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HomeMy WebLinkAboutREED LT 4Reed Lot 4 #051-102-09 On -Site Wastewater Disposal System Permit Permit Number: OSP151135 Tax Code Number: 05110209000 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Work Type: Septic Upgrade Permit Effective Dates: June 10, 2015 to June 09, 2016 Design Engineer: ARC TERRA CONSULTING INC Subdivision: REED Site Legal Address: REED LT 4 G:1359 Owner/Address: COOPER PATRICKA PO BOX 670207 CHUGIAK AK 995670207 Site Mailing Address: 23050 HOMESTEAD RD, Chugiak This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy All construction must be in accordance with: Lot Size in Sq Ft: 11166 Total Bedrooms: 4 N Private Well N Water Storage 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 must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: Prior to the final inspection report approval, the original signed AWWTS Maintenance Agreement and original signed page 3/3 of the design (Advantex Details) shall be submitted. Received Issued By MUNICIPALITY OF Community Development Department Development Services Division QO On -Site Water & Wastewater Program ANCHORAGE Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I. D. 051-102-09 PATRICK & KATRINA COOPER Property owner(s) RIDay phone PO BOX 670207 CHUGIAK AK 99567 Mailing address I' Site address 23050 HOMESTEAD ROAD, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) REED LOT 4 Legal description (Township, Range & Section) Lot Size 11'166 Sq. Ft. Number of Bedrooms 907-223-9051 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field [ Initial ❑ Single Family (SF) [X] Septic Tank Upgrade MDuplex (w/wo ADU) Duplex(D) ❑ Holding Tank ❑ Renewal El Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. owner or authorized Permit/Rush Fees: '# 17409 Date of Payment: 5J2116 Receipt Number: 0-71422- b Permit No. 8.5P151135 Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. Q �RCTERRq a "'✓ensu 9>�° $'° � May 20, 2015 ARC 1 ERRA CONSULTING, INC 212 E. 51' Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit — Reed Lot 4 MAY 2 0 2015 The owner has requested we proceed forward to obtain a septic permit to upgrade the septic system from a 3 -bedroom to a 4 -bedroom system. The general slope of this lot is from north to south at a grade of approximately 2- 5% over the septic area. On May 4, 2015 a testhole was performed to investigate soils and groundwater. The results of this test are attached for your review. The proposed upgrade will serve the existing 4 -bedroom house. We propose to install one 40' long deep trench. Groundwater was not encountered at excavation or at monitoring. The property and adjacent lots are served by public water. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868- 3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. 7 - Kenneth M. Duffus, P. . Attachments: On -Site Sewer Application Wastewater Absorption System Details/ Site Plan Soils Log/Percolation Test 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN REED LOT 4 SURROUNDING PROPERTIES SERVED BY PUBLIC WATER IHOMESTEAD M 660.30 P-329) P-382) P-390)(71-222) o., m , 125.46 83.64 8364 wig 83.64 83.64 83.64 LOT4 I 2 1 '., LOTS LOTS 4BR a 83'" 83.64 M83.64 " • 83 64 83 64 F� 8 10 11 12 13 14 4 q t 125.46 83.64 83.64 83.64 83.64 8164 83.64 ROSEBUD Ave NW5700-W 660.30 (P-390) 30 sOoo so.oa so.oO sO.Go so.oO so.oO so.00 saoG sO.Go so.ao loo.Ga '. FLAG ALL WELL RADII DESIGN DETAILS ESMTS, &PROPERTY LINE 600 GPD/2 GPD PER SQ. SYSTEM)=30 Q. FT 4 BDRM X 150 GPD = 600OGPD.PRIOR TO CONSTRUCTION (300 / (2 X 6' ED)) = 25 FTr g. W, DESIGN BASED OFF USE l TRENCH - 40 (L) X)HAND-DRAWN Total depth of system is 11'e.Total IIVIPORTED depth of gravel belows 6.0'. M. SEWARD AS -BUILT NOTES: 1. CONTRACTOR TO DECOMIvIISSIONEXISTING PTICTANK NO PUELIC WELL S Mn@120P OF PROPOSED SYSTEM. 2. INSULATE TRENCH WITTI 2" HD BURIAL FOAM IF G3' COVER. ' NO PRBXTE WALLS WfDDN 200' OF 3. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK. PROPOSEDSYSTEMEXCEPLASNOTED. NO SEPTIC SYSTHMS WTI}DN200'OP 4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT PROPos6owEu.IXCEP'TAs xoTED. WELLS & SEPTICS, EASEMENTS, & OTHER SETBACK REQUIREMENTS. Scale: 1"= 100' PAGE 1 OF 3 �AArr �� OF 5,4� 1 PREPARED FOR: '�'� 1 PATRICK & KATRINA COOPER PO BOX 670207 RCTE�, * _ 4 TH CHUGIAK, AK 99567 907-223-9051 0 KE FIELD BOOKS COMPUTED:CE-7116 01P,2�vsl.l a BOUNDARY: DRANK: BMW�_,STAKING: dASBUILM cNecNm: KMD DMS DATe: 05/20/15GRID: NW1359ETING .fig Am FlIF: JOB Na: 15-127 AK. 9B6Ti- FILE /Volumes/AmTerra Shared/Stomge/WELL & SEPTIC — Filed By Legal/Reed/Lot 4/Reed L4 Septic AdvanteX Destgn.dW9 WASTEWATER DISPOSAL SYSTEM DETAILS REED LOT 4 83.64 4 _�KEY BOX / WATER LIN 83.64, APPROX. LOC. GRAVEL LOT 4 °/W M CIO LOT3 LOT 5 SHED 4 -BR TH15-1WFCODE OMMISSION PEI- C00Ir a0EXISTING S.T. 0 iT0-1 1INSTALL NEW 1500—GAL MT 7 SEPTIC TANK & DIVERTER AX -20 POD °I EXISTING FIELDS b",�� wtltl MT cel j 5' +/— CUT I ALONG SOUTH/EAST PL 1.64 EXISTING FIELDS FOR 4—BR RESERVE TOE AT OR BELOW 83.6', 83.64 FIELDS LATERALS Lo Lo o� o I I Scale: F'= 30' � PAGE 2 OF 3 T� AW <S OF `�<Q1 � PREPARED FOR: �� Vr 1 / * 7 + .4 TI3 PATRICK & KATRINA COOPER PO Box 670207 CHUGIAK, AK 99567 RCTE / 907-223-9051KENNETH M. D / FIELD BOOKS COMPUTED:CE-7118 � AO eWNDMY: DRAWN: BMW 0,0"C"e sraaNa CHECKM KMDnseuar. DMS DAM 05/20/153s10t1AV DWG RM- GRID: NW1359� ACRO FlLE: FILE '10B N.: 15-127 �K aean /Volumes/ArcTerro Shared/Storoge/WELL & SEPTIC — Flled By Legal/Reed/Lot 4/Reed L4 SepUc Advantex Design.dwg r � �_RcTERRq ARC 1 ERRA CONSULTING, INC 212 E. 5 1 � Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 • 1L^ g a SOILS PERCOLATION TEST Performed for: Patrick Cooper Date Performed: 05/04/2015 Project: REED LOT 4 TEST HOLE # TH 15-1 Depth Org/OL GM — Dense top 5' SW - Trace of silt sm Sand increasing w/ depth B.O.H. 18- 19- 20- i OF'AL-_4,� t lr KE:l'NE7'M M. DUE c / �r 7(16 k� p�FF.B5IpNP�' � SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO Depth to water after monitoring? NO What depth? NA Date? 5/11/15 Reading Date Gross Time Net Time Depth of Water Net Drop 1 5/8/15 1:00 6" - 2 1:30 30 min 3 8/16" 2 8/16" 3 1:31 6" - 4 2:01 30 min 3 8/16" 28116" 5 2:02 6" 6 2:32 30 min 3 8/16" 2 8116" 7 8 9 10 11 12 * 1 Water Added Percolation Rate 12 (min/in) Perc Hole Diameter 6" Test Run Between 5 feet and 6 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND Patrick Cooper THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 8th Day of June of 20 15 , by and between Patrick Cooper herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AW WTS), described as Advantex AX20 located at (legal description). Reed Lot 4, 23050 Homestead Rd, Chugiak 2. Definitions. Alteration. Any change to the design or function of an AW WTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). 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 Anchorage Municipal Code (hereinafter, "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. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations. Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Rellairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS ;service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any 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. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. 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. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: Patrick or Katrina Cooper b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair 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 Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the STATE OF ALASKA THIRD JUDICIAL DISTRICT and Repair Agreement. ss. name) Date: 6—,t�f—«^ The foregoing instrument was acknowledged before me this 7 day of Tu, -J e 20�;by f'e�T t y A, Ctao NOTARY FOR ALASKA My Commission expires: Z,2,0 /e. MUNICIPALITY: By: (signature) Date (print name) Title: a5 MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services _ 1 On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907)343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMIL/L'Y DWELLING Parcel I.D.# 051-102-09 HAA# tIL)CCf?3f(C 1. GENERAL INFORMATION Complete legal description REED SUBDIVISION- I OT 4 Location (site address or directions) 23050 HOMESTEAD RD CHUGIAK AK 99567 Property owner MARK EOUFVII LEY f 7 �� Day phone Mailing address C/0 DYNAMIC PROPERTIES 3111 "C" STREET ANCHORAGE, AK 99503 Lending agency Mailing address Day phone Agent WENDY STEVENS Wf DYNAMINC PROPERTIES Day phone _(907) 261-7560 Address 3111 "C" STREET ANCHORAGE AK 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 XXX 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 XXX Holding Tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $700.00 at, or prior to, closing for the engineering services provided. 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 andinsp ction, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal nd State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Phone (907)337-6179 Address 6901 DEBARK RUAU 60.1 E A 'ANUHUKAUlnALAZ:>NA aaou4 Engineer's Signature Date 6bi In conducting this evaluation, AWWC, 1 W.ted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MC DH S Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the water 00000�Oe usage of the family being served by the system. These conditions are outside the control of o OF A the evaluator of the system. Satisfactory test results do not guarantee future performance o , . • • j• • of the system, nor do they guarantee that there are no hidden defects or encroachments. �o AWWC, Inc. can therefore not provide any warranty for future estimate of how long the QC J system will continue to meet the operational requirements of the ADEC or MOA.HHS. �.... The content of this report is for the sole benefit of the owner listed above. Any l reliance upon or use of this report by any other person or parry is not authorized, Q • • p' (��, nor will it confer any legal right whatsoever. �O ,J ff CE -77 �pfness O.m . C953 c°G 6. DHHS SIGNATURE !,� Approved for bedrooms Disapproved Conditional approval for Additional a rofese bedrooms, with the following stipulations: Date -0 - � 01"00 32 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 engineers work. 72-025 (Rev. 1191) Back MOA #21 Computer Version Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 3434744 Health Authority Approval Checklist Legal Description: REED SUBDIVISION; LOT 4 Parcel I.D.: 051-102-09 A. WELL DATA Well Type PUBLIC If A, B, or C, attach ADEC letter. ADEC water system number Log present(Y/N) Total depth Date completed Cased to FROM WELL LOG Date of test Static water level Well production 9•p•m- WATER SAMPLE RESULTS: height (above ground) Wires properly protected Coliform Nitrate Date of sample: Collected by B. SEPTIC/HOLDING TANK DATA AT INSPECTION 9 -13 -1111 - Date installed 7/30/83 Tank size 1000 Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) N/A Date of Pumping 8/3/2000 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA *SOUTH/NORTH. SEE ATTACHED LETTER FOR DETAILS ON TESTING Date installed 7/30/83 Soil rating (g.p.d./ft2 o bdr 225 System type DUAL TRENCHES Length 70' (31'/39') Width U.K. Gravel thickness below pipe 5' Total depth 8'-9' Effective absorption area 700 SQ.FT. Monitoring Tube present (Y/N) YES Depression over field (YIN) NO Date of adequacy test 8/3/2000 Results (Pass/Fail) *PASS For 3 Bedrooms Fluid depth in absorption field before test (in.); *45"/0" Immediately after 145/72 gal. water added (in.): 52"/25' Fluid depth *52"/6" (ins) Minutes later: Absorption rate = *450+ GPD Peroxide treatment (past 12 months) (Y/N) NONE KNOWN If yes, give date 72-026 (Rev. 3196p Computer Version [4� %tom -ow t� IaJ -raz''/ D. LIFT STATION Date installed Manhole/Access High water alarm Size pump" level at* "Pump off' level at* *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorptionfield on lot Public sewer main PUBLIC WATER _On adjace ts� —On adjacent lots_ Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main/service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage area 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. ENGINEER'S CERTIFJQAT I certify that I de th field inspections and review of Municipry recor s fh ab0 a systems are In conformance with MOA CAA gu d li s effe on this date. Signature Engineer's Nam JEFFREY A. GARNESS HAA Fee $ 0 0-Z ' t_Z) Date of Payment �'/J 7 /U, Receipt Number 6212 72.026 (Rev. 3/98)* Computer Version Waiver Fee Date of Payment Receipt Number ALASKA WATER �& WAS'T'EWATER CONSULTANTS, INC. ...+....saa.zu; August 15, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Adequacy Test and Health Authority Approval for Reed Subdivision, Lot 4 To whom it may concern The existing three bedroom house is served by a private sewer and a public water system. On 8/3/2000, we performed a septic adequacy test for the referenced property. During our site visit we found a foundation cleanout, two septic tank cleanouts, and two monitoring tubes. The monitoring tubes are believed to be at the end of the drainfrelds and are appeared not to be sumps. Prior to adding water to the system it was noted that the monitoring tube for the south trench had a lot of sludge and dirt in the monitoring tube; and the monitoring tube for the north trench had been partially broken at the bottom and was filled with dirt. The transition from solid pipe to the perforated pipe was also visible in the monitoring tubes. Water was first added to the south monitoring tube. A total of 145 gallons of water was added which brought the liquid level to the transition in the pipe (a rise of 7 inches). At this point, the water was switched to the north monitoring tube and a total of 724 gallon was added which brought the liquid level to within 2 inches of the transition in the pipe (a rise of 25 inches). The septic tank was pumped prior to the test and it was noted that no water backed up into the tank during any point of the test. The next day (919 minutes later) the monitoring tubes were checked and found the liquid level had dropped 19 inches in the north monitoring tube, but had not dropped in the south monitoring tube. However, the south monitoring tube was checked several days later and the liquid level was found to be well below the transition in the pipe. It is believed that this monitoring tube is not functioning correctly due to the sludge and dirt in the monitoring tube and it will be recommend to the homeowner that this monitoring tube should be cleaned out. Based upon this data, it is concluded that the septic system meets the requirements for a 3 bedroom residence and we request a Health Authority Approval be granted. If you have any estions, please contact us at 337-6179. Thank you for your assistance. cc el 7effr ess P.E., M.S. Pres d nt 6901 DebaiT Road, Suite 213— Anchorage, AK 99504— Ph: (907)337-6179— Fax: (907)338-3246 9072767670 08/01 '00 10:08 NO.517 02/02 , � ,�v-v�SrE�A ,/•ays a u ikNSP°�'�g 06P uv S L Per I er G I, 1 i pq , YI /7C I $O Y �fI 1 �y /vBP ° r91Y 6-7. rs ASSUILT-NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVFYTING 694 08_ HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE. �•����ae -OLLOWING DESCRIBED PROPERTY: �`,� OF Ai +� � %rt yam NO)CATED. IT IS THE RESPONSIBILITY OF THE y 8 Q4 'WNER TO DETERMINE THE EXISTENCE OF ANY :ASEMENTS, COVENANTS, OR RESTRICTIONS C /HICH DO NOT APPEAR ON THE RECORDED SUBDf- /vBP ° r91Y 6-7. rs ASSUILT-NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVFYTING 694 08_ HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE. �•����ae -OLLOWING DESCRIBED PROPERTY: �`,� OF Ai +� DATE .•�<<G s-v9d �/O>f %NO THAT NO EiKROACHMENTS EXIST EXCEPT AS NO)CATED. IT IS THE RESPONSIBILITY OF THE / i .49'" GRID--........ 'WNER TO DETERMINE THE EXISTENCE OF ANY :ASEMENTS, COVENANTS, OR RESTRICTIONS /HICH DO NOT APPEAR ON THE RECORDED SUBDf- ISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB= ft IS-69le ���?y-..'" NY DATA HEREON BE USED FOR CONST RUCTION rr a9 IF FENCF LINES, OR FOR ESTABLISHING BOUND -V, RY LINES. FROM : Denali Sewer & Drain PHONE NO. : 907 333 9776 Aug. 28 2000 01:13PM P1 nenan Sewer, Drain, and Excavating Service 9541 Abbott Loop • Anchorage, Alaska 99507 All Major (907) 333-5794 • (907) 346-3338 • Fax (907) 333-9776 Credit Cards Accepted Family Owned & Operated I_ N V O I C E Dynamic Property ASSOCIATED RELOCATION 3111 "C" Street Suite 100 Anchorage,AK 99503 DATE DESCRIPTION 08/28/00 23050 HOMESTEAD -PETERS 1 HOUR VACUUM TRUCK 1 HOUR JETTER THANK YOU INVOICE NO.: 31081 ACCOUNT NO.: 7216 DATE: 08/28/00 AMOUNT CREEK 145.00 200.00 0.00 0.00 TOTAL AMOUNT 40 �a, �N Thank you,Your business is appreciated we hope we can be of service to you again. TRUCK # 3110 PLEASE PAY FROM THIS INVOICE, THANK YOU ALASKA WATER Fe WASTEWA'T'ER i x. ,._._, m.n.•sc..-=9 CONSULTANTS. INC. "«`� ,.'seai.a4,„ .e�b.... `=• August 29, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Health Authority Approval for Reed Subdivision, Lot 4 To whom it may concern: On 8/28/00, the monitoring tubes were jetted and pumped out by Denali Sewer, Drain, and Excavating Services (see attached invoice). After the cleaning of the pipes on 8/28/00, The monitoring tubes were checked by our company and measured the following items: SOUTH TRENCH: Top of pipe to bottom of monitoring tube = 118.5" Top of pipe to liquid level = 100" Top of pipe to transition in pipe (solid to perforated) = 65" Stick-up=10"-12" NORTH TRENCH: Top of pipe to bottom of monitoring tube = 107.5' Top of pipe to liquid level = 105.5' Top of pipe to transition in pipe (solid to perforated) = 54" Stick-up = 8"-10" If you have any ystions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 6901 Debarr Road, Suite 2B —Anchorage, AK 99504 —Ph: (907)337-6179— Fax: (907)338-3246 MUNICIPALITY OF ANCHORAGE ® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION j ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW ❑ UPGRADE MAILING,.QD RESS LEGAL DESCRIPTION L—C) LOCATION NO. OF BEDROOMS Well / G Absorption area—,,, Dwelling PERMIT NO. Uy DISTANCE TO: O 1 ' k Z Manufacturer Material No. of compartments w rn Liq. rapacity in gallons Inside length Width Liquid depth () (-) IF HOMEMADE: 1_ Z DISTANCE TO: Well welling PERMIT NO. ©? d Manufacturer Material Liquid capacity in gallons 9 Well / FOUndatl 9 / Nearest lot li PERMIT NO. w DISTANCE TO: )�1 , � u. Z 1- 2 w No. of lines '�J /l.+ Len th76 ch lime Total lenegi o lirfes /QJ Trench widt /Finches Distance between lines %•� / cc f- Top of tile to finish grade f Material beneath tile Total effective abs irption inches Length Width Depth PERMIT N0. LU Q h Type of crib Crib diameter Crib depth Total effective absorption area n- d w w Well Building foundation Nearest lot line DISTANCE TO: Class De th Driller Distance to lot line PERMIT NO. wBuilding foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE MATERIALS -- `� _- V SOIL TEST RATING �� �� INSTALLER ,, /�•-;'^ REMARKS —ter>e c T.JV el 111p1 ti r t APPROVV��DAT,E LEGAL 72-0f -_!%/. 3/7$i / Permit # "S UNlU1NHL1IY Ur AM MUMAUC Department Health and Environmental rotection 825 L Street, Anchorage, AK. yti501 264-4720 # # HANDWRITTEN PERMIT WELL PERMIT Applicant: )) )A,vi f ( ;[�Si ��2 A -t-(- Mailing Address: /-�) &/x //Z, � Location: Phone Number: Legal Description: /&f Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: Maximum Number of Bedrooms: (o C/,/ -- .21 y u Lot Size: `U /,A, Holding Tank: Soil Rating(sq.ft/br) ��rl The Required Size of the Soil Absorption System Is: DEPTH A LENGTH 'tilA GRAVEL DEPTH WIA WIDTH "V�,J 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 = r✓��- 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 department. will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet 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 understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. Signed :/✓i-- r7 ( l i�✓/e�b�i Issued by pp A licant Date: SWP/024(1/81) IYIUTAiUlt'AL1 I Y Ur AM MUMAUC Department Health and Environmental rotection 825 L Street, Anchorage, AK. ;,:0501 264-4720 , # HANDWRITTEN PERMIT # # Permit #�.� WELL AND/ ON-SITE SEWER PERMIT Applicant: i s Mailing Address: Location: _ /Phone Number: Legal Description: �p r [ (�/®, Lot Size: Type of Soil Absorption System Is: Trench: _ Drainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: -S Soil Rating(sq.ft/br) t The Required Size of the Soil Absorption System Is: I G / DEPTH LENGTH GRAVEL DEPTH ! 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(hf LaMG-) TANK SIZE 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 department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet 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 understand that the on-site sewer system may require enlargement if the residence is remodeled to include more tha 3 bedroo s Signed: Issued by: App ica t %r Date. % SWP/024(1/81) ❑ SOILS LOG / = MUNICIPALITY OF ANCHORAGE �{ ® a'; DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION '� PERCOLATION TEST A,/i 825 L. Street, Anchorage, Alaska 99501 2G4-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: Uatqc (,I (y s/NE DATE PERFORMED: ! _ � _63 LEGAL DESCRIPTION: +,'i �-- gd=E�-r> SLOPE SITE PLAN DEPTH t=7K 6/4-j\1/C 2 C. 3 - ,o S I LT f 5ANI) V - 4 yf (,2V-4(/EL 2 Z -5 s �• � - sT 7 9 b q) 10 I 11 WAS GROUND WATER /� �� L U ENCOUNTERED? fid + PO 12c>(`(t�w CSBDEPTH? E l t IF YES, AT WHAT 13 COMMEN PERFOR 72-008 (6/79) Reading Date Gross Time Net Time Depth to Water Net Drop / 7-5=�3�-- 1 6 ,0 0 Pvr\ VA )V-1 Jr 3 5' 14 5 -),30 P,- 10 PERCOLATION RATE Z TEST RUN BETWEEN FT —(minutes/inch) a 1 � 'ZI — FT t�1 ❑OC Co. GUa vMVER P.O. BOX 272, CHUG IAK, ALASKA 99567 0 I ELf_PHONE 688-2759 OWNER OF LAND ADDRESS — f LEGAL DESCRIPTION — DATE • Started _�`� %� Ended _-' -- PERMIT NUMBER -------- --- - -- - - - KIND OF FORMATION DEPTH OF WELL _-._- --- --.-_- STATIC I..EVEL 01, WATER FT. -_ -.- - DRAW DOWN FT. - GALS. PER FIR KIND OF CASING to -FL-- From --17t. Froin - From____ Ft. to ------Ft. __ - -•- -_ - From- - -Ft. to------ Ft.-- From_Ft.to-'__Ft._ from Ft. to_ --_Ft. -- -__ Froro----Ft. to-.-- Ft.----- E1,0111 - I.I. t°-- - -Ft.---- From Ft. to --Ft. From - Ft. w From ---Ft. to_ .-._�Ft. --------'--=-- -- -- From - Ft. to-- From Ft. to. - -Ft._----_--- -- From-- _ Ft. to --_-- - __Ft. _- From _-Ft. to-- o- From---Ft. Prom ---Ft. to FL-_ -._ _--- From FL to_-_- Pt. -- --- From— —Ft. tn. Ft. - --- From - Ft. to - -_-_-.Ft.- - From -------Ft. to — -.Ft. From -Ft. o to- From ----Ft. From- ----Ft.to-- --- ---Ft..—---_-------- - Fron, Ft. to- --- Ft. --- t. -.From— From — --Ft. to-- - Ft. -_- ..-- -. -- -_- From-- - -_Ft. to Ft.-.- - Frorn-_ Ft. to -_---Ft._-----_-- From -Ft. to From---- Ft. to---__ Ft._ -- _- From Ft. to- From--_ _-_--.Ft. to__ .--Ft_-- - MISCL. INF ORNIA'rION : DRILLER'S NAML MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services 44 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 l.D.# 6.51 10� 09 ooD HAA #_02( SAC) q 1. GENERAL INFORMATION Complete legal description Lo.t. 4; Re.2d Subd,(v.r.b2on Location (site address or directions) 23050 Home.A.te.ad DJ Live, Chugiak, AK Property owner Anrnand Nybo,,Lq Day phone Mailing address P.O. Sox ,210306 Ancho)cage, AK 99521 Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well Community well XXX 696-1782 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 XXX 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) Fronl MOAM21 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. Name of Firm S & S ENGINEERING Phone 17034 Eagle River Loop Road No. 204 Address Fanlo RiyEr_Alac4a 4057:7 Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments a %11TIC Date l q S- ........... R02ERi C. COWAN •`•ti % Cc • 8801 r`7 bedrooms, with the following stipulations: Date )921_11L_ 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 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 (Rft. 1/91) BeCk MOA #21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 on x� C O n Health Authority Approval Checklist n Legal Description: t' aj S1 a Parecl I.D.: 05--1 102- o %-rte 00r\:' A. WELL DATA <ko 1> 1 Q0 �t tr s rn O t � Well type (D n If A, B, or C, attach ADEC letter. ADEC water system number in G% Log present (Y!N) Date completed 7 m Total depth Cased to Casing height a ove ground) Sanitary seal (Y/N) Wires perly protected (YM) FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RE-9ULTS: Coliform Nitrate e of sample: B. SEPTIC/I-IOLDING TANK DATA g. p. nt. Collected by: /.W11UN, CNIMin Other bacteria g.p.nl. Date installed I9B3 Tank size /()()o Number of Compartments ' CleanoutsbaN)_ Foundation cleanout (Y N) Depression (Ya rj High water alarm (YO , Date of Pumping d -!7-9S Pu—taper .TA PoIV1ptr1y C. ABSORPTION FIELD DATA Date installed 1 R 0 3 Soil rating (g.p.d./ft2 or ft'/bdrm) 22stiSystem type T"� f" Length 76 Width Jl/- Gravel thickness below pipe 5"� Total depth Effective absorption area 700 Monitoring Tube preseiveiSPI)y— Depression over field (Y[64) f Date of adequacy test d —a:2 -9 5' Results Qj-ss 'ail) For -? bedrooms Fluid depth in absorption Geld before test (iii.); O Immediately after %'1- gal. water added (in.): o Fluid depth D. (ins.) Minutes later: s� Absorption rate = 7� g.p.d. r Peroxide treatment (past 12 months) (YO 1.13 \)g G�r1yuJ�1 If yes, give date � 9 D N rtif A4 r6 //-Z1-93J D. LIFT STATION Date installed Manhole/Access (YM) High water alarm level at* E. SEPARATION DISTANCES Size in gallons ..Pump on'• *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main service line "Pump off' level at* On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5 r Property line / o ` r Absorption field S J Water main/service line /D /4- Surface water/drainage /oa Wells on adjacent lots / as f SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation / a r 4- Water main/service line 10 r 4 - Surface water 160 t 4- Driveway, parking/vehicle storage area rf Curtain drain .4 Wells on adjacent lots /o a Property line /0 F. ENGINEER'S CERTIFICATION 1 certify that 1 have determined thru field inspections and review of'11micipal records( utloi � r\s are in conformance with rL10A ! 1A guidelines i effect on this date. Jy , ,..• • ^••., f c�. Signature J"'" '?... (: -' «�..�.c u:...,..r Engineer's Nam/�e /c d11e.2i C. CdG���✓ er c S � r .e............. ...,......•...... ERT C. Date 1 t a t X15` _ ►2+:���i `RooGE t3©Ol AN C n ••, HAA Fee $ r/ �� �yU� �7 Waiver Fee $ _ Date of Payment Date of Payment Receipt Number f Receipt Number Rev. 8/95 OSS: haa.wk.doe F— APPLIC dT FILLS OUT UPPER HAL ONLY Time Property O,'aer ; . ,:,. - ._ ,• ... - - -.- Phone Mailing Address / / - / _ - `-- -�.:-- __, % Zip Code Inspector Buyer MUNICIPALITY OF ANCHORAGE r-„©. '"7 .f1A ON. OF H`T.”: PEPTE71 ENVIRO\A4LviAL PROROicCtION lam'''' 1 Address - i"�._-.� .. - - �- / i' -Zip Code Lending Institution (,/ j/') < - -'.- Phone Address �i�L-- ' ''i - ! _ Zip Code_ DATE Realty Co. & Agent 6Y: C111 -ALP Soils Rating Date Sewer Installed Well To Absorption Area Address '- r/ c;" 'i -i '. - ��' �.% ." _ .. �..__ Zip Codei Legal Description Street Location --� -� ,. �.�r_( -c-•: -. —�- Type of Residence �i Single Family -. C Multiple Family No. of Bedrooms F Other Water Supply 19 Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. V Community\% For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility ' Sewer Disposal Year Individual Installed: �YJ Individual 1-1 Public Utility When Connected to Public Utility: 1-1 Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date 7 Inspector Inspector Inspector Inspector Field Notes: (cJ� MUNICIPALITY OF ANCHORAGE r-„©. '"7 .f1A ON. OF H`T.”: PEPTE71 ENVIRO\A4LviAL PROROicCtION lam'''' 1 �K (3. ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE 6Y: C111 -ALP Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received N ! —. % '�� Well to Tank Septic Tank Size (� 72023 (31a2l CHEMICAL & GEC JGICAL LABORATORIES 0. ALASKA, INC. TELEPHONE (907) 5622343 ANCHORAGE INDUSTRIAL CENTER �, 5633 B Street 4v — O LAe.e..�e:ae Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM: I. D. NO. Water System Name Mailing Address City State SAMPLE DATE: Mo. Day Year Phone No. Zip Code SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample El Treated Water With lab ref. ) El Untreated Water ❑ Special Purpose SAMPLE Time Collected NO. LOCATION _ . Collected By r 1 2 3 4 5 READ INSTRUCTIONS BEFORE Analysis shows this Water SAMPLE to be: Satisfactory f ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received he Time Received Analytical Method: ❑ Fermentation Tube O Membrane Filter Lab Ref. No. Results Analyst E M .Noof colonies/100 ml. or Na- of Positive portions. 06.1229 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Date Collected Source a.m. nate Received Time Received p.m. Lab. No. EMB Broth 24 hours: Broth 48 hours: COLLECTING SAMPLE Multiple Tube Report: 19ml Tubes Politive/Total loml Portion$ Membrane Filter: Direct Count Collform/100ml Verification: LTD BGB Final Membrane Filter Results Coliform/looml Reported By ( - Data - -- a.m. p.m. Al ;)!ft i.;{) J-1 Li 'i 11c1 V I t. , J I uj� i. 1�). VC, 'TI 1. G IG, I I v IV 1,0) 11,