HomeMy WebLinkAboutBENBECCA BLK 1 LT 4AOnsite File
77,
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP261103
Work Type: Septic Renewal
Tax Code Number: 05105266000
Site Legal Address: BENBECCA BLK 1 LT 4A G:1561
Site Mailing Address: 22610 LAKE HILL DR, Chugiak
Owner: VAJDOS R DAVID JR & MIA G
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
� jNj n t
I c�l'<�ctrr�rr�t
5/14/2026
5/14/2027
40116
Non -Public
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Water 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. Coodinate with On -Site staff regarding preferred method.
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: 6/11/2026 CO #1 - Water was found pooled in several areas during installation of the first
trench. A new confirmation test hole shows that groundwater has changed. This system will now be installed as
an AWWTS.
5
The engineer is to confirm if the existing trenches meet vertical separation to groundwater before connecting to
the system. This will require groundwater monitoring in the area of the existing trenches. Provide this information
at time of inspection report submittal.
Issued To: GARNESS ENGINEERING GROUP LTD
Date: 6/11/2026
Issued By: Curtis Townsend Date: 6/11/2026
MUNICIPALITY OF ANCHORAGE
Development Services Department \, `=� Phone: 907-343-7904
On -Site Water & Wastewater Section
ON -SITE SEPTIC/WELL PERMIT APPLICATION
r
Parcel I.D. o 's 1 - 0 4
Property owner(s) Dave Vajdos
Mailing address 22610 Lake Hill Drive *Chugiak AK 99567
Site address same
Legal description Benbecca B1-L-4-;P,, L L/ /
Number of Bedrooms
Engineering Firm Garness Engineering Group
Building Permit Number
APPLICATION IS FOR:
(® all that apply)
Disposal Field
Septic Tank
Holding Tank
❑
Privy
❑
Well
❑
Water Storage
❑
Day phone 907 360-1561
Not Applicable ❑
APPLICATION IS AN:
Initial
❑
Upgrade
❑
Renewal
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Permit/Rush Fees: ` !
Date of Payment:
Permit No.
May 2025
Waiver Fees:
Date of Payment:
Waiver No.
Distance:
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP261103, Curtis Townsend, 05/14/26
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241047
Work Type: Septic Upgrade
Tax Code Number: 05105266000
Site Legal Address: BENBECCA BLK 1 LT 4A G:1561
Site Mailing Address: 22610 LAKE HILL DR, Chugiak
Owner: VAJDOS R DAVID JR & MIA G
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date
Expiration Date
Lot Size in Sq Ft
Total Bedrooms:
c n rJ;
t)epartrnent
4/11/2024
4/11/2025
40116
Q Disposal Field Q 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 (24/7).
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
1-�gBy: J�55uej 1-0 Date:
Issued By: Date:
Development Services Department 3
P p � � �-» _ Phone 907-343-7904
On -Site Water & Wastewater Section -- Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-052-66
Property owner(s) DAVID & MIA VAJDOS C/O ARM SEPTIC SERVICES Day phone 907-688-9433
Mailing address 22610 LAKE HILL DRIVE, CHUGIAK, AK 99567
Site address 22610 LAKE HILL DRIVE, CHUGIAK, AK 99567
Legal description (Sub'd., Block & Lot) BENBECCA; BLOCK 1, LOT 4A
Legal description (Township, Range & Section)
Lot Size
Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
®
Initial ❑
Single Family (SF) ❑X
Septic Tank
❑X
Upgrade nX
(w/wo ADU)
Holding Tank
❑
Renewal ❑
Duplex (D) E]
Privy
❑
Multiple Dwellings ❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: 5- 9 S Waiver Fees:
Date of Payment: I, / / g`� G y Date of Payment:
Receipt Number:
Permit No. D.S P Z y (.O y
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\FormsUient Forms\Permit Application.doc
— & i -A -)_ L�p
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241047, Deb Wockenfuss, 04/11/24
NOTE: THE CONTOURS SHOWN ARE
5-FOOT INTERVALS AND ARE SHOWN
BASED UPON MOA GIS MAPPING.
PROPOSED DRAINFIELD
(SEE DESIGN CRITERIA &
PAGE 3 OF 4 DRAWING)
GEG TEST HOLE
APPROXIMATE LOCATION OF
TRENCH EXCAVATION. FOUND
WATER IN BOTTOM OF TRENCH
DURING INSPECTION. TRENCH TO
BE BACKFILLED WITH NATIVE SOIL
KENNETH DUFFUS, P.E.
TEST HOLE #99-1
(APPROX. LOCATION) -
IV
DIREINAGN
EXISTING SEPTIC TANK TO
DECOMMISSIONED PER Uf
KENNETH DUFFUS, P.E.
TEST HOLE #944
(APPROX. LOCATION) -
OVA
ol� R
CTION
100' WELL RAIDUS
1
100' WELL RAIDUS i
ti
e � GREEN-
e f HOUSE
J COOP T \ _i
CHICKEN SHED PROPOSED 5-BEDROOMADVANTEXAWWTS.
SEE DETAIL DRAWING, PAGE 4 OF 4
IN�TALL FLOW DIRECTOR—
DRAINFIELDS
GEG, Ltd. HAS AN 8 PAGE SPECIFICATION LETTER
THAT PERTAINS TO THIS DESIGN. BY PROCEEDING
FORWARD WITH THIS INSTALLATION, THE
/ ENGINEER, WELL DRILLER, CONTRACTOR AND
PROPERTY OWNER AGREE THAT THEY HAVE
READ THESE SPECIFICATIONS AND AGREE TO
ACCEPT THE TERMS AND CONDITIONS OUTLINED.
DESIGN CRITERIA:
NUMBER OF BEDROOMS: 5
GALLONS PER DAY (GPD): 750
PERCOLATION RATES: 2.4-13.3 MINUTESIINCH
PROPOSED APP. RATE: •3.0 GPD/SQ.FT.
MINIMUM DRAINFIELD SQ.FT.: 250
'BASED UPON VISUAL APPEARANCE OF SOIL AND
THE FACT THE HOUSE IS OCCUPIED BY 9 PEOPLE
DRAINFIELD DESIGN:
MAXIMUM DEPTH: 4-FEET
WIDTH: 5-FEET
LENGTH: 50-FEET
MOA APPROVED FILTER SAND: 1.5-FEET
EFFECTIVE DEPTH: 0.5-FEET
ACTUAL SQ.FT.: 250
••* imalkr1�
•• TAV
�♦
_.,.
GARNESS ENGINEERING GROUP Ltd 0"'w.c! ...... ..... ... UAW ......... ...
ENGINEERING SALES CONSULTING
3701 E. TUDOR ROAD. SUITE 101 ' ANCHORAGE, ALASKA • PHONE (907) 337-6179 - WEBSITE: www.gamessengineodng,com ,•••+.� •••••. • . ....nm. nyp..:
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: / � '; rey A. �Garness„SQv:
DAVE VAJDOS 907-360-1561 --AF-4 & b� 3 ♦j��J,' . C 7973 ' _�
PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦ O q2+ •
BENBECCA; BLOCK 1, LOT 4A J.L.M. 11 �F��•`'p �� •
TYPE OF WORK: DATE: REVISED LICEN3E,��,„S`,� �•
DESIGN OF SEPTIC SYSTEM UPGRADE 6/8/2026 #AECC8
KENNETH DUFFUS, PE. TEST HOLE #
GEG TEST HOLE #1 (6/1/2026)
TRENCH WAS EXCAVATED ON
5/29/2026 AND GEG INSPECTED
ON 6/1/2026. POOLED WATER
FOUND SEVERAL AREAS IN
BOTTOM OF TRENCH AT
INSPECTION. TEST HOLE
PERFORMED. CONTRACTOR ♦
TO BACKF ILL TRENCH WITH
NATIVE MATERIAL.
GROUNDWATER @ 6' ON 6/5/2026
DETAIL DRAWING OF DRAINFIELD UPGRADE
SCALE:
1"=5.
L-INVERT OF EAST TRENCH
DISTRIBUTION LINE = 94.07-94.20
PROPOSED INLET INVERT =
PROPOSED2500-GALLON
ADVANTEX EPDXY
COATED TANK—
—0.5' OF
EFFECTIVE
FEET OF COVER
-FILTER FABRIC
OF INSULATION
4' DEEP
MAX,
1.5' OF OF MOA
APPROVED
FILTER SAND
5'-WIDE
-FOUNDATION WITH
DAYLIGHT BASEMENT
ED ELEVATION OF BOTTOM OF FOOTER = 95.50
—ASSUMED INVERT OF PIPE @ FOUNDATION = 95.00
NOTE: THE CONTRACTOR MUST EXPOSE THE FOUNDATION AND TRENCH PRIOR TO
INSTALLING TANK TO CONFIRM ELEVATION AND SEPARATION. THE DESIGN MAY
NEED TO BE MODIFIED IF ASSUMED ELEVATIONS ARE FOUND TO BE INACCURATE.
DETAIL DRAWING OF TANK UPGRADE
SCALE:
i 1' = 51
I\\1ll1111
'AV
��P�� • ,1♦♦♦i
.,,•••
GARNESS ENGINEERING GROUP Ltd .... '
ENGINEERING SALES CONSULTING J,n I 0
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, ALASKA • PHONE (907) 337-6179 - WEBSITE: w .gamessengineenng.corn . .........ate.. ........no.u...
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: / 'J rey A. Gayness 4C1Co
DAVE VAJDOS 907-360-1561 4.GFZ.4 Z of 2♦��'�=��
PROJECT/LEGAL DESCRIPTION: DRAWN BY: �♦��••.,•� 9 ���•'
BENBECCA; BLOCK 1, LOT 4A J.L.M. ♦ FQ .....
,, •
TYPE OF WORK: DATE: REVISED LICENSE1��,"ss �'•
DETAIL DRAWING OF SEPTIC SYSTEM UPGRADE 6/8/2026 #AECC864
as Configuration for 5 Bedrooms
, 111
tS5O0TEGAl'LON EPDXY COATED ADVANTEXTANK t
FROM HOUSE _ 0
NOTE: CONTRACTOR MUST INSTALL
ADVANTEX AWWTS SYSTEM
ACCORDING TO ANCHORAGE
TANKS LATEST RESIDENTIAL
ADVANTEX INSTALLATION MANUAL.
INSULATED b
RISER A
ADVANTEX / ADVANTEX
AX-20 PODJ AX-20 POD
PLAN VIEW
PROFILE VIEW
oQ
1TED MANHOLE (WITH
)N BOX) RISER AND LID
,,*,,....%„mi
lt
........ ♦♦
ENGINEERING SALES CONSULTING
3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE. AK N507PHONE (907) 337-6179 - FAX (W7) 336-3246' WEBSITE www gameve vk eering c0m . 1. ..........................
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: , f^ • J rey . arness r
;
DAVE VAJDOS 907-360-1561 $ of 3 0 0 r C 'AV
PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦i 1 7' t., ' • 4
BENBECCA; BLOCK 1, LOT 4A J.L.M. ♦1 •••/Jp,.,.�.,.,.,.. •� 4W
TYPE OF WORK: DATE: REVISED E ♦��r SE tS`��•
DETAIL DRAWING OF ADVANTEX AWWTS 6/8/2026 LICELICE 84
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING SALES CONSULTING
3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AIASKA - PHONE (907) 337-6179 - WEBSITE: www.gamessengineeing.mm
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: BENBECCA; BLOCK 1, LOT 4A
PERFORMED FOR: DAVE VAJDOS DATE: 6/1/2026
DEPTH —
(feet) ORGANICS TEST HOLE #1
1
2
3 4-GM TO SM
5 MORE SILT
WITH DEPTH
6-
7-
8-
9 B.O.H.
10
11
12
13
14
15
16
17
18
SOIL CLASSIFICATIONS
-
I11111111
II�III!II
%//%
KOMI
IINII
•
IIIIIIIII
-
izii.
OWN
DEPTH TO
GROUNDWATER
DATE
@ —6'
6/1/2026
6'
6/4/2026
6.5'
6/812126
I SITE PLAN
5b
G�
N
SCALE:
1' = 100'
DATE
READING
NET TIME
WATER LEVEL
READING (INCHES)
NET DROP
(INCHES)
6/4/2026
1
-
6- 0 /16"
-
2
10 MIN.
0 - 8/16"
5 - 8/16"
3
-
6- 0 /16"
-
4
10 MIN.
1 - 6/16"
4 - 10/16"
5
-
6- 0 /16"
-
6
10 MIN.
1 - 10/16"
4 - 6/16"
7
-
6- 0 /16"
-
8
10 MIN.
1 - 14/16"
4 - 2/16"
9
-
6- 0 /16"
-
10
10 MIN.
1 - 14/16"
4 - 2/16"
11
-
6- 0 /16"
-
12
10 MIN.
1 - 14/16"
4 - 2/16"
19
PERCOLATION RATE 2.4 (MIN./INCH) PERC. HOLE DIA.
TEST RUN BETWEEN 1.5 FT. AND 2.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES 0 NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS
COMMENTS: ALL SOILS WERE VISUALLY CLASSIFIED UNLESS NOTED OTHERWISE.
6 (INCHES)
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 'SN Day of
RA"Ab MAD VA3v s. 19 -
of 20 No , by and between
, 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 AbANT0
located at (legal description)
SC1496Ce-A St-9 I LT 4- A 6-:15761
2. Maintenance, Repairs and Alterations.
(Owner is required to read, understand and initial each section)
4V 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.
bV 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).
bV 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.
bV1 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
Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On -Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendoriinstaller and approved by the Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
_^ 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 shalt 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
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
signature) Date: (0111.
(print name)
ss.
}
The foregoing instrument was acknowledged before me this day of n ,
202to, by R o v: Jr
MAl DER YiIE
NOTARY PUB . ` R ALASKA Notary public
My Commission expires: & ulu 1 � l 0P.2 State of Alaska
My Commission Expires Jul 14, 2026
MUNICIPALITY:
By: (signature)
(print name)
Date: t 2
Title: C.A v i L C n- G --S
(rev. 05/18/2018) Page 3 of 3
/
ASPLS MORTGAGE LOCATION SURVEY NOTES:
NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE RECORD
PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS MORTGAGE
LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS MORTGAGE LOCATION
SURVEY STANDARDS. IT IS A REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT
THE TIME OF THE SURVEY. THIS SURVEY DOES NOT CONSTITUTE A BOUNDARY SURVEY AND
IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE.
THE INFORMATION CONTAINED IN THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY
FENCE, STRUCTURE, OR OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED,
THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES
COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT.
( ) RECORD DATA PER. PLAT #95-123
FOUND .5" BRASS CAP
0 FOUND 5/8" REBAR, NO CAP
EDGE OF ASPHALT
E OVERHEAD UTILITIES
WOOD FENCE
(k� WELL
@ UTILITY PEDESTAL
pp
POWER POLE
a SEPTIC PIPE
DECD
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-,Ryan G. Johnson
No. 192159
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LOT 2A
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LOT 3A
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100' WELL
RADIUS
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LOT 36
co COOP
CHICKEN
SHED
32.6
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PLAT, P— 556
0
140
Pps'E 89' 2'03,14.§9')
I}
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�
30
LOT 11
P LA'T; P — �-
LOT 1
PLATP-374
/
ASPLS MORTGAGE LOCATION SURVEY NOTES:
NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE RECORD
PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS MORTGAGE
LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS MORTGAGE LOCATION
SURVEY STANDARDS. IT IS A REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT
THE TIME OF THE SURVEY. THIS SURVEY DOES NOT CONSTITUTE A BOUNDARY SURVEY AND
IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE.
THE INFORMATION CONTAINED IN THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY
FENCE, STRUCTURE, OR OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED,
THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES
COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT.
( ) RECORD DATA PER. PLAT #95-123
FOUND .5" BRASS CAP
0 FOUND 5/8" REBAR, NO CAP
EDGE OF ASPHALT
E OVERHEAD UTILITIES
WOOD FENCE
(k� WELL
@ UTILITY PEDESTAL
pp
POWER POLE
a SEPTIC PIPE
DECD
��P�� OF ' ACo
s�v'�I
,t: 49TH � '•.,t (/
?/Vz
-,Ryan G. Johnson
No. 192159
o
Municipality of AnchOrage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 %" Street Room 502
P.O. Box 196650 Anchorage. AK 99519-6650 Page of
www. ci.anchorage.ak.us (907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: ~O(") ,f~ !'z~ d)j PID Number: (~)
Name: l,~[ltr~Cj[_{~ ~i~.}A.~[~ Wastewater System: [~[Uew [] Upgrade
Address: ~,L~_~,I {2}[~ (~l~-~'f~.J/'~l '} N~umt~ ~ t~ ABSORPTION FIELD
Phone: ~4--~ b~ofB~r~ms:.~ ~DeepTr~ ~ShaYr~Tr~ ~8ed OMound
Well: ~ New U Upgrade Grave,d,: ~'~ Ft. N.m,er~es: J Ois~.~be,e~10~Ft'lin"'
SEPA~TION DISTANCES ~Sepfic D Holding 0 S.T.E.P.
To Septic Abso~Uon Li, Ho,d,ng Publi~dvat, ~C~
Foundation t0"~ (0'+ ~ ~k 'Pump.",evo, a,: ~
BENCH MARK
Depa~ment of Health and Human Se~ices app~Wl
AS-BUILT SYSTEM DETAILS/SITE PLAN Pe.~i~ swoool4s
BENBECCA S/D, LnT 4A, BLBCK 1 PID~O51-O5a-66
/V i
K ~D ~".~
~ · , ~ .'~. /.,'.'., ~, IV _--~ ~ -" ~ . .~1:
i SEPTIC i SEPTIC i ~ !
· '/ SCALEI 50' I
A-c=2o,6, .-.- .~/,~,,,~ ,~.,,,.,.,~ FINAL GRADE ~ I
A-D=23,3' ~- I
B-D=3a,4' 3~- ~LO00 GAL ~
/
A-E=4a'8' ~ TANK X SEWER RBCK ~
A-F=a6,8'B-E=aB'9' ~ ~ ~ TRENCH1 ~ [
A-G=57,a' ~a.=~~ ~ FINAL GRADE ~ ~im~ ~z
~-G=34.1' ~ ~ v~
A-H=38,4'
" ~
B-H=68,8' I x ~ ~
SEWER ~BCK ~,
~ TRENCH a ~ ~ I
~ ........................... ~ ~ PREPARE~ FOR,
i DISCOVERY TRAVEL
............. EAGLE RIVER, AK. 99577 SCALE~ NTS
B~: SEWARD ~: ~G
~_P~sslO~ ~ SEWARD 7/28/00 EAGLE R~R, AK 99577-8736
/LEANOU' /~MDN[TOR ~U~ FINAL GRADE
~- ~LO00 GAL
~ ~ SEPTIC X ~
by
SULLIVAN WATER WELLS
P.O. BOX 870272, CHU(31AK, ALASKA $956/' · TELEPHONE
OWNER Or
ADDRESS .)0 ~00
LEGAL DESCRIPTION
T
PERMIT NUMBERED 0 t ~ ~ Date of Issue
T~ ~NDENTIFIC~TION
is well located at approved pe~it location? ~ ~ No
Method of Drilling: ~ta~ ~ cable tool
Depth ofwell: ~ ....
Casing Wpe ~Wall Thickness , ~ ~O inches
Diameter ~ // .... inches, depth ~,W3 feet
Liner Type: ~ .....
Casing 8tlckup Above ~mund', ~ feet
Static Water Level (from ground level): , ,] ~ 5~ . feet
Pumping level; feet a~er hm. pumping ~gpm
Recover Rate: ~ 3~ gpm
Method of Testing:
Well Intake Opening ~pe: ~n End ~ Open Hole
~ Screened; Sta~ feet Stopped , feet
~ Perorations Sta~ . . . ~et ~pPed ~feet
Depth: from ~ ~eet, to ~ feet
Pump Intake Depth: ~eet
Pump Sl~ ~p Brand Name
Well Disinfected Upon
MethodofD~sJn~ct{on;, ~ ~'~.~ ~ ~' . ......
Comments:
BORE HOLE DATA
,DO ,~-~,
DEPTH
Drillers Name
t
p CFI\/FB
Au~ '~ ~ ~000
Municipality ct Anchorage
Dept, Health & Human Services
ATTENTION: It is the responsibility of the property owner to submit a copy of the well Icg to the proper authority, Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation, MetSu Berough:
Department of Environmental Conservation,
MUNICIPALITY OP ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Initial
Date Issued: Jun 06, 2000
Expiration Date: Jun 06, 2001
Permit Number: SW000149
Legal Description: BENBECCA BLK 1 LT 4A
Design Engineer: 0070 KND Engineering
Owner Name: KND Engineering
Owner Address: 20441 Ptarmigan Blvd.
Eagle River, AK 99577-
Parcel ID: 051-052-66
Site Address: 022610 LAKE HILL DR
Lot Size: 40116 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify 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
Date: ~'~ '"' ~---~
Date:
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
May 18, 2000
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: New sewer & well permit - Benbecca Lot 4A, Block 1
Gentlemen:
The owner has requested we proceed forward to obtain a well and septic permit on
the subject lot. On May 9, 1994 and May 4, 1999 we dug two separate testholes for the
proposed system. The results of these tests are attached. The general slope of this lot
is from east to west at a grade of approximately 2 - 7%.
We have designed our system utilizing the eastern testhole (TH94-4) we excavated
for the 3-bedroom house, which is proposed for this lot. The lot will be served by an
individual well. We propose to install a 5' shallow trench. Water was not
encountered during the excavation or monitoring.
There are no public or private wells within 200' of our proposed system location
except as noted. There is no surface water within 100' of the proposed system and
there are no known curtain drains within 50'. We do not expect there to be any
adverse effect on adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
II~I~ Engineering
RECEIVED
23 000
MUNICIPAL/f'/OF ANCHL)KAG~
¥1RONMENTAL $1:RViC~$ DIVI$I
attachments:
On-Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Logs/Percolation Tests
6/ELL &
VACANT
'
VACANT
3A
(97-8)
WASTEWATER
BEN]~ECCA
........... Roes;
DISPOSAL
gl:D, LOT
(95-IE3)
1000 GAL,
18
SYSTEH
4A, 3LnCK
DETAILS/SITE
1
PLAN
]RACE ]DR,
DESIGN DETAILS
3 BDRM X 150 GPD = 450 GPO
450 GPD/0.6 GPD PER SQ. FT. = 750 SQ. FT
(750/(5')) X 0.70(RF) (8.0' GRAVEL) = 105 FT. TRENCH
USE 2 TRENCHES 52,5'(L) X 5'(¥/> X 2'(D)
Totc~l dep'th o? sys't:em Is 4,0' From origin(it gr0,de,
Tot:c~l dep'th oF gr~ivet betow dls't:rlbut;Ion pipe Is 2,0' ,
NOTES:
1. USE 1000 GALLON SEPTIC TANK, IF REQUIRED. INSULATE TANK IF 44' COVER,
2, INSULATE TRENCHES ~/ITH 2' HD BURIAL FRAM..
3, CONTRACTOR WILL ENSURE MAXIMUM BZ SLOPE INTO SEPTIC TANK.
ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TB ACHIEVE
MIN. 3' COVER IF REQUIRED,
5. CONTRACTOR TD EXCAVATE TANK AND VERIFY INTEGRITY.
PREPARED FOR:
LINDA FRANK
DISCOVERY TRAVEL
11481 OLD GLENN H~Y
SUITE 108
EAGLE RIVER, AK. 99577
36 //
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
t907)696-61I~/FAX
ACAD FILE 00012A.DW~
A~UIL~ SEWARD
~lNm SEWARD
8~ND~Y:SEWARD
RELDBOOKS
00012
OA'm 05/11/00
~' NW1561
DP, A~N: JAS
~;~D: KMD
Sc(ite: 1'= i00'
SHEET 1/8
WASTEWATER DISPOSAL SYSTEM ]DETAILS
BENBECCA S/D, LOT 4A, BLOCK !
\ /
t , .;':' . ...O-.. :','. ~:...'' ' -'/~~~~Z :- T E R ~ ~'~
~,~,. ....... ~ ......... ~ ~. LIN~A FRANK
~, ...;~ ~ ~ISCDVERY TRAVEL SCQ[e: 1'= ~0'
' · ~ SUITE me SHEET ~/~
FIE~ BOOKS ~Pu~: ENGINEERING
................ ~ ~SSU,LT: SEWARD D*~ 05/11/00 EAG~ R~R, ~ 99577-8736
~o~ D~. ~ m~D: NW1561 ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
· c~ .~ O0012A.DW' ;~ "~': 00012 (907)896-6ttl/FA (907)698-Sttt
~D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
SOILS PERCOLATION TEST
Kenneth M.
CE 7116
Performed for:
Linda Frank
Date Performed:
Benbecca Lot 4A, Block 1
TEST HOLE 4/ 99-1
2-
3-
4-
5-
6-
7-
8-
9-
10-
12-
13-
16-
18-
Depth
(Feet)
Org- brown
SM - med dense, sandy trace of
silt
Silt & density increasing with
depth
ML
B.O.H.
HOLE PRESOAKED
PRIOR TO TEST
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO What depth? NA
Depth to water after monitoring? NO Date? 5/12/99
Reading Date Gross Net Depth to Net
Time Time Water Drop
1 5/4/99 2:00 7"
2 2:30 30min 412/16" 2 4/16"
3 * 2:31 7'
4 3:01 30 rain 4 12/16" 2 4/16"
5 * 3:02 7"
6 3:32 30 mtn 4 12/16' 2 4/16"
· Water Added
19-
20-
Percolation Rate 12.97 (rain/in) Perc Hole Diameter 6"
Test Run Between 2 feet and 3 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelh~es in
effect on this date.
Munlcipalily of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Bonnie King
PERFORMED FOR:
LEGAL DESCRIPTION: Prop o .TJX. 4 · BiRo
Benbecca S/D
i Township, Range, Section:
SLOPE
~oL£ E L£ V.
7
8
9
10
11-
12-
13-
14
15
16
17,
18-
19-
20-
COMMENTS Hole presoaked.
SITE PLAN
WAS GROUND WATER
ENCOUNTERED;'
IF YES, AT WHAT
DEPTH?
Monl~lng? No/V~ Dale:
Reading Date
Start i 5./9/c~4
2
4
7
Drop
Gross Net
Depth to
Time Time Water
1055 -- 4 3/4
11oo 5 5
ll05 5 5 5/8
1105 -- *5
111n 5 5 3/8
1115 5 5 7/16
1120 5 6
1120 -- *5
]125 5 5 3./g
1130 5 5 3/4
I~,~ (m,nutes~mch) PERC HOLE DIAMETER
1/2
3/8
3/8
-- 1/16
5116
3./R
*Add ware] 3/8
PERCOLATION RATE ~ 1,
TEST RUN BETWEEN 2 FT AND ~ FT
PERFORMED BY: ~O / ..I~ID I .~.e. rmetJL_DH ffus _ CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MIJN!CIPAL GUIDELINES IN EFFECT ON TFIIS DATE DATE: ~.~,~..q-,L9~L
GE~IER~ INFORMATION'~
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On-Site Services Section 825 "L" Street Room 502
P.O. Box,:196650 Anchorage, AK 995'19-6650
www.ci.anchorage.ak.us ·
"," ' :': ~R?Y Ai~PROvAL.
CERTIFICATE~ OF-HEALTH :AUTH,
FOR A SINGLE FAMILY DWELLING
' '- ' "-.,-' .
· .~. ~: . .~uS- -~ ~,,:: ',' ~.
.; Expiration D~te:
'ess'
' ' -~ ""-";""iL?;'.:':" .... ':~ ' "'
Real Estate Agent
Day phone ' ' ' '
Mailing Address .:~ _,.
~.~'i : . ~'~n/es~'athert/vise requested, HAA wi//~-e held by DHHs for pickup.: HAA picked up
;-" , '."'- '?- ' . ~ ' ' ., .--, / '-.
::i:,3;':~EoF'~V~,T~RSUPPLY:'- ''"" ' :-' :' :~E:0FWASf~ATERDiSP~AE? .:<'-
-..-Individual Well ...... ,' ,:~ . ~ '~: :..:.,{ IndiVidual On-site ,' ~'~--' ::~':- ' :",~ ~ ~ ' --~,
· : ~,lnd- ,-..-.-..:.vidUal Water storag; ~ ' :' r - I: ' - IndiVidual Holding tahk', ~
msun, ,a %-
' ~" ~: .~Well ". -~ '-~ .' Co~mun~:OnZsite'
"2' ' ':~'~
'- Public Wat~'System ?;'-~ .... : -" ~ . Pubhc Sewer · ,.t~, .:~,, ._~. ~ .... ' ~,x-~ -
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of Realth
Authority Approval (HAA) based onty upon the representations given in paragraph 5 by an independent
professional civil engineer registered in the State of Alaska. Certificates of Health Authority,Approval are
required for the transfer of title (except between spouses) on properties served by a single family on-site
wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners.
Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a
private or Class C well and may be reissued with new water sample results [ess than 30 days old, Certificates
are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's WORK.
(Rev, 11/99)
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 Health Authority Approval Guidelines for 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
veri~ that based on the information obtained from the Municipality of Anchorage files and fi'om m.y
investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance
with all applicable Municipal and State codes, ordinances, and regulations n effect at the time of
installation
Name of Firm KND Engineering Phone 696-6111.
Address 204410Ptarmiban':Eaole River. AK 99577
Engineer's Printed Name K~netrh Dl~ffUS
bedrooms.
6, DHHS SIGNATURE
. /-~. Approved for -,~
Disappi'oved.
C0nditional approval for
Date. 8/11/00
, ,,..
KenneiI1 [~. D~
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:.
Reissue DateL
Legal Description:
A. WELL DATA
Well type Private
Date completed
Total depth 243
Dat~ of test
Static water level I 8
Well production 2
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi
Date of sample: 8/9/2000
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Steel
I~CL.E! V EL~
Municipality of Anchorage. AU6 1_4 200{} ~
Department of Health and Human Services ~
Division of Environme,n,t,a,l Services Nt~JNtCIPALIT¥ O[' ANCHOEAGE~
On-Site Services Section 825 L Street Roor~'~0~[ONMENTALSEI~ViCESDIVI$1'%,~_~J~
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-4744
HEALTH AUTHORITY APPROVAL CHECKLIST
Benbecca B1L4a
IfA, B, or C provide PWSID # __
6/6/2000 Sanitary seal Y
ft Cased to 243 ft
FROM WELL LOG
6/6/2000
ff
g.p.m
Parcel I.D.:
Well Log ~
Wires properly protected Y
Casing height (above ground) 24
AT iNSPECTION
in.
Nitrate . 0.5 mg/I Other bacteria 0 colonies/100 mi
Collected by: KND Enqineerinq
Date installed 6/30/2000 Tanksize
Cleanouts Y Foundation cleanout Y
Date of pumping Pumper
c. ABSORPTION FIELD DATA
Date installed ~1) 10O Soil rating (g.p.d.lf~ or ~/bdrm) 0.6
Length 54.5 ea. ft Width 5 ea.
Total depth 4.95 ft Effective absorption area 750 ft2
Date of adequacy test Results (Pass/Fail)
Fluid depth in absorption field before test __ in
Elapsed Time: __ min Final fluid depth __
Any rejuvenation treatment (past 12 mo.) (WN & type)
(Rev. 11/99)
1,000 gal Number of Compartments2
Depression over tank _N High water alarm NA
P
Water added
in
System type Shallow Trench
ft Gravel below pipe 2.04/2.09 ft
Monitoring tube '1' Depression over field N
For ~3 bedrooms
__ gal. New depth in.
Absorption rate >= __ g.p.d.
If yes, give date
D, LIFT STATION
Date installed / Size in gallons ~
"Pump on~ in "Pump off"le~-'~'~ in
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main 100'+
Sewer/septic service line 100'+
Manhole/Access
High w_a~el at__ in
.,Jvi~CEt~;rnr & circuit requirements?
Building foundation 10'+
Water main 25'+
Drainage 100'+
100'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout
Holding tank NA
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Property line I 0 ' +_ Absorption field
Water service line 2 5 ' + Surface water
Werls on adjacent lots 1 0 0 ' +
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+
Water Service line 10'+
Building foundation 10 ' +
Surface water I 00 ' +
Curtain drain None known Wells on adjacent lots 100'+
F, COMMENTS
G. ENGINEER'S CERTIFICATION
10'+
100'+
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Water main 10'+
Driveway, parking/vehicle storage I 0 ' +
Engineer's Printedl~ame Kenneth M. Duffus
Date ~.~,~'"~
HAA Fee $ J,¢-~
Date of Payment
Receipt Number
(Rev. 11/99}
Waiver Fee $
Date of Payment
Receipt Number