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HomeMy WebLinkAboutMCMAHON BLK 4 LT 6McMahon Lot 6 Block 4 #017-041-05 Municipality of Anchorage Page 1 of 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: SWO001 48 PID Number: 01 7--041 --05 Name:JAMES AND KATHY ROYAL Wastewater System: [] New · Upgrade ~,ddress: 4141 FURROW CREEK RD. ANCHORAGE, AK 99516 ABSORPTION FIELD No. of Bedrooms: Ph°ne:(907) 345--,~648 3 DDeep Trench mShallow Trench [3Bed DMound DOther LEGAL DESCRIPTION ~ .2 o.D/s.. FL ~ 0.9 - ~ 1.9 6 4 McMAHON 7.4 - 8.4 ~ 5,5 - - - 0 - 0.2 FL 60 FL Ft, FL 556 S~. Rt. D 303~-/ F-810/SCH 40 PVC FL A+ HOME SERVICES 6/20/00 - 6/21/00 SEPARATION DISTANCES · SepBc [] Holding [] $.T.E.P. Tank Tank S.w,r U,o. ANCHORAGE TANK 1250 From Reid StoUon Well 100'+ 100'+ -- -- 25'+ STEEL 2 SurraCewater 100% 100'+ - - - LIFT STATION_/- Line I Foundation 5'+ 10'+ -- -- 'Pump on' level at: ~' ~ ~ j,.igh water alarm at: Drain NONE KNOWN I Remarks: 1, * VERBAL APPROVAL FOR LOT LINE WAIVER BENCH MARK BY DAN ROTH ON 6/20/2000. GARAGE FLOOR CONCRETE SLAB, 2, 10 GAUGE, DEEP BURIAL SEPTIC TANK. 5. SYSTEM WAS SIZED FOR 4 BEDROOMS. 100.00 ~',_~?....-. ;' :~: ~, Inspections performed by:. AWWC, INC. Dates: 1st 6120/00 ' ~:: .... ~; ~1~ ...... : Srd 6/21/oo Department of Health and Human Services approval ~eviewed and approved ~y: ~/~//~.~/~?. Fm~"-Date· ?' ?' ~ ~ PERMIT NUMBER: AS BUILT DRAWING PARCEL ID NUMBER: SWO00148 = 017-041-05 _ __ I A B C -"--~ ST1 55.4 50.5 _ ST2 ~-3.4 53.0 - ---i [ DBL1 44.9 54.0 - FD 45.7 - ~ C01 83.6 - ~ MT2 127.7 - 96.3 ~ c, SEPTIC T~K ~ ~ ~.,~;.'..; .. XN'~ I I '"::: ::-'- I EXI~ING D~NFIELD VER~L APPROVAL FOR TO BE USED ~ A LOT UNE WA~ER BY D~ ~ RESE~E S~ FURROW CREEK ROAD RO~ ON 6/20/20~ . s/~o/2ooo ........... ~ ..................... CONSULTANTS, INC,,:~ ~ ...... 1" ~"~':" [" /; ..... ~":"1 JAMES AND KATHY ROYAL (907) 545-3648 2 or 5 ~AL DESCRIPTION: McMAHON SUBDIVISION; LOT 6, BLOCK 4 AS-BUILT OF SEPTIC SYSTEM UPGRADE PE~.,T .UM.E.: AS BUILT DRAWING PA.CE' ,U SWO00148 ' O17-041-05 AflNbBf 92,~ ~ /Af~gf AflN~¢f ~ 92,52 ~j ~) Af~f ~ 92.~ I ~ - ~1,55 (AV~,) ........ ~.~>~ ............ CONSULTANTS, lNG.~*~,~ .................. :~ SCALE: 6gO, OE,~R ROAD. SUITE 2e' ~CHO~GE. ~ ggSO~ ' PHONE (907)5,7-6,7~' F~ (907)558-5Z~6 N.T.S. ~, ~- ' PREPPED FOR: PHONE NUMBER: PAGE NUMBER: ~.~ ..~......~ JAMES AND KATHY ROYAL (907) 545-5648 5 OF 5 ~ ~ef~eyI ~. G~s~ ~GAL DESCRIP~ON: McMAHON SUBDIVISION; LOT 6, BLOCK 4 ~ % C~ ~953 AS-BUILT PROfile Of SEPTIC SYSTEM UPGRADE MUNICIPALITY OF ANCHORAGE Department of Health end Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 06, 2000 Expiration Date: Jun 06. 2001 Permit Number: SW000'I48 Legal Description: MCMAHON BLK 4 LT 6 Design Engineer: 0041 AK Water & Wastewater Con{ultant Owner Name: James & Kathy Royal Owner Address: 4141 Furrow Creek Rd. Anchorage, AK 99516-2830 ParcellD: 017-041-05 Site Address: 004141 FURROW CREEK RD Lot Size: 33811 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ~ Disposal Field [] Septic Tank I~ 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 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: Issued By: AK Water & Wastewater Consultants, Inc. ATTN: Jeffrey Gamess, PE 6901 De Barr Road, Suite 2B Anchorage, AK 99504- July 05, 2000 Subject: Waiver Request forMCMAHON BLK 4 LT 6 Waiver # WR000048 Lot Line Request for Parcel ID 017-041-05 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 6.5 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Jeff Poet Engineering Technician III On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On-Site Services Waiver Review Worksheet WR#: WR000048 PIDfl: 017-04t-05 Date Received: July3,2000 Legal Description: McMahon, Lot 6, Block 4 HA#: HA000281 Permi[-#: Engineer: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-B, Anchorage, AK 99504 Applicant: James & Kathy Royal Waiver Requested: 6.5 foot lot-line waiver from the drain#eld to the southern lot-line and a zero foot lot-line waiver from the existing crib to the south property line. Criteria: 1. Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: 2. Special Conditions: 3. Other: Waiver is Granted: . List Conditions or Reasons for above: Waiver is not Granted: Date: 7- "~-O 0 Rec#: 06670 Amount: $1'15.00 ~" NCa~e of I:~-,;~iewer Date Paid: 713100 ALASKA WATER & WASTEWATER CONSULTANTS, INC. July 5, 2000 Municipality of Anchorage Department of Health & Human Services Attn: Jeff Poet P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Lot Line Waiver Requests for McMahon Subdivision Lot 6 Block 4 Dear Mr. Poet: We would like to request that your department issue a separation distance waiver of six (6) feet from the southern lot line to the recently installed septic upgrade on Lot 6 Block 4. During the installation, design changes took place forcing the draintield to be placed 6.5 feet from the southern lot line. The southern lot line was surveyed in by a registered land surveyor. Dan Roth verbally approved the waiver on 6/20/2000. There are no wells, septics, or water lines that have been encroached upon. We do not anticipate any adverse effects by issuance of this waiver. Also, we request you issue a property line waiver on the subject property for the separation distance between the existing crib and the south property line at zero (0) feet. The existing crib will remain in place to be used as a reserve site in the future. We do not anticipate any adverse effects by issuance of this waiver, as the property line is adjacent to a road right of way (Furrow Creek Rd.). If you have Sincerely, , please contact us at 337-6179, or 244-9612. JAG/gd 6901 Debarr Road, Suite 2-B * Anchorage, Alaska 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * mail: info~akwwc, com ALASICA WATER WASTEWATER June 1, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Se~wices Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Upgrade Design for McMahon Subdivision; Lot 6, Block 4 To whom it may concern: The existing 3 bedroom house is se~wed by a private well and septic system. The existing septic system consists of a 1000 gallon septic tank and a crib that is surcharged and in need of an upgrade. One test hole was excavated on the property. The proposed septic system will be designed around its 30 foot radius. We are proposing that a new 1000 gallon septic tank and a deep trench type drainfield be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached are is a log which shows the soil classifications, groundwater monitoring, and the percolation test results. The soils below the organic layers are a SM material to a depth of 6 feet. The soils then transistion to a SP material to a depth of 17.5 feet. From 17.5 feet to 18.5 feet (bottom of test hole), an SW material was encountered. No groundwater was encountered during the excavation of the test holes but a small seep at 6' was noted. Two percolation tests where performed in this test hole. The upper test was performed between the depth of 2.5 feet to 3.0 feet which had a percolation rate of 7.3 minute/inch. The lower test was performed between the depth of 6.5 feet to 7.0 feet which had a percolation rate of <1 minute/inch. It is our opinion that the insitu soils will serve as a sand filter. 2. TRENCH DESIGN OPTION #1: a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/ft2. Will use 1.0 gallons/day/ft2. c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 450 ft2 f. Total Depth: 12 feet (max.) g. Effective Depth: 3 feet 6901 Debarr Road, Suite 2B N Anchorage, AK 99504 - Ph: (907)337-6179 - Fax: (907)338-3246 h. Width: 5 feet i. Reduction Factor: 0.58 j. Minimum Length: 53 feet long k. Effective absorption area = 457 ft2 1. 1000 gallon conventional septic tank 3. TRENCH DESIGN OPTION #2: a. Percolation Rate: 7.3 minutes/inch b. Allowable Application Rate: Average of 1.2 & 0.8 gallons/day/ft2 = 1.0 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 450 ft2 f. Total Depth: 12 feet (max.) g. Effective Depth: 8 feet h. Width: 2.5 feet i. Reduction Factor: N/A j. Minimum Length: 35 feet long k. Effective absorption area = 560 ft2 1. 1250 gallon S.T.E.P. tank 4. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 5. TOPOGRAPHY: As can be seen on the attached topography site plan, the average topography of this property is less than 10 percent running from northeast to south~vest. In short, there are no slope concerns. The trench is to be installed parallel to slope contours. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincerely, Prest eht NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, a soil log, and a 7 page construction specification letter which are allpart o f the design package for this septic system. 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 ~ Ph: (907)337-6179 - Fax: (907)338-3246 I I / McMAHON S/D LOT 2, BLOCK D / ~ McMAHON S/C \ I ~ / KNIK HEIGHTS WEST ~ I LOT 7, BLOCK 4 (~ NO CONCERNS .... ~ McMAHON S/D I McMAHON S/D ~ PDC AR~..~ I I LOT 3, BLOCK D I ~.~----~.~ bJ KNIK HEIGHTS WEST , .._----_.. ,,I. .. ,,~// ............... x~J I 'x ..... ,~/ ~-_--£-~_'u~.. h_~ \ I /' \ : ~ BEDROOM HOUSE , ,,, ? ,,' "4 I ~-o~-- t ----oP~oN ~. SEE FURROW CREEK' D ~'~'~ / '~' DESIGN PAGE ~ ~ [ I ~ ~ ~ / LOT 18, BLOCK 3 k [ I / k ) / xx , _ FAIRMONT ROAD ...................................... J L__ ~ , DATE: ~.' PREPPED FOR PHONE NUMBER; PAGE NUMBER: JAMES ANB KATHY ROYAL (907) 345-5648 1 OF 5 ~GAL DESCRIPTION: UcUAHON SUBDIVISION; LOT 6, BLOCK 4 SITE P~N FOR SEPTIC SYSTEM UPGRADE /J I ', / I IOPTION #1 (SEPTIC TANK) --- -'NOTES: ]__ _-~ ~ 1. THE CONTRACTOR MUST HAVE THE 100 FOOT WELL RADIUS, THE SOUTH LOT LINE, AND THE EAST LOT LINE _._ __1 FOR THE REFERENCED LOT FLAGGED BY A REGISTERED -- -~] F LAND SURVEYOR PRIOR TO ANY CONSTRUCTION. I I 2. PLEASE CONTACT THE SELLERS AGENT TAMARA KELLY @ 244-5221 FOR THE ADDITIONAL SURVEYING WORK SHE t t I WOULD LIKE TO HAVE DONE. THE ADDITIONAL SURVEYING I ] j SHOULD BE BILLED PER TAMARA KELLY'S DIRECTION. j J /// ~J J EXISTINg THREE .EO.OO~ Hous~ / x, i j~GALLON SEPTIC TANK FCO : :/, ': ..' ~. ]NSTALL DOUBLE CLEANOUTS [XISTINO SEPTIC cO '- 2-~'q ' I-~- ............. -1 8 I ~::.: i.]: ./ ~-PROPOSED DRAIN.ELD. EXCAVATE A J I I / /~!. ":2}~:. ';.1 TRENCH THAT IS 12 FEET DEEP, BY 5 TO BE USED AS A ~ INSTALL FLOW DIVERTER - ~ RESERVE SITE / FURROW CREEK ROi DRAWN BY: CONSULTANTS, INC. ...... '~ SCALE: ~ '" ' >REPARED FOR: PHONE NUMBER: PAgE NUMBER: JAMES AND KATHY ROYAL (907) 345-3648 2 OF ..3 McMAHON SUBDIVISION; LOI 6, BLOCK 4 DESIGN OF SEPTIC SYSTEM UPGRADE (OPTION ~1 - GRAVITY FLOW) OPTION #2 (S.T.E.P. TANK) NOTES: --~-'-- ~ 1. THE CONTRACTOR MUST HAVE THE 100 FOOT WELL RADIUS, THE SOUTH LOT LINE, AND THE EAST LOT LINE J FOR THE REFERENCED LOT FLAGGED BY A REGISTERED -- ~--] [ LAND SURVEYOR PRIOR TO ANY CONSTRUCTION. [ I 2. PLEASE CONTACT THE SELLERS AGENT TAMARA KELLY @ 244-5221 FOR THE ADDITIONAL SURVEYING WORK SHE I I WOULD LIKE TO HAVE DONE. THE ADDITIONAL SURVEYING J } SHOULD BE BILLED PEr TAMARA KELLY'S DIRE(~TION. j ' Ld [ ~ PROPOSED 1250~ FCO~ : ~' ".'.-'~W / BY 2.5 ~ WIDE BY 55 FE~ G~ON S.T.E.P. T~(~~ - ' ';~...,. ,~ .~ L/~_)NG. ~D 8 FE~ OF CLX, ~ ~ ~o ." '% ~ ' /1/4 INCH D~R HOLES TO BE USEO AS A FURROW CREEK ROAD ~ ~" ~ :..~;~ ...:...., JAMES AND KATHY ROYAL (907) 545-5648 3 OF 5 ~CAL DESCRI~ON: ~E OF WORK: DESIGN Of SEPTIC SYSTEM UPGRADE (OPTION ~2 - S.T.E.P. TANK) ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~ OF' ,~, 6g01 DEBARR ROAD. SUITE 2B * ANCHORAGE, AKi 9950~' ~*~x~e~..f?'',~'t~,'~l [SOIL LOG - PERCOLATION TEST]~.~'~4,~/F?'~ '..?, ~ ~/';' :t" 't½ '~d-' ~ .......... DAlE PERFORUED: 5/18/2000 (/0~..'~'._ [~Jr.-7953 .."'*.,~ DEPTH ~ ORGANICS (PAGE 1 OF 2) ~g~ SOIL C~SSIFICATIONS x ~ SITE PLAN] X SM GC / / 6 ~ SC / ~ ~ / 7 ~ DEPTH TO DATE ~ '¢~' GROUNDWATER I I ~ 8~;~t~e"~%~ SEEP ~ 6' 5/18/2000 .... ~ I , ~" ~'~ DRY 5/20/2000 ~URROW / ¢~ ¢~, ~ CREEK ROAD lO~e ..¢~.¢~ CLOCK NET TIME WATER LEVEL NET DROP 11 ~;7~,~e DATE READING TIHE (HINUTES) READING (INCHES) ~%e~e~ 5/19/00 PERC, HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING 12~ ___. ~ ~¢ ~ 1 4:18 .~g~.e 2 4:48 30 1 11/16" 4 5/16" · *g~*~ 4 5:1g 30 1 7/~" 4 1/8" ~e~*~¢¢~ 6 -~48 30 1 7/8" 4 1/8" 16 ~e 17 ~e 18~ogoooo SW 19~~' PERCOLATION RATE 7.3 (~IN./INCH) PERC. HOLE DIA. 6 (INCHES) 201~ lEST RUN BETWEEN 2.5 FT. AND 3.0 FI. CO~[NTS: PERCO~TION DATA ON THIS PAGE FOR UPPER BENCH PERC. HOLE ONLY. PERFORMED BY A~SKA WATER & WASIEWATER. I, dEFFR~ A. GARNESS, CERTI~ THAT THIS WAS PERFO~D IN ACCORDANCE WITH ALL SLATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE: ~ h / Oo DEPTH TO DATE GROUNDWATER SEEP © 6' 5/18/2000 DRY 5/20/2000 ALASKA WATER & WASTEWATER CONSULTANTS, INC. PHONE (907) 3.7-6179 ~' FAX (907) 3*8-3246 · PERFORMED FOR: JAMES AND KATHY ROYAL DATE PERFORMED: 5/18/2000 /h~ ?.._ / DEPTH I (feet) TEST HOLE ~1 ~t~ 1~ (PAGE 2 OF 2) 2-- SOIL C~SSIFICATIONS x p I [SITE PLS, NI 3-- ~ GP ~ ML '- ,, ~1 4-- GC OL SW MH ~- ~ sP CH ~, 6~ SC / ~ 7-- ~ DEPTH TO DAT~ I ~ .j. ~}:~ 3ROUNDWATER,I ~ F-] /~{4¢ -- [ lO-- r I =-~% ...... m CLOCK NET TIME WATER LEVEL NET DROP 11 -- ~ DATE READING TIHE (HINUTES) READING (INCHES) 1~-- 14-- ~ __ 15-- ~ o ~ ¢~ ~-~S~ ~- 'Z ~5~_5~¢ - 18~ 19~ PERCOLATION RATE 41 (RIN./INCH) P~RC. HOLE DIA. 6 (INCHES) 20 TEST RUN BETWEEN 8.5 FT. AND 7.0 FT. COMMENTS: PERCO~TION DATA ON THIS PAGE FOR LOWER BENCH PERC. HOLE ONLY. PERFORMED BY A~SKA WATER ~ WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE: GRE R ANCHORAGE AREA BOR GH  Department of Environmental Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS LEGAL PHONE SEPTIC TANK: DISTANCE(,~.'~ o m~N,,r~v,~) F¢ N-~(N~I NUMBER OF FROM WELL~)~'O ~' D MANUFACTURER [~,S ~ i ~k) ,~% A MATERIALD,~N~C,¥(.~(' COMPARTMENTS_I INSIDE LENGTH J/- INSIDE WIDTH ~-~' LIQUID DEPTH / LIQUID CAPACITY I~O{) GALLONS. SEEPAGE PIT: NUMBER OF PITS I DIAMETER _P~' OR WIDTH ~~1. LENGTH~r~(, DEPTH LINING MATERIAI~¢~t' 'j*,',~c&,s CRIB SIZE: DIAMETER LI' ~ DEPTH (-¢ DISTANCE FROM: WELL¢'~-.~ ?oS(.O . TOTAL EFFECTIVE BUILDING FOUNDATIONLJ°~I, NEAREST LOT LINE 'r~O/- . ABSORPTION AREA (WALL AREA) (,oO~ SQ. FT. ADDITIONAL ABSORPTION WELL: BUILDING FOUNDATION __ CESSPOOL APPROVED NEAREST LOT LINE OTHER SOURCES .DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE TANK SYSTEM REMARKS DISTANCES: LOT SLOPE: Form PW-026 DIAGRAM OF SYSTEM · ~.~. . DATE ~ G.A.A.B. FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED o ,.~)/~'GREATER ANCHORAGE AREA BOROUGH ~.~ ~v DEPA.TME.T OF ENV,.ONMENTAL QUA'"" PERMITNO. ~ ~/~l SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT ~/ PHONE NAME OF APPLICANT INSTALLATION LOCATION LEGAL D~SCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT , DRAIN FIE D , OTHER TYPE AND SIZE OF FACILITY TO BE SERVED - , FINAL INSPECTION= 24 HOUR NOTICE REQUIRED, BACKFILLI ~-'~OF ~NY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION, /~, . ~' r AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS / ?£ FOUNDATION TO SEPTIC TANK ~ FOUNDATION TO SEEPAGE Pit , DRAIN FIELD SEPtiC TaNK tO SEEPAge Pit Wall ]~-- i ., DRAIN FIELD . SEEPAGE P,T SEEPAGE PIT /~ ' ., DRAIN FIELD SEPTIC TANK . SEEPAGE PIT TO NEAREST LOT LINE· WELL TO SEPTIC TANK DRAin FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT Of SEPTIC TANK AND INTO CRiB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. ~/ // HEALTH AUTHORITY OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIPY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE· DATE ::>..:/-. Z '~//~ 7/ APPL,CA.T'S S,G.ATU~;~''-":~':"---::'''.:':-''' ~':''~ ~ .... ~"" ..... ~/ / '/ GREAT:I~ER ANCHORAGE AREA BOROUGH DEPAR': ~NT OF ENVIRONMENTAL QUAL1:~-~ CASE # 3500 TUDOR ROAD ~-;' ANCHORAGE, ALASKA 99502 Performed For ](~ ~/k~ t~ Date Performed (m..~.~/ Legal Description: £ot& Block~lS'u6division ~c~ , PerColation Test This Form Reports Soils-lL-~-g,,~--r- Was Ground Water Encountered~ If Yes, At What Depth? Depth Feet Soil Characteristics Reading Date Gross Time Net Time Depth to H20 Net Dro~ ute Proposed Insta')lation: Seepage Pit Drain Field Depth Of Inlet Depth To Bottem Of Pit Or Trench COMMENTS: / //7 ~l ~/'i Certified By: Date: N ParcelI.D.# MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING 017-041-05 GENERAL INFORMATION Completelegaldescription McMAHON SUBDIVISION: LOT 6. BLOCK 4- Location (site address or directions) 4141 FURROW CREEK RD. ANCHORAGE. AK 99516 Property owner JAMES AND KATHY ROYAL Mailing address 4141 FURROW CREEK RD. ANCHORAGE. AK Lending agency Mailing address Agent TAMARA KELLY w./ REMAX Day phone Address 2600 CORDOVA STREET ANCHORAGE. AK 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: Day phone 99516 Day phone (907) 345-3648 ('907) 276-g761 If community well system, provide wdtten confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding Tank Community on-site Public sewer NOTE: xxx If community wastewater system, provide written confirmation from State ADEC lng to the legafity and status of system. 72~025 (Rev. 1/91) Front MOA Ac21 Computer Version Note: Alaska Water. and Wastewater Consultants, Inc.. s, hafl be paid $2735.00 at, or prior to, closing mr the engineering services providea. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I vedfy 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 verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspectio, rCthe on-site water supply and/or wastewater disposal system is in compliance with all Municipal andC~tate codes, ordinances, and regulations in effect on the date of this inspection. ~?// Name of Firm ALASKA WA~] EV~'//~"~/R C[ONSUI.TANTSI INC. Phone (907)337-6179_ ! Address 6901DEBARRRE~,D SUITE///2t,/AI"~J-JOI4GE, ALASKA 99504 Engineer's Signature [_..~¢/~ ~//( "x~_ Date In conducting this evaluation, AmC, Inc. 4e~pte4 to pro~de~ thorough, conscientious engineering a~alysis of the system in accordance with ADEC and MOAVDHHS G 'defines & 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 afl 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 of the system, nor do they guarantee that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty for future estimate of how long the system w~ll 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 t/-'" Approved for ~ Disapproved Conditional approval for bedrooms bedrooms, with the following stipulations: Additional Comments By: ~ '~//~-',..,-~ ~-' ~(--J ' ,Y'~'~'~'-'(-- Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 724325 (Rev. 1/91) Back MOA ¢21 Computer Vemion RECEIVED Municipality of Anchorage JUL 0:3 2000,..;~, DEPARTMENT OF HEALTH & HUMAN SERV CES 825 "L" Street, RmEn~)r~nmen'tal Services Division N~UNiCIPAUT¥ OF Ancnorage, Alaska 99501 (907) 343.4~/2~Nk4ENYAL $~I~Vi~ Health Authority Approval Checklist Legal Description: IdcMAHON SUBDIVISION; LOT 6, BLOCK 4 Parcel I.D.: 017-041-05 [*~R ~REV,OUS "~,1 A. WELL DATA ["FROM DHHS FILES".J Well Type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number N/A Log present (Y/N) NO Date completed * BEFORE 4/74 Total depth '213' Cased to 40'+ Casing height (above ground) 21" Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES FROM WELL LOG AT INSPECTION Date of test ..~ 6/15/2000 Static water level ,~0~ 185' Well production g.p.m. 4.5 g.p.m. WATER SAMPLE RESULTS: Coliform 0 Nitrate 2.46 mq/L Other bacteria 0 Date of sample: 6/14/2000 Collected by: A.W.W.C., INC. B. SEPTIC/HOLDING TANK DATA Date installed 6/20/0o-6/21/2oo0 Tank size 1250 Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N)i YES Depression (Y/N) NO High water alarm (Y/N) N/A Date of Pumping NEW Pumper - C. ABSORPTION FIELD DATA Date installed 6/20/00 - 6/21/2ooo Soil rating (g.p,d./ft2 or fl2/bdrm) 1.2 System type. TRENCH Length 60' Width 5' Gravel thickness below pipe 3,5' Total depth 12' MAX. Effective absorption area 556 SQ. FI-. Monitoring Tube present (y/N) YES Depression over field (Y/N) NO For ~ Date of adequacy test NEW Results (Pass/Fail) ~ Fluid depth in absorption field before test (in)~ gal water ad(Jed (in.): P ' eatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* Computer Version D. LIFT STATION Date installed Size i.~n gall Manhole/Access (Y/N) ~el at*. "Pump off' level at*  .*Datum Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: 100'+ 100'+ N/A 25'+ SEPARATION DISTANOES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5% Property line 5'+ Water main/service line 10'+ Surface water/drainage 100'+ SEPARATION DISTANCES FROM ABSORPTION FIEED ON LOT TO: .On adjacent lots 100'+ On adjacent lots 100% Public sewer manhole/cleanout N/A Lift station N/A Absorption field 5'+ Wells on adjacent lots 100'+ *VERBAL APPROVAL FOR LOT LINE WAIVER BY O^N/ ROTH ON 6/20/2000 Property line Surface water Curtain drain F. ENGINEER'S CE/J I carfify that I/T&w of Municipal r,/acon with MOA H~tA gu Signature ~ Engineer's Name~ Data ~/~/~ *6.5' Building foundation 10'+ Water main/service line 10'+ 100'+ Driveway, parking/vehicle storage area NONE KNOWN FIFI,I~'~i ' ,t~n~d / field inspections and review '~/fhfl a ~ systems are/n conformance  ,t on this date. ~j JEFFREY A. GARNESS Wells on adjacent lots 100'+ %'~,.//'..I C1~-7953 ..' ~.,~ HAA Fee $ ~ O-z~, ~ Date of Payment Receipt Number 72-026 (Rev. 3/98) ComputerVorslon Waiver Fee $ ?/~:'>-~ ~ Date of Pa~,ment Receipt Number / Parcel I'.D.# (~/7-- ~5)'~'//~ ~2Z~ MUNICIPALITY OF ANCHORAGE ' DEPARTMENT OF HEALTH & HUMAN SERVICES_ Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage,'Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY 1. GENERAL INFORMATION complete legal desCription /~7-~,, Location (site address or directions) z~/"~// APPROVAL FOR A SINGLE FAMILY DWELLING .^A# prOPerty owner ,/~5, r,~/V~-~' /Z~',~'LZ-./D~Z"/Z-/Day phone~f-~'---5-3~'~ Lending agency Mailing address Agent ' Address Day phone Day phone ..... ~ ...... ""'"~ 3. TYPE OF WATER SUPPLY: Individual well NOTE: Community well -:7-:.' Public water ..... -. If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. ' ,,','",,',~ ' · ', ~ .' 4. TYPE OF WASTEWATER DISPOSAL. , . , ._~ ndw~dual on-rote [/"' :' , ...... ' - - · .', . .- Holding tank .... . ' · . . · . .... .. Commumty on-rote _ ',, .,~,.', ~.: , -~',. . Public sewer .-: ..... - · . -: ,, . - . . NOTE: If community wastewater system, provide wri~en confirmation from State ADEC a~esting to the legality and status of system. . 72~ (R~, 1/91) Front MQA~I ': STATEMENT OF INSPECTION BY ENGINEER AS certified by my seal affixed hereto and as of the validation date shown below, I verity 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 verity 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//~/'~/(~/zT/~'~ /~--~'/~","~ Z~"/'~/~'~ .~"7/~ Phone-'~3~- Address ~'~:~)z:¢ ~'~_...~'/'V'/~'~',,~.,,~,V' ~/~_,, _/~/VC/-/'~,~--~ ~";, ,~,~' ~,_~'~,~ Eng neer's Signature .~ ?_~--'~/~/~¢~'~~ Date ~/~ 6. DHHS SIGNATURE Approved for -~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date .The Munibipality of,.'Anchorage Department of Health and Human Services (DHHS) issues Health Authority '","'Ap,,Prova ~ertifi~t'~§' b'ased only upon the representations given in paragraph 5 above by an independent '"preSell°ual eh~i~'~ei"'registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes an~ th~i~ending institutions in orderto sabsfy 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~Y21 Municipality of Anchorage /~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~-O ~-~ Z~:P~-~,~' ~ ,M~ ,M.~/--/~/,/ A. Well Data we, ~pe ~P/~A ~ Log present (Y/N) /A~/ ParcelI.D. 017- O~Zl- 05 If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~-0~ .~Z/7~:~)Driller Total depth 2/ Sanitary seal (Y/N) ~ u~c~ ~ Date of test ///~//~' Static water level UW~ Wellflow ~K Pump level1 / ~ ~~ SEPARATION DISTANCES FROM WELL Absorption fie~a on ~ot /~y~ ma n Sewe WATER SAMPLE RESULTS: Coliform (~ / Date of sample: //~///~.~ Nitrate /, ~"~) ~//-- Other bacteria ~(~ Collected by: ./~0~ /////,'~/~:~/-7/~' B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) I Foundation cleanout (Y/N) High water alarm (Y/N) Date of pumping Tank size /~-~) G,~ (---/~)Compartments Depression (Y/N) H Alarm tested (Y/N) Pumper /~,~,z'~C~ /-/~/~,/~:~/' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s)onlot /~'~.. ~ On adjacent lots .~/~_~.~F~ (~) Foundation ~"~,~7;', To prope~y line ~ Sudace water/drainage CONTINUED ON BACK PAGE C. LIFT STATION (/k//z~) Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA Date installed Manufacturer Manhole/Access (Y/N) "Pump off" Level at Cycles tested On adjacent lots Sudace water (~) Soil rating (GPD/FF) / Length ~--.-~,~ (~ Width ~.~/'7~, ~ Gravel thickness 'Total absorption area ~-~'/~, (~) Cleanout present (Y/N) Y Date of adequacy test //'~//~.~ Results (pass/fail) ~ for Water level in absorption field before test ?----~:~ ~-//O After test Peroxide treatment (past 12 months) (Y/N) /~/ (~) If yes, give date (~ Systemtype,_~'~'E/:?,~; ~C~lT(~) Depression over field (Y/N) ~ · -~ Bedrooms Driveway, parking/vehicle storage area /,.~' '-~F' ~', ~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect o_~rl~Le~.e, of this inspection. HAA Fee $ ~ ~ ~ Waiver Fee $ Date of Payme~ /~ ~ ~ - ~ .~ ' ~ Date of Payme~ Receipt Numar ~-- ~ F ~ Beceipt ~um~r / 72-026 (~)* ~ck SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /,~ ~_~r".~ ~ On adjacent lots .~ /2.~'/'7T, (~) Properly line "Fo building foundation ..~-..~--~,~'~", ~ To existing or abandoned system on lot On adjacent lots ? / ~,.~'F'/~', (~ Cutbank /t,//~ Water main/service line Surface water Curtain drain 4. 5. 6. GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Approval requested by: ~-~~ J~ Mailing Address: ~o~/~ © ~~z_ Phone: Property Owner: ~ Phone: Mailing Address: Legal Description: '~--~m~ ~ ~ ~z' ~c Location: ~'~~~ ~. ~~ Type of facility to be inspected ~~~~.~ of bedroo~s ,' Well Data: A. Type ~ B. Depth C. Construction ~ ~ / D. Bacterial Analysis Sewage Disposal System: A. Installed /~:~'~,~.~ B. Installer ~9~'~-~-~. ~- ~/~'-(--z~--'~ ~-x~,~.~ C. Septic Tank: 1. Size /~"~ ~'~- 2. Manufacturer D. Seepage Pit: 1. Absorption Area ~/~:_r~.~2. Material E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank ~D~/ , Absorption area /~/ , Sewer Lines ?~/~P,~.. Nearest lot line ~ / ., Other contamination /~/t/~ /r~/~z~X~2 B. Foundation to septic tank .r/.~ / , Absorption area ~Tr~ C. Absorption area to nearest lot line ~ EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Red.est for Approval of Individual - ,~er & Water Facilities egal Description Comments Approved ~/~ Disapproved Date Approval Valid for one year from date signed Greater Anchorage Aria Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 0 uo~, -57/ certify tha't the information contained in this request for approval to be a true and :ccurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. Date SIGNED EQ-034 (1/74)