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HomeMy WebLinkAboutTHUNDERBRUSH LT 2Thunder Btu h #015-142-69 Municipality of Anchorage Page ~ of '~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~'{..t.) q E;~ O0 / I PID Number: 0 l t~''- / U/~_ ~ N~: ~0~ }-I~r~¢~ WastewaterSystem: ~New ~Upgrade Address I~Lt~O ~;~¢/~ ~¢¢~ ~n¢~, ~ ~'5/~ ABSORPTION FIELD Phone: INo. of Bedrooms: ~ ~ Deep Trench D Shallow Trench BBed ~Mound BOther Total Depth from original grade: LEGAL DESCRIPTION SoilRating: 0~ GPD/Sq. Ft., Lot: ~ Block: ~J~r~C/~Subdivbi°n: ~1"~ J% 3epth to pipe bottom from origiRal~,~de: Ft. Gravel depth beneath pipe~.. ¢'D Ft. Township: ~ Range: I Section: Fill added above original grade: Gravel length: WELL: D New D Upgra~ G,av.,width: ~ Numberoflines: ID,stancebetweenlines: Classification (Private, A,B,C): . ~ Total Depth~ Cased To: Total absorption area: Pipe material:  ~a tilled: Installer: Date installed: Driller: ~ Static Water Level: ~EPARATION DISTANCES ';Septic U Holdi..' ~T.E.P. To Septic Absorption Li~t Holdin9 >ublic/PrivateManufacturer: ~ Capacity in galtons: From Tank F[etd Station Tan[ Sewer Lines su~¢~ /00',.I- 10O'+ / LIFT STATION Lh~: %'fl' ~'%kJ Size in gallons: I Manufacturer: ~ Cu~ainDrain -~ ~0., E ~¢ ~ ,, -- -- ~1B"°trica' 'nspe°ti°ns pe'°rme' by: Remarks: '0¢~/~.¢~ Cz¢/~*c-~,~ ,,, /)~¢~ BENCH MARK I Assumed Elevation: [ ¢0 Fh f~ :1I~/ 2/% / ~ '~ .nspectionsperformed by: F..le,lv.~Al..I,agg.,~ Dates'. 1st ~-~¢'-q~ :[ Department of Health and Human Serwces approval ~,~,.t ..... Reviewed and approved by: ~¢ /~, ~ate ~%~:~'"" ....... / - 72-013 (Rev. 9/91] MOA 25 PERMIT No..SW990011 PAGE 2 OF Hunicip. eLifl: oF DEPARTMENT OF HEA~.THAND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 e Amchom~ge, Alaska 99519-66501Telephone: 343 4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [,gOAL LOT 2, THUNDERBRUSH S/D P.I.D. NO. 015--142-69 [IT 5~ ~ I  100' WELL RAD[U§ I I I I I ~ /.---'~ /RIVEWAYk~// I i si a I I SCALE: 1" = 60' LBT 2 .~.. ..'~ PERMIT NO SW990011 PAqE 3 OF 3 ivlunicip, o, Lil oF Anchomo, ae DEPARTMENT OF HEAl_TH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,D, Box 196650 eAnchopage, Atasl(a 99519-6650 e Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LESAL LOT 2, THUNDERBRUSH S/D P.LD. NO. 015--142--69 ST1 ST;2 101.4' EXISTING 1250 GAL SEPTIC TANK FINAL GRADE A B FC01 23,5' 34.0' FC02 24,0' 34.5' ST1 36.5' 33.5' ST2 44.0' 36.5' DBL1 45.5' 37.5' DBL2 46.5' 38.0' DV 48.0' 38.5' C01 69,5' 85,5' C02 121.0' 105.0' MT1 38,0' 71.5' MT2 68.5' 39.0' MT3 70.0' 86.0' MT4 121.0' 105,5' FINAL GRADE MT3 = MT4 = CO1 = 99.6' = 102.0' 01 = 94.9' 02 = 94.9' 89.2'1 WATER FOUND AT 8-:),$' 83,2' B.O.H. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Feb 08, 1999 Expiration Date: Feb 08, 2000 Permit Number: SW99001'1 Legal Description: THUNDERBRUSH LT 2 Design Engineer: 0003 S & S Engineering Owner Name: John Herbed Owner Address: 11450 Birch Road Anchorage, AK 99516-1715 Parcel ID: 015-142-69 Site Address: 011450 BIRCH RD Lot Size: 50947 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [~ SepticTank [] Holding Tank [] Privy [] Private Well ~ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( '18AACS0 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. The groundwater level shall be monitored and reported to DHHS when calling in the first inspection. This permit is issued in conjunction with the Conditional Certificate of Health Authority Appoval #HA990042 Issued By: ~ ~. ~: Date: / ROBERT C. COWAN, P.E. January 25, 1999 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 SEWER&WATER INSPECTION WELL INSPECTION & FLOWTEST ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 2, Thunderbmsh Subdivison Request you issue a permit to install a septic system to serve the four bedroom dwelling on the referenced property A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation 1/14/99 water was not found. ARer seven days of ground water monitoring the monitoring tube .-~ ~-J'° ~,.~o ,~.,~,.~,~ ,~ :~. ~ ~ J/~. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robeff C. Cowan, P.E. RCC/rdp Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204" EAGLE RIVER, ALASKA 99577 1" = 50' DESIGN DETAIL SCALE 1. 10' UTILITY EASEMENT ~OC ~ ~ DNI&~IX~ m m ~ BIRCH ROAD -<~ PERFORMED FOR: ]- 0 )-/ /-J LEGAL DESCRIPTION: ~ Municipality of Anchorage. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST "7 It u,,,,a 2,-:z *;4/ ,, ~ H ~/~(Townsh p, Range, Section 3- 4- 5- 6- 7- 9- 10- 11 13- 15~ 20 COMMENTS SLOPE WAS GROUND WATER ENCOUNTERED? ~ 0 S IF YES, AT WHAT .. ~ DEPTH? p SITE PLAN Oepth lo Water After 7 '~/? Da)e; j/,3, 3/~'~'t MoniloriflD? I Reading Date Dross Net Depth to Net Time Time Water Drop / ~o .~ ,.,~ ~' ~/,r ,' ~. ~/~ ', PERCOLATION RATE / 0, ~ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN '7 ~/)__ FT AND ~ '/)` FT PERFORMED BY~ g' S ENGINEERING I '? 1-'~-,- CERTIFY THAT THIS TEST WAS PERFORMED IN 17034. Eagle River Loop Road No. 204 I ACCORDANCE V~T[~e~,l~,~..~]~.~J~ ~IPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ROBERT C. COWAN, P.E. SEWER&WATER F~JN EXTENSIONS ENGINEERINGSIUDIES ANDREPORTS W~LLINSPECTION & FLOWTEST SITE pLANS ROADDESIGN PERCOLATION TEST ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEEP. S (907) 694-2979 FAX (997) 694-1211 REFERENCE: Lot 2, Thunderbmsh Subdivision January 25, 1999 GENERAL: The scope of this project includes the installation of a 1250 gallon septic tank and leachfield trench for the existing four bedroom house located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Constntction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 Page 2 Lot 2, Thunderbrush S/D Jan 25, 1999 Septic,tanks installed with less than 4 ft. of cover shall be insulated. A foundation eleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt bat:tier covers the entire gravel surface before placing backfill. Mo~fitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page 3 Lot 2, Thunderbrush S/D Jan 25, 1999 MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: T.vpe of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform · to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of tlu'ee (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Page 4 Lot 2, Thunderbrush S/D Jan 25, 1999 The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedm'es or the safety precautions incident to this project. CONTRACTOR/INSTALLER Municipality of Anchorage Page 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: ~O7,5-~' PIDNumber: ......... Na,~e: Wastewater System: [] New ~f Upgrade Address: t~o Smc¢ ¢0a~ ABSORPTION FIELD Phon.: 3~6'3~51 ~No.o~edrooms: ~DeepTrench ~ Shallow Trench BBed DMound DOther LEGAL DESCRIPTION s°d"~"n~:~3~7~qr, . Lot: Block: Subdivision: Depth Io pipe botlom from odginal grade: Gravel depth beneath pipe ~ ] Socti Fill added above original grade: Gravel length: Township~ N Range: 3 W] °~2 0 Fb ~ Ft. WELL: rxt~6 Q New D Upgrade Gr~vetwidth: Number of lines: Dislanc~lweenlines: ~' Ft [ Ft. ClassibcaPon (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe materiah PRW~E >13[ Ft ~0 Ft ~ SQ. Fb Driller: Date Drilled: Slafic Walor Level: Installer: Date installed: Yield:I Pump Set at:I Casing Heighl Above Ground: TANK SEPARATION DISTANCES ws,¢icu Holding ~ S.T.E.P. From Tank Field Stalion Tank Sewer Lines ~' Water >/oo' >/oo' -- -- >,o~ LIFT STATION N.4. I Foundation 2~' ~' -- -- 0 "Pump °n' 'evelat: I"Pun~p °'"'level at: I H'oh water alarm at: Drain ~ I ¢~O~f I~ ~ ~oC~¢~ ~ Cr~to~l~ LocalionandDescription: ~ dt~C Co~1¢~ ~¢M I~ ~rm~°o J AssumedElevation: Department of Health and Human Services approval ~... c~. Reviewed and approved by: Date: 72-013 (Rev. 9/91) MOA 25 POL I 6.650 ANCHORAGE, AI.ASKA 99502 065O (907) 26,1-,I I I I DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Permit #: 840754 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 2 ?hunderbrush Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1984. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report and the yellow copy must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, rKeitl~ E. Bandt, SupeYviso Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 F:'EI::~H I T NO: DATI~!: I SSUI:ED ,", AF:'F:'L. I CANT P, ADDFIESS ',: CONTACT F:'I ~ONE ~ I.,,.EGAL. DIESCR I F': I.,OT SIZE: MAX BEDROOMS: 09/(' 6184 ~ ~ ' ~Z~.,. ~ ' EH:~A BOX 1743 ~. SUBD I V I S I ON: 'I"HLINDEI::~BRUSFI -~) I,...[iT: 2 BI...(,](.,I' ' "" .... NA .[;,,"~C' .,,[..L,~ I (.,Il I,. "FOWNSI:I I P: I,,::N RANGE: 3W 9761~]() (,:d~l., I-- 1 . (IR ACRES) I..,istE!d b(-'-'!lcH~ ape the c}pt:icH'ls avai].abl(.:~ '1:.(:) yCJLI :i. I1 dE:~E~J.(.~FIJ, lq~:J sys'Lem. Cbc]Dsc the opt ion 'l:.hat best Fits yo ):)EF:'TI-t "l"C] F:']:F:'E BO'I'TOM (1::'1".) 4,, 0 ..4 6 ,. 5 4,, 0 GF~AVEL. DEF:"/-H (FrT,,) 4,, ' 1.~ '- 0,, 5 3,, 0 ]"[)TAL DEF:"I]'"I (1::'1".) .[]. 0 / '7. :' '7 ,. () GRAVEl.,. WID'I"H (F'I",,) ~. 5 19,, 0 5,, 0 GRAVEL. L.ENGTId (FT'.) 129.0 '~"~' 36,, () 14:3,, 0 GRAVEI.~ V(]L. LHqlE (CU,, YDS ,, ) 53., 8 25.4 92 ,, 7 TANI< [:~ I ZE (GAL, El ) '~ 1,000.0 '~")~' 1,000.0 '~"~' 1,00C1,, 0 ';~'~4- SC:III,.. RATING (SQ., F;'T. /BR) ~34.3 :1.50 4()7 '~.~. [~)RAVI/i]...I,JZIxlG'I"I~I > '75 FT. RE[]tJIRE~S IIUL..1].I LI:. RUNS (NO'I" IEX(]EF~:DINC~ 75 F:'T,: lEAl]H) .>~.~l. TANI< MUST HAVE AT L,E.A~)I TNO COMF'AF~I'MI]~NTS ]: cePti fy '[l'ia'[.." 1. :1] am fam:i.].ial- w:i.'[.h th~,! Pequir'emer~ts for' (:H'l..-s~_;i'[~.:~ sl.-',.)~er'Ei and ~(~].1~3 a~:[~ s~:~t foPtl'l by the Munic::[l:)al:i. ty c:)F Anchc:iPage (ME]A) arid the State oF A],aska. ]] ~i].i :ir'is'ia].1 the sys'[em ir'l ac:c(]PC[aF1Ce w:i. tlu a],l Ivl(]A c:(]des~ and and in comp ]. iance vJJ. th 'Lhe desi~jrl cPiter, ia c:)r this I wi].], adhePe 'Lo all MOA and S'~..al:.e (:if h].al;H-~:a r~equ:i,r'emer'rt:.s ~'(:)r' Che set [:)ack s(.:,~we~m-age syi~FLem c:)n '[his c)P any adjacerrL (:)P near'by ].o'/:.. I L,IlqdE~l'~'tL~;U]d 't. lle, L 'Lh~.E[; pc~,r'fTiJ, t is valid fop a m~x:i, fliLtm Of 3 bEedI"C)C)H]S IF A I...IF:'T' ,::,IA1 ION IS II~,ISTAI-L.,IED :[Iq AN AREA [;.,OVIE:RED BY MOA BUILDIIqG CODE[S. THEEN (1) AN EI...EC'I'IRICAI- F'E[F~MIT AND IIqSPE(TI"]]Cllxl MLIS'F BE OB'T'A]:NED: (2) A~) ~J[I I, WIlJ-.. NUI BL AH-I~O~I::D W~t 1HO[,~r gl.I L::.I...ExC I I'~I(.,AL .[N,:~['[:C1 .ION I"d::l'O[~] , AND (....,) IEI..E(]TI:(:I:(]AI.. W(]RK MkIS"I'~IS: DONI~;'-B~, A I.. I CENSED ELEC'I"F~ ]:C ]:glxl. .2- APPL.ICAIqTn GARY Id)~[: Fr~OSIE'"'Iq-HOE IEXC PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 12 13 14 15 16 17 18 19 2O COMMENTS [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG -- PERCOLATION TEST PERCOLATION , TEST DATE PERFORMED: ' WASGllOUNDWAIEII ENCOUNTERED? IF YES, AT WHAT DEPTR? I SITE PLAN "1 II1~i l l~d::_,l I .,l..._l /1'6 I Time Water ~ Drop Reading Date ~me~ ~,~ ~, ~ t-~ " :; .,,~,. - PERCOLATION RATE ~O (minules/inch) TEST RUN BETWEEN ~" ' FT AND PERFORMED BY: ;-.i ',~, :j ~' CERTIFIED BY: DA'£E: 72-008 (6/79) Anchor<~ge Recording Precinct, Ala~k{]. LOT SURVEY CERTIFICATION- I hereby certify that Ihove ~urveyed the property 9howrt alld described hereon~ and fhof the impr~ementa ~ituo~ed thereon ara within fha property lines and do not overlap or enoroaoh ~ ~dJocent proper~ and that no i~provomente on adjacent property overlap ~ oncro~h. 011 tho promises in quo~tto~ and that thoro ore no roadw~ utlfl~y lines or other visib~ easements on ~oid'prop~ except o~ Indlootod horoor~. Dickinson-Oswald & As~ociote~ 433 -9tfl. ore., Anchoro~ Peopor~d By: AS-BUiLT Braes Cop Monument Iron Pi~a Steel P~n Survey Hub ~ Tack Residence of' Grt~ Re. ~ _~.'~. F,B. t ' . ~ / ~"~ ~ '~ , I- i' / ~ ~' I' I~ ~~ / ,~- '~ '?.J~. ' Anchorage Recording Precinct, A[askn, --LOT SURVEY CERTIFICATION I hereby Ce~lfy that I h~ve surveyed the property ~ Bra~s Cop ~nument shown and described hore~, oRd that fha ~mpr~menf~ ~ iron Pipe ~[fuated thereon am within the property Ilne~ ~nd do · Steel P~n not overlap or encroach ~ adjacent p~oper~ end Ihof m Survey Hub ~ Toc~ ~o improvements on adjacent property overlap ~ oncro~h ~ tho premises in question ~d thai there or~ no roadw~s, Utility linos or other vi~ib~ casements on said 'prop~ Municipality of Anchorage DeVelopment Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 · Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-142-69 1. GENERAL INFORMATION Expiration Date: 1- .~- !~ Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent ' Mailing address THUNDERBRUSH S/D; LOT 2 11450 BIRCH ROAD * ANCHORAGE, AK * 99516 LEANN DENN Day phone 868-1074 11450 BIRCH ROAD * ANCHORAGE, AK * 99516 Day phone SALLIE NICKERSON W/ PRUDENTIAL Day phone 229-1148 ,3801 CENTERPOINT DRIVE, #200 * ANCHORAGE, AK * 9950,3 UnleSS' otherwiEe requested, COSA will be held by DSD for pickup. NUMBER .OF BEDROOMS: 4 3. TYPE OF .WATER SUPPLY: Individual Well · Individual Water Storage [] Community Class Well [] Public Water System . [] TYPE OF WASTEWATER DISPOSAL: Individual On-site · Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) 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(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 357-6179 Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD 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, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. DSD SIGNATURE ~"/' Approved for Disapproved. bedrooms. Conditional approval for .- . /ATERAND = . WASTEWATER .. PROGRAM bedrooms, with the following stipulations: -~<3.¢, oo .... ..:LC..-," '"'-',, .'~ ~/F~rr Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other /Z~"~)O_.~ Original Certificate Date: /0 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Ao Legal Description: WELL DATA *PER Well type PRIVATE Date completed ~ 1964 Total depth '150+ .ft. THUNDER BRUSH S/D; LOT 2 Parcel ID: 015-142-69 GE(; INSPECTION. ~ ~ ~ INSPECTION. SEE ATTACI~D. If A, B, or C provide PWSlD# N/A Well Log (Y/N) NO Sanitary seal (Y/N)YES Wires properly protected (Y/N) YES Cased to **40+ .ft. Casing height (above ground) 12+ in. Date of test Static water level Well production FROM WELL LOG ..--"" g.p.m. AT INSPECTION 8/23/2011 128 4.4+ g.p.m. WATER SAMPLE RESULTS: Coliform O colonies/lO0 mi. Arsenic~o -~ ~ ug./L. Date of sample: 8/23/11 Collected by: GEG, Ltd. & 8/25/Il(BACTERIA RE-SAMPLE) B. SEPTIC/HOLDING TANK DATA Tank Type/Material *SEPTIC/STEEL Tank size '1250 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping ~/~ ~ J I I Pumper. C, ABSORPTION FIELD DATA I'BELOW EXISTING GRADEI *'1984-1985 **343 Date installed 6/10-14/99 Soil rating (g.p.d./ft2orft2/bdrm) 0.8 Length **64/69 ff. Width **UNK/3 ff. *PER 1992 FLATTOP TECHNICAL SERVICES INSPECTION REPORT. Date installed '1984 OR 1985 Cleanouts (Y/N) YES High water alarm (Y/N) N/A MCDONALDS PUMPING 1984 TRENCH/1999 TRENCHI '10.9 **693 Total depth .1o.3 ft. Eft. absorption area 759 ft2 Monitoring tube YES Date of adequacy test **'8/25/2011 Results (Pass/Fail) PASS Fluid depth in absorption field before test 0 in. Water added 8,30 gal. New depth Elapsed Time: 120 min. Final fluid depth 23 in. Absorption rate >= 500+ Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN 'If yes, give date System type **TRENCH/TRENCH Gravel beloW pipe **5.4/5.5 ft. Depression over field NO For 4 bedrooms 41 in. g.p.d. **PER 1992 FLATTOP TECHNICAL SERVICES INSPECTION REPORT. ***DIVERTER VALVE SWITCHED TO 1984 TRENCH TWO WEEKS PRIOR TO TEST, PER YOUR DEPARTMENT. TESTED 1984 TRENCH ONLY. 1999 TRENCH HAD 31" OF LIQUID UPON INSPECTION (8/23/2011). D. LIFT STATION Date installed "Pump on" level at in. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line Animal containment areas Size in gallons Manhole/Acce~ "Pump off" leve~ High water alarm level at Cycles tested, Meets alarm & circuit requirements~ 100'+ '88'/100'+ N/A 25'+ 50'+ in. *PER WAIVER #WR920039. On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/A 100'+ Building foundation Water main Wells on adjacent lots SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 5'+ Property line 5'+ N/A Water service line. 10'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water service line 10'4- Surface water 100'4- 'Curtain drain NONE KNOWN Wells on adjacent lots. 100'+ Absorption field Surface water. 5'4- 100'+ Water main N/A Driveway, parking/vehicle storage 5'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date ?/~t3)'l COSA Fee $ ~("~ ~ (.,~ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment, Receipt Number Oct O~ 11 09:14a FrantzHildonen 2748~88 po I - , - _ ' ~ ~ , LOT SURV~ ~RTIFIC~TION LEGEND b~e ~d ~f ~ ~tJ Jl~fld.tb~e~ are ~llbla fbe ~op- 0 E~ pipe a~or rebar reGovered. l~tl ~ edict ~ ~ap ~ e~oa~ ~ th* mlte~ · 5/8"X ~" rebut set this survey ~t~ a~ ~ ~ ~e ne ~dwaye, utility I~, ~ e~ vlelbie x - F~ce Lt~e (Ap~ox. L~otion) · Date P~r~ by: ~ L. ~UTTO~ Aarow Pump & Well Service LLC (907)346-9355 Inspection Report I ran a camera 55' down the well at 11450 Birch Road and did not find any holes/cracks in the casing or leaking around the pitless. Beau Maxim Municipality of Anchorage Development Services Department Building Safety Division ~ On-Site Water & Wastewater Program 4700 South Braga. w St. ' P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTI'FIdAi'E bF HEALTH AUi:HORITY APPI 0VAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 0~5-'14~2~6~ HAA# 1. (~NERAL INiSORi~I/{,~I°N 'Expiration Dat6: .'7- //~ - O L~ Con~lS'lete 16~i a6~c'r'il~i0n THUN[~i~i~i~i~LISH Su'B~)ivi~;IbN; LOT 2 Location ({it'~ ~d~lreS~ Or di~:(~Ct, ions) 1 i~0 ' ~i~:H :l~b,~5 ANCHOi~,(~', AK, 99516 Cu'rrent P'rop~rty ow~i~i;is) Mailing addi-~ss L6~aihg ag6ri~ Mailing add~:ess Real Estate Agent Mailin[j addi'ess JEi~I~Y ~ bh[ A ELUh'G D~y ~h(Si'ie 346-2~05 · 1145~ ~Ii~H ROAD Day pl~0he BRIAN BI~OD[~I~( W/ I~UbEI~I,~L VI~'?A Day phone 273-7311 4241 § STRI+I~r ANdh~l~,dE, AK, 9950.~ Unless o~eh/vis~ f~que'~ted, HAA will be h&ld by D'~b fo'r hi~kup. 'NUMBER OF i~EbRbOM~: 4 TYISE oF WA~i~ SU~LY: Iridividual Well· 'i Individual Water Storage I-1 Commuhi[y Class Well [~] Public Water Sys(em [-I -~5~= ~[= WA~TE~/'V~¥i~k DIS~5OSAL: Individual On-site i Individual Holding tank Community On-Site Public Sewer [~] The' Municipali{y 5f/~n~l~or~ige Development ServiCes Depa'rtmeht (DSD) Issues CeH. ifi~ates of Health Authority Approval (HAA) based c~nly upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (exCept betwe6n Spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90·days from the date of issue for properties served by a private or Class C well and may be reissued With new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for One year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for erroi's or omissions in the professional engineer's work. STATEMENT OF INSPECTION BY ENGINEER As cerfified by my seal affixed hereto and as of the validation dale shown below, I verify that my investigation, based on procedures oullined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adeguate for the number of bedrooms and type of slructure indicaled herein. I furlher verify that based on the information obtained from the Municipality of Anchorege fi/es and from my investigation and inspection, the on-site waler supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and Stale codes, Ordinances, and regulations in effect at the time of installation. NameofFirm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. '.TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Phone 337-6179 Date Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineerfng analysis of the system in accordance with ADEC and MOA DSD Guidelines'& Regulations. The reported results described ~he 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 loc. al soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside ~he control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, .nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner list'ed above. Any reliance upon or use of this report by any other person or party is not authorfzed, nor wi//it confer any legal tfght whatsoever. DSD SIGNATURE' V"" Approved for Disapproved. I-~ bedrooms. Conditional approval for bedrooms, with the fllowing stipulations: . WASTEWATER . Attachments: HAA Checklist septic System AdVisory Well Flow Advisory .... . Manitenance Agreements · .-~.~,~.,o~SE~,~.~,~.,- , Supplemental Engineer's Reort .'''~'~)))l)))m'' ' Other (Rev. Original Certificate Date: q Le;al' DeScription: A. WELL DATA Well type PRIVATE Dale cOm~)leted ,-, 1964 Total ~depth 1~28'+ ft. D~ite of ~est siatic W~ter level Well production Municipality~- of Anchorage DeVeloPment i, - Services Department-~! Building Saf~Jty Division · ~ ' On-Site Water & Wa'stewater Program 4700 South Bragaw St. P.O. Box 196650 Anch(~rage, AK 99519-6650 WWw.ci.anch(~rage.ak.us : :(907) 343-7904 HEALTH AOq:H~RITY /~, PPROVAL THUNDER BRUSH SUDIVlSION; LOT 2 we~ ~og (Y/N) Sanitary seal (Y/N) YES . C ~ ..~I ' a~ea tel.7 40+ ~fl, FROM WELL LOG .,,.~V-~"-'"- ' ft- '~ g.p.m. J If A, B, 0r C 'prOvide PWSID# N/A CHECKLIST P~rcei ID: Wires pro~ei-ly P~otebted (Y/N) . t L,i ;,:i ,~ '. · Casing h~ilght (above ground) AT INSPECTION : 3/~o?o4..'. , 128, ft. .::ii! 5.9 · g.p.m. WATER SAMPLE RESULTS: 'i -Coliform i' 0 colonies/lO0 mi. i {'e iN/A , Ar nic: ·' mg./L. . B. SEPTIC/HOLDING TANK DATA r~ ~ Ce Nit[ai&i 2'8--' mg:/L. Oth~r bacteria Date of sample: 3/10/2004 'Colleci~d !"'by: 015-142-69 NO YES 12 in. 0 colonies/100 mi. GEG, Ltd. !t ,l ~ 1984 or 1985 TankL'Typb/Matedal S'l:l~i~L : Date ir~st~il;d ' ta~'l~i;,;e~ 1250 gal. Num6~rofCompailments 2 cleanbUt~s'(Y/N) YES Foi.indation Cleanout (Y/N) Depress~ion over ta~nk (~!N):' No ·High ~t~'r ~ilarm (y/N). N/A pumping 3/9/200'4 ' i Pumper . · McDONALDS i: PUMPING ABSORP~TION FIELD DATA !: :~" '~*BELOW ,'EXISTING GRADE ;' ;I~ ' : " ' ' ' System type - DE.E_~.P TRE.NCH~ Date installed 1984/1985 Soil ra~ting ~0r ~/bdffh) 342 ft~/bdrm ' '~ ':' ' ; Total depth 12/11 ft. Eft. absorption area ' 698 fl ~onitodng: tube YES :, ,,i:~ Depression. . . over field NO Dai~ofadequ~Cytest *.3/10/2004 i! :Result§~(Pa§s/Fail) PASS : !L For 4 bedrooms Fluid depth in absorption field before.test, 30 in. ' ! water added684+gal:' !.; .. i New depth 50 in. E~aFs'ed'hme:11340 min..- Fin~ ,uiA aepth :91 in.t' ' Absor~ti~fi ~aie:>= SO0+ g.p.d. Any reluv.enation treatment (past 12 ~no.)i(¥1N & type') NONE KNOWN ' ~ i **TESTED 1999 TRENCH ;iI i ::~' ' ' D.: LIFT STATION ~" :' Date installed .Sizein gallons "Pump on" level at ~in. "Pump o?.~.~~n. ~ ~ ' Cycles tested E. SEPARATION DISTANCES Manhole/A~.~ High water alarm level at in, Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot AbsOrption field 0n lot Public sewer main Sewer/septic service line ' '~ 100'+ 88" ~' ~ i On' adjacent 'lots 100'+ · : ... on adjacent lots 100'+ N/A Public sewer manhole/cleanout N/A · 25'+ ' . .: Holding tank N/A .. · '.SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: ,. ,. ~. .Building foundation. ' 5'+ ~ Propertyline ' 5'+ Absorption field 5'+ Water main ' , N/A Water service line 10'+ Surface water, 100'+ Wells on adjacent lots ' 100'+ ~. SEPARATION DISTANCE .FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ . Building four'nation 10,+ Water main · N/A Water service line 10'+ Surface water 100'+ Driveway,' parking/vehicle storage · Curtain drain ~ "NONE KNOWN Wells on adjacent lots 100' . F. COMMENTS *WAIVER #WR920039 G. ENGINEER'S CERTIFICATION I certify that I ha'ye determined through field inspections and review of Municipal records that the abo~/e systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS /,/o Date , ' ~ 4" '' HAA Fee $" Date of Payment Receipt Number (Rev. 12101) Waiver Fee $' Date of Payment Receipt Number J'J~r 23 04 04:27p Brian Broderick 907-273-?362 r~.a/z~/Ze~q 15:52 27287S8 HiLDONEN · ~ ...... ~ . . j - pAGE i ...... · · .L '.., :,.. ~. ..... J . . , '" ! · . .. · . *.:.. . ! · o ....... A ,.. .: ',. ' ........... i .... '" ! ' '~ ....... i.' -. :i .... ' .... ;.~'.;,.;.,. J" .. '..' -..i. .... " :: .;..- .:' · "" '~ .... i ..... :' !' j · -. i'' :' "'. :'I' ........... ~ .... ' .. · ' · · · , .... o · , · ~ · . . · ! .... : · ..~ ,- . . ! ,.' . . . ~ · . · :: .... : .... i ..... :..=, .t · - ~ '~i I ": .......... ! ..... :...: ..... i'"" · "'~"'~'"'~' ' ...... ..... ~ ..... .;:,~ ....','- .' .....:.. ~ .-i ..... ...-~..:.,'..i';;:. ' .... I' -..- ....... ; ..... ~: ....... : . ~ . · ' ":':: ..... : ,- i . .. , ' ~ .' ........ l .... ~.l ' ; · ; ' · '~=¥ ,~'~.'r'.-~. .... ~ .... ', , : ' '. ' : ...... ''4' , .'.. !...4 ~ . J ............. *'*. I'-' '°- ~ ...... **, . I I ' , J ' '' ' · ..,.. ............... ;.~ ...: ....... ! j... · . ~.- !: ..- , ........ ~.,_..; .,..: .... J ....· .... :...~, ..- ........... . ... ' .. · ........ ~ ........ J. . f':.. .......... / ........... · ., · .: .....'-.? ' ',. '..'!.-', ....... '.:.-I. :, .,:"~"':'! .......... ~ .... ,. ...... l.:. ' "' ! ' " ..... : ....... J ' '' "' ' "~ " ............. ~ ", ' ' I I" ~"'1 ........ ... '~;"-'~ ...... -'~.--.--..:..-;.:. · ~ ...... :: .... : ..... '- ..-~ ..... ! , t. ~ , ' - : J "': ....... ; .... ..h :".'.'l': --.'.-:..:..:~ ...... : . , ,;.~ . . · . ~ · . · , · .; ..:.~.. - . : . . 81 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage. Alaska 99519-6650 343~4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ~ J ~-- I~t ,~-'-- ([ ~ ~'' 1. GENERAL INFORMATION Complete legal description ~_ ~ 7- Location (site address or directions) /~ ~ .~'-O b~ ,,t ~ H RoA- ,)_, ,,~,,,c/7. Property owner '~-o H N Mailing address Lending agency Mailing address Day phone Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ ~ 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 OFWASTEWATER 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-O25(Re¥.1/91) Front MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disPosal system is in compliance with all Municipal and State ~odes, 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 Engineer's signature '~,' ./'~,~ DHHS SIGNATURE Approved for Disapproved. /~'~ ~'/'~ _ bedrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date (/~ - ~ -% - ~ ? The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The 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. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERV~E,-~ Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 , , . M, unlcipslity of Anchorage Health Authority Approval Cnec~r~t. Health & Human Services Parcel I.D.: A. WELL DATA Well type t~'~ Log present (Y(~'~ /,/0 Total depth/*/~, ' (~/,,¢,t ~4~./~..~, ~// Cased to Sanitary seal (~/N) ',//2. ~ If A, B, or C, attach ADEC letter. ADEC water system number Id6 't Date completed Casing height (above ground) Wires properly protected ~/N) Date of test Static water level Well production FROM WELL LOG AT INSPECTION /',~.~ ~ g.p.m. WATER SAMPLE RESULTS: Coliform O Date of sample: B. SEPTIC/HOLDING TANK DATA Nitrate J. 5-~' Other bacteria Collected by: S & S ENGINEERING 17034 Eagle River Loop Road No. 204 Eagle River, Alaska ~9577 Date installed '-~" I cl Y'-/ Tanksize ) 3'&*O Number of Compartments Foundation cleanout ¢/N) ¥~-~ Depression (Y/~ Date of Pumping '~/ ci '¢ Pumper C. ABSORPTION FIELD DATA Date installed Length (~ ~i Width Soilrating ~,~p~!or fF/bdrm) 8~,~ Systemtype '7 ,' Gravelthickness below pipe 5', 5~ Total depth Effective absorption area 75-c/ F; Date of adequacy test /') ! 4' - ~ ~ ~'" Results~_,~--~-- ~--' For Fluid depth in absorption field before test (in,); ~ Immediately after gal. water added (in,): Fluid depth (i~e~ Absorption rate = Peroxide treatment (pa,6st-'r2 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* Monitoring Tube present ~r/N) ¥"¢-J' Depression over field (Y~) -"~ o bedrooms _g.p.d. D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* CycJP. s-test~'~ Size in gallons ~ el at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ) 0 0 ~- Absorption field on lot c~ y~ re C/o ~ ~/L cl ~o~_~ ,¢c,~ ~ Public sewer main ~' / 4- Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout ~-~g- / -J Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~ ~ Property line S-ct Absorption field Water main/service line }0 -k- Surface water/drainage ? ~0 --~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain Building foundation )O '¢- Water main/service line ~'~ Driveway, parking/vehicle storage area ',~ ~ ,,J 0 ~, ,,-' Wells on adjacent lots ,/ F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and in conformance wit~ M~A ~,~ guide/~jes in effect on this date. Signature "~'~ ~'~ ~/. Engineer's Name Date HAAFee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING O15-142-69 GENERAL INFORMATION Complete legal description Lot 2, Thunderbrush S/D 11450 Birch Road Location (site address ordirections) Property owner Mailing address John & Lori Herbert Day phone 11450 Birch Road, Anchorage, AK 99516 346-1523 Lending agency Mailing address Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 4 \/ NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: XXX If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: 72-025 (Rev. 1/9~) F~onl MOA~t21 Individual on-site Holding tank Community on-site Publi~ sewer XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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. NameofFirm S&$ENGINEERING Phone ~'~'-).;L~ -79 17034 EagL- River Loop Road No. 204 Address Eagle~, A~,~ ~7 ~.~~ Engineer's signature , ~4~. · Date ! / ~ ,, / o/, ~ Conditional Health Authority Approval is requested. Septic system to be upgraded by June 15, 1999. There is no eminent health hazard (no overflowing sewage) and there will be no adverse effect as a result of granting Conditional Health Authority Approval. DHHS SIGNATURE ',?~ % RO~.~T C. COW^U ¢t¢¢A'' CE-880~ · Approved for bedrooms. ,~ '~3 ~ ........ . ' ..~ Disapproved. · ~GondWonal approval for ~ bodrooms, wlth tho foHowino stipulations: Additional Comments !he 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 eng[neer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lendid~'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-O25iRev. 1/91) Back MOA#21 EC IV Municipality of Anchorage ....... Z.~I~I~\ DEPARTMENT OF HEALTH & HUMAN SERVICES dAN ~'~ '1999 ~ Environmental Services Division MUNICIPALITY OF ANCHO~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (~~WCES D~WSION Health Authority Approval Checklist LegalDescription: 2'cT ~)-- 7'ltu ,..'/~(-,~ I~ ,~',~ // Parcel I.D.: A. WELL DATA Well type If A, B, or C, attach ADEC letter..A. DEC water system number Log present (Y{~. ,~ O Total depth i ~ t, / (/,,~.*. ,~.o. ,,~. ¢ ,~.~,) Cased to Sanitary sea[ ,~'~/N) ,,/~ .~ r ~ CROM WELL LOG Date of test ~"' Static water level Well production WATER SAMPLE RESULTS: Date completed g.p.m. Coliform O Nitrate Date of sample: J / ~-- b'- / ~ 0 Casing height (above ground) / Wires properly protected (.~/N) ¥ ~/ ~ B. SEPTIC/HOLDING TANK DATA AT INSPECTION '7 g.p.m. Collected by: Other bacteria ~) S & S ENGINEERING. ]~,034 I=agJe River Loop Road No, 204 Eagle River, Alaska 99577 Date installed ~'¢J '~ ¢~ '/ Tank size I ~' t'° Number of Compartments 2 Cleanouts {'C/N)_ Ye J Foundation cleanout (C/N) ¥/L .~ Depression (Y/,.I~) /o O High water alarm (Y/~'~ /,., Dateof Pumping ~ / ~ ~ Pumper ~va,~/4 ,~,~,~ Dateinstalle~i~j9 q /"~'~ ¢¢ Soil rating (g.p.d./ff=o'rLff~(~)~ ~ '~'] Systemtype -~,~ Length C ,.t --/to Width '~ ~ Gravel thickness below pipe -~",'~ /,~ Total depth Effective absorption area G~ ~ / ~/~< r~onitoring Tube present ~/N)TM ~ Depression over field (Y/,~ Date of adequacy test ] / 7 / ~;~ ~'1 Results (Pass/~a~/ ~ ~, L For ~/ bedrooms Fluid depth in absorption field before test (in.); ~ ¢1" Immediately affer~ 7o gal. water added (in.): Fluiddepth ~(4 (ins) Minutes later: N//I Absorption rate = ¢~/~,~,~¢~-'> g.p.d. Peroxide treatment (past 12 months) (Y/N) /vj ,-','~_ ,z,,,c ..... If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles jested---'-- Size in gallons "Pump on"_l?v_~l~at-*~-~'~-~'~ "Pump off" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots u~'~ ~la~ ;?~)n adjacent lots Public sewer manhole/cleanout Lift station I0,3 '¥-- ZJ //~ /,,'/ .~ ioO SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 3- ~ '~' Property line ~;- o .~ Absorption field Water main/service line ./o -P Surface water/drainage ,' o,~ 'f- Wells on adjacent lots Property line Surface water Curtain drain SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ~ ~'~ '~ Building foundation J- ~- Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots / o o ~,~- F, ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal r~. in conformance withvMOA I;IAA,guidelines in effect on this date. § ~ Date ) / ~- ¢'1 / 'i ~i / HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number JAH'ZS'99 t7:07 FRO~-¢TE ENVIRONMENTAL 5615301 T'551 P.03/03 F-70g CT&E Environmental Services Inc. Laboretory Division ,~ 200 W, Potler Drive Drinking Water Analysis Report for Total Coliform Bacteria A.ch..,,,. ^~C 99-~18-1608 ' Tel 1~7} 862-2343 RUCTIONS ON ~FE~E ~IDE BEFO~ CO~CTIN~ SAMPLE Fax: (9071 561.5301 ~ INS T -- TO'B~ COMpLeTeD By L~O~TO~Y ' 'M~ST BE'CQMPLE~D BY waSA SUPPLIER PUBLIC WATER sYSTEM LD. PRIVATE wATER sYSTEM $¢.a g~su~n ~g "~ Seat~ R~ln ~ SAMPLE DATE: [~ Mouth D~y Ve~r SAMPLE TYPE Routine n Repea~ Sample L[or routine ~ample wi~h lab ref. no ~ Special ~utpo~e SAMPLE LOCATION Coll~l~ Analysts shows this Water SAMPLE to be' Satisfactory Unsahsfa¢lOrY O Sample over 30 hours old, r~sull* may S~ple mo I~g In ~I, staple should no~ be ov~ 45 boom old a* ~amina~ou [o indicate ~liablu r~ul~, Please An~lcal M~hmi; ~b~e ~ MM~G AnalYm~ BACTERIOLOGICAL WATER .ad'qALYSIS RECORD MMO*MUG II.lilt: Tole{ Co!florin. E. Coil Faxeu Membraue FilTer: Dire~ Count Verification: LTB__. BGB Fecal Coliform Couflrma~l~n Fiual Membrane Filter IR~mr~ REC[IVED 0~mt,~,lealth ~ Human oervices Colifo~lO0 mi ~NVlRONMENTAL FACIL. IllE$ IN Aba, SKA. CALIFORNIA. FLORIDA. ILLINOtI~. MARYLAND. MICHiC'u~N. Mt$SQURI. NEW JERSEY, OMIO. WEST MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # {~- \L~-I¢.¢'~ HAA# 1. GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner ¢~.~ c_fl ~.dn~ Day phone Mailing address c/~ R,ck- ~c~,~. ~o(~ Lending agency. ~( Day phone Mailingaddress ~0 ~, ~or R~.2 ~on~, ~ Agent R,c~ ~r~(~) polar B~IA/ Day phone 3Y9 - 7~/ Address (10( E 7¢~ ~¢6; Iu,~ ~, ~or~¢ ~ ~-/~ Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: '~ 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. 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) Front MOA ~21 o 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. '~ A/~,c~' Name of Firm F:(~? T¢ch ~ru',(~ Phone Address /~1~ ~cho ~? ~c~or~, ~ Engineer's signature ~~ ~ ~ Date DHHS SIGNATURE ~ Approved for Disapproved. Conditional approval for bedrooms, with the following stipulations: 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 emissions in the professional engineer's work. 72~25 (Rev. 1/91) B~ck MOA #21 Legal Description: A. WELL DATA Well type ~'v~ Log present (Y/N) Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY rAPPROVAL CHECKLIST Parcel I.D. If A. B, or C, attach ADEC letter. Date completed Totaldepth /5/0'¢ /~~r ~7) /-/.,4,4) Casedto '~ Sanitary seal (Y/N) Y FROM WELL LOG Date of test Static water level Well flow g.p.m. Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot .11 8' Absorption field on lot ,¢,¢" Public sewer main '~ Ioo' Sewer service line ADEC water system number Driller Casing height · Wires properly protected (Y/N) AT INSPECTI-' MUNIQPALITY OF ANCHORAGE ~I~/IRONMENTAL SERVICES DIVISION ~ /~,~/~ JUt_ 2 7 i992 > I D ,EIVED ~ I~1 ' ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform O co/ {,,oo ,,~,~ Date of sample: ~' { 20'/~) R. SEPTIC/HOLDING TANK DATA Date installed ~ I~) 8 Y Cleanouts (Y/N) ~ High water alarm (Y/N) Nitrate /,¢ ~,~ /-4' Other bacteria o co/ Collected by: ~/~/-/~/¢ 7"',¢¢6 .¢~'¢. Date of pumping 7 / ?-$/2 ~ Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I1~' Or) adjacent lots Topropertyline. ~ ~o' ' ' Absorption field ~'lc,' ' Surface water/drainage Tank size I 8..~-(2,,~.,, ! Compartments Foundation cleanout (Y/N) }" Depression (Y/N) A-. Alarm tested (Y/N) N, .&. Foundation Water main/service line ~. ~.o, 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION N, Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Date installed o Length~r~ ~1~ Widtho~. Total absorption area'¢~ - Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellon lot ~¢~¢' ~-~, ,~ To building foundation On adjacentlots ~' J¢ Surface water Curtain drain Surface water Soil rating ~,~m~ ~. S~stem type oc~.-~¢a~,~ ~ Cleanouts present (Y/N) Y Date of adequacy test ¢/~P -~/~/) $ for ~ bedrooms ~o~ o~ If yes. give date N,~. Onadjacentlots ~ ¢oo' Propertyline To existing or abandoned system on Cutbank I~1o,~¢ Water main/service line Driveway, parking/vehicle storage area 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. Signature ~"'"~ Engineer's Name Date ~-~ly ~7,, HAA Fee $ Date of Payment Receipt Number .3~"~¢ ~P ~-r-'~ 72-026 (Rev, 3/91) Back MOA 21 ~. ur~ .... .~,. ~- :..- ~.. . A ~,,~. · CE- 3089 Waiver Fee: $ ~c~©, Date of Payment ~ - %~ Receipt Number ;~ ~ &~'t CHEMICAL & GEOLOGICAL LABORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. TELEPHONE (907) 562-2343 5633 B Street Ancherage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER [] PUBL,C WATER SYSTEM I,D.# IIIIIII '~ PRIVATE WATER SYSTEM Name Ph~e No. 1'-{-$3o ECHo ST Mailing Addr 6ss Mo. Day SAMPLE TYPE: ~5~ Routine [] Check Sample (for routine sample with lab ref. no. ) [] Special Purpose Year [] Treated Water ~d Untreated Water SAMPLE No. LOCATION 41 I Time Collected Collected By 2;t5- CH~y TO BE COMPLETED BY LABORATORY Analysis shews this Water SAMPLE to be: ~.qatisf acto~t [] Unsatisfactory O Sample too long in transit; sample should net be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail, Time Received /W,~ Analytical Method: Membrane Filter * No. of colonies/lO0 mi. Lab Rsf. No. Rssult* {~Jyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE - ~TC = Too Numerous To COunt -- Other Bacteria BACTERIOLOGICAL WATER ANALYSIS RECORD Membrane Filter; Direct Count Coliform/100 mi Verification: LSB BGB Fecal Coliform Conllrmatlon Final Membrane Filter Results Reported By ~'~'~ Coliform/100 mi PART ONE OF TWO REMAINDER TO FOLLOW Tom Fink, Mayor i¥%unicipality ot Anchorage Department of Health and Human Services 825"L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 31, 1992 Ted Moore, P. E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Waiver Request for Lot 2 Thunderbrush Subdivision Request ~WR920039, PID 9015-142-69, HA920458 Dear Mr. Moore: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are private well to the leachfield 88 feet. 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. Civil Engineer On-site Services Concur: /. ¢ /h P E John Smit , · · Program Manager On-site Services ljm:~6 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR920039 PID# 015-142-69 HA# HA920458 Permit # Date Received: July 27, 1992 Legal Description: Lot 2 Thunderbrush Engineer: Ted Moore, P. E., Flattop Technical Applicant: 14530 Echo Street, Russell Guinn Services Anchorage, Alaska 99516 Waiver Requested: Waiver requeset - private well to leachfield - 88 feet Criteria: 1. Geology: Points: A. Water Table ~ ~',/ B. Soil Sorption ~ ~_ C. Permeability · D. Water Table Gradient E. Horizontal Separation TOTAL: Special Conditions: /J. 3. Other: Waiver is Granted: List Conditions or Reasons Waiver is NOT Granted: for above: Date: By: Name of Reviewer Rec #: 23890/3226 Amount: $ 590.00 Date Paid: 7-27-92 TECHNICAL .... .......... SERViCE CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907) 345-1355 Robbie Robinson and/or John Smith M.O.A. DHHS P.O. Box 196650 Anchorage, AK 99519 Dem' Messrs. Robinson and Smith: AUG 1 4 1992 l~UDd3,p~Y o~ ~ choraO~ Dept, Health & Human Seryi~ 14530 ECHO ST. ANCHORAGE, ALASKA 99516 In response to our recent meetings and telephone conversations regarding the Health Authority Approval and waiver request for the water supply and wastewater disposal systems serving the 4 bech'oom residence on Lot 2 of Thunderbrush S/D located at 11450 Birch Road, the following is a report of the additional work which we did on August 21 per your request to further document the septic system. On August 21 the static fluid levels in the standpipes at each end of the undocumented upgrade U'ench were the same as we had previously measured. By careful inspection with a flashlight we were able to verify that the horizontal distribution pipe does tee into the monitor tubes at each end of the trench above the static fluid level in these pipes. Using a calibrated rod we measm'ed the invert of the horizontal distribution pipe to be 15" above the fluid level in the monitor tube at the south end, and 11" above the fluid level in the monitor tube at the north end of the U'ench. Since the maximum rise in the fluid level in these standpipes during our adequacy tests had been 4.5", this demonstrates that at no time during our adequacy testing was the new trench operating in a sumharged state. From om' measurements it appears that there is a slight slope (approx 0.5%) to the horizontal distribution pipe, but this is no mom serious than what we encounter in many systems we test. We mTanged for a backhoe to expose the transite pipe in the old &ainfield upstream of the cleanout · pipe which we had previously found. While this pipe was not dh'ecfly plumbed into the newer upgrade trench, it did appear that the old drainfield was hydi'aulically connected to the upgrade trench tin'ough the gravel backfill which was placed in the old seepage pit when it was abandoned. This would account for the fact that the two systems behaved as if connected, even when the fluid level in the upgrade n'ench was below the horizontal distribution pipe. To ensure this linkage in the futura, we had the backhoe operator install a piece Of ASTM D3034 pipe dh'ectly connecting the end of the U'ansite pipe to the horizontal distribution pipe in the upgn'ade trench. While this connection into the horizontal disn'ibution pipe in the upgn'ade trench was being made, we had an opportunity to obse~we that the horizontal distribution pipe was properly bedded in sewer gravel and the gravel was properly covered with filter fabrid. We were also able to locate and extend above ground level the second half of a double cleanout in the old di'ainfield distribution pipe, so now there is a means of cleaning the entire horizontal distribution pipe in both the original di'ainfield as well as the upgrade trench. While the repah' work was being done, we added 858 gallons of water into the cleanout for the original di'ainfield over the course of 2.5 hours. The fact that the old di'ainfield was able to accept this much water without backing up into the horizontal distribution pipe demonstrates that it retains a considerable sm'ge capacity, even while the residence is fully occupied. I believe that the abovedescribed measurements and work provides the additional documentation you requested in.support of our HAA application and waiver request dated 7/27/92 for this 4 bedi'oom residence. Please give me a call if you have any questions on this repm't. Sincerely,. T&I Moore, P.E. Permit No. Page ~ ' 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 LegalDescription: LoT 2, 'Tl~uiqbER~,~uS~/ PID No.: No O.o. Pi?' 2'/9 WELL. 72-013 A (2/91) MOA 25 BUILDING Flattop Technical Services 14530 Echo Street CIVIL & ENVIRONMENTAL ENGINEERING * ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14530 ECHO ST, PH: (907) 345-1355 July 27, 1992 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 196650 Anchorage, AK 99519 Dem' Sh's: By means of this letter we are requesting issuance of a HAA cet~ficate and a sepm'ation distance waiver allowing the existing (previously undocumented) wastewater disposal trench cleanout to be 88 feet instead of the normally required 100 feet from the private well serving the 4 bexh'oom residence on Lot 2 of Thunderbrush S/D. A site plan and "ex post facto" as-built inspection report m'e enclosed along with copies of other relevant backup documents. All parties would greatly appreciate your timely processing of this request, since the property faces foreclosure if the sale cannot be completed within one month. According to a 1979 HAA certificate, the well and the original wastewater disposal system serving this lot were installed m'ound 1964, prior to the time when records were required to be filed with the Health Depm'tment. We were unable to locate a driller's log for this well, however the enclosed log for a well drilled 79 feet away in 1976 on Lot 1, Thunderbrush S/D appears to correspond closely with the well on Lot 2 also. From the enclosed 1968 as-built lot survey, it appears that the original wastewater disposal system consisted of a septic tank followed by a seepage pit supplemented with a perforated pipe ddrah~. All components of the original septic system were more than 100 feet from the well. In January of 1979 Alaska Development Consultants conducted a thorough adequacy test of the original septic system serving this lot. Their test demonstrated that the system was adequate for the 4 bedroom residence on the lot, although the surge capacity was somewhat limited. A 3 bech'oom conditional HAA was issued in February of 1979, which was subsequently converted to a 4 bedroom unconditional HAA in May of 1979. In June of 1980 the system a new 3 bech'oom HAA was issued. The next documents in DHHS's files are a log for a soils test conducted in September of 1984 and a 3 bedroom upgrade permit also issued in September of 1984. Although an upgrade was done, apparently no as-built inspection report was ever filed, because the only other document in the file is a letter from DHHS dated January of 1985 stating that the permit had exph'ed. Unfortunately, neither the excavator to whom the permit was issued (Rose-N-Hoe) nor the engineer (Thom Fischer) are any longer in business in Anchorage. The present property owners and their Real Estate agent have attempted to contact the people involved, but have not been successful. When we fh'st inspected the property on June 10, 1992 we found the cleanouts of what appeared to be a relatively new 1250 gallon septic tank and 2 cleanout/monitor tubes at what appear to be the ends of an upgraded soil absorption trench. The spacing of these standpipes and theh' depths do not agree with any of the options listed on the 1984 sewer upgrade pe~xnit. A calculation of the effective area of the upgrade trench based on the measured distance of 64 feet between the trench cleanouts and the 65" average of the fluid depths in the monitor tubes when the trench appeared to be full yields 693 squm'e feet. Using the 343 squm'e feet per bech'oom soil rating shown on the permit, the upgrade trench appem's to be sized for just over 2 bedrooms. On June 29 and 30, 1992 we conducted adequacy tests of the water supply and wastewater disposal systems serving the 4 bedroom residence on this lot. The initial static water level in the well stood at 128 feet below the top of the casing. Steady pumping of 778 gallons of water from the well at the maximum pump output of 6.5 gpm caused the water level inside the casing to be drawn down to 131 feet, but no further. Based on this test we concluded that the total yield of the well is in excess of 6.5 gpm, which is more than adequate for any single family residence. Water samples collected on June 26 were satisfactory, showing 0 coliform or other bacteria per 100 ml., and 1.8 mg/1 of nitrate-N. The house was occupied at the time of our test. To assess the adequacy of the wastewater disposal system we added 663 gallons of water to the upgrade trench on June 29. The initial fluid depth in the south monitor tube was 52" and in the north monitor tube was 70". The first 400 gallons of water which we added caused each of these fluid depths to rise 4", but after that the fluid levels rose no fm'ther. Once the flow of water into the system was stopped, the fluid levels receded at an adequate rate for a 4 bedroom residence. On June 30 we added another 778 gallons of water to the system which again caused the fluid levels to rise to 4" above theh' initial position, but no further. We feel the best explanation of this behavior is that the upgrade trench is connected in series into all or pm't of the original system, and that the original system is able to accept overflow from the upgrade trench. This explanation is hypothetical, because during our adequacy test we were unable to locate any standpipes giving access into the original system. The fact that the combined system serving an occupied residence was able to accept over 1400 gallons of water within a 28 horn' period without backing up, indicates that it has considerable reserve sm'ge capacity. We discussed the issue of the rated capacity of the septic system with Dan Bolles at DHHS on July 2, and he suggested we t~ again to locate cleanouts for the original system. Since the upgrade appears to be sized for 2 bedrooms only, it is necessm'y to confirm that at least 2 bedroom's worth of the original system is also still in service. After considerable searching with a metal locator, on July 3 we found a cast iron cleanout pipe which appem's to be at the upstream end of the perforated pipe drain shown on the 1968 as- built smwey, but we never were able to locate any standpipe for the original seepage pit. The cleanout pipe we found has a sweeping tee 64" below ground level and there was no fluid in it. It is our opinion that the perforated pipe drain shown on the 1968 as-built survey should provide the additional absorption m'ea necessm'y for a 4 bedroom approval. We further discussed our findings with John Smith at DHHS on July 14 and he recommended we submit this HAA and waiver request together with as-built documentation of the upgrade system depicting om' best estimate of the configm'ation. The topography of the lot is generally level, with approximately a 2% slope down towards the west. This means that were effluent to daylight fi.om the cleanout at the north end of the trench, it would tend to flow away from and not towm'ds the well. The enclosed thfller's log for the well on Lot 1, which is located 79 feet northeast of the subject well, has the same depth as is reported for the subject well. The reported static water level is vhtually the same, and the reported total yield of 15 gpm is consistent with our measured yield of the subject well. For these reasons, we feel the log for the well seiwing Lot 1 can confidently be used in the waiver analysis on Lot 2. The well log indicates that the aquifer is protected fi'om contamination by hm'dpan strata, and the fact that the static water level rises 16' in the casing above the level of the aquifer indicates that the aquifer is confined and thus further protected from contamination. The following is a breakdown of how we feel waiver analysis points could be assigned using the D.E.C. SCRO's separation distance waiver guidelines. C~¢gory Points Vertical separation to water table (128' ~ 1' - 11' = 116') 7.08 Soil Sorption ((10' @ 3.0 + 107' @ 4.5)/117) 4.75 Permeability ((10' @ 2.0 + 107' @ 3.0)/117) 2.91 Water table gradient (0% - pal'allel to ground surface) 2.90 Horizontal senal'ation (85" allowing for under_m'ound pro_iection~ 2.40 Total 20.04 Based on this waiver point analysis, it appears that the requested waiver can be issued without concern as to potential contamination of the well due to the proximity of the existing septic system. Please give us a call if you have any questions regal'ding this submittal. As mentioned above, the property faces imminent fomclosm'e, so any assistance you can give in terms of timely processing of this HAA and waiver request will be greatly appreciated. Thank you. Sincerely, Ted Moore, P.E. cc: Russell Guinn, c/o Rick Harding, Polar Realty I oo~ ~.oT q Zo'r ~ 5Y~T£~f , ~ lis z, AvE 1 Flattop Technical Service~ 14530 Echo Street .~nchorage, Alaskc~ 9951B LOT 2 THUNDERBRU-SH WELL ANb SEPTIC SCALE: I"=SOI DAT~: 7/92 l)wN BY: ~ lqOT/E', TH~ tS No'i' A 5ut~V£Y£b PLA ALI. LOCATIONS DATE RECEIVED . INSPECTION APPOINTMENTS /(~.~-Z' ' TIME TIME TI'~I E / DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANCHORAGE  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~IPALI~ OF ANCHORAGE 825 L Street - Anchorage, Alaska 99B01 DEPT. OF I~=/J.T~l ENVIRONMENTAL ;, OIECTION ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 ~,/~t~Y 2 :.; 1980 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE~E DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. PHONE 1. PROPERTY OWNER ~- PROPERTY RESIDENT (If different from above) PHONE '2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION ~ PHONE I MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS B, LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [~' Three [] Six [] Other 7, WATER SU. pPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTI LITY ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975, For wells drilled prior to that date, give well depth (attach Icg if available,) /z/.q f/- 8, SEWAGE DISPOSAL SYSTEM [~ INDIVI DUAL/ON-SITE** [] PUBLIC UTI LITY 19/, ~ YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS ., [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DR I L LED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [~]IN DIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS E~'"~O V E D FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-O10 (Rev. 6/79) MUNICIPALLY' OF -ANCHOEA~E MUNICIPALITY OF ANCHORAGE DEPT. OF /~EALTI-I &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEOL~Q~ONMENT/.L {:;-,OTECTION 825 L Btreet - Anchorage, Alaska 99501 ENVIRONMENTAL ENGINEERING DIVISIONJAN 2 6 19/9 Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND 8EWER FAOILITIE8 DIRECTIONS: Complete all parts en page f. Incomplete requests will not be processed. Please allow ten (10) dave for processing. MAILING ADDRESS PROPERTY R~81DENT {If different from above) 2, BUYER MAILING ADDRESS PHONE PHONE PHONE 3, LENDING INSTITUTION MAI LII~G AC/OR ESS 4. REALTOR/AGENT MAILING ADDRESS PHONE PHONE ar· LEGAL DESCRIPTION STREET ~//~ 6. TYPE OF RESIDENCE SINGLE FAMILY [] MULTIPLE FAMILY 7, WATER SUPPLY  INDIVIDUAL~ COMMUNITY [] PUBLIC UTI LITY SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY NUMBER OF BEDROOMS · [] One ~. F~")'~J~.~ [] Other ~ · [] Two [] Fi~e ' ~),~]~q Three [] Six * ATTACH~u ~E LL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that~at~, ~ve well depth (attach log if available.) / **If individual/on-site, give installation date /¢~ . If system is over two (2) years old an adequacy te~is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING },N BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I NSPECTO R INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF ·RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVi DUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTI LITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] I NDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [~Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION ARE~, MATERIAL 4. DISTANCESwELL TO: Septic/HoldingTank Absorption Area Sawer Line I Nearost Lot Line Absorption Area to nearest Lot Line [~ON'DITIONAL APPROVAL'(letter must acco~v certificate)~ / 72-010 (Rev. 3/78) ~o~ 6~D S~WAa~ ~WAY ANCHORAGe, ALASKA 9950~ OFFICE= (807) 344-0313 F~bruary 1, 1979 ADC No. 79008 Mr. Ken Muckey SRA Box 1650 Anchorage, Alaska 99507 Re: Adequacy Test for Existing Septic System on Lot 2, Thunderbrush Subdivision, Anchorage, Alaska. Dear Muckey: At your request our office conducted a percolation adequacy test on your existing septic system at the above-referenced location durinq the period danuary 29-31 , 1979. You reported that your septic system consists of a septic tank, seepage pit and approximately 180 to 200 feet of seepage trench. The septic lank had not been pumped prior to the percolation test. Since the 4-bedroom house had been occupied up to the time of the test, a normal deqree of saturation within the leach field is assumed. In accordance with the Anchorage Municipal Code, Chapter 15.65, Waste Water Disposal Regualtions, any on-site sewage disposal system "shall have adequate capacity tO properly dispose of the maximum daily sewage flow." The maximum daily flow is computed at 75 gallons per capita-day (gcpd). Since hthe fiopulation of dwellings shall be estimated at two persons per sleeping room," the maximum daily sewage flow for your 4-bedroom house is 600 gallons per day (gpd). To test the soil absorption capacity as well as the surge capability of your system, 110 percent of the maximum daily flow or 660 gallons of clear water was added in 50-gallon increments to the. septic tank. The water w~s obtained from your on-site private well at its maximum sustained rate of about 4 gallons per minute (gpm). The liquid levels were monitored closely to detect any backup in the septic system. Mr. Ken Muckey Feb. 1, ]979 Page -2- The attached Table of Test Data represents the depths of liquid in the septic tank and seepage pit, and the quantities of water added. The septic tank was determined to be 8.3 feet deep (bottom of tank to ground surface) with an initial depth of 4.5 feet in the tank. The seepage pit was measured to be 9.0 feet deep with an initial depth of 3.6 feet. Ground elevation at the septic tank standpipe is approximately 0.5 feet higher than at the seepage pit standpipe. The attached Summary of Test Results indicates that the liquid level in the seepage pit at the beginning of testing on Day 2 fell to 0.2 feet below its initial static level on Day 1, during a recovery period of 22 hours. On Day 3, the level had fallen to 0.2 feet below its initial level on Day 2, during a recovery period of 22 hours. This results in an average rate of fall of 0.12 feet per hour. Based on two days of testing, a percolation rate for your existing septic system of approximately 660+ gpd is indicated._ _ dwelling must be capable of disposing of 600 gallons of sewage per day, the percolation capacity of your leach field appears to be satisfactory at this time. It was noted during the test, however, that the liquid level in the septic tank rose 0.7 to 0.8 feet after approximately 75 to 80 percent of the maximum daily load had been added. This indicates that the surge capacity of your system may be some- what limited. Since the imput of the maximum daily load occurred in a 3-hour period or less on both days, and the liquid levels in the septic tank and seepage pit did recover to their initial static levels or better, your septic system appears to be functioning satisfactorily at this time. If it becomes necessary to upgrade your septic system at some future date, you may want to consider enlarging or deepening the seepage pit to prevent the wastewater from backing up into the septic tank during heavy use. Many factors affect the operation of a soil absorption type of sewage disposal system. Soil type, groundwater depth, age and history of maintenance of the system, and types of waste are a few. This test has been performed in an attempt to model actual soil absorption capabilities of your septic system under normal useage by considering the degree of saturation of the leach field and surge loads that might be imposed on the system. This test can only evaluate apparent performance at a given point in time, and cannot determine either the condition of the leach field, seepage pit or other components of the septic system, or the depth of the water table. Mr. Ken Muckey Feb. 1, 1979 Page -3- We appreciate the opportunity given to perform test. If you have any questions regarding this contact this office. Very truly yours, ALASKA DEVELOPMENT CONSULTANTS this adequacy test, please Stephen D. Shrader, P.E. Project Manager Mr. Ken Muckey February 1, 1979 Page -4- ADC No. 79008 SUMMARY OF TEST RESULTS Day 1 Day 2 Wtr Added, Seepag? Pit 660 gal 660 gal Rise in Seepage Pit 2.3' 2.7' R±ee in Septic Tank 0.7' 0.85' Gallons Wtr Added per 287 244 Ft of Rise (gal/ft) Day 3 Recovery Time between Test (Hours) Drop in Pit during Reoovery Average Rale of Fall (ft/hr) Average Absorption Rate (gal/day) 22 22 2.5' 2.9' 0.11 0.13 660+ 660+ Adequacy Test for Existing Septic System ~mer: Mr. Ken Muckey Address: SRA Box 1650, Anchorage, Alaska 99507 Project No. 79008 Legal Description: Lot 2, Thunderbrush Components of Septic System: Septic tank, Number of Bedrooms: 4 How long vacant: - Test performed by: S. Shrader Initial Static Levels: Subdivision seepage pit, seepage trench Occupied prior to test: Yes XX No Septic Tank 4.5' Last pumped: 2-3 yrs ago Water meter/S.N~5/8" Neptune/#22812186 Seepage Pit 3.6' TEST DATA i~ ~. '~Liquid Depth, ft Water Meter Time Septic Tank Seepage Pit Added, gal Reading, gal Remarks -29-79 10:25 4.5' 3.6' - 3286 Beqin Test 10:37 4.5; ~.7' 50 3336 10:51 4.5' 3.8' 50 3386 11:02 4.5' 3.9' 50 3436 11:15 4.5' 4.05' 50 3486 11:28 4.5' 4.15' 50 3536 11:38 4.5' 4.3' 50 3586 11:52 4.5' ~.45' 50 3636 12:05 4.5' 4.9' 50 3686 12:18 4.5' 5.4' 50 3736 12:30 4.6' 5.5' 50 3786 12:42 4.8' 5.6' 50 3836 12:54 5.2' 5.9' 50 3886 Stop Test 11:09 5.2' 5.9' 60 3946 !1-29-79 11:13 4.5' 3.4' - 1-30-79 11:20 3948 Start Test 11.qQ A_5' 3.5' 50 3998 Owner: Mr. Ken Muckey Project No. 79008 Legal Description: Lot 2, Thunderbrush Subdivision TEST DATA (Cont'd) ~ Liquid Depth, ft Water Meter Time Septic Tank Seepage Pit A~ded, g~l Reading, gal Remarks 11:46 4.5' 3.45' 50 4048 11:58 4.5' 3.55 60 4108 12:'12 4.5' 3.85' 50 4158 12:25 4.5' 4.0' 50 4208 12:36 4.5' 4.1' 50 4258 12:46 4.5' 4.2' 50 4308 12:59 4.5' 4.4' 50 4358 1:12 4.5' 4.8' 50 4408. 1:22 4.6' 5.4' 50 4458 1:33 4.7' 5.7' 50 4508 1:47 5.3' 6.0' 50 4558 Stop Test 1:59 5.35' 6.1' 50 4608 1-30-70 1-31-79 12:3( 4.5' 3.2' Test End