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Home My WebLink AboutT14N, R1W, Section 17 (2)T14N RIW Sec. 17 E2 SE4 NW4 (Whitestone Estates Unit#7) #067-311-01-007 Municipality of Anchorage ? ;. Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page I Of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: PID Number: - (- Name: t Wastewater System: ❑ New ❑ Upgrade Atltlres%�, ABSORPTION FIELD Phone: Number of BedmoT i(�Lt ��?�-�y't� ❑ Deep Trench L*Shallow TrencM1❑Bed ❑Mountl ❑Other. � Ui-k 1 LEGAL DESCRIPTION Soil Rating: 0lia Total Depth from original grader I IKI�• GPDIFts Ft. Block: _ ; Lol: + ' , Sub`dip 'on: 14 ( \ Depth to pipe bottom from original grade7: 3, Gravel depth beneath pipe: , F1. Ft. Township: , � Range: 1 Section: 1-7 Fill added above original grade: U Gavel Liseth: S (s 3— VV Ft Ft Well: ❑ New ❑ Upgrade Gravel width: t) Number of lines: Distance between lines: FL I FL Classification (Pn B, C): Total Depth: Cased to: Total absorption area: _ Pipe Material:d 4 3v-4ft-i Ff. FL Ft' Dn1 .'. Drilled: Static Water Level: Installer. � n rt Date Installed: yield: Pump Set at: Casing t Above Ground: TANK GPM F[. FL SEPARATION DISTANCES ❑sepIG ❑SZE. E] Other: To Septic Absorption Lift Holding ublin/Private Manufacturer. Capacity: From Tank Field Station Tank Sewer Line iCf cal. Well / ( IVa Material: Number OCompartments: Surface Water V' .j- f LIFT STATION /3, LotLine 1 J rze: - Gal. en acWrep— 'Pump on" level at: "Pump otr level at `High water alarm at Foundation Curtain Drain � � /�\b Pump Make B Model Electrical Inspections performed by: � Remarks: BENCH MARK `�\ +ti1 �PCTI�tik Location il�PantlDeavton: .&Az-:> ct= 0-YSty t (, ut Assumed Elevation: FL Engine'r'ss`St`rw ®ry OF`A k 111 ® P� ,.........em0�g.1 Ar C2 ' %;fes (� I Inspections performed by: QJr Dates: tat tC`f % * 49L go I ( rid eeweeeo Develom t Services Department Approval p p A. Karcz ' Reviewed and approved by Date: 2 , Dean ee s, �'e CIE-8303 is trier. lzroo) `1!F P...... � %'Z%ROFCu� I Permit No. (j Page �� of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O Box 196650 e Anchorage, Alaska 99519-6650 *Telephone 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report L}4,7 -'1 <_ Legal Description: E `lz- �; E-�W,14 RC1 1 _.V— PID No.: ASPHALT DRIVEWAY 45 4 `645.32 <7' i \ �645.03�� \ 14_ 643,38 / ASPHALT DRIVEWAY I )'&4Z,04 645.E UNIT 7 GARAGE 3UILDING ��x I I 637.22 DISTCNCFS2 A -D 85.01 B - C 57.01 /---.Q37 13 B - D 88.6 SYSTEM PROFILE (NOT TO SCALE) EXISTING CONSTRUCTION 2 2" WE TSM - PT A. TOP OF KEYSTONE RETAINING WALL - (ELEV. - 641.18) �.� EXISTING 17300 \GAL. SEPTIC TANK 1.68 � 663.50 I / \� 3.62 yam_, 5 EXISTING 59 BIOCYCLE MODEL 55.00 600^0 / ? •60.46 -�•�645`2� 48,,41 x X 6 1, 11 54.95 PERMANENTLY / �645.04 \\xs ABANDONED TRENCH -� n `\ 48.40 I y640.75 7646.77` XI APPROX. L 642 X LOCATI(N5 FRENCH DRAIN L�1645 644.76 Lulea \ 1639.13 / �631.fi9 D I \ 1_1141. PVC @ ,t638.70 H 14 MIN 29 NEW • TRENCH �/v627.81 L - \ 5' X ,• 63.5' � iI i KEYSTON. I L W INI WALL;' � LEGEW S�oeEj� 6: i TEST PIT CLEANOUT x639.99 61 I •"' MONITORING TUBE i i I SCALE 1- = 50' 4T TRENCH 14 643 ®r 4�,OM1 11 � ��,� �mo•aoeoY �t,�0 to « 497 •� .....: 638.4 NO A •..o.... ...... �•�s BC : Dean A. Karcx l CE -8303 �� ?3oo NA��®® 630 10�®OFESSt�®.," MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 09, 2004 Expiration Date: Jul 09, 2005 Permit Number: SWO40252 Parcel ID: 067-311-01 Legal Description: _.Mal IN lmasq0mmwmw Design Engineer: 0098 Professional & Technical Services Site Address: 20660 Ptarmigan Boulevard Owner Name: Mike Lester Lot Size: 158081 SQ. FT. Owner Address: 20710 Ptarmigan Boulevard Total Bedrooms: 5 Permit Bedrooms: 5 Eagle River , A 99503 - This permit is for the construction of: ❑✓ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and clused on the same day. B. Covered, sealed, and heated to prevent freezing. PLI Received By: Date: 74 Issued By:/ r 11°Date: 7 ' r Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 N -SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 667-- 31+ - ®/ Permit Number SW Property phone Zo i to Mailing address (1)PTtorzI A-V 01,4. Mailing address Code Legal description (Lot, Block & Sub'd.) W4i T E-5ToNE RSTfF7-ES Y -o T i - Legal description (Section, Township & Range) Lot Size /5,8, o 1SI Acre Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a i9le Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property ovkfer or authorized agent) Permit Fees: (a -f5' 00 • Waiver Fees: Date of Payment: 0 Date of Payment: Receipt Number: Y96S Receipt Number: (Rev. 12100) PITS July 9, 2004 *NXIAK 912E 15'" Avenue, Suite 102, Anchorage Alaska 99501 (907) 561-6237 fax: (907) 563-3613 Dan Roth, Civil Engineer Municipality of Anchorage On -Site Water Wastewater Program, Building Safety Division 4700 S. Bragaw Street Anchorage, AK 99507 Re: Whitestone Estates Unit 7 Application for Reserve Trench Construction Dear Mr. Roth: Professional & Technical Services, Inc. (PTS) on behalf of the property owner of Unit 7, White Stone Estates Condominiums (located on the NE '/4 SE Y4 NW '/4, T14N Rl W Section 17) is submitting an application to construct a new wastewater disposal field. The new disposal field is to be installed in the location of the reserve trench identified in the initial application for wastewater disposal permit (Permit SW980002, Health Authority # HA990132). As discussed previously with you and your staff, sometime after the installation and approval of the disposal field a french drain was installed that crossed the disposal field. This was discovered when PTS attempted to perform an adequacy test on the existing disposal field. Due to the location of this disposal field and because time is of the essence for the homeowner, it is more practical and cost-effective to abandon the existing field and construct a new field than to attempt to abandon and/or reroute the existing subdrain. Presently the wastewater system consists of a 1300 -gallon septic tank discharging to a Biocycle Model 6000, which ultimately discharges into a 5' -wide by 66' -long trench. The effective depth of the trench is 4' below the perforated pipe. This system serves an existing 5 -bedroom house. The new trench is to be placed in the general location of Test Pit 14, as reflected on the attached site plan. This location is below an existing keystone retaining wall, more than 15' from the toe of the retaining wall. The proposed field is more than 50' from the top of a slope greater than 25%, also shown on the site plan. MSO4 Onsite Permit application lettendoc 2 of 2 07/09/04 Calculations for the disposal field are provided in the table below: No. Bedrooms Max Flow Pert Rate Application Rate Absorption 50% Red. Length of 5'Gravel Area Area loWide Trench Biocycle Dept Beneath Perf. Pipe RF Fo Grovel Depth Revised Length of 5' Wide (GPD) (Min/hr) (GPD/SF) (SF) (SF) (FT) (FT) (Fr) 5 750 27 0.6 1250 625 125 - 4 0.5 62.5 This design will be an improvement to the existing situation, and will not adversely impact any adjacent wells or septic systems. If you have any questions, please call me at 561-6266. Sincerely, PROFESSIONAL & TECHNICAL SERVICES, INC. I Dean A. Karcz, P.E. Vice President Enclosures MSO4 Onsite Portrait application letter.doc ASPHALT DRIVEWAY 1 UNI T 7 \EXISTING WELL \ ASPHALT DRIVEWAY / � 645.32 64. 8.41 10 46.16 5495 ABANDON EXISTING \\ 48.4 5' X 56' TRENCH 645.03 / 1 649. 2 164 .34 _ \ _ 6438 \ 48.40 646.77 ASPHALT DRIVEWAY 04 ----------- II EXISTING 1300 \ GAL. SEPTIC TANK/ 'e \ 663.50 h! 3.62 / 5 EXISTING 9 BIOCYCLE MODEL nn 6000 I 5 64213, FRENCH DRAINnON 645. 644.75 \ I # 639 • \ I UNIT 7 1-114" PVC @ }638. 0 GARAGE H 14 MIN 29 / • I / BUILDING ss 64x.57• PROPOSED NEW TRENCH \\x(6278 5' X 62.5' / j EXISTING pEN 641—x6/38 /27 / / T%22.90 V V ' 637.22 1 638.81 / / /1619.11 @\13 II x.522.33 O O / I \ -+161235 �•-Gi5.7S — — T IN OF A� �P.. Oqs I4 ° Dean A. Karcz �OFESSIONP'��' _1� • TEST PIT CLEANOUT MONITORING TUBE _ PTARMIC S8 660. _ 30.00 / NOO°09'46' ,11 =4P� O ° ... Ls�l 7 '° ■ 0 �6`° 44TfA� `t Dean A. Karcz /.A a; i CE 8303 F �a' PROFESSIOON' 411:� N88'58'1 8"E 660.09 �nv�l lr�nl�nnrr� I II\I'.I IKI II ll II IFI I NOTES DRIVEWAY LOCATIONS SHOWN ARE APPROXIMATE BASED ON 1998 PTS SITE PLAN. I , Y - LEC,END • TEST PIT CLEANOUT "T. MONITORING TUBE O N N m K J ,11 =4P� O ° ... Ls�l 7 '° ■ 0 �6`° 44TfA� `t Dean A. Karcz /.A a; i CE 8303 F �a' PROFESSIOON' 411:� N88'58'1 8"E 660.09 �nv�l lr�nl�nnrr� I II\I'.I IKI II ll II IFI I NOTES DRIVEWAY LOCATIONS SHOWN ARE APPROXIMATE BASED ON 1998 PTS SITE PLAN. I , Y - LEC,END • TEST PIT CLEANOUT "T. MONITORING TUBE 4 F S MANHOLE COVER, NOTES 1. 2. 3. 1 i; OFESSIONPN' �4 ' 81OCYCLE MODEL 6000 MONI TORING TUBE 4.5' MOUND SURFACE FOR DRAINAGE NATIVE SOIL BACKFILL 4" PERE. PIPE '4" DIA. FROM YCLE GROUNDWATER DEPTH GREATER THAN 13' BELOW GROUND SURFACE. BEDROCK GREATER THAN 15' BELOW GROUND SURFACE. LENGTH OF FIELD = 62.5'. LEGEND TEST PIT CLEANOUT MONITORING TUBE SECTIONS UNIT 7 PA'SWHITE STONE ESTATES NE 1/4 SE 1/4 NW 1/4, T14N RlW SEC. 17 FIGURE 3 SCALE 1"=100 1 7/9/04 r Municipality of Anchorage . DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: A//?//e 5"740ne ,es '/& /e', DATE LEGAL DESCRIPTION: LC ?�Z SE /�4 NYf/!l4- Township, Range, Section: 5e,1-17 r14,1V 1—� SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 30 it 12 13 14 15 16 17 18 19 Grey Sandy Clarel (0) peeelrv." daelse, moljr'l. TN #/3 46 .y $aptly 6!a✓ej (GM) 11R/'l/! Mala �- Ratio! fro// /SON @ /4°/ p1/C pipe l'7s fa/�ec� WASGROUNDWATER N6 ENCOUNTERED? S L 0 P E 6 9 IF YES,.AT WHAT DEPTH? Depth to Waa Aker •f 3.S ! Montlorinp7 Bete: 20 6.. PERCOLATION RATE 13 (mmutesnneh) PERC HOLE DIAMETER TEST RUN BETWEEN 2 FT AND 3 FT COMMENTS !nreSDo/!Pa '0e!^r"9lab0%A 7LP5:% hole i PERFORMED BY: I .A 40/ U` - -ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATL ?'Afkg 72-M 1Rev. 4/85) r a, +r Municipality of Anchorage . DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR:y/AI -e S774or/e .ES fu/e5 DATE 49th 0, SCOTT CROWTHER -, CE -6491 LEGAL DESCRIPTION: E V2 Jr'r 114 /VW V- TOWrI3hlp, Range, Section: S'ecf /7 7-1k,4,41 SLOPE SITE PLAN (FEET) // 1 ] bray Sandy !�rav`el 2 A-/// 3 7- P ti / 4- 4- 5- a - 458 7- 8- 10- It- 810 11 -N6 12- 13- gt7H e 3 o 14 5-icleawA11 ca✓e in is - 161 6 1s 17 p / 18 19 WASGROUND WATER ENCOUNTERED? /Yo S IF YES, AT WHAT L DEPTH? p E geplR W Waler Aller Mentlaring? gate: ®®mm �Mff swim"- P.L'�� 20 { " IL._ JI PERCOLATION RATE 1 (minu0evincb) PERC HOLE DIAMETER TEST RUN BETWEEN 3 FT AND FT COMMENTS T�<00/C E'tY bPr'in %d/Oh YPSf' G1041 PERFORMED BY; G S �POG/TC/iOt� I CERTIFY THAT THIS TEST WAS PERFORMED IN _ ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 72-W8 (Rev. 4/85) Municipality of Anchorage Page of -2 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 6w 6190coa Permit Number: PID Number: Name: N�ct?P(Ecz Wastewater System: XNew ❑ Upgrade I) -(a Address: t) -71 ABSORPTION FIELD Phone: - No. of Bedrooms: ❑ Deep Trench xshallowTrench ❑ Bed ❑ Mound ❑ Other II'1� LEGAL DESCRIPTION Soil Rating: 01(9 Total Depth from ori iipal grade: V \ GPD/Sq. Ft. Lot: b' Block 1 E J Subdivision: from original grade: Depth to pipe from Gravel depth beneath pipe W / JRange: Ft Ft Township: , 1 / Section: J Fill added above original grade: C) Gravel length: (Oto 1 Ft. Ft. WELL: ANew ❑ Upgrade Gravel width, Number pf lines: r D'¢aoce�etween lines: WA FL Ft. Cla 'fication (Private, A, B,C): o — Totall Deepth: Casetl o: Total abso�r5ot�ion area: Pipe material: it J `� Ft. Ft. D✓g So. Ft. D filler: svc Dat Dri a1� ISI led Static Water Level: installer. s Date installed: z� g� u tit F1. Yield: Pump Set at:Casing Height Above Ground: TANK GPM F[. Ft. SEPARATION DISTANCES jXSeptic El Holding ❑ S.T.E.P. To Septic Absorption B(D Holding ublic/Private MAO ufacturer: � L R&2;_ Capacity in gallons - From From Tank Field Station Tank Sewer Lines vaiki" cs Wel h 1'x,1 I l�. 3 J5R,3 A i 31 � v Material: Ni(.&A&t t POUF Number of Compartments: Surface Water lOD 15Do GA%LIFT ST*TfON— 6'orvyc-f, Lot Line ^7 qj,� sin 1 Ao. � C �.✓r4' �t 1�7 t Size in gallons: Manufacturer: / n Noc` &LZ i'' .lLt' 6000 Foundation J �,7j 5o Z �1 ' pC A "Pump on" level at: "Pump ofr, level at: High water alarm at: Curtain — _ Pump Make &Model Elec ical l nspectiomsertrp or�metldrG Drain G Remarks: �.r 3�'�5\ 1 '.x14 of G/u- BENCH MARK 5kib-m W n6W Location and Description:Description:doa n Ale L �b& YZi\�UY� ,i7G-iLK- Assumed Elevation: /00 ENGINEER'S SEAL OF 4k4 11 `411 s•g � %� / CZ re%��9� . p® .49 � Inspections performed by: Dates:1s 0,11.. s e... 4 . . .......+e+ •® 2nd �O Z9 9� ...' . ..... IODean Department of Heal and an Services approval A. Karcz e %1A.. CE -8303 e �® � Reviewed and approved by: Date: L _L_LL AF�NA� 72-013 (Rev. 2/91) MOA 25 Permit No. SW 961 Pape .2- of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Uascc 1 Leoal Description: MU14 � `14NW'k Ti4d P -1W SE C 1-7 PID No.: O U IT 7 WELL1300 GAL. TI -- NK BIOCYCLE MODE 000 A \ q TH i DISTANCES 33.0 UNIT 7 A - 0 45RESERVE TRENCH e - C 19.1 �\ 5' X 62.5' B — E 27.9 UNIT 7 THJ4-�l —'– PRIMARY TRENCH--_.__ _---" i EMEND 5' X 65.5' ` O ST PIT BY OTHERS • TEST PIT BY PTS la' CLEANOUT SYSTEM PROFILE • MONITORING TUBE (NOT TO SCALE) SCALE 1• = 50' TH 100.0 13 100.5 2" INSUL O.G. AT TRENCH ®m 6.1 �d�'�i e�gk "'V, �d�9 •°•.a•••spa 'V 4P 8R C.TANK 96.5 96.5 �,� -�- :> °0� d� F? 96.5 I a 97.2 96.5 96.6 °.g$: b4' . •6 J>t �� 9°^' A •B9°°Y•p� e000 BIOCYCL ,-. 92.3 ew. .... Y 86.5 1' • Dean A, Kam' W B.M. — NE HOUSE CORNER, BOTTOM BRICK Q <� a •° — (ASSUMED ELEV. = 100.0) 41��°°a'••®®a�•' `�t'` 02/02/1999 09:02 9077453072 ARCHIBALD DRILLING PAGE 07 MunicipaUty of Anchorage b"ftn ant of Health and Human SwVlaaa IMIR � on %Q ie.« r+e. r.a. 90 IMM AfthwW. Ajown M"164tp Pd►rnN Number [ u p� pr I*�+�1.�2•.� OAO-362 -06 Tluc 1dlepMprtlpn Numb�r�.� Or arm -?3.98 or+ O ._9: ?3 9@ wM Iso�t�le �t pow" ow" Iawfm7 C, Yr 0 No T14N R1W SEC 17 NE4 SE4 Nd4 UNIT -7 "Tye A TilduW A Wow lima Pam ---70 MA,STZRPIECE HOMES,INC. PO BOX 773471 EAGLE RIVERo AK 99577-3471 Atlontlon: The well dr11Nr shall PmwMO 6 wall by tc Me proper &WW WWn 30 drys of awrViKlon, - .- • rr VF i rJAMMFrAT Atlontlon: The well dr11Nr shall PmwMO 6 wall by tc Me proper &WW WWn 30 drys of awrViKlon, Piuiessiessiand reehniesisoiwees ills. 4155 Tudor Centre Drive, Suite 103, Anchorage Alaska 99508 (907) 561-6237 /ax: (907) 563-3813 December 10, 1998 Daniel Roth, Civil Engineer On -Site Services Section Health & Human Services 825 L Street, Suite 502 Anchorage, AK 99501 Re: White Stone Estates Condominiums Unit 7- Inspection Report Transmittal Permit # SW980002 Dear Mr. Roth: RECEIVED DEC 17 1ggg MUM' Cipal;ty of Anenoragg dept. Health & Human Serviega Transmitted with this letter is a completed On -Site Wastewater Disposal System and/or Well Inspection Report for Unit 7 of Whitestone Estates. If you have any questions, please call me at 561-6266. Sincerely, Professional and Technical Services, Inc. Dean A. Karcz, P)E---- Vice President DAK:dak Attachments li'C1Jcrv' Ll-' i0-z1�-lig (ta„.,) PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW980002 DATE ISSUED: 1/07/98 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES EXPIRATION DATE: 1/07/99 OWNER NAME:LESTER, MIKE OWNER ADDRESS:P.O. BOX 773471 EAGLE RIVER, ALASKA 99577-3471 PARCEL ID:05036206 LEGAL DESCRIPTION: LA I rJ T14N R1W SEC 17 NE4SE4NW4 [� LOT SIZE: 435600 (SQ. FT.) NUMBER OF BEDROOMS: 6 THIS PERMIT: 6 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM 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 (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: Y RECEIVED BY: -- ISSUED BY: DATE: /` /-2 DATE: /- 7- M 3—/s` -9B SERE EA'6�A'EER's �4n�ttKcv .4,uEA'vE0 GEs��a t7,�rE 7-/,�-98 f¢f Am#*aaD nf5f6A/ XD'R TM/! fYsrcy To 8e N.Professio0aiORA TechnicelSONicosy it= 4155 Tudor Centre Drive, Suite 103, Anchorage Alaska 99508 (907) 561-6237 fax. (907) 563-3813 September 15, 1998 Daniel Roth, Civil Engineer On -Site Services Section Health & Human Services 825 L Street, Suite 502 Anchorage, AK 99501 Re: White Stone Estates Condominiums Unit 7 -Permit SW980002 Dear Mr. Roth: PTS, Inc., on behalf of the builder, is requesting the permit for Unit 7 of White Stone Estates Condominiums be modified to allow for a 5 -bedroom house. The septic disposal field has been sized to account for a 5 -bedroom house, and a septic tank has been installed in front of the Bicoycle. Modifications will be made to the Biocycle to allow for a 5 -bedroom configuration. A revised site plan and detail sheet is transmitted with this letter. Calculations for the disposal field are provided in the table below: UNIT MAX. FLOW (GPD) PERCOLATION RATE (MINAN.) APPLICATION RATE (GPD/SF) ABSORPTION AREA (SF) 50% RED, OFAREA FOR BIOCYCLE (SF) LENGTH OF 5' WIDE TRENCH (FT) GRAVEL DEPTH BENEATH PERF. PIPE (FT) RF FOR GRAVEL DEPTH REVISED LENGTH OF 5' WIDE (FT) 7 750 20 .60 1250 625 125 4 .5 62.5 ALASKA PROPERTYDEVELOPMENT SPECIALISTS White Stone Estates Condominiums Unit 7- Pennit Revision 09/15/98 P.T.S., Inc. Page 2 If you have any questions, please call me at 561-6266. Sincerely, Professional & Technical Services, Inc. Dean A. Karcz, P. Vice President Enclosures ALASKA PROPERTYDEVELOPMENT SPECL9LISTS ♦��p�� WT 710POSED WELL UNI T 7 PRIMARY TRENCH 5' X 62.5' GAL. SEP BIOCYLCE MODA 600 / �4 " PUC ®29 UNI T 7 RESER I/E TRENCH ✓ 5' X 62.5' TH 1 •`!�P••L 4 V�♦ O TEST PIT BY OTHERS ��. • TEST PIT BY PTS j 49th •s CLEANOUT 00 ..n ............/.:i .k........ MONITORING TUBE i ...........I........................... SITE PLAN r : DEAN A, KARCZ ` ,a' V �j %�• NO. CE -8303 f,F�'� � UNIT 7 F '• r•'•• WHITE STONE ESTATES �, 11 �" ♦♦ maau• • o.®.a .amnw Lip/Oe/p/I�Id10 Mrs IYC 9 I Qrmr I�.mw OA /OR INSULATED I" DIA., S = 19' SEPTIC TANK 4" DIA. PVC, S = 2% 49t DEAN A. KARCZ NO. CE -8303 BIOCYCLE MODEL 6000 MANHOLE COVER; 3" INSULATION ON LID MONITORING MOUND SURFACE TUBE FOR DRAINAGE NATIVE SOIL VVYIII BACKFILL 4" PERF. PIPE NOTES 1. GROUNDWATER DEPTH 135' BELOW GROUND SURFACE. 2. BEDROCK GREATER THAN 15' BELOW GROUND SURFACE, 3 LENGTH OF PIT = 62.5" 0 �y u a DLYAtlC�6 ar w wemq 1. W .um +Anvr aiaaamir anamvx 1-1/4" DIA. PVC FROM BIOCYCLE SECTIONS uNIT 7 WHITE STONE ESTATES FIGURE 31 9GALE 1--W ASPmassiomafldTeelmea/somees i e 4155 Tudor Centre Drive, Suite 103, Anchorage Alaska 99508 (907) 561-6237 fax: (907) 563-3813 July 13, 1998 Daniel Roth, Civil Engineer On -Site Services Section Health & Human Services 825 L Street, Suite 502 Anchorage, AK 99501 Re: White Stone Estates Condominiums Unit 7 -Permit No.: SW -980002 Dear Mr. Roth: RECEIVED JUL 15 1998 Municipality of Anchorage Dept. Health & Human Services This letter serves as a revision to existing permit number SW -980002 issued by the Department of Health and Human Services for what will be Unit 7 of White Stone Estate Condominiums, located on the East ''/z of the Southeast'/4 of the Northwest'/4 of Section 17, Township 14 North, Range 1 West, Seward Meridian. Two new test pits have been excavated and percolation tests have been performed in the area of the new primary and reserve trenches. The new disposal field has been relocated to the east side of the house. Soil logs and percolation tests data for Test Pits 13 & 14, performed by Crowther Associates, are also attached. The average of the percolation tests of 20 minutes per inch, (Test Pit 13's percolation rate was 13 minutes per inch and Test Pit 14's percolation rate was 27 minutes per inch) was used to size the disposal field. A ground water depth of 13.5 feet below ground surface was encountered in Test Pit 13. The disposal field has been designed as a five-foot (5') wide trench with twelve inches (12") of gravel beneath the perforated pipe. Calculations for the disposal field are provided in the table below. UNIT MA)L FLOW (GPD) PERCOLATION RATE (MINAN.) APPLICATION RATE (GPD/SF) ABSORPTION AREA (SF) 50% RED, OFAREA FOR BIOCVCLE (SF) LENGTH OF S' WIDE TRENCH (FT) GRAVEL DEPTH BENEATH PERF. PIPE (FT) RF FOR GRAVEL DEPTH REVISED LENGTH OF S' WIDE (FT) 7 600 20 0.6 1000 500 100 1 .87 87 ALASKA PROPERTYDEVELOPMENT SPECIALISTS White Stone Estates Condominiums Unit 7 07/13/98 P.T.S., Inc. Page 2 The proposed disposal field for Unit 7 is not anticipated to have negative impacts on adjacent properties. There are no existing wells within two hundred feet (200') of the proposed Unit 7; drainage from Unit 7 flows to the south. Thank you for your prompt review of this information. If you have any questions, please call me at 561-6266. Sincerely, Professional & Technical Services, Inc. can Vice President Q Enclosures ALASKA PROPERTY DEVELOPMENT SPECIALISTS f 7 OSED WELL Ewo, DEAN A, KARCZ NO. CE -8303 UNIT 7 PRIMARY TRENCH 5'X 87' 0 BIOCYCLE MODEL 6000 �40 PVC 02Z I TH 13 f/ r UNIT 7 RESERVE TRENCH • 5' X 87' TH� - FFAt le �r�j i( lb PA71ffiFim t so= 9 AC cauw.�wc. emx�wc waaiws as as avranE yr w,ivwaaaar r ava itpaoo as Maw IIdffA tH/FZ4Il ➢6�OI9�ITIDB'.&ldl8 L iam O TEST PIT BY OTHERS • TEST PIT BY PTS CLEANOUT •"' MONITORING TUBE 4" DIA. PVC FROM HOUSE, S = 2% 49th DEAN A. KARCZ NO, CE -6303 BIOCYCLE MODEL 6000 MONITORING TUBE MANHOLE COVER; 3" INSULATION ON LID MOUND SURFACE FOR DRAINAGE NATIVE SOIL BACKFILL I� 5' � 4" PERF. PIPE 1-1/4" DIA. PVC FROM B1OCYCLE NOTES 1. GROUNDWATER DEPTH GREATER THAN 15' BELOW GROUND SURFACE. 2. BEDROCK GREATER THAN 15' BELOW GROUND SURFACE. - J. LENGTH OF PIT = 67'. fs;ry PR7,A�AAL R rx'u s�va� AG eine rmmnrnmo�n�vvema SECTIONS UNIT 7 WHITE STONE ESTATES FlGURE 3I SCALE 1-=50' 17/8/98 J 4 a• � Municipality of Anchorage . -�: 49th DEPARTMENT OF HEALTH & HUMAN SERVICES .. 825 " U' Street, Anchorage, Alaska 99502-0650 r SOILS LOG — PERCOLATION TEST L%a� t{ G. SCOTT CRON?HER i c,' CE -6491 PERFORMED FOR: VV17/IZe 'es 'Za '? DATE PERFORMEDl,1 P�•~W'1�' LEGAL DESCRIPTION: it //a $E 1�,p ffWf ¢ Township, Range, Section: 7 rlyN /1/L'/ DEPTH SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 46ro.y 5&'16'y 6raYel (G,O) Med/vs� dee5e, TH #J3 4,* -y 5S1111 Sandy hated / m�/ s �lut/oJ t//1 '30H P W1 /CYC p:pe lh5fallP6( G.a✓a1 Cdr,) WAS GROUND WATER ENCOUNTERED? //6 IF YES, AT WHAT DEPTH? Depth to Water Mer . Monitoring? 13 -q Date 5 9 =mmm PERCOLATION RATE 1_ (mmutee/mch) PERC HOLE DIAMETER G TEST RUN BETWEEN 2 FT AND 3 FT COMMENTS r//'e570e7 /14eYr6lab/ly' '><eS� If PERFORMED BY: (;-4,- CiYJG/1-4 er 1A. (�`�tbl+/L�u]^ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 7.Zyfgg 72-008 IF". 4/85) PERCOLATION RATE 1_ (mmutee/mch) PERC HOLE DIAMETER G TEST RUN BETWEEN 2 FT AND 3 FT COMMENTS r//'e570e7 /14eYr6lab/ly' '><eS� If PERFORMED BY: (;-4,- CiYJG/1-4 er 1A. (�`�tbl+/L�u]^ERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 7.Zyfgg 72-008 IF". 4/85) �_ � ,def„•,.........,,--TS.-el Municipality of Anchorage . 49th �• DEPARTMENT OF HEALTH & HUMAN SERVICES ^• • +.. 825 "L" Street, Anchorage, Alaska 99502-0650 t. SOILS LOG — PERCOLATION TEST/{ �� G. SCOTT CROWTHER Q� Cif CE • 6491 PERFORMED FOR: Vy l rC� 7 �O/9P �li TC! �eS DATE PERFORMED:tPJ' LEGAL DESCRIPTION: E 61Z SE '!1¢ /yW'11¢ Township, Range, Section: lecf /7 2-14 /v DEPTH SLOPE SITE PLAN (FEET) 1 Gray SanC�y Gravel �6�) 2/�� N 3 T/o tt �4 4- 567 5- 6- 7 8 9- to - 11 10 11 -Na � 12- 13- goH e / 3 0 14 5'?clew4/1 15 J 'Cave /n 16 �o P Y(,-- 1 7 C17 p/per 18 19 WAS GROUND WATER ENCOUNTERED? NO IF YES, AT WHAT DEPTH? Depth to Water Atter Monitoring? Date: 20 UE PERCOLATION RATE 1 (minutes/mch) PERC HOLE DIAMETER r TEST RUN BETWEEN 3 FT AND FT COMMENTS _�n/'��OCl �<Pd )y Pr"01/G /OH 7-2Sf I'IO1P PERFORMED BY: -6� S.C.• f�ev Q' I ��- CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ZLZ/ Ie 72.006 (Rev. 4/85) Eagle River Engineering Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax December 16, 1997 Jim Cross, P.E. Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: E'/2 SE'/ NW 1/4 Sec. 17 T14N R1W Narrative & Permit Application Dear Mr. Cross: The proposed well and septic system will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance. 3. Reserve space is adequate, due to absorption capacity. 4. Drainage will not be affected and is not a major consideration in our design. If you have any questions please call our of.DIVISION office at 694-5195. "ONMENTAi ERVICES Sincerely, Louis Butera, P.E. \1997\97.090-NAR.noC DEC 2 4199t RECEIVED Ct*9? pip VC VED ter" IJ L (J) J Z 5 09029'36" W 30 C y Q) C � � 660.02' N Cr N C � .-• N rn C O C!T C0 -N 02 rn SE.E DETAIL J • x.r rema Ui°� 1 /I • �qpG oris. J NMI .zoo' ro aesms uu zOk NL M4 NIU SGP1K5 / � NI w. V Tia Tnr .iun ter" IJ L (J) J Z C 0 C y Q) C � � O N 0 N CY) � .-• N ril N 00050'10' E 660.09' .O oeu pm T NO SURFACE WATER NO KNOWN CURTAIN DRAINS L WELL SEPTIC SITE PLAN LEGAL: E 1/2 SE 1/2 NW 1/4 SEC. 17 T14N R1W OWNER: LESTER CONTRACTOR: N A JOB 97-090 1 DATE: 12/16/971 SCALE 1" =200 EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX. (907) 694-3291 NO oevttoeMWT ® - TEST HOLE • - MONITOR TUBE 0 - SEWER CLEANOUT ¢ - WELL — — - EASEMENT - PROPOSED LEACHFIELD MONOSSON- EXISTING LEACHFIELD OF °o P�� ..... A<1J, * :q 9TH LOUIS A. BUTERA �• W �Oj�'.••CE-6736 �c O �� Ess oa� ��oo 73/1 v tri' ,�g^,,++pp (ENiS°1 • r Municipality of Anchorage .... aa... ., _. DEPARTMENT OF HEALTH &HUMAN SERVICES $� +^ tour ...... ax 825 "L" Street, Anchorage, Alaska 99502-0650 "•f CE�67U - ,� a SOILS LOG — PERCOLATION TESTr PERFORMED FOR: L eS 7'&—r DATE PERFORMED:_I�"r�—%% LEGAL DESCRIPTION: 5E DIY /V4/ Al Township, Range, Section: <cc /7 TIY-,'/ K if W 2 D 3 5 `O 6 O. 7- 9 9 10 0 11 12 13- 14- 15 3 1415 16 O' 17 18 19 20 COMMENTS TS C]Wf)j some S/av1� �/ i7!'g y Swsr !/ CON /L1 i� NGav' �oTTai.y "� T// SLOPE WAS GROUND WATER ENCOUNTERED? Y� S IF YES, AT WHAT�� S/ L DEPTH? O P E Depth la Water After i Monitoring? -"— Date: (2-L�" 9 PERCOLATION RATE ' y! (minutes/inch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 6 FT AND /�' FT PERFORMED BY: i; f I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7 72-GOS (Rev. 4/&5) Eagle River Engineering Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: E''/z SE'/4 NW /4 Sec. 17 T14N R1W 12/22/97 A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. 9. Any remaining open test hole excavations shall be filled. B. SEPTIC TANK/LIFT STATION 1. Septic tank and lift station shall be 2000 gallon Orenco/Anchorage Tank model OSI 05 -20 -HEY. 2. Receipt from licensed electrician stating the lift station was wired to applicable codes to be supplied to Engineer. 3. Line from tank to field is 1 %a' HDPE SDR -11, buried at +8' depth or insulated. Insulate under all proposed drive and parking areas. C. TRENCH 1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The bottom of the trench shall be level, plus or minus 1.5". 3. The total depth of the trench excavation is not to exceed I I' at any point. 4. The effluent line within the trench is 1 '/4" PVC with 1/8" holes drilled 0.7'(8.5") O.C., placed face down on gravel. 5. The trench gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. 7. The area over the trench is to be finish graded to prevent ponding of surface water runoff 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH= I V GRAVEL DEPTH = 8' under pipe, 2" over pipe TRENCH LENGTH = 47' TRENCH WIDTH= 3' SOIL RATING = 1.2 GPD/ft5 BEDROOM CAPACITY= 6 SEPTIC TANK w/Lift Station = 2000 gallons Twenty-four (24) hours notice required for all inspections. 11997\97.090-spc.doc ¢o as ' z 0 I �I I Z 0 om ON 5 Y X u,o Nmm C 26'm ;d 88 Tm Zr mCm. Z D O m D m S y o � n 150 T D m O (� om T^Z a O ZL.n 10 <N rl D ~k7�lr 'itiV N v � ybti� Q� C rb �v rn (7 O m zZ _ . I rri nD to r m C2 —1 Non �• a n �m zm an io m DCl) K '1 l-1 Z ti NZ y m a b \ o Zr A �dr°,p ro 0000po�Ogp9 oo. d o �y9 ' �ST9 pp 9e Sed d 7-0 rG 57 m r mO Zn Q 0. D h • rn TIS N L ',. �Z : �C So F o 00��ITaVA _ op EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 Job #: 97-090 Legal: E 1/2 SE 1/4 NW 1/4 SEC. 17 T1 4N R1 W Date: 12/22/97 Press. Effluent Lateral: Assume 5' head at orfice 25 GPM flow rate .42 GPM per 1/8" office 25 /.42 = 67 orfices Pipe Length 47 Spacing = length/#of orfices = 0.70 feet Spacing = 8.4 inches �P 49TH LOUIS A. BUTERA r Q CE -6736 PROF MS10C ttX EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 97-090 Calculated By: LB Date: 12/16/97 Legal: E1/2 SE 1/4 NW 1/4 Sec 17 T14N R1 W TEST HOLE 1 Single Family 6 Bedroom Dwelling Deep Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 900 gallons Percolation rate = 1.47 minutes per inch Wastewater application rate = 1.2 gallons per day per square foot Required absorption area = 750 square feet Trench width (W) = 3 feet Gravel depth (D) = 8 feet Required length = Required absorption area / 2 / D Required length = 750 / 2 / 8 Required length = 47 feet Total Excavation Depth = 11.0 feet ..............y, -N �........................� •. LOUIS A. BUTERA . �Dp 72--2a �97 '•, CE -6736 : ��p�pROFESS10�Po CARCEL ELECTRIC INC. 10410 FINLEY CIR. • ANCHORAGE, AK. 99516 907-348.4030 • 907-346.4032 &K Master Piece Homes P.O. Box 773471 Eagle river, Ak 99577-3471 To Whom It May Concem: RECEIVED APR 6 1999 Municipality of Anchorage Dept. Health & Human Services Feb. 25, 1999 Carcel Electric, wired the Bio -cycle located at White Stone Estates Unit 7, Eagle River, Ak This Bio -cycle was wired per the 1996 National Electrical Code. If you have any questions please ave me a call. Thhm* You�G x Steve Cloud Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel 1. D. DIIo - 3 // -O / HAA # GA Expiration Date: /0 - ,2 3-0y 1. GENERAL INFORMATION Complete legal description Timid zz�l/ sic i _ sEy dGJ� Gt/S��TFS7 si- �� 07 Location (site address or directions) .9� 5ti5� Current Property owner(s) 421_,�e �C cBTF� Day phone / YSa"- lnF3 - ;; $'W Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Day phone Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only 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 between 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 sample results. (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. TYPE OF WASTEWATER DISPOSAL: Individual On-site X ❑ Individual Holding tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only 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 between 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 sample results. (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 Health Authority 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 Rjz6,-n : Phone ls�iy- S/y Address c5u.7-,- 26/ F.glsGF �yBK s1e Sf Engineer's Printed Name zfr , r/) Z mor, Date 5. DSD SIGNATURE Approved for Disapproved. X Conditional approval for bedrooms. bedrooms, with the following stipulations: At the time of title transfer, the new property owner shall sign the attached maintenance agreement which shall be returned to this office before an Attachments: HAA Checklist X Maintenance Agreements �! Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other BY Original Certificate Date:_ 7— (Rev_01102) Municipality of Anchorage pp E • i Development Services Department Building Safety Division On -Site Water & Wastewater Program s "" 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST X. Legal Description: LlyA) 2/G✓ aF eAV % Parcel ID: OCa y- - 3// - (f9/ Wf//TF_STO.rJE ,�57ATls 'd� A. WELL DATA Well type !Pe i v-ne' If A, B, or C provide PWSID # = Well Log /) VE= _-' Date completed r/g9/7 r Sanitary sealbN) _gE n Wires properly protected(nN) YF S Total depth ,SD ft. Cased to eft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test 9F r- o y Static water level Cp ft. m?3 ft. Well production g.p.m. y, y g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate Other bacteria O colonies/100 ml. Arsenic: mg./l. Date of sample: iso y Collected by: B. SEPTICINCLOM TANK DATA Tank Type/Material v a v OFA.)117-y Po<yarr;IF�,dE Date installed Tank size i 3Do gal Number of Compartments _12Z Cleanouts<J'DN) Yds Foundation cleanoutTDN)7W_2 Depression over tank (Y(M High water alarr ' y N) Von Date of pumping Pumper TZ ,3 C. ABSORPTION FIELD DATA -K- SEC COMM6NT5 Date installed ,o O y Soil rating g.p.d./ or felbdrm) D• [e System type �h 9G ec�c' %2Evc i� Length Co3 ..f ft. Width ft. Gravel below pipe 5, ft. Total depth 7. & ft. Eff. absorption area VJ'. i-ft2 Monitoring tube �� Depression over field W& Date of adequacy test Results (Pass/Fail) 55 For j bedrooms Fluid depth in absorption field before test _ in. Water added - gal. New depth= in. Elapsed Time: - min. Final fluid depth - in. Absorption rate >= - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) 11oW If yes, give date N -'9" D. LIFT STATION Date installed /0%/98 Size in gallons_ /5 o O Manhole/Access6N) 1/6s "Pump on" level at V in. "Pump off' level at in. High water alarm level at in. -fir t3 -e C raa.e 7551-e FeOiY X A9 -Z y 1jEr77 UtA9%/ +12" Datum .� Cycles tested Dc Meets alarm & circuit requirements? A, 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 On adjacent lots 7'iDo" On adjacent lots f ,e0 Public sewer manhole/cleanout 71/D o Holding tank 7`/.90' SEPARATION DISTANCES FROM SEPTIC/HTANK ON LOT TO: Building foundation / -,�? ' Property line F"8"' Absorption field f ;�, Water main t Water service line Surface water f /dD ' Wells on adjacent lots fioo SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /iD' Building foundation .5,e Water main 7L/19 r Water Service line i/D' Surface water tion' Driveway, parking/vehicle storage 71i0' Curtain drain 1f,3 Wells on adjacent lots yiDQ F. COMMENTS >a G. ENGINEER'S CERTIFICATION d- S AA1&b OFF 84 P-7'5. " S&W G6)NG14¢R6' r 4SgJ4.L'L7'r I certify that f have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA NAA guidelines in effect on this date. Engineer's Printed Name GRRtS i?9PUP t2. Wcyt> Date /&1 Lay HAA Fee $ '1 1 DD Amt Waiver Fee $ _ Date of Payment a�r7� Date of Payment Receipt Number 55L? (7 oy) Receipt Number (Rev. 12/01) C. BioCycle Alaska July 1, 2004 Mr. Chris Wood, P.E. Eagle River Engineering 10421 VFW Road, Ste. 201 Eagle River, AK 99577 Re: .Mike and Carol Lester BioCycle System 20170 Ptarmigan Eagle River, AK 99577 Dear Chris: aerated wastewater treatment systems On June 17, 2004, Mr. Larry Betts, manager of the Anchorage office for BioCycle Alaska., perfonned an inspection of the referenced BioCycle system at your request. Mr. Betts was accompanied by a representative from your firm during the inspection. The following items were inspected to make sure the BioCycle system was operating properly: the 80 I/man air blower, the Meyers ME 40 discharge pump; the floats operating the discharge pump. In addition, the aeration system was inspected to be sure all aerators were functioning properly and air flow to each was balanced. This inspection was in addition to the regularly scheduled quarterly maintenance performed on all BioCycles during January/April/July/pctobcr each year. This system has received quarterly maintenance without exception since .it was .installed in 1997. If you have any questions regarding the Lester's BioCycle system„ please feel free to contact me at 398-6574 or Larry Betts at 862-7434 cell/646-8083 office. Regards, BioCycle Alaska Gus Andress, RE, POB 202691 907-283-9003 Anchorage, AK 99520-2691 907-398-6574 cell email:biocyclealaskar7alaska. com 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 f32k.uf� ,,lc�z�. CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel 1. D. # ,f „ `- .�— i , ' ( i HAA # 1. GENERAL INFORMATION Complete legal description NE 1/4 SE 1 /4 NW 1/4, T1 4N R11,T Sec.17 Location (site address or directions) Unit 7, Whitestone Estates Propertyowner Masterpiece Homes Mailing address PC Box 773471 Day phone 694-7320 Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site X Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(R6v.1,91) Front MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm PTS, Tr.(-,. Phone 561 _6737 Address 4155 Engineer's signature CentreDr., Suite 103 6. DHH SIGNATURE Approved for } I��l= bedrooms. Disapproved. Conditional approval for Additional Comments 0 UITIC Date A bedrooms, with the following stipulations: Date ' /Z. 95 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-=(Pw.1U91) Beck MOAU21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES b E C I Environmental Services Division R L 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 APR 6 1999 Health Authority Approval Checklist Municlpalily of Ancnorgge Legal Description: NE 1 /4 SE :1 /4 NW 1i /4, ; T1 4P1 R1 W Parcel LD.: ©apt. Health & Human Services ec. 17 7TH -37 A. WELL DATA Well type Private If A, B, or C, attach ADEC letter. ADEC water system number Log present (YIN) Y Date completed 8/29/98 Total depth Cased to 501 Casing height (above ground) 2181, n Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y FROM WELL LOG AT INSPECTION Date of test 8/29/98 Static water level 61 Well production 20 g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform 0 Nitrate 0.50 Other bacteria 2 Dateofsample: 3/30/99 Collected by: Bruce Brown B. SEPTIC/HOLDING TANK DATA Date installed 1 0/28/98 Tank size 1 300 Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression (Y/N) N High water alarm (Y/N) Date of Pumping C. ABSORPTION FIELD DATA Pumper Dateinstalled 10/29/98 Soil rating (g.p.d./ft2orft2/bdrm) 0.6 Systemtype Shallow Trench Length 66' Width 5' Gravel thickness below pipe 4' Total depth 81 Effective absorption area 858 s f Monitoring Tube present (Y/N) Y Depression over field (Y/N) N Date of adequacy test N /A Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test (in.); Immediately after_ gal. water added (in.): Fluid depth (ins) Minutes later: Absorption rate = g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* Biocycle D. Date installed 1 n /28 /98 Manhole/Access(Y/N) Y High water alarm level at* Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: "Pump off" level at* Septic/holding tank on lot 143. 9 On adjacent lots + 1001 Absorption field on lot 1 68.0 1 On adjacent lots + loot Public sewer main Sewer /septic service line -14 Public sewer manhole/cleanout B4ail e SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 17 . 3 Property line 87.9' Absorption field 19. 0 Water main/service line Surface water/drainage Wells on adjacent lots + 100 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 40. 3' Building foundation 50.2' Water main/service line N /A Surface water Curtain drain F. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Wells on adjacent lots + 100 I certify that f have determined thru field inspections and review of Municipal in conforma ce with MOAi�guidelines in effect on this date. Signature 1� a Enginee'r's Name iAo Z� 1 Date ` l'd q `1 HAA Fee r)n _r" t > Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number 72-026 (Rev. 3/96)*