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SPRING HILLS ESTATES BLK 2 LT 12
Spring Hill I?-states Lot 1.2 Block 2 #015-051-59 TJX,? b Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211027 PID Number: 015-051-59 Dwelling: 9 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Upgrade Name LISE FALSKOW ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 9700 SPRING HILL DRIVE *ANCHORAGE, AK Other Phone Number of Bedrooms Soil Rating depth from original grade 907-440-5473 4 2.0 GPD/SF JTotal SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot SPRING HILL ESTATES; BLOCK 2, LOT 12 Fill added above original grade SEE DWG. Ft. Gravel length 33 Ft. Township Range Section Gravel width 12 Ft. Beds: Number of Lines 5 Distance between lines 2.5 Ft. SEPARATION DISTANCES To Septic AbsorptionHolding Lift Station Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 360+2 Ft - _ Ft. Well **501+ **501+ — — 25'.+ TANK ❑ Septic S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER TANK Capacity *1500 Gal. Surface Water **50'+ **501+ — — Material Number of compartments Lot Line 551-1-• ***21+ _ - NA HDPE 2 Foundation 10'+ _ _ LIFT STATION Manufacturer Capacity 110'+ Remarks OLD TANK DECOMMISSIOND PER UPC PER CONTRACTOR A N C H O RAGE TANK *500 Gal. 'SECOND COMPARTMENT OF 1500 GALLON STEP TANK•'IDSF WITH REMOTE MONITORING "'WRG000021 Alarm location ATTACHED GARAGE (REMOTE MONITORING) Electrical installed by EXISTING Installer PIPE MATERIAL House to tank D3034 drainfield Tank to D1785 WILCO EXCAVATION Drainfield D1785 CO/MTD3034 Inspector MOA AND GEG BENCH MARK (Assumed elevation) 101.79 ft Inspdection 1-' 4/13/21 2 n 4/13/21 Location and description 3`" 4/14/21 4th _ TOP OF MANHOLE #1 ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp �o�op�t0 Conditional Approval: Date o� O F lY1Y C°��Q o"/ # • %s�0 o�D -�-......... ..........� �p Septic System e 1 rej�-A Gorness;' VQOo Approv C-,, Date �o I . CE -r7953 �� p 4 P t�'•-.�� z2��`:�.�•���oo Note: this approval does not include well permit requirements. 444°OOOOoo���o AEcc PERMIT NUMBER: OS P211027 RECORD DRAWING A I B �Hl3437A.633.750SPRING HILL ESTATES: BLOCK 2, LOT 10 MT2 62 MT363.4 46.9 MT4 52.6 35.8 LOCATION OF SURFACE WATERS NEW 1500 GALLON HDPE GREER TANK USED AS STEP TANK WITH NEW PUMP AND SIMTECH FILTER MTI EXISTING 4 \ B BEDROOM HOUSE \ 3 44/ — V / loo' WECl RADIUS I 00' W ELL RADIUS PARCEL ID NUMBER: 015-051-59 112X33 REBUILT IDSF 1Q N SCALE: ®a �- QF$X18 44 # ® ...3.. li ..... F4 ............... �.... ............... ®.� 0A �/ � JI4hrey A:,Garness : Lu m G� CSE -7953 40, LICENS`�Ur[p` I VF•ESS\O`�®�® E® #AECC884 IgYAlkL"*% / Lid - - qa,•.•�r_ .,.a� ENGINEERING,�SALES �CON SULTING 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507' PHONE (907)337-6179 ' FAX (907) 338-3248' WEBSITE xmvi 9amessen9 emg cam PREPARED FOR: PHONE NUMBER: PAGE NUMBER. USE FALSKOW 907-440-5473 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: SPRING HILL ESTATES; BLOCK 2, LOT 12 D.J.G. TYPE OF WORK: DATE: �,_ SEPTIC SYSTEM RECORD DRAWINGS 4/20/2021 ®a �- QF$X18 44 # ® ...3.. li ..... F4 ............... �.... ............... ®.� 0A �/ � JI4hrey A:,Garness : Lu m G� CSE -7953 40, LICENS`�Ur[p` I VF•ESS\O`�®�® E® #AECC884 IgYAlkL"*% / PERMIT NUMBER: RECORD DRAWING PARCEL NUMBER: OSP211027015-055 1-59 CONTRACTOR RE -UTILIZED EXISTING ORENCO TIME DOSING PANEL SEE INITIAL STARTUP NOTES FROM LARRY BETTIS (A+ HOME SERVICES) REGARDING TIMER SETTING AND/OR FLOAT SETTING TOP OF TANK AT INTLET = 95.57 INVERT OF BUNG AT INLET = 94.87 INVERT OF NEW DISTRIBUTION LINES (0.75" DIAMTER PIPE) = 99.90— ORIGINAL AIR LINE NOT I /TOP OF MANHOLE = 101.79 / TOP OF MANHOLE = 101.75 MH1 MH2 /- FINAL GRADE = 101.33 TOP OF TANK AT OUTLET = 95.57 NEW 1500 GREER USED AS STEP TANK FOR IDSF ORIFICES DRILLED ARE 118" DIAMETER AT 2 FEET ON CENTER ORIFICES FACING UP. CONTRACTOR RE -USED ORIFICE SHEILDS MT FINAL GRADE = 102.5-103.0 2.5 FEET 2 EACH L 12'+ FILTER FABRIC MT 2" HIGH DENSITY INSULATION PER CONTRACTOR 1 WAS —} I FOOT HED PEA GRAVEL / (i`ROUP, Ltd ENGINEERING SALES -CONSULTING 3701 E. TUDOR ROAD. SUITE 101 -ANCHORAGE. AK 99507' PHONE (907) 3376179 -FAX (907)338-3246 ' WEBSITE: w .gamcsscngmeemg cam PREPARED FOR: PHONE NUMBER: PAGE NUMBER: USE FALSKOW 907-440-5473 1 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: SPRING HILLS ESTATES; BLOCK 2, LOT 12 D.J.G. TYPE OF WORK: DATE: �,_ SEPTIC TANK PROFILE 4/20/21 TOP OF NEW SAND = 99.40 (0.21' HIGHER THAN HIGHEST SHOT AT TOP OF OLD SAND) BOTTOM OF SYSTEM WAS NOT EXPOSED DURING INSPECTION OF 41, 9 AV ®® 10 m ' °a 4 ��0 .� 7 ...........................0 0 l t- r y A. Garn�ess' r I CE -79 3'` !'Z7 AV LICENSE °44�� a�®®�®®®®® #AECC884 / MUNICIPALITY OF ANCHORAGE On -Site Water &Wast ram 4700 Er ProRad p0 Box 18665034S.7904 Fax. (9o1) 943 7991 Anchorage, Alaska 99519E .�phane.. orglonsite On -Site Wastewater Disposal System Permit Permit Number: OSP211027 Effective Date: 211612021 Work Type: Septic Upgrade Expiration Date: 2116/2022 Tax Code Number: 01505159000 Site Legal Address: SPRING HILLS ESTATES BLK 2 LT 12 G:2436 Site Mailing Address: 9700 SPRING HILL DR, Anchorage Owner: FALSKOW LISE K Lot Size in Sq Ft: 49095 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: A gauge and anaudible alarm must be added after the air compressorto help ensure that whenthe pump goes out, repairs will be made. The alarm will be on a separate circuit. Received By: Date: Issued By: !rte Date: I )L Z77/?_ Municipality ®f Anchorage P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 e Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: WR000021 COSA#: Permit#:OSP21211027 PID#: 015-051-59 Legal Description: Spring Hills Estates Blk 2 Lt 12 Engineer: Garness Engineering Group Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 2.0 feet. This is a revision of the original waiver. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ .......... t ...... 0 M M N M 0 0 M M M M K 1 Waiver is Granted: X Waiver is not Granted: Date: 2-.19 2 I Approved by: vU Name of Review **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Austin Quinn -Davidson On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 015-051-59 Property owner(s) LISA FALSKOW Mailing address 9700 SPRING HILL DRIVE *ANCHORAGE, AK 99507 Site address 9700 SPRING HILL DRIVE *ANCHORAGE, AK 99507 Day phone 907-440-5473 Legal description (Sub'd, Block & Lot) SPRING HILL ESTATES; BLOCK 2, LOT 12 Legal description (Township, Section & Range) Lot Size APPLICATION IS FOR: ( ® all that apply) Absorption Field Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Sq.Ft. Number of Bedrooms 4 APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: TYPE OF DEWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) DRAINFIELD TO LOT LINE (REVISED WAIVER) Distance: 2 FEET I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: $595 Date of Payment: a Receipt Number: O a 513 G Permit No. OSP211027 Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 01/11) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211027, Deb Wockenfuss, 02/16/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211027, Deb Wockenfuss, 02/16/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211027, Deb Wockenfuss, 02/16/21 [MUNICIPALITY DE ANCHORAGE ADVANCED WAST'lEW.A TER 'rREA' 'r%,t N't' SYS'I"L;M MAINTENANCE AND REPAIR AGREEMENT THIS Ik-L -kINTI N"ANCE AND REPAIR AOR - IF, -MIT, herein the ` AGRETEMENTT" made and entered into as of this Day of of 20 ; by and between r < herein the " C WMER," and the Municipal i r.y of Anchorage, herein the "MUNICIPALITY", its accordance with Anchorage Municipal. Code. (AMC) 15.65.3-165, In consideration of the mutual covenants contained herein, the par;ic�s to this AgyreCnwrit agree as fellows: 1. Advanced Wastewater Treatment Systems. TheMunicipality grants permission to the Owner to utilize and operate an Advanccd Wesrewater Treatment SyStexn (AW k,VTS), described as,�_!_ ZILLi'� located at (legal description) 9 U u '_'. Maintenance. Repairs and Alterations. (0-mtcr is required to rued, understand and initial each section) s ^. Tlan }ugstout the temt of this Agreement, the Owner shall enter into a service agre Er[Cnt with an ANY•"WTS service and maintenatace provider approved by the ;Nfunici]3ality Or the manufacturer's representative. The AW`WTS shall by maintained Ina s;ausfilctory condition capable ofpcHforming as designefl and producing treared septic effluent its accordance with the egaiipment°s approvat for operation in the Municipality, l It shall be the responsibilit of the t)twner during the tcnri of ibis Agree:met7t to pay for all repair(.q maintenance, adjusftment(s), replacement costs, and inspection costs. Tbis 'includes an annua d maintenance fee (typically $400 to $600)• rte'% 0v.n�r agrees t�,at only tnaintcnaQe� :end repair personcael appravccl by the iwitinieipslitM or die manufacturer's representative will inspect and matte any necessary maintenance, repairs or permitted alterations to the systcpri. Owner acknowl*- cs that regular maintenance of an :1bt NA T -S .reduces the potential failure of the system, vebich could include sevvasge backup and costly repairs or drain field replacement. (row•.05il8.12018) page I of Owtter acknowledges that tlt� ?vinnicipt.lity may regpt st records of maintenance and repairs from the manufacturer's representative or tnaintc:mnce provider- Owner: u rovider_E>v;rter<tc knowtcdges that the f ne for failing to ritaitttain and repair an A'W `l'S may Ix, `. assessed in accordance With A-MC 14.60.030. L_ ' Owtrar agrc+s to grant [he funicipality reasonable access. to test and inspect the AVWTS. The Municipality will give at least 24-hour notice. ::� Q%vivr agees that any sale or [ra ifGr cif title of the property will not occur wincout a ne+v t' Certificate of Or,-Site Systems Apprv)vW. Owner agrees that the AtiIM,TS installation and maintenance requirements as provided r by the AWWT:S vendorAnstaller and approved by the Municipality are the goveming guidelines for this construction, maintem;nCc and repair of the Owner's AMVI.S- f%%; O,wtter agrees to maintain r4nwte nionitoriiig of the A4t`%VIS as required by the f..,. AWN, TS approval, 3• Terrn, The term of this Agreement shall begin on the dace of approval by the - tI lunicipality to operate the imstalled system, or upon transfer of title, :and shall continue ,,while the AWW7S is operational or until title is transfc;rrcd_ 4. Nonwaiver. The failure sof the Municipality at any time to enforce a provision €>fthis Agreement shall in no way constitute a .Xlaver of the provisions, r,or. in any Way affect the validity of the Agreement or any part hereof or the righ, of the Municipatity thereafter to enforce every provision hereof: 5 A rrte.ndment. This Agreement shall only be amended by authorized reprek,.rttativcs of the Owner and. Municipality. Any at;ernpt to amend this agreeement by either an unatlthOrized representative or unauthorized rtteuns sh ll be void_ 6. Jurisdiction:_ C.1tttiee of Law. Any civil action arising from this A.g*re;_mcnt shall be. brought in the Superior Court for the Third Judicial District of the, State of Alaska at Anchcma e. The hnvs of the State of Alaska shalt gover•tt theri ; tts and obligations of the. parties under this Agreement, 7. SeVerabil.ity. Any provisions of this Agreement decreed invalid by a coup cif oompr cum jurisdiction shall nor invalidate the remaining provisions of the Agrccnr_cnt. (rev. QS? l 81201 ,�i mage: 2 ctf 3 Bv:�? f t� Lj (print name) -TATE OF ALASKA � sS. THIRD JUDICIAL DISTRICT } The foregoing instTurne t was acknoixled-ed before nie this I d;31 of20 by ��irteo r�r _. NOTARY PUBLIC FOR AI ASKA RACHEL E. IcF h,r Hot ry Pu'If'- MY: lf, Commission exp Lres: ��a7 � �,� � �... 5 Me ad Alaska M f crirtrgsinn Fs fr - P CS -c•(1 _ _ :J MUNICIPALITY: rj�r• (sRgnaturc) Date: 2_ 7 - 2 Tint name) Title: (rcv. 05"18,12019) Pad=.e 3 of 3 Municipality of Anchorage P~g°--l--°f ''~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SWO00110 PlO Number; 01 5--051 --59 ~ame=ROGER AND KATHY MIYASAKI Wastewater System: [] New [] Upgrade Addre.m 9700 SPRING HILL DR. ANCHORAGE, AK 99507 ABSORPI'ION FIELD No. of Bedrooms: Fh°ne:(907) 346--3349 [] Deep Trench [] Shallow Trench [] Bed D Mound · Other LEGAl. DESCRIPTION .. , 12 2 SPRING HILL~ 1.4 -- 2.25 n. 0.52 FI. Township: -- Range: -- Section: _ 1' -- 2' +/- WELL: [] New [] Upgrod 1 2 Ft. 5 2,5 rt. Or.la. D~t. O~llad: St~Uc w.t,~ ~vam: ~..to~m.. DENALI 5/22/00 - 5/25/00 SEPA~TION DISTANCES o Septic O Holding B S.T.E.P. Tank Tank s~.~ U... ANCHORAGE TANK 1500 Well 100'+ 100'+ 100'+ - 25'+ STEEL 2 s.¢.o. ~oo'+ ~oo'+ lOO'+ - - LIFT STATION Water Lot 5'+ *4' 5% - -~ ANCHORAGE TANK Line 1 500 Foundation 5'+ 10'+ 5'+ - - 42" ~ NONE KNOWN ~ " ORENCO M.O.A. Drain j j ~emarks: *WRO00021 BENCH MARK ** TOP OF SAND IS 2.57' MAX. BELOW ORIGINAL GRADE. TOP OF FOUNDATION CO. GROUNDWATER IS 7.1' BELOW GRADE. 100.00 ri, . _ ~.,¢.1~ :..~...:....~ 3rd ~3/24/2000. Depa.ment of Healt~nd U~n~(ces approval Reviewed and approved PERMIT NUMBER: AS BUILT DP, b,_WI~G PARCEL ID NUMBER: SWO00110 ' 015-051-59 /- N~W I¢,00 . / __ /-- -- / / / /'/ ~. MT' / / -~ NEW '~- **_/ // ..- ,~y/ , x /' S.T.E.P, TANK ~ ~ ~ / / ~ / ~" ~////~ ~o~ '----~-~-- ',/ //////// ~ -~ ~///~ ~_eZo~**~ ~~ W //////// ~/ - ~ ¢~ --~~~ ~/11111; I , ST1 - 28.0 31.9 ~T~ ~ 4 - ~ ~ ~N~ ~ / ~ I~o00o~O / / MT3 64.5 - 52.5 - / / ~ / A B C ST1 - 28.0 31,9 ST2 35.7 37,8 MH - 38.2 40.0 MT1 83.7 - 50.1 MT2 91.4 - 61,6 MT3 64.5 - 52.5 MT4 72.0 - 62.3 J.W.M. AI~kSI(A WATER & WASTI~VATER ~B^..-': CONSULTANTS, lNG, 1" = $0' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ROGER & KATHY MIYASAKI (907) 346-3349 2 OF LEGAL DESCRIPTION: SPRING HILLS SUBDIVISION; LOT 12, BLOCK 2 I'fPE OF WORK: AS-BUILT OF SEPTIC SYSTEM UPGRADE SW000110 " 015-051-59 ~Pr~ PLAN VI EW ~1~1~ ~ F1¢¢~ P~IC ALASKA WATER & WASTEWNTER o.w.u. PRKP~E~ FOR: PHONE NUMBER: PAGE NUUBER: L.~ ,.~.~D ROGER & KATHY MIYASAKI (907) 346-3349 3 SPRING HILLS SUBDIVISION; LOT 12, BLOCK 2 . ~PE OF WORK: PROFILE AS-BUILT OF SEPTIC SYSTEM UPGRADE Alcan Electrical Engineering, Inc. 6670 Arctio Spur Rd, Anchorage, Alaska 99518 Fax Cover Sheet DATE; May 26, 2000 TIME: 8:14 AM TO: AWWC HONE: 337-6179 Jenny FAX: 338-3246/333-9776 FROM~ Nc;in Electric PHONE; 563-3787 Sklpp Bringmann FAX: 562-6286 RE: Lot:12, Block:2 Spring Hills Estates Jem~y- In regards to the sewage Ikfi station that Alcan connected at the above mentioned location. All electrical work performed by Alcan was done to 1999 National Electrical Code, (NEC) standards. If you have any questions please contact me. Thank you! Number of pages Inoludlng cover sheet: 'ON FROM : Dmnali Sawer & Drain PHOME NO. : 907 333 9776 May. 26 2808 lP:lgPM Pi ALCA~ ~J.I~C & ENO 9700 SPIErN'O DR MUNICIPALITY OF ANCHORA GE Department of Health and Humen Services On~Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-S,TE W^STEW*TER D,SPOS*. SYSTEM P RM.' Upgrade Date Issued: May 17, 2.000 Expiretion Date: fvlay 17, 2001 Permit Number: SW000110 Legal Description: SPRING HILLS ESTATES BLK 2 LT 12 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Roger & Kathy Miyasaki Owner Address: 9700 Spring Hill Dr. Anchorage, AK 99507-4373 Parcel ID: 015-051-59 Site Address: 009700 SPRING HILL DR Lot Size: 49095 SQ. F'r. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ['/i Disposal Field [¢~ Septic Tank [ZI 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 ( 18AA072 ) and Drinking Water Regulations ( 18AAC80 ). 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. Received By: / //' Date: Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us May lT, 2000 Jeffrey Garness Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B Anchorage, AK 99504 Subject: Waiver Request for Spring Hills, Block 2, Lot 12 Waiver Request #WR000021 Parcel ID #015-051-59 SW000110 Dear Mr. Garness: Your request for a waiver of the required 10 feet horizontal separation fi'om the on-site wastewater disposal system to property line has been approved. The approved separation distance is 4.0 feet. This waiver approval applies to the existing on-site wastewater disposal system to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4.744. Sincerely, Daniel J. Roth Civil Engineer On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health & Human Services Gn-Slte Services Waiver Review Worksheet WR#: WR000021 PID#: 015-051-59 HA#: Date Received: May 4, 2000_ Legal Description: _Spring Hills, Block 2, Lot 12 Engineer: Alaska Water & Wastewatar Consultants, tac. 6901 Debarr Road., Suite 2-B, Anchorage, AK 99504 Applicant: Roger & Kathy Miyasaki Waiver Requested: 4 foot lot-line waiver Criteria: 1 2, Special Conditions: 3. Other: Geology A. Water Table B. Soil SorDtion C. Permeability D. Water Table Gradienl E. Horizontal Separation Points: -otal: Waiver is Granted: _ X __ List Conditions or Reasons for above: D# TED _~ - 5-- [2~ Waiver is not Granted: Name of Reviewer Rec#: 06710 Amount: $115.00 Date Paid: Ma_,/4, 2000 ALA$1G WATE[ & WASTEWATER May 5, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for Lot 12, Block 2, Spring Hills Subdivision (Bottomless Intermittent Sand Filter ~ ISF) To whonr it may concern: The existing 4 bedroom house is served by a private well and septic system. The existing septic system consists of a 1500 gallon septic tank and a bed type drainfield that is surcharged and appears to be encroaching groundwater. We are proposing that a 1500 gallon S.T.E.P. tank and a Bottomless Intermittent Sand Filter (ISF) system be installed. Comments regarding the proposed upgrade are summarized as follows: 1, GENERAL: One test hole was excavated on the east end of the property to determine a suitable area for a septic system upgrade. Given the limited area around the test hole and the setbacks from the existing septic system, it is our opinion that a Bottomless ISF system is the most viable option. 2. SOILS: Attached is a log which shows the soil classifications, groundwater monitoring, and the percolation test results. The soils below the organic layers are a SP/SM material to a depth of 9.5 feet. It then transitions to a 0.5 foot hardpan lense. From 10 feet to 11 feet (bottom of test hole), is a GM/SM material. Groundwater was encountered during the excavation of the test holes at 9 feet. A percolation test for this test hole was performed between the depth of 3.5 feet to 4.0 feet which had a percolation rate of <1 minute/inch. 3. DRAINFIELD DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate for ISF: 2 gallons/day/ft2 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 - Ph: (907)337~6179 ~ Fax: (907)338-3246 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 500 ft2 f. Effective Depth below pressure pipes: 2.5+ inches g. Width: 12 feet h. Length: 30 feet. i. Effective absorption area = 360 ft2 j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank". 1. Sand Material: In accordance with M.O.A. latest standards nc. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4." sieve, and less than 1% passing the #8 sieve. We are proposing to excavate do~w~ to a depth of 4.5 feet (maximum - remove all organics), place a minimum of 6 inches of sand, install the air supply line, and cover it with 1.5 feet of sand. On top of the sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use a conventional lift station (Anchorage Tm~), equipped with a programmable timer so that flow can be intermittently closed to the ISF. 4. SURFACE WATERS: There is no surface water within a 100 foot of the proposed septic system upgrade. 5. TOPOGRAPHY: The area where the existing dr,'tinfield and proposed ISF are is generally flat. There are no slopes greater than 25% within 50'. 6. LOT LINE WAIVER: We would like to request that your department issue a property line waiver on the subject property for separation between the drainfield and the east property line at four (4) feet. There are no wells, septics, or xvater lines that have been encroached upon. We do not anticipate any adverse effects by this waiver. 7. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with DHHS' "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (5th floor, 9th & L St.). 8. CLOSING: I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adverse impacts this installation would have on ad acent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank y. t for your assistance. ~ ,~Sinc_.,erely ~ ,~arness, P.E., M.S. 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 - Ph: (907)337-6179 ~ Fax: (907)338-3246 I I SPRING HILLS S/D SPRING HILLS S/O I I LOT 10, BLOCK 2, ~ LOT 9, BLOCK 1, I ~ i/ / ~ ill / ........ SPRINO HILLS S/D / I ~l // x~ Z///~//, ~l ,/ SPR'N~ HIELS S/D ~ ~ ~x~u~ FOUR-~// ~ ~ ~ SPR~ U~L~ .--- t---. ', ', ,'/~~A / / N~-- .... - / sP~ H~LLS S/D ~ _~~~ / ~ / ~ ~ ~ LOT 2, BLOCK 1, ~ .' / / I~ ~ ----~ ........ .~ -~ ~ ~ ¢ ~ xx . / A~/ / ~' ~-~ ~ ,' I ii I X TM / /// ,/ / . "~ '~ ~/' I ~ A ~ ~/ // / LOT 12, BLO0~I, DATE: ~_~ ~ ~ '' ~' C.J,G./J.L.M. ~' .' "' a~:As~ wA~;~ & WAS r~w~ ~.r ,~,,, ~7/~ ~ .. CONSULTANTS, INC.[ ~: , · ROGER A KATHY MIYASAKI (907) 346-3~49 1 OF 3 , ~,~r, ~ess/ SPRING HIL¢S SUBDIVISION; LOI 12, BLOCK 2, % *~ '. ...... ., ~P~ oF WORK: SITE PLAN FOR SEPTIC SYSTEM UPGRADE qOTES: THE AIR COMPRESSOR SHALL BE LOCATED WIIHIN THE BASEMENT OR THE OABAOE. THE ]ORTRACTOR SHAIJ. PROVIDE A 0-10 PSI PRESSURE GAUGE AT A LOCATION WHICH IS READIL kCCESSIBLE FROM WITHIN THE HOUSE , NOTE: A 30 PSI RAUGE WiLL NOT WORK. THE AIR COMPRESSOR SHALL BE A THOMAS INDUSTRIES MODEL 5070, AS SUPPLIED BY ANCHORAGE TARO, THE A~R LINE SHALL BE 1/2 INCH DiA. HOPE (1 PIECE), INSIDE A 2 INCH BCH,40 PVC JACKET. TH[[ LINE SHALL BE BURIED TO A MINIMUM DEPTH OF 3 FEET. THE CONTROl PANEL FOR THE STEP TANK SHALL BE INSTALLED OUTSIDE THE RESIDENCE WITH AN AUDIBLE/VISUAL INDICATOR INSIDE THE HOUSE. NOTE: THE CONTRACTOR MUST HAVE THE EAST LOT LINE AND THE WELL FOR THE SUBJECT PROPER3Y SURVEYED IN BY A REGISTERED L~ND SURVEYOR PRIOR TO CONSTRUCTION, / / / / / / / / / / / / / / / ?/ // EXISTING SYSTEM TO BE ABANDONEO AIR COMPRESS( 1500 GALLON (SEE NOTES) S.T.E,P, TANK AIR LINE (SEE NOTES) PROPOSED BoTroMLESS SAND FILTER, EXCAVATE A BED THAT IS ~-,5 FElT DEEP MAXIMUM BY 12 FEET WIDE BY 30 FEET LONG, DEE ATFACHEO DETAIL AND PROFILE (PAGE 3 OF 3) FOR CONSTRUCTION DETAILS AND REQUIREMENTS. DATE: 5/3/2000 DRAWN BY: K.D.W. SCALE: 1' -- ALASKA WNFER & WASTE VA [rER CONSULTANTS1 INC. PREPARED FOR: PHONE NUMBER: ROGER &: KATHY MIYASAKI (907) 346-5549 PAGE NUMBER: 20F3 LEGAL DESCRIPTION: SPRING HILLS SUBDIVISION; LOT 12, BLOCK 2 ~(PE OF WORK: DESIGN OF SEPTIC SYSTEM UPGRADE 4' LOT LINE- WAIVER REQUESTED t / / / / / /~-~AIR blN~ COil. 9~E~ M 5/4" P~A ~CH, 4'" ...... ~'~*' ~ P~OX, 2 ~f, ~NCO [ ............................................... / , e, ~ ...................... ' (~ P~Cfl~ 60~5) ~1 I/4" PlA, %H 40 HPP~ ¢ 5~P ~P Pi~D~ON PIP~ (¢XCNP ~0~ 6~) PI%~¢ LIN~ ~OM IN~, (P~ILL I/4 INCH PLAN VIEW ~/4" PVC LA¢~ (~,4) -7 / ~ILCE *~** PROFILE VIEW , ALASKA WATEII & ~ S 1 ESVNI ER K.D.W. : CONSULTANTS, INC. SOALE: SPRING HILLS SUBDIVISION; LOT 12, BLOCK 2 Ub~*4 '.. · ...' PROFILE BESION OF SEPTIC SYSTEM UPORADE ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 28 * ANCHORAGE, AK. 99504 PHONE (907) 337-6179 * FAX (907) 358-3246 ksolL LOG - PERCOLATION LEGAL DESCRIPTION: PERFORMED FOR: TESTI SPRING HILLS SUBDIVISION; LOT 12, BLOCK 2, MR. &: MRS, MIYASAKI DATE PERFORMED: 4/26/00 ORGANICS SP-SM I TEST HOLE #1 I LENSE HARDPAN GM/SM SOIL CLASSIFICATIONS ~ ORG SC DEPTH TO DATE GROUNDWATER 9' 4/25/00 7,2' 4/27/00 7.1' 5/2/00 DATE READING GENERAI. TESTHOLE LOCATION 4/26/00 CLOCK TIHE NET TIME WATER LEVEL (MINUTES READING NET DROP (INCHES) COMMENTS: PERCOLATION RATE TEST RUN BETWEEN <1 .(MIN./INCH) PERC. HOLE DIA. 3.5 .FT. AND 4,0 FT. 6 (INCHES) L PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFQRI~EB IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE: ,'~/,~ Sent By; Alaska Water & Wastewater Oonsu; 907 338 3246; May-3-O0 13:53; Page 2/2 . ~. ROPERTr OWNER AGREFAV~NT FOR TKE ~NANCE OF AN ON-SITE WASTEWATER DISPOSAL Anchorage Depacmlent of I~alth'and Hum:m Serv:c~ (DHH$) aa~ the property . 'l'"ai$ agreeanen~ is mago for the purpose of maintainiug aa on-site w~wmr ~ sysmu on m $~j~ pm~y. ~ ~~ The prop~ty ovmers agree to file Submit to the IviunicipalJiy of Auchora8 operation sl;dement from a reg/stered pro ~~//~/V'~ , operation star~.,meut shall verify that the c~ pumps, timers, ami alan,s, and that any d. '.xZA_~ /~/~ , sysmn is ftmc~io~ a~ desired. 5~C80~ ~ ~ ~his x/ff~ day o~ oho is ps~sonally kno~ to me ---- vhose ideueity I proved on the basis ~ vho{e identity I provgd on the bath/affi~ion ~o be ~he s~ne~ o~ ~he ab~cumsn~'~nd he/she ac~o~led~ed - .... ~ G',%~.. ~5 · ,~,.~. %%.. ..... /Y/)))JJ}ll~ WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Divltion of Geological ~ Oeophylicol SurvEys LOCATION OF WELL (PIce. complete iIIher I~= lb Ct lo.) .~ojl ~orou,h Subdivi$ien Lot Block ~ '/.qffi. I-o,-~,-,~.-I ~[DISTANCE ANO ~IRECTION FROM ROAD INTERSECTIONS TOpo - ' WATER WELL CONTNACTOR'E CERTIFICATION A.D.L. No. Seotlon Bottom /4) . /7 _ 7~- /7~ /?A CASING . r-]TSreagee ~ WeldeE d~o.,. /,~ ~.. to.../ 7~ it. ~,,th W,~ht _/_'2__l../t,. dlom__~n, to_ .. fl. Depth 8flokup IO. ETAT~C WATER LEVEL= / ~, ,. ~/~//~7 E.[.*.t .,,,: ,~X~, for. I,L REMARKS: MUNICIPALITY OF ANCHORAGE DE HMENT OF HEALTH AND HUMAN SER\ :'S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL. INSPECTION RE;PORT Name 'rANKS SEPTIC [] HOLDING TYPE OF SYSTEM TnENCH ~ RED ~ W. ~nA~N ~ oTHER ~a/"~ Iff 2, D~ FI ~ FT ¢ ,3~ FT Z?_, WELLS PRIVATE Classlhcat,onlA,BC} ~/~/ , //'1 [] OTHER Ildentifv) oral Deptll [Cased to Inslatlel Date InstalLed; DISTANCES FRO~M ~ SEPTIC ABSORPTION TANK FIELO WELL WELL LOT LINE FOUNDATION AS-BUILT DIAGRAM (Show [ocatloI/ el ' FT RE[MARKS: £NGINEER'$ SEAL MtmicJpal and Slate giddeJiEeS il/died on this date: __ HeaUh Depadmenl Approval: 72-013 (3/85) · cedily thai IhJs insl)eclion was ped0rllled according to all ,'/,I, DI!k:F:'AF<'fMIi~IxI'I" [)l::: HI!i~AI..'f'H AF.ID ENVIRI]NMEN'f'AL [!);?.,u.:; I.. S'IrI::(I:i:L:.T, hNCI4[II:d.M/i[qL, AK 9950 i 264-47',.d0 F:'l~i]::~h'l I "l NO: )}ATE I S,S!J[!:D: 06 f :l..::!; 186 BI_{][3K: 2 I,.:i!;~;'l:.led I::,c.!low al'e 'Ll'ie (::lp'k:i.c~ns ava:i, lal::~l(o t.(::) you J.t~ (::les:i.t;jri:irl(d yl::nu" s~:.~,p'L :k c: ~:sy!~C(:~i~l,, (]?,h<:)o~w~ thc::, ~::){::)~::i(:)l'~ ti'mt I:)~-)sT f~l:.s ,/OLU' site. :1~:!':3: lEE] ]L,~, Dli~F:']' H 'i'0 TOTAl. DIEPTII (FT. > (::;l:d~Vl~]..WID'I'I'I (l:"l',~) ........ 0 , (~t AVI:.L I..l::.llbll'l (F"I',, > 41,,0 EH:d3VI]~]. VOl.,lIME (C[I.YDS.) 33 I'ANK SI ZE d:4AI..S) I, ;?/,50.0 -~'~i' SO :t: I. RA'I" I NI'J (SI:i! ,, I:: '1' ,, /BR ) :1,5() ')~'z<- DI!~:F:"/"H ]'[) P I PE BOT]'OM < [:~ ,, 0FT. f;fli~:g!U 3: RE!ii; Al)I) I T I OI',IAL GF;t(]{JI',ID COVER · ~"!'~ DIZI::"I]{ TO F:' :1: F'E BOTTC)M < :3. t=i F'I" ,, ~{"~< DEF:'TH TO I:::' ]: I::'IE Li:OT]'OM =:: 4.0 F:T. MAY RI.~!]',!UIRE A I .. :I: I::' T S'I"ATI[)N · ~-.XTANI< MUS'I' I'IAVE A] }..[:i:AS]' TWO !:::ep'L:i, ~:'y t. hat.: and :i, ri COml]].:i, ar]cE, bgi'Lh th6:) d~2si~jr] c:pitt~l':i.~l o{' th:i, Ei per'mit,, 3,, :[ w:i.].:l ;:u::ll~c)r.(~) to aJ.] MOA and S'l.al.(.:) (::)t' Alaska ]]:: A I ]H:::'I S[~'~l'3:{)hl 1:~:~ iNSI'AI.L, ED IN AN AREA COVERED BY MOA BUILDINCi [::[:)DEl:S, ]Flli::N (:1) ~]N tE:I.I~]]TRICAI PERM3:T AND IN?~F:'IF]]T]:ON MUS'[ BE OBTAINIED; (2) AS....BtI]]...TS WiI,,I.. NO'[ B[:: APF'F~{:)VED WI'['I,K:IU'I" AN I~].,[~:CTR]:CAI... INSPI~:CT3:ON RIEPORT; AND (3> THE I~:}..IE{::;'I'I';: ]: [3AL WI)RI,:: l'1{ IST BE ~:>(:}lxll~: BY A L 3: [:;I~}]xISED E-]~.EC IR I {] :[ AN. ALb, SKA ENVIRONMr[NTAL CONTROL SERVIC INC. 1200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO OF CHECKED BY DATE .i t PO. b. OX 6650 ANCPIORAGE. ,~LASI<A 99502-0650 (907) 264-41 1 DEPARTMENT OF HEALTH & HU~/IAN SERV$C~S January 10, 1986 TO: Permit Applicant Subject: Permit # 850444 Lot 12 Block 2 Spring Hills Estates Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. 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-si~e sewer system the original as-built inspection report(three part form) 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, Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit F'l::]:d~l Z ]: DATE ISSUED~ 850444 HAND WR I'TTEN 07125185 IF"" E: [:-%~ IP:i ][ 5F A F:'F'I.~ :[ C;ANT: A D D R IE S S ~ E;ONTA[Y'F F'HONE ,~ L.EGAL DESCR I F".' LOT S I ZE:,~ SOBDI:VI!3IOIxI~ SPRING FIIL.,L(3 ESTATES LOT: 12 SE~t]'T I [)lq: 15 'fOWNSH I F:': :t2N RANGE: 3W 49()95 (SQ,, I::;']'. OR ACRE:S) BLOCK,~ 2 certify that: 1,, I am familiar' ;~i'l'.h 'Lhe r'et:lt.d.r, emen'Ls fop on'-'-!~iitw sewePs and .f'or'Ll') by the Mt.micil:~ality oF Ancl"H::mage (HI]A) anti the State oF Alaska. I wi].l install 'Lhe system in accopdance ~i'LI] ali I~I['.]A co,des and Pegu].atiorqs~, and J.f] comp].:i, al]ce ~J. th ~Lh[-] d[-]~Sigl"l cpitepia oF thi. s pepmit,, '.1: ~J.].]. adhe~r'e to all MOA and f3ta'Le of A'i. aska PeqLd. m-emer'R,~s; fop the set back clistarlce~ fpom any exis'l'.:Lrlg well, wastewa'Ler' d:i, spo~tl isys'Leto (:)r' publ:i,c !Ei(z)t~ef'al]e system on 'Lh:i.s op ally adj al::ent or' r]eapl::iy ],c)t. IF:' A I,,2(F;']" STATION IS ;I:NS'T'AI_L.ED IN AN ARIEA L, UV[d'*E,D BY MI]A BUII..,DINE) (.,ODI::.h, THEN (~) AN ELECTF~I[~AI,. PE:RN~T AND :I:IqEU::'E[;TZON MUST BE OBT~ZNE:D~ (2) AS'""BLI]I.2]'S WiI.,L NO'I" BE AI::'PROV[a:D W]:'I'HOIJT Alq EI..ECTRICAL. IIq[3m:'lEt]'f'IOIq REF'[)IT'I'~ AND (5) THE E:I...ECTF~Z[:AL WI]RI'::: Idl. JS'f' BE D[IIqE BY A I..ICIENSED ..... ' ~ ' "" Al f I..1L.AI Il. D S UNL. IMZTE:D MUNiCIPA1JITY OF ANCIIORACP Departmen, ~f Health and Euviroomenta Protection Pouch 6-650~ Anchorage, AK 99502 264-4720 On-site Sewer/Water Permit HANDWRITTEN Date Issued Address: Legal. Description: Block: ._.~'~. 0 % .. Range: *~lSk ~ :2, Lot Size: k/Q(_~fJIf% (Sq. ]Ft. or Acres) Lot Location: Listed below are tbe options available to you in designing your septic system. Choose the option that best fits your site. TRENCH BE,D, W. DRAIN Depth to pipe bottom(ft.) Gravel depth (ft.) Total depth (ft.) Gravel width (ft.) Grave]. length (ft.) Tank size (gal.) Soil rating (sq. ft./bt) ** Gravel length 75 feet requires multiple runs (not exceeding 75 feet each) ** Tank must have at least two compartments I certify that: 1. I am fami].iar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage(MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to ail MOA and State of Alaska requirements for the set back distances from a~ly existing well, wastewater disposal system er public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for the maximum number of bedroom~ stated above, and any enlargement or modification will. require an additional permlt. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES~ THEN (1) AN ELECTRICAl, PERMIT AND INSPECTION MUST BE OBTAINED] (2) AS-BUILTS WiLL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; LLECTRICAL W~F~K MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED: __ ~ .... ~ /~_~ DATE: Ap p 1 ]cant ~ ~,~ ~{7Jw~c/~vo~ ISSUED BY: C ~ Lk.__~aTa.%C( DATE: SWP/024 rev.1/85 AND (3) THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 82§ L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PFRCOLATION TEST ~/'""'~S O ILS L(~G ./ PERCOLATION TEST LEGAL DESCRIPTION:. ~.(~"~- 1 5 6~ 7 8 9 10- SLOPE SITE I~LAN 11 13 14 15 16 17 18 19 20 WAS GROUND WATER ~ S ENCOUNTERED? ~_ -_ DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop / - PERCOLATION RATE (minutes/inch) 72-008 Alxcll e age POU~/I 6 6,%0 ANCI IORAGk. A[ ASKA 99502 0650 (907) ?64 ,! 11 DEPARTMEN'I' OF HEALTli AND ENVIRONMEN'£AL PROTECTION Permit I!: 840273 January 31, 1985 TO: Permit Applicant SUBJECT: Lot 12 Block 2 Spring Ilill Estates 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 to this Department for documentaLion and to close the permit. log needs to be sent of the installation If a private engineer inspected the installation of the on-site sewer system, the original as~built inspectien report and the yellow copy must be sent to this effice fer review and approval, and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Keith E. Bandt, Supe~visor Environmental Engineering Program KEB/ljw enc: Copy of Permit SWP/057 F'Ir::'F:'L. ;1: C:FINT: CONTFIE:T F':'HONE: L. tE GI'::IL. _r..', Ei: ~!; C: FR ;t: f :' LOT :~i; :1: ZE: i-,'IF:IX E~I:i!:L::,F~:OEIH:'~;: Cli'{l:;~:"l' :f F".¢ -I'l IF'I-f': :1. :1:I:::]1,'1 F::'FIH;[I..:I;I:::II:~: I.,.I :I: 'TH ']"HIE !:;'.I~!:~.;:!I...I:I:I';;'.I~::I,IEI-.,I"I':5 FOR OI'.,I-...:.Z:[TE :E;EEI.,.IE,~;;'.:B FINE:, P.IE:I...L.S F:rL5 '::;E:'T' .r::'Ol:;;:¥H B'¢ 'THE I',ltJI'.,I:[C;I;F::'I::'IL;i:~T'¢ OF:' FIi'.,ICHE~F'.FIE. iE ,:: HOF:I ::, FIND THE: 2i;-FFI"FE OF' 2. ]: I,.I;[L.L :[I'.,I'.-.'5,'TI:::II..L. 'I"FIE :~2;'¢::~;'1¢Fd',1 ~[t'.,I I::'ICCCd:;;:DFINCE 1.4:[']"ld F:I[...L~ HOFI COE:,,~ES FII'.,I[::, FIHD I:N CEII',IPL.:[FINCI-:: H:[:TH '}IiiHE [::,E:2;;[Efl'.J CI:;~'. :[ 'I'IEI? :[ FI OF' TI..I:[E; :}i:. :1: I.q:[I.J... I'::I[::,I.IIEI.;..'I:-7: 'T'O I':IL.L. I','IOFI FII'.,I[::, :E;Tl::l~f'l:ii OF:~ I':fl...l::l':!;I.q::l I'RE6!U:I:Fi:E:HEhlT2; FC~Fi'. 'f'HE r~;E~r' BFIE:IE 13, :[ tli;'I"F:IhtCES F::I:;;'.Cq,I I::'ll'.,]'.r' E:',:.:',:(~'i'ZNE!i I,IEL[ .... HFr_::;I"I::_'HR'I"EF: E:, :( 2;F'O:i~;I::IL S'¢LT:;'FEH O1:~'. F'UE~L:[C :51'::P.IIEF;b:IGE: :ili;'¢:B"r'l:.~:H ~Z~l'.,I "1"I--I)::~:; E;q:;;'. I::llq'¢ FI[::,,)'F~CENT OR I'.,IEFIF.;:D'~.' L.O'T'. 4.. ]: LiHI:::,EF;i::STFINI) THF:IT TH]:'.:i; F::'EF'.H:['T :['.!5 ',,¢FIL. ): I:::, FOF: Fi I'"IFIX:[HLIH O1::: Z: E~E:I'::,I:ROCq',t:~i; FII'.,II:;:, I::li",l"r' IEI",II..J'::IR(:!ilEI'lli~,:I",Ff' H:I:I_.L F;:I::_'~::!I...I;t:F;i:[E F:IN I::'IE)[::, ): 'F ]: OI"~FIL F'ERH:["f'. :t: F' 1,.1:[ L.L I~:LL::C"FF,i::I:E:FIL. P.IOF;:I::: l"'11...i:5'1' DI~: FIF:'F::'I..ZCFIN'F: I::iRE:::FIT I_.RI'dEE; "" ..... ~.~_,..,,--~.,~ d~z..~¢.~_~ [:,l::l'lqE ]..., ,_ I..I):.. [. MUNICIPALITY OF ANCHORA6~F DEPARTMENT OF HEALTH AND ENVIRONMENTAl.. PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 14',11 Subd;uis',oq [ SLOP¢~ SITE PLAN 8 9 10 11 12 13 14 15 16 17- 18- 19- 20- COMMENTS PERFORMED BY: DEPTH?IF YES, ATWFIAT __ ~, lA _ E Gross Net Depth to Net Reading Date Time Time Water Drop TEST RUN BETWEEN N IL FTAND FT ~ CERTIFIED BY: DATE: 72-008 (G/79} Ru5) • '-� Municipality of Anchor ge ° U On-Site Water and Wastewater Progr (907) 343-7904 \,_5 A F C T YA Certificate of On -Site Systems Approval Parcel I. D.015-051-59 1. GENERAL INFORMATION: Expiration Date: Lk i a�� I Complete legal description SPRING HILL ESTATES; BLOCK 2, LOT 12 Location (site address) 9700 SPRING HILL DRIVE *ANCHORAGE, AK 99507 Current Property owner(s) Mailing address Day phone Real Estate Agent SAM DANIEL Day phone 907-227-4626 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class_Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee Date of Payment Receipt Number © 7 -3 7 I G COSA # 0�J2 l 1 f 9 6 Date: Waiver Fee $ _ Date of Payment Receipt Number Waiver # 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, 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: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 41 2,3 Lf In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and X0000 �� industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or �Q� Gc encroachments may exist that were not identified during the evaluation. The operational life of all wells 40��•' �S�'(, and septic systems depend upon a variety of variables, including but not limited to, soil conditions, �� T , groundwater levels (that may fluctuate during the year), quality of construction (materials and /J workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of ..• • • • • • • • • • • • • the well or septic system. GEG makes no representation whether an alternative well or septic systemQ f y A. Gorn ss,: can be installed on the property in the event either of the current systems fail to perform adequately in v�4 CE— v� the future. The content of this report is for the sole benefit of the person/party that retained GEG to 2� �i.•' eco perform the evaluation. Reliance upon the information provided in this report by any other person or lTo 1r "'� ' party (including subsequent property purchasers) is not authorized, nor will it confer any legal right ��54a��ofess;�n°�—� whatsoever. #AECC884 6. DSD SIGNATURE V System #1 Approved for —�— bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms OF C(tj, _ bedrooms, with the following st�tio� ON-SITE W $ m� TER AND IAIAQT�-%AIATFP z r PROGRAM � By: Ott, -Ti m ECUMJ Certificate Date: y12 3 a0 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 7. ATTACHMENTS: COSA Checklist i< Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other kk� Legal Description: SPRING HILL ESTATES; BLOCK 2, LOT 12 Parcel ID: 015-051-59 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA NO Well log is filed with Onsite (or attached) Date drilled 10,711987 Total depth 172 ft Cased to 172 ft FOR Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 1/18/21 Static water level at beginning of test 130.9 ft Comments B. TANK DATA Age of tank(S) NEW years Tank type/material SEPTICIHOPE Measured operating fluid level in septic tank - FE -1 Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA IDSF Which system tested (date installed) 4/13/21 ❑ ALL standpipes present per record drawing Total measured depth from grade 3.6 ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced N/A gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 9.5+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 3.86 mg/L ❑ Nitrate less than MRL (ND) Arsenic- ug/L RM Arsenic less than MRL (ND) Collected by GEG Date of Sample 1/19/21 C. LIFT STATION ❑ Required maintenance completed Age of lift station NEW years Lift station material HDPE Comments: Adequacy test date NEW Results [DPass For 4 bedrooms Fluid depth prior to test in Water added - gal New depth ` in Elapsed time - min Final fluid depth - in Absorption rate buu+ gpd Any rejuvenation treatment (past 12 months) NO If yes, enter date N/A E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' *50'+ Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft r7 Yes if No ft Neighboring Tank > 100' 2 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No 50'+ ft Holding Tank > 100' R Yes if No ft Neighboring Absorption Fields > 100' if No Animal Containment > 50' 0 Yes if No ft [v1 Yes if No ft Water Main > 10' 0 Yes if No ft Manure/Animal Excreta Storage > 100' ✓v Yes Community Sewer Main > 75' Q Yes if No ft P1 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10 — � 0 Yes if No ft Surface Water > 100' _ ❑Yes if No 50'+ ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: if No ft Absorption Field > 5' F-11 Yes if No ft Private Wells > 100' ❑ Yes if No 50'+ ft Water Main > 10' 0 Yes if No ft Community Wells > 200' ✓v Yes if No ft Water Service Line > 10' M Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No *21+ ft Wells on Adjacent Lots: Water Main > 10' [] Yes if No ft Private Wells >' 100 _ ❑Yes if No 50'+ ft Water Service Line > 10' 21 Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' ❑ Yes if No 50'+ ft F. ENGINEER'S COMMENTS *WR#000021 - THIS IS AN IDSF TYPE SYSTEM WITH REMOTE MONITORING G. ENGINEER'S CERTIFICATION l certify that 1 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. COSA Checklist yellow sheet OF 19 04nn9. hhE-7 53 4%�,_rofess!O— #AECC884 WNICIPALIT'r OF ANC140RAM T Community Development Deparltmcnt • On -Site Water & Wastewater Program P: 907-343-796 • F: 907-343-7997 • P.Q- Box 196650 Anchorage, AIS 99519-6650 • http;//wmw.muni.org/building Intermittent dosing Sand Filter Maintenance Log Owner e, Street Address Phone - Legal Desc. PID Septic Tank: .Sludge level _,—inches -Pumping: required =9 _0 ,Pumping completed yes no Absarption Field; -Liquid level a ,_inches -Flushing valves per approved design es no -All flushing valves >pened, distribution lines flushed, and flushing valves closed es no Lift station: -Pump basket clear ed yes- noVIA •Biotube effluent filter cleaned yes no -Timer float setting!QJinclies -High level float setting inches -Reference point-] �� `�'e r -Pump on q 0 --seconds -Pump off 60 minutes r -Cumulative lifetime cycles 15, -Cumulative run time 609113 hours -Operation satisfacl iary gLno Air System, -Air pump filter clew )ed es no -Air pressure y psi -Date of latest insta I or rebuild a i R -Air system operation satisfacto mut satisfactM Alarn System; ec;� -Dedicated electrics I circuit a no -Audible and visual alarm inside dwelling es no -Float setting qCL_inches -Alarm system operation atisfactory not satisfactory, Comments: j...... 1-5....:�5c05m.......... *,- c, .......................... ................. ............................................................................................................................... Maintenance Prov der: Technician c'T)c W (30� 4 Company Signature IDSF Maintenance l,og. 040313Aoc Date of maintenancj) DocuSign Envelope ID: 3A691403-7BF8-4EA9-AF74-4C6865E55BFE MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this 22nd Day of April of 20 21 , by and between Heath Allen Andrea Allen , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as 9700 spring Hill Drive located at (legal description) spring Hills Est L12 B2 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) /us i°- a Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. �% It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. f/ ans Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 DocuSign Envelope ID: 3A691403-7BF8-4EA9-AF74-4C6865E558FE /�as Log Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. T/� �= Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. ��LLB' Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. DS OS Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. as Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. os os /Q Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 DocuSign Envelope ID: 3A691403-7BF8-4EA9-AF74-4C6865E55BFE OWNER: —DocuSigned by:—DocuSigned by: B�y:9V Q(,(,t,ln, [,/-;A (signature) �—ECVA2F565FE499... c4CD 4B"o... Andrea Allen Heath Al Allen (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) Date: 4/22/2021 1 12:36 PM PDT The foregoing instrument was acknowledged before me this _ day of 20_, by NOTARY PUBLIC FOR ALASKA My Commission expires: MUNICIPALITY: �n.., (signature) (print name) Date: q"Z ? — ?—f - Title: (rev. 05/18/2018) Page 3 of 3 LOT 11 N890 • ! i ,, • • 2' CREEK MAINTENANCE 491H -.�" EASEMENT CENTERED ON • 'PA ..................... .......... THREAD OF CREEK 1 :• STEVEN CALLA FIAT .• a S -12034 f) 2. 1 . .: .. N, 4=r fe c C SsIon NOTES: 1. THIS DRAWING SHALL NOT / Q BE MODIFIED FOR USE AS A PLOT PLAN WITHOUT THE f ,/ EXPRESSED WRITTEN CONSENT OF LCG LANTECH. !, 2. THIS LOT MAY BE SUBJECT LOT 12 TO SETBACKS NOT SHOWN r �. EXIS' ON THIS DRAWING. I HC DEFERENCE PLAT 83-382 AND CURRENT MOA CODES FOR APPLICABLE SETBACKS. % I / •S / 1 / f bo 254 H Street CI Anchorage, Alaska 39541 h ; }rt. Survey Department Phone 562-5291 C Inc Mainline Phone 243-8985 � ��n.��.i� • �-cc �;► AECC 558 ORDERED BY: SONA BLEWETT, GARNESS ENGINEERING ►•` 59'00"E 272.28' LOT 13 LEGAL DESCRIPTION: DRAWN GATE: 44/24/2421 WORK ODDER: 21431 DRAWN BY: ADS PLAT: 8-382 CHECKED BY: SC GRID: SW2436 SCALE. 1 " = 34' FB/PG: 819155 DEF. 2444L351 SHED SEPTIC MAN HOLES (2) 4 1 w 0 0 ) ADDRESS: 9744 SPRING DILL DRIVE PARCEL : 415-451-59-444 AsmtsUILT SURVEY CERTIFICATION: LCG LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPERTY AS SHORN ON THIS DRAWING AND CERTIFIES THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS EXIST LEGEND: OTHER THAN NOTED. Asphalt ;.;._.;...:. SEPTIC CLEAN OUT 0EXCLUSIONARY NOTE: IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE EXISTENCE *_ : Concrete '.• �' OF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO WATER WELL LIGHT POLE Overhang NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES N��uurir�M,. SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY FENCE ( ==flood, Deck,,,,• LINES, OR FOR PLOT -PLAN PURPOSES. -4.4' SEPTIC CLEAN OUTS (9) 1 ............................. ' ................................. 446 2.0"._!�. e� I g ADDRESS: 9744 SPRING DILL DRIVE PARCEL : 415-451-59-444 AsmtsUILT SURVEY CERTIFICATION: LCG LANTECH, INC HAS CONDUCTED A PHYSICAL SURVEY OF THE PROPERTY AS SHORN ON THIS DRAWING AND CERTIFIES THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO ENCROACHMENTS EXIST LEGEND: OTHER THAN NOTED. Asphalt ;.;._.;...:. SEPTIC CLEAN OUT 0EXCLUSIONARY NOTE: IT IS THE OWNERS' RESPONSIBILITY TO DETERMINE THE EXISTENCE *_ : Concrete '.• �' OF ANY EASEMENTS, COVENANTS, RESTRICTIONS OR RIGHT-OF-WAY TAKINGS WHICH DO WATER WELL LIGHT POLE Overhang NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES N��uurir�M,. SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY FENCE ( ==flood, Deck,,,,• LINES, OR FOR PLOT -PLAN PURPOSES. ParcelI.D.#. MUNICIPALITY OF: ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DNIsion of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, A~aska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILI.Y DWELLING 015-051-59 1. GENERAL INFORMATION . ~)~:.[,,.,.% . Complete legal description_SPRING HIL~VISION:' LOT 12. BLOCK 2 Location (site address or directions)_97oo SPRING HILL DRIVE. ANCHORAGE. AK 99507 Property owner ROGER AND KATHY MIyASAKI Mailing address 9700 SPRING HILL DRIVE. ANCHORAGE. AK Lending agency Mailing address Agent CAROL 8UTL.ER w/REMAX Dayphone Address_26oo CORDOVA ST, ANCHORAGE. AK 99503 Unless otherwise requested, HAA will be held forPickup. 2. NUMBER OF BEDROOMS: 4 3. 'rYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: Day phone.._(907~ 346-3349 99507 Day phone (907) 244-1800 If community well system, provide written confirmation fi'om State ADEC attest.. lng to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding Tank Community on-site · Public sewer NOTE: If community wastewater system, provide wdtten confirmation from State ADEC lng to the legality and status of system. 724:)25 (Rev, 1/91 ) Front MOA #~1 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $3685.00 at, I or prior to, closing for the engineering services provided. I 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 fudher redly that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspe ition, the on-site water supply and/or wastewater disposal system is in compliance with all Municipa. l,.a id State codes, ordinances, and regulations in effect on the date of this inspection. ~ ~ t Name of Firm ALASKA .WA~EF~ &//~S~TI~ ~,CONSULTANTS, INC. Phone (907)337-6179 Engineer's Signature (.-~'~,,'~,,~,!/,,[/,('~'%5"-- Date ~.c"/~./,./Z~o ' In conducting this evaluation, At4/WC, In~. ~/tte~//[~ed t~O,~oJ~de a thorough, conscientious engineering analYSis of the system in accordance with ADEC and f~O/~ D~,~/S Guide/~es & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the water_ - 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 i of the system, nor do they guarantee that there are no hidden defects or encroachments. AWWC, /nc. can therefore not provide any warranty for future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. 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. 6. DHHS SIGNATURE ~. Approved for 4 bedrooms Disapproved Conditional approval for bedrOoms, with the following stipulations: Additional Comments Date_2'---2~ -'~ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91 ) Back MOA #21 Computer Veto[on Municipality of Anchorage DF-PARTMENT OF HEALTH & HUMAN SERVI I6 Environmental Se~l~s Division ~Vi~ONM~N~AL8 ~ 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343~744 ~ Legal Descdplion:_ SPRING HILLS S/D; Health Authority Approval Checklist LOT 12, BLOCK 2 Parcel I,D.; If A, B, or C, attach ADEC letter, ADEC water system number vES . Date completed 10/7/87 Cased to 172' YES FROM WELL LOG 8/7/87 1 N/A 015-051-59 A, WELL DATA Well Type PRIVATF Log present (Y/N) Total depth _ 172' Sanitary seal (Y/N} Casing height (al:love ground)_ 12"+ Wires properly protected (Y/N) YES AT INSPECTION 5/24-/2000 14o' lO g.p,m. 8.7+ g.p.m, 1.11 m.q/L Other bacteria 0 Collected by: A.W.W.C.. INC. Nitrate Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 Date of sample: 5/22/2000 B, SFPTIClHOI.DING TANK DATA Date installed 5/24-/2000__Tank size Foundation cleaneut (Y/N) Date of Pumping NEW C, ABSORPTION FIELD DATA 1500 Number of Compartments_ 2 Cleanouts (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) Pumper - [* TO TOP OF SAND FROM ORIGINAL GRADE] YES YES Date installed 5/22/00 - 5/24/0_0 Soil rating (g.p.d,/ft2 or ft2/bdrm) 2.0 System type Length 30' _Width_ Effective absorptk)n area_ 360 Date of adequacy test_ Fluid depth in absorption field before test (in.); _ ~-,~, __ Imm_edi_.~i.i.i.i.i.i.i~Jy-affer-~_'----- gal. water added (in.): Fluid depth Ons) Mi.nut~Jaten''~--' Absorption rete = P.~er~.xlde--tt~ m~t'~pa~'~l 2 m°nths) (Y/N) If yes, give date_ 72-02~ (Rev. 3/98)* Compu[er Version ISF 12' Gravel thickness belaw pipe_ 0.32 l'otal depth .1/7 - 2.6 Monitoring Tube present (Y/N)_.YES r)epresslon over field (Y/N) NO _ Results (Pass/Fail) For. D. LIFT STATION Date installed Manhole/Access (Y/N) YES High water alarm level at* 46" Cycles tested NEW 5/2~/2000 Size in gallons 1500 "Pump on" level at* 42" "Pump off' level at*. *Datum BOTTOM OF TANK 42" E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main 100'+ On adjacent lots 100'+ On adjacent lots Public sewer manhole/cleanout 100'+ 100'+ Sawedseptic service line 25'+ Lift station 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10% Surface wateddrainage 100% Wells on adjacent lots 100% SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: * WRO00021 Property line *4' Building foundation 10'+ Water main/service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN F. ENGINEER'S CERTIF I certify that I ~ d~ of Municipal/eco~ds~ Signature ( //': Engineer's Name Date JEFFREY A. GARNESS Driveway, parking/vehicle storage area 2'+ Wells on adjacent lots 100% field inspections and review systems are In conformance on this date. HAA Fee $ ~ (Th ~- b~ Date of Payment '~-~/7~ (~ Receipt Number ~"~ ~<~ ('~. 72-028 (Rev. 3/98)* Computer Version Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.¢). Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 015-051-59 1. GENERAL INFORMATION Complete legal description Spring Hill Estates, Lot 12, Block 2 Location (site address or directions) 9700 Spring Hill Drive, Anchorage Property owner Gene & Marcia Britton Day phone 9700 Spring Hill Drive, Anchorage, AK 99507 Mailing address 346-2344 Lending agency N/A Mailing address Day phone Agent Address ' N/A Day phone' Unless otherwise requested, HAA NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: will be held for pickup. 4 'w x If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPF OF WASTEWATER DISPOSAL: NOTE: Individual on-site x Holding tank Community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Fronl 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 verifythat 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 Eagle River Engineering Services Phone Address P.O. Box 773294, Eagle River, AK 99577 Engineer's signature bedrooms. DHHS SIGNATURE /~ Approved for 694-5195 Disapproved. Conditional approval for bedrooms, with the following stipulations; Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~)25 (Rev. 1/91} 8ack MOA Municipality of Anchorage ~,~'~, Department of Health & Human Services HEALTH AU'rHORITY APPROVAL CHECKLIST Legal Description: ,¢2,/)/?//V'/~ kll/..¢ £5.~ Z_d~T/2 B"~Z, Parcel I.D. ~/¢ - 0-~/ - 5/° A. WELL DATA Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Date oftest Static water level Well flow Pump level If A. B, or C. attach ADEC letter. Date completed _Cased to Wires properly protected (Y/N) ADEC water system number /~/~2 z.// 2"~ Driller /'~ I Casing height_ FROM WELL LOG AT INSPECTION /O g.p.m. SEPARATION DISTANCES FROM WELl_ TO: Septic/heP,~+ng tank on lot Absorption field on lot Public sewer main /¢/~' ?) ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Sewer service line WATER SAMPLE RE~,~TS: Coliform /- Nitrate Date of sample: ~ ¢~{Z/~2Z~ Collected by: Other bacteria B. SEPTIC/HQL-DING TANK DATA Date installed _ */,~-/~" ','¢> Tank size / Cleanouts (Y/N) ~zg~'~ Foundation cleanout (Y/N) High water alarm (Y/N) Date of pumping __ Compartments Depression (Y/N) Alarm tested (Y/N) ,K//~ '"'- ' P u m p e r .__~/~- ,') t~_~(¢ 5 SEPARATION DISTANCES FROM SEP'T'IC/H43b~fNG TANK TO: Well(s)onlot~-)'~'/(//b/~/¢~/2--) On adjacent lots ~/~ / :~'~Foundation /'~! To property line /'J~ / Absorption field ~, ~r' Water~,~c~rh'r/service line Surface water/drainage '~/O~) ¢' 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date Jnstalled Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N).~.---~'~-~ SEPARATION DI~ LIFT STATION TO: Well on~~ On adjacent lots Manufacturer ~ M a n h ole~(-"t~) "Pump on" level at ~ "Pump off" level at Cycles tested Surface water D. ABSORPTION FIELD DATA / Date installed ///?~ Soil rating Length z.:.//¢ / Width .¢'2¢ ,5- / Gravel thickness Total absorption area ~¢',¢ ~ Depressior~ over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) ~.//'.,,.~m.. System type ~:¢~,.S- '" Total depth Cleanouts present (Y/N) .~,~ Date of adequacy test for .Z_/ bedrooms If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ¢-/o~ ' On adjacent lots :.A/DD I Property line To building foundation , ~('~), ~ / To existing or abandoned system on lot On adjacent lots ~ 3/2" Cutbank .'~'/~ Water main/service line Surface water Curtain drain Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, vedfied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection, Signature Engineer's Name Date HAAFee$ / 7D'(J'~ Date of Payment , ~ 2-?~'~.~ Receipt Number ~-/TZ/~ ~----) (//~/~7 ) 72-026 (Rev. 3/91 ) aack MOA 21 Waiver Fee: $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE ~)/ .~ 0 '~ ) ''~ ~ DEPARTMENT OF HEALTH & HUMAN SERVICES D,V,S,ON OF ENV,.ONME.TAL SERV, CES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions} (b) Property Owner ~b'7~-~TZ~£"r'- ' /~,~'~,'"~x.~ 'Telephone: Home Mailing Address_.~ Business _~/¢ - ~! 7 (C) .Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent Address Telephone Mail the HAA to the followina address: or: Check here'~ if hold for pick up. List contact person and day phone number below. (e) TYPE OF RESIDENCE Single-Family~ ./ Number of Bedrooms WATER SUPPLY Individual Well"~. Community [] Public I"l Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite%~'~ Public [] Community [] Holding Tank [] Note: If corn munity well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. Page 1 of 2 72 025 fret, 8/861 Front leUOiSSejoJd eql u! suo!ssju~o Jo sJoJJe Joj elqisuodseJ ~ou s! @beJoqou¥' JO ,~!led!e!un!AI eqJ. 'pens$! s! e]eo!j!pao e eJojeq elep ez/~leue Jo suo!jo@dsu! ]onpuoo )ou op SHHQ jo seeXold~u3 's~ueLueJ!nbeJ e].e~s pue leJepej uje]Jee/~js!~es oh JepJo u! suo!inJ!Jsu! bu!pual J!eLli pue S@LUOq ¢o sJeseqoJnd o3,~sepno9 e se s!qi seep SHHQ eqJ. 'eHsew jo e~e~S eql u! peJe~s!beJ Jeau!Sue leuoissejoJd juepuedepu! ue ,~q e^oqe ~ qdeJl~eJed u! ua^lb suoi~e~ueseJdeJ eql uodn /~luo peseq seieojjfpe2 le^oJdd¥ ~!Joqjn¥' qjleeH senss! (SFIHQ) seo!^JeS ueLunH pue q~leeH jo ~ueuJ])ed@c] e6eJoqou¥ jo /q!led!ojunR eqJ_ NOI.LI'IV3 '9 .g MUNICIPALITy OF ANCHO~AQE ENVIRONMENTAL SERVICEs DIVISlOix~ MUNI'CIPALITY OF ANCHORAGE (MOA) tr~'-'~O ~ ,l,~87 HEALTH AUTHORITV APPROVAL (HAA) CHECI(LIST - FEBRUARY 1984 R E ¢ E I V E D 294.4,,, Legal Description: /-~/~ WELL DATA Well Classification Well Log Presen (~}~q) Total Depth _ / Static Water Level ,/ If A, B, C, D.F.C. Approved (Y/N) [)ate Completed _. /¢J ~¢-~1 Yield _ Cased to Casing Height Above Ground _ Electrical Wiring in Conduit~?l) Separation Distances from Well: To Septic/Holding Tank on Lot Depth of Grouting Pump Set At /'//~ Sanitary Seal on Casing ) Depression Around Wellhead (Y~_~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole __ ~"/,~ / Water Sample Collected by ~£'~'/(;¢'J5 /~J ~'~¢~"~ / Water Sample Test Results ),],,~d. ~' -~:~ __; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot Comments B. SEPTIC/HOLDING TANK DATA Date Installed ///'-~'~'~" Size /'~/~' No. of Compartments Standpipes (Y~) Air-tight Caps.) _Foundation Cleanoet(¢~ ~4) DepressionoverTank(YN~ .... / DateLastPumped _ Pumping/Maintenance Contract on File (Y/N) _ ,,~/~r ____ ; for Holding Tank High-Water Alarm (Y/N) _ ,~//~__ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: / To Water-Supply Well .~' ! . To Building Foundation To Property Line Z~" To Disposal Field ~' (~ To :Water Main/servi~e Line ,/¢ Course _ ; /~f(~ I'¢~' To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026 fRev 8,861 Fronl C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed //" ~ Width of Field ~2,-~?~-~.~" Square Feet of Absorption Area Depression over Field (YN~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation ~/' Lot /~'/,'~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field ¥'¢ Depth of Field Gravel Bed Thickness Standpipes Present Y~q) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots /O To Cutbank (if present) / lO Comments D. LIFT STATION "Pump On" Level at ~~ High Water Alarm Level at ~ Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Tested for Electrical Codes (Y/N) Comments MOA Company /'~_~ MOA No. Receipt NO. _0~0 0/--00 0 ..~ Date of Payment /¢~' 2-~¢~'-'7 Amount: $ ~ ~ ~ Page 2 of 2 ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have, chedlied, ve¥i?ed, or conformed to all MOA and HAA g uidelines in effect on the date of this inspection. Signed ~ //'~/-"~' Date Anchorage P.O. B,.. 196650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES December 10, 1987 Alan C. Wien Engineering Technician Alaska Environmental Control Services, Inc. 1200 West 33rd Avenue, Suite B Anchorage, Alaska 99503 Subject: Waiver Request For Lot 2 Bloc]( 12 Spring Hills Estates Waiver Request Number WR87-077 Dear Mr. Wien: Your request for waiver of the required separation distance of a residential septic tank to a private well has been approved. The required 100 foot separation has been waived to 95 feet. The well log in the waiver package you submitted showed a confined aquifer supplying the well water. The well is cased to the bottom and several layers of silt and clay are between the a~tifer and ground surface. These conditions should prevent any surface contaminants from ente¢ing the well or water bearing aquifer. This waiver approval is valid for the existing septic 'ban]( and well separation only. Any future upgrade to either will require all separation distances be met or another waiver approval from this department. Sincerely, Daniel J. Roth Civil Engineer On-Site Services cc: Gus Andress, P.E. Manager, On-Site Services/Water Quality Programs ALASKA einUIROInITI {InTAL COInTROL SeRUlCeS, linC. ,, ~nqineefiaq 6 ~nuironmental Studies December 8, 1987 Municipality of Anchorage Department of Ilea]th & tluman Services 825 L Street Anchorage, AK. 9950] Attn: Dan Roth I i Re: Spring Itil]s~qubctivision, Block 2, Lot 12 Dear Dali: Tile separation distance from the well to septic tank cleanoat is 97 feet. To the closest point of the tank itself would be 95 feet. The sewer system was installed 11/20/86 and the well drilled 10/4/87. Tile well is 172 feet deep and cased to tile bottom with a static water level of i46 feet. From the well log, we see an abundance of clay and hardpan from 10 feet to 170 feet. The well is a little downslope from tile tank with a portion of the house between the two. The septic tank lnstallatien was inspected by this office and is equipped with calder couplings on the inlet and outlet. Water samples are satisfactory, It is doubtful that this 5 percent reduction of the required separation distance will cause ally threat of contanlinatiou to the well. We request that you grant a waiver of 95 feet from the well to the septic tank, If you have any questions, please call. Sincerely, Alan C, Wien Engineering Technician Approved by: OF.A/. % _.tgi.. - ........ 1200 ~est 33rd Auenue. Suite 8, Anchoraqe, Aloska 99503 ,(907) 561-5040 ALASKA ENVIROI~IMENTAL CONTROL SERVICES, INC. [200 West 33rd Avenue, Suite B ANCHORAGE, ALASKA 99503 (907) 561-5040 SHEET NO EC^LS, / .' ~o OATE OATE ""LEGEND 0 LOT CORNERS FOUNOAT)ON --~ DRAINAGE ARROWS NOTr$' l, IT BHALL lie THI[ RE$1)ON$181L{YY OF THE BUILDER OR OWNER '1'0 VERIFY THA1 BUIL0[NG LOCATION ~[HOWN ~JEETE ALL SUBDIVISION CO¥1[NANTR ANO ZONING ORDINANCES. I~, IT iR THE RIrEPON$1EILITY OF THE BUILDER TO VERIFY ALt. ELEVATIONS WITH