3 r3(0C_k s Ca2,�En/a S/D Lot Size: _ Type of Soil Absorption System Is: Trench: Drainfield: V✓ Seepage Bed: _ Holding Tank: Maximum Number of Bedrooms: Soil Rating(sq.ft/br) / 7i The Required Size of the Soil Absorption System Is: r r r DEPTH LENGTH �91 . GRAVEL DEPTHS WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ /Z 0 _ GALLONS # # Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. # TWO(2) INSPECTIONS ARE REQUIRED # Backfilling of any system without final inspection and approval by this departmen- will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee - for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I u derstand that the on-site sewer system may require enlargement if the,res ence is remodeled to include more that 3 bedrooms. Signed: Issued by: �vL_4�.� - Applicant Date: 3��� SWP/024 (1/81) `5- V ), y -otic tti= L'(ti Io, V SOILS LOG ___ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TERcoLAnoN � TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 \� SOILS LOG — PERCOLATION TEST PERFORMED FOR: Doll DATE PERFORMED:_�1I LEGAL DESCRIPTION: _Lo 13If�c.K GreeniunJ Ju_4riivI,s,1,-�1'.�.4c>c'fiun ,�Z� 5/>f SLOPE r SCTA IE P�LIN-T--� T �1 uyor (U�'� I �I7F-� I� 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS C-�,r (/'rallStan cl y'� 5r � �• Gro r77J JCA rrl p, JI+ to !';C; sr I J" .S rn, 11 cz;A Vv,n.T a'�S n1 un y) �;10veI, (/✓I S_ n d i WAS GROUND WATER S ENCOUNTERED? el�� O P a IF YES, AT WHAT E DEPTH? _ WO Reading Date Gross Net Depth to Net Time Time Water Drop 10 I a a ----0,4 q - j0 0 tII�+J is -43 a SfioftJ3 1!,� : - to C` - / y/io/6.j itorJ/l C% 11,.5, l4- 'vj/o%13 I it 1.6- ;. 013 7 I d 13 PERCOLATI N RATE ,� c�. fJ (minutesrnch) J- TEST RUN BETWEEN �-L FT AND FT, PERFORMED BY: a r I SrJh CERTIFIED BY: 72-008 (6/79) DATE: YV;0/>33 'r'obben Spurkiand P.E. 0 V1 P- �-. L Parcel I.D. # MUNICIPALITY OF ANCHORAGE 0* DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 015-171-34 �11. HAA# ,`j-�c ., r,i 1. GENERAL INFORMATION Complete legal description Lot 3; Block 5; Greenland Subdivision Location (site address or directions) 4700 E. 11 Anchorage, AK Property owner Gary & Linda Carpenter Day phone Mailing address _4700 E. 11 5th Ave. An horacre AK 9951 6 Lending agency Day phone Mailing address Agent Cyndie Partch/ Prudential Jack White Day phone 762-5827 Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well XX Community well 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 XX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025)Rev.1M) Front MOAt21 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 furtherverify 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 incompli nce with all Municipal and State codes, ordinances, and regulations in effect on the date of th' nspection. Name of Firm Address Engineer's signature Alaska Water Alaska Water & Wastewater Consultan 4% Do Shall be PAID $ 1 1 DU or prior to, closing for the Engineering Services Provide& 6. DHHS SIGNATURE Approved for Disapproved. j bedrooms. Conditional approval for Additional Comments By: Phone 33-7_6/79 kr4 Date AV o A '• A % a. x �.. .::....� ..e n CC ` arfr A. :795] , S� Ao VAP R 1�1FES 'iosra�e bedrooms, with the following stipulations: Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificatesbased 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 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. 72-025 (Rev. 1/91) Back MOA W - - *-D Municipality of Anchorage 14 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: Gv'e,13LAtNo 'AP1 ( 7 ��5 _ Parcel I.D.:_ A. WELL DATA Well type I KIVPrT = If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) �0 Date completed Total depth �� + Cased to '/0 Casing height (above groun) %�2 Sanitary seal (Y/N) Wires properly protected (Y/ FROM WELL LOG AT INSPECTI N Date of test �/1 N �l U (� I t� g� L / W7 7 Static water level Well production _ g. p.rn, T,S -9-P.M. WATER SAMPLE RESULTS: m Coliform _ Nitrate Other bacteria _ Date of sample: /3I� 9 Collected by: B. SEPTIC/HOLDING TANK DATA IaSo G(+c ?e[L- M"A F1rrz Vv4wafl WR�IIovS�t ),W. 4- Date installed �S _ Tank size -� Number of Compartments 1 _ Cleanojutts ) _ Foundation cleanout(Y 1(� �o Depression (Y/@ Pc) rp High water alarm (�I 1) Date of Pumping `%- �%i Pumper 4ME 2ul4&S 96Y A-1-'"� S�vLrEs C. ABSORPTION FIELD DATA -�- Date installed �� _ Soil rating (g.p.d./ft or ft2/bdrm) 0- -System type I IzEl i Length 6 i Width r"��� Gravel thickness below i e `4L FIELDM-1fAW 13,11 pipe _ Total depth nrtEas. � r� _.XEffective absorption area TSb 5F Monitoring Tube presentQY N)�_ Depression over field (Y/& 1%" O&sVn Date of adequacy test 'ik h`k Results &s/Fail) (�c �For _ Fcwl - bedrooms Fluid depth in absorption field before test (in.); 5 ki Immediately afterla� gal. water added (in.): �q 11 11 Fluid depth ZO (ins) Minutes later: Absorption rate = _ ��� _g,p.d. Peroxide treatment (past 12 months) (Y/Ot-�o7 L(�c6v>> If yes, give date 72-026 (Rev. 3/96)* WA N yQ0 SNow cove^ D. LIFT STATION f a y 11CMP Date installed �15��33 Size in gallons 0 ON " tr Manhole/Access 61 /N) ?iyw000 eovER- "Pump on" level at' /0 "Pump off' level at` High water alarm level at' 101' 'Datum IJOTToM O I- �r LVE27 Cycles tested E. SEPARATION DISTANCES D_ SEPARATION DISTANCES FROM WELL ON LOT TO: W Septic/holding tank on lot So U a) On adjacent lots '15� r �19ca) Absorption field on lot /00 On adjacent lots /Uo Public sewer main Sewer /septic service line tV/A Public sewer manhole/cleanout l-JIA- Lift station 56 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation S � � Property line S '4— Absorption field S �� Water main/service line o2 S Surface water/drainage /W /- Wells on adjacent lotsy (7o) SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line o< (WRc t0oS4Building foundation Water main/service line 7 6 `-J- Surface water py1�J_ Driveway, parking/vehicle storage area (�\ / Curtain drain I vor s 1—Nowti Wells on adjacent lots 10� F. ENGINEER'S CERTIFICATION i certify that have de t fined thr field inspections and review of Municipal records in conforma ce with A g1@Ines in effect on this date. �� ��� . • ° ° ° ° ° ° ° � a' o Signature Engineer'$/Name Date HAA Fee $_ !!Com) (` x } Waiver Fee $ Date of Payment Receipt Number �-t`f 72-026 (Rev. 3/96)' Date of Payment Receipt Number IV%; are ASSUILT SEWARD & A6!iKiA'.l'_L5 LAND 5URVEY-ING 694.2829 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE; FOLLOWING DESCRIBED PROPERTY O DATE,L AND THAT NO IrNCNOACHMLNTs EXIST EXCEPT A5 INDICATED, IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY � GRIDr EASEMENTS, COVENANTS, OR RESTRICTIONS 'rd°pd` WHICH DO NOT APPEAR ON THE RECMED SUBDI- $ •, puen. MnrY. owerA s `4°'� VISION PLAY. UNDER NO CIaRGUMST•ANCES SHOULD ANY FB' r�^`� •, �s.hvia DATA HEREON BE USED FOR CONSTRUCTION R��xtid� OF FENCE LINES, OR FDR ESTABLISHING SOUND- �"� DRAWN ARY LINES. .���. '��,°`,�'"�-� MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES 0*:_ qr Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # o ts17 13 1 HAA #�J'� �C{C� b 1. GENERAL INFORMATION Complete legal description leo f 3 B/oC� S (r reps (an of S /D Location (site address or directions) ti -70o C- f f5"'&A /$&,e Property owner 00na(et at Bar-l7cv ct 7ude� Day phone 3 ye6- 3.6-62 Mailing address H iGt7 t= fl Y " five fin Morcw Ak 995" r 6 Y Lending agency Day phone O'3 -0700 Mailing address k/as w• 3 eve•; A" Gh�' lik 995^03 Agent Dan WvlSe - Rc NO-)< pro/Ier Nef Day phone 2 76 - Z -7e - Address 2600 ec�ro�avcc Sf• /tnL�arcrgp, r4 (2 ��5'03 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well Community well 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 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) Fran( MOA 021 5. STATEMENT OF INSPECTION BY ENGINEER J 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. Name of Firm F (a Flre T-echrniccc( _S ervi'rol Phone 3 "1677 13 S6Y Address l'1530 0:1cam Sf,. I±hchorayc /4l -c 99Si6 Engineer's signature 5� Date l2-/ !G/ 9 1 C. - T-, a ±� jy 4. 0ea a�eel. •e.elaa°°.11°• ou, ' e CL - 3589 DHHS SIGNATURE Approved forT� bedrooms. Disapproved. Conditional approval for Additional Comments WTIC bedrooms, with the following stipulations: Date / -? /i 3 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 DHHS does this as a courtesy to purchasers 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. 72-025 (Rev. 1/91) Beck MOA 021 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST. Legal Description: Ltd 3�4 6!k S green let"( Parcel I.D. O 1.7l'7/ 3'Y _ A. WELL DATA Well type Prt vol fie. If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) _ Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level Date completed 1986 Driller Cased to , I US ' Casing height FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Wires properly protected (Y/N) an k 2" Y AT INSPECTION MUNICIF'AI-11Y OF ANCHORAGE 9 1 ENVOQNMENTAL SERVICES DIVISION `'r- DEC 10 1991 g.p.m. g m > 6�' C Septic/holding tank on lot 0/16' Mal 0(1,1t-470' ; On adjacent lots C. 0. �eA� alleac r9Ta, reglvf Adf =.TO Absorption field on lot 1010 — ; On adjacent lots y rGQ r - Public sewer main _ > l G0 t Public sewer manhole/cleanout Sewer service line 50Petroleum tank No c WATER SAMPLE RESULTS: Coliform O col /rov M -f- Nitrate < 0• rhI /-C Other bacteria 0 cot /rao Date of sample: 11 10"/9 / Collected by: 1= Iae 6F e tech Svc - B. SEPTIC/HOLDING TANK DATA Date installed 1966 Tank size 12 rO Compartments _— Cleanouts (Y/N) Foundation cleanout (Y/N) -Depression (Y/N) N aloe High water alarm (Y/N) N, A. Alarm tested (Y/N) _ N. �• Date of pumping Pumper fV oo-M tew C>/ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 66 n?,n co. On adjacent lots '> (C'O' Foundation 16' To property line H5 ' Absorption field 5 5 Water main/service line Y�' Surface water/drainage > !00' _ 72-026 (Rev. 7/91) Front CONTINUED ON ®ACK PAGE C. LIFT STATION Date installed 8 15 63 Manufacturer SfP% 'aN" 006 601v Caulyeyf W•..Surhp pmrnp Size in gallons sso + Manhole/Access (Y/N) Y N`n- attrfght 1 �" cC "Pump on" level at Vent (Y/N "Pump off' level at % High water alarm level 15 it Cycles tested `IO -r Meets MOA electrical codes (Y/N) A(v non - coln p Pian re 0 6 sere eot SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot 861 On adjacent lots > loo Surface water > lUG' Watver rsSuBoe 12/N/9l D. ABSORPTION FIELD DATA Date installed 1 2 19 19 1 Soil rating 0-6 IYpO(I'ff Z System type ?ren ch Length 61 Width 2 s` Gravel thickness 6. 2 Total depth f �• S ` Total absorption area 756 a' Cleanouts present (Y/N) Y ( M,T, Depression over field (Y/N) N Date of adequacy test IV A. new) Results (pass/fail) !U. /!. for 3 bedrooms Peroxide treatment (Past 12 months) (Y/N) N If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 100, On adjacent lots Property line 12' i wa(vev­ issued To building foundation 65 To existing or abandoned system on lot �J On adjacent lots> 30' Cutbank Not, e Water main/service line Surface water -,� l G0' Driveway, parking/vehicle storage area �> l00 1 Curtain drain A104 e E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Date of Payment 0 ` ( 0- Date of Payment Receipt Number nl �' r3 tj ti �� Receipt Number ooe,yw, Signature Engineer's Name %h GocxorE°aye cooaocacoaaoa�aaJaca j ,,,'',. Date i l HAA Fee $ Waiver Fee: $ Date of Payment 0 ` ( 0- Date of Payment Receipt Number 3�� L� �� Receipt Number MW)L... I `/S1-76? INSPECTION APPOINTMENTS DAVE RECEIVED ®!� TIME TIME TIME DATE DATE DATE INSPECTOR s INSPECTOR INSPECTOR — MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOr%NVIRONMENTAL PROTECTION 825 L Street • Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION Nov 1 1979 Telephone 264.4720 R � � p )/ E DREQUEST FOR APPROVAL OF INDIVIDUAL WATER AND ;)EWER FACIL I S DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for 95 ssin . since June 1975. For wells drilled prior to that d give we11 1. PROPERTY OWN J ti Y►Ale� • �{/L�LA� L V►4 �'�1� 17 MAILING : ' 1-7 26+ tlwi "! mn la"d asly64Ake 4��1a PROPER' Y RESIDENT (If different from above) PHONE OL2. ❑ PUBLIC UTILITY BUYER —� -PHONE MAI LI NGADDRESS OF fr 3. LENDING INSTITUT ON Q�/s® ��q`� /L PHONE 's � t.T d4-- #' �� ® 9alr MAILIN�jA�DDR SS tl � A s /y*/f f71�'�I�� Ii/�� /�etr�P _ 7C 4. REALTOR/AGEN' —HONE MAILING ADDRESS 5. LEGALQASCRIPTION �� � STREET LOCATION -- 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS [� SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY L@O' Three ❑ Six 7. WATER SUPPLY --" E!f' INDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that d give we11 ❑ PUBLIC UTILITY ——s— depth (attach log if available.) �/�i �' % �o 09 8. SEWAGE DISPOSAL SYSTEM of��,e! INDIVIDUAL/ON-SITE** _YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-otofri si7��V-�-t 3i CrS ('A. 401, 3 O- THIS SIDE FOR OFFICIAL USE ONLY . 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 SYSTEM ❑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 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 Ghti�_ c EJ APPROVED FOR BEDROOMS LAY CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE ( BY G, 3,979 Tionald Judd L-34COW Routo A Mo, Y122 -b 71jiohorar Mas)".1 "Ubjoct. Lot 3"Iock, Green? -ind 1,W)clivitiion Approva'! for You- irl'Jiv.j� I % dual swwar anA waten- Pacilitic"q can not be grantod, until the fal.-Lowing jtopj�,, hjV(! I)Gc�vj �.'Tater "ximlysir,- rnvort bo aolivorcxl to thit3 Of- ice for ou- roviow. Tno skeptic 'L;aak' p-l-rapad with a subr-aft-ted to this offiUce. u;f;,ure jjjv�� 1:114..pwapax. put the 1; 41 - nuraber of' (pati j.)UjApO%-j fro,.,, .1-11,o Unk, thir I to Vorijir Ito sA� c4. %.n Ll of tftu drainfield t-dll acaej to he expose'd so that. 'ula oall 'meanwra tho, cUstanml to tho we. 1. 1 . If. it is -"lot, 7.00 ract or 111orcr thra drain2iclld will nae '? t(.,) be replac-ecl. /(4) jv, adeqt1acy t�t2jj- jje. per -fox -ac -Ad on tho leaching 1.01d"s teszt will D'.' the 3!Y sto;na is, adec'nua-to c OLOOO-rding to National stanilardls. N 1.j3tjjlq O -E prj.vatc flmms pw f tho 'd L :rr_, thore 4rp- any -4f -U3 IlActr Please conLact IL-JIL; 0 J.' f i c at 2G,1-4720. pjc�cj*jo jjo,trjfy this, Office f-O.T.' a xe-irn3pectioll 06`1:1011 1:110 liotod do"ca-4:11pancie"3 havo boon Sincerely, Robort C. RCP1j.jw Tobben Squrkl and P.E. 8155 Cranberry St. Anchorage, Alasl<a 99502 Phone (907) 243-5302 ADS:^o ACY TEST Mr. Donald Judd SRA Box V2213 Anchorage, Alaska 99505 STJT 3, -BLOCK 5, GRM"NLAND SID MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION NOV 7 1979 RECEIVED Nov. 6, 1979 Gentlemen: Per your request I performed an adequacy test on ypur sewer system on Nov. 5th and 6th. 1979• Yoklowing are my findings and conclusions. Residence: Spl itt level, three bedrooms, built in 1968. On site water and sewer. Sewer System: 2000 gal. steel tank. Dia. 75y2 inches, length 9 feet, burried 3 feet belo ground. Drainfi.eld along back lot line, dimenbions unknown. Drainpipe 6'/2 feet below ground. Test Procedure. Tank was pumped on Nov. 5th. Prior to pumping the wnterlevel in the drainfield was observed to be 10 inches above invert of drain. Approximately 2200 gal. was pumped from the system. At the termination of ptunping fluid was flowing back into the tank from the drainfield. This flow ceased after 5 minuita. At that time the depth in the tank was 38 inches. The level in the drain ryas 1 inch above invert. Or. Nov. 6th the drainfield was recharged. On inspection it was found tha' the tank had filled up during the preceeding 24 hours. The level in the drain had not changed. 500 gal introduced into the system. The drinfield accepted this charged without any increase in wnterlevel. Conclusion: The existing system is adequate for a three bedroom house. ®F A ZM ...... P,a'. No. 222.5-E r&�O. )UNE 25, 1971 y