HomeMy WebLinkAboutBUBBLING BROOK LT 5Bubbling Brook
Lot 5
#015-492 09
SSUBMITTAL
Municipality of Anchorage 7
g Community Development Department JUL 1 3 age 1 of 3
On-Site Water&Wastewater Program
4700 Elmore St. .P.O. Box 196650 Anchorage,AK 99519-6650 -http://www.muni.org/onsite •(907)343-7904
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP171128 PID Number: 015-492-09 ❑ New •Upgrade
Name:
BOB CRUMLEY ABSORPTION FIELD
Address: 0 Deep Trench 0 Shallow Trench 0 Bed 0 Mound
11400 MAEL STREET*ANCHORAGE,AK 99516 •Other (IDSF)
Phone NO.of Bedrooms: Soil Rating Total Depth from original grade
349-1151 3 2.0 OPORk SEE DWG Fr
Depth to pipe evert from original grade Gravel depth beneath pipe
LEGAL DESCRIPTION SEE DWG. 0.25Ft Ft
Subdivision Block: Lot: Frll added above canine grade •Gravel length
BUBBLING BROOK - 5 SEE DWG. a 30
Ft
Township Range Section: Gravel width Beds Number of lines •Distance between laws
12 Ft 5 2.5 F,
SEPARATIONDISTANCES Tota absorption area 'Number of trenches Dist between trenches
To ' Septic Absorption Lifl Holding Public/Private
Front Tank Field Station Tank Sewer Lines 360 SQ.Ft FI
Well EXISTING 100'+ - - 25'+ TANK ❑ Septic O S.T.E.P. ❑Holding er
Manufacturer I Capacay.
Surface Water 100'+ - - G�/ c
�1NG
Gn,JGal
Material Number of compartments.
Lot Line 10'+ N/A
Foundation 10'+ LIFT STATION
Curtain Drain NONE KNOWN Manufacturer fC
I G
c'�,Cj``�v
Gal
Remarks: EXISTING IDSF WAS RE-BUILT IN PLACE -Pump on'level aI "Pump ofr lever at High water alarm at
PER A+HOME SERVICES.A NEW AIR COMPRESSOR WITH ALARM WAS
Pump Make&U..- Electrical Inspections performed by
INSTALLED.
PIPE MATERIAL
House to tank EXISTING Tank to EXISTING
drainfield
Installer 314"PVC
A+ HOME SERVICES Drainfield D1785 CO/MT 03034
Inspector GEG, Ltd. BENCH MARK (Assumed elevation)
Inspection 100.00 Fl
Dates: 1st 6/28/2017 2nd 6/28/2017 Location and DeecnpDorc
3rd 6/28/2017 4th - TOP OF MANHOLE
ENGINEER'S S L
Community Development Department Approval .•..\ ._ OF- It I_,f
Conditional approval: Date: =* :'� ,.*`;,
4
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• dit y A. arness ' �
♦�0•/ C -7953
Approved: ,�C,C'.(1.Ot ( 'LUDate: 7/1 g/020 i 7 LICENs 40.EPi?oFisS 0....\-***
AAECC884
�'61111 1110
'nspechon Repos_1-I•12 doc
rPERMIT NUMBER: RECORD DRAWING PARCEL ID NUMBER: \
0.6P171128 015-492-09
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A B C ''y z W
MT1 65.0 80.2 56.0 - - I I w LU�L//)
MT2 59.8 78.3 58.8 I Et
MT3 79.9 102.6 81.5 NEW IDSF RE-BUILT IN PLACE W F-
MT4 83.4 104.2 80.3 FIVE(5)FLUSHING VALVES(TYP.) Z Cl)
I b W
MT4 2000 GEG TESTHOLE#1 I QC
MT3 __------ - C
MT1 • .i i /
BUBBLING BROOK;LOT 6 f J ' / `�`,�
XISTING 1250 GALLON •••
STEP TANK / `•
.0 / •
•
I / ...
EXISTING AIR LINE •- . ••
SHED +.r...'i• •i. y •.,' �•
i 1 ,.Y. •• DRIVEWAY 1.• ' 9
A ' :• 11• L-_,I
•
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EXISTING 3 • •'• I
I .v� BEDROOM HOUSE 1...... • I
II , 700' I
40 o
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1"=40' �` —
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GARNESS ENGINEERING GROUP, Ltd I 4'41-i�,F •_-1.:
- CIVIL&ENVIRONMENTAL ENGINEERS 0 •
3701 E.TUDOR ROAD,SUITE 101•ANCHORAGE.AK 99507•PHONE(907)337-6179'FAX(907)33&3246'WEBSITE wwwgamessenglneeang corn II
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: # I •e • A.Gamess ft
ROBERT&ERIKA CRUMLEY 349-1151 2 OF 3 •���s,� C -7 3 '•�*m
PROJECT/LEGAL DESCRIPTION: DRAWN BY: 4.1 .4.3- -1 1
BUBBLING BROOK; LOT 5 L.K.B. *0-ct) • 1 ".0.1P\-.••
TYPE OF WORK: DATE: *1 ESS\ '.'
RECORD DRAWING 7/7/2017 #AECC884 ,�*������ J
rPERMIT NUMBER: RECORD DRAWING Y RA I N G PARCEL ID NUMBER: ANN
OSP 1 71128 015-492-09
MT(ONE AT EACH FILTER FABRIC OVER
CORNER TYP.) PEA GRAVEL
FINAL GRADE IMP
=100.58-100.71
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•:•:•i•:•:r •••••••••Fr ••• 44°1.1444°K
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INVERT OF NEW 1ta <'•;+a.''`-'•" c._a i =;�f•;
MUNICIPALITY OF ANCHORAGE ,,,e,,,
On-Site Water &Wastewater Program
PO Box 196650 4700 Elmore Road I�
Anchorage,Alaska 99519-6650 Phone: (907)343-7904 Fax:(907)343-7997
http:llwww.muni.orglonsite :.
Departmc nt
On-Site Wastewater Disposal System Permit '`2e-17 1
Permit Number: OSP171128 Effective Date: 6/27/2017
Work Type: Septic Upgrade Expiration Date: 6/27/2018
Tax Code Number: 01549209000
Site Legal Address: BUBBLING BROOK LT 5 G:2638
Site Mailing Address: 11400 MAEL ST, Anchorage
Owner: CRUMLEY ROBERT L & ERIKA L Lot Size in Sq Ft: 43602
Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 3
This permit is for the construction of:
Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well 0 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
Special Provisions: An alarm for the air pump must be installed.
0111111111ki
Received By: Date: (P(2-.'311
Issued By: Air" - -4°_„L„. Date: 6./4-07
MUNICIPALITY OF ANCHORAGE
234567
V
69
►� ,
r ♦ s -
Community Development Department Phone: `:.03479I
Development Services Fax: •' - 343-7§97
On-Site Water & Wastewater Program
Mayor Dan Sullivan
6 �a
On-Site Sewer/Well Permit Application L 9 s 7 Z
For A Single Family Dwelling
Parcel ID. 015-492-09
Property owner(s) BOB CRUMLEY Day phone 349-1151
Mailing address 11400 MAEL STREET*ANCHORAGE,AK 99516
Site address 11400 MAEL STREET*ANCHORAGE,AK 99516
Legal description (Sub'd, Block& Lot ) BUBBLING BROOK, LOT 5
Legal description (Township, Section & Range)
Lot Size Sq.Ft. Number of Bedrooms 3
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING:
(Nall that apply) Initial n Single Family (SF) ZI
Absorption Field ® ® (w/wo ADU)
Septic Tank ❑ Upgrade Duplex(D) ❑
Renewal n
Holding Tank ❑ Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR:
N/A Distance: -
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: .50 Waiver Fees:
Date of Payment: 400-1// Date of Payment:
Receipt Number: a 9.7-444 Receipt Number:
Permit No. 46P1 {n Waiver No.
c7 " 11 If
�� {Rev.01(11)
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GARNESS ENGINEERING GROUP, Ltd ,�.,
CIVIL&ENVIRONMENTAL ENGINEERS DE'c�jE'!'
June 1 , 2017
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
Ref: Proposed Septic System Upgrade for Bubbling Brook; Lot 5
To whom it may concern:
The existing 3 bedroom house is served by a private well and septic system. The
bottomless IDSF is in a state of failure and needs to be upgraded. We are proposing to
re-utilize the existing 1,250 gallon STEP tank and re-build the IDSF. We are proposing
to excavate out all contaminated material, import MOA approved sand as needed, and
re-build the existing drainfield at a higher elevation. Comments regarding the design are
summarized as follows:
1. SOILS: See the attached 2000 logs which show the soil classifications, groundwater
monitoring, and the percolation test results.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface water concerns.
4. TOPOGRAPHY: As can be seen on the attached design drawing, the average
topography around the proposed drainfield is relatively flat.
We are 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.
• c.rely,
- re A. 4:-.r es P.E., M.S.
Presi•ent
3701 East Tudor Road,Suite 101 *Anchorage.Alaska 99507-1259
Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com
47.
SHADOWBROOK SHADOWBROOK
S/D LOT 3A, S/D LOT 2, SHADOWBROOK
S/D LOT 1,
11361 MAEL SREET
J
BUBBLING BROOK CIRCLE
/ 11431 MAEL STREET
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W
CC
21N0
BROOK o0 J
LOT 7, m W
r 2
O
6,
6421 ROCKRIDGE ROAD
BUBBLING BROOK
S/D LOT 6, ALL WELL LOCATIONS ON
y
ADJACENT PROPERTIES ARE
APPROXIMATE
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17.,
t.. v',1. 1;,�y ELL RA ROCKRIDGE ROAD
-.......
iaii1 ..�
. APPRO MATE LOCATION OF 100'
•FFSET OF CREEK
DAFOE SUBDIVISION
40'WELL RADIUS ,1114111 LOT 1A,
APPROXIMATE_C CATION•F CREEK
BUBBLING BROOK PER MOA WETLAND MA"ING
SID LOT 2,
/1
100'WELL RAU.
BUBBLING BROOK )1( 1
S/D LOT 3, SCALE:
BUBBLING BROOK I
S/D LOT 4, 1"=100'
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GARNESS ENGINEERING GROUP, Ltd 4' • �•�* VP
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CIVIL&ENVIRONMENTAL ENGINEERS • i• •
3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99507'PHONE(907)337-6179'FAX(907)338-3246'WE8SITE:www.garnessengineering.com 0• •••• . •'
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ♦/In; e f - ess : 4/a'
BOB CRUMLEY 349-1151 1 OF 3 ���,� •• CE-795 '_.
PROJECT/LEGAL DESCRIPTION: DRAWN BY: .. • 6 1.).1117• <7.••
BUBBLING BROOK; LOT 5 D.J.G. ♦ (�••••• .....
.• • 0\#'44.0 •
TYPE OF WORK: DATE: ♦f 140 ESS`S„ \•
LICENSEDRAINFIELD SYSTEM DESNG UPGRADE 6/23/2017 #AECC884 I� \
t / 1 I I
DESIGN CRITERIA: GEG,Ltd.HAS A 8 PAGE SPECIFICATION NOTE:THE CONTRACTOR
LETTER THAT PERTAINS TO THIS DESIGN.TO SHALL HAVE THE WEST LOT
NUMBER OF BEDROOMS:3 OBTAIN A COPY OF THE LETTER CONTACT LINE,AND ALL WELL RADII
GALLONS PER DAY(GPD):450 GEG.BY PROCEEDING FORWARD WTH THIS
PERCOLATION RATES:*40&*60 INSTALLATION,THE ENGINEER,WELL DRILLER, FLAGGED BY A REGISTERED
PROPOSED APPLICATION RATE:**2 CONTRACTOR AND PROPERTY OWNER AGREE LAND SURVEYOR PRIOR TO
MINIMUM DRAINFIELD SQ.FT.:225 FT' THAT THEY HAVE READ THESE CONSTRUCTION.
*2000 T.H.#1 IN MOA RECORDS SPECIFICATIONS AND AGREE TO ACCEPT THE P
**THIS IS A BOTTOMLESS ISF TERMS AND CONDITIONS OUTLINED. //
DRAINFIELD DESIGN: /
MAXIMUM DEPTH:LIMITED TO REMOVAL OF //
I
CONTAMINATED MATERIAL /
WIDTH:12 FEET ...."- I H- LU
LENGTH:30 FEET // 0 5% w
M.O.A.APPROVED SAND FILTER:AS NEEDED �---- LU N
EFFECTIVE:0.25 FEET 0-5%� a LL
ACTUAL SQ.FT.:360 FT' -••---- Lu
EXISTING DRAINFIELD TO BE REBUILT I-
IN PLACE:FLUSHING VALVES TO BE
INSTALLED ABOVE GRADE I
---0�5% ( _ w
F
2000 GEG TESTHOLE#1T3 _---BUBBLING BROOK
-S/DLOT6, '/-MTI // / \ N.
. N
° / EXISTING STEP TANK
s5/0 / TO BE REMAIN IN-USE / �\
\
/ \
/ ' \
/ EXISTING AIR LINE \
ED/1/TOBERE-UTILIZ
\
I . ,•• • \
SHED
/ , '•
r DRIVEWAY••'+.'` l
.I-•� • 1
.•J. •4+ ���• 1
ww� ) EXISTING 3 I.IQr"'X L o ^� � 4° BEDROOM HOUSE - ' • I
SFi�+'EQ ,�, ,,,. 'oo Wfi��RAD/ljg I-
off,
�.. /
\ p% , BUBBLING BROOK;LOT 4 /
\ /
\ /� CONTRACTOR TO INSTALL NEW /
\ PRESSURE GAUGE,AND CONFIRM /
\ ADEQUATE PRESSURE;IF NOT, N /
\ AIR PUMP IS TO BE REPLACED /
\ /
\ /
BUBBLING BROOK;LOT 3 \\ SCALE: - /
N 1"=40'/
N /
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GARNESS ENGINEERING GROUP, Ltd ; 4; ... - •
•
CIVIL&ENVIRONMENTAL ENGINEERS 1 •
•
3701 E.TUDOR ROAD,SUITE 101'ANCHORAGE,AK 99507•PHONE(907)337-6179'FAX(907)33&3246'WEBSITE www garnessengineenng corn
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 CT - •.
G. ness : ku a
BOB CRUMLEY 349-1151 2 OF 3 I�0‹i•N . .f C -79 '•24
PROJECT/LEGAL DESCRIPTION: DRAWN BY: .. ••. YI4"i/ •e
BUBBLING BROOK; LOT 5 D.J.G. ...,0 ,..,..i...... (((( 0., .4.
TYPE OF WORK: DATE: 44r ESS
\V4••
SEPTIC SYSTEM DESIGN UPGRADE 6/23/2017 LICENSE84 zIs-s�
AN ALARM FOR THE AIR
PUMP MUST BE INSTALLED
BENCHMARK=TOP OF MANHOLE=100.00
/-MINIMUM 2'+OF COVER
6"OF WASHED PEA
GRAVEL MEETING
MOA IDSF SPECS
FILTER FABRIC
MTMM_T
J INSULATION
3•7S
�Op
F
•.:.: .• •.•••.•.•t'••.•.•.•..•`...... t.. ) . • •
-"':,= ;:i-.�l;, y.:' `"',-:w'ti'•".4yZh1- 'l.;z •>` 1`_T'�" INVERT OF PIPE=0.25 ABOVE TOP OF SAND
.%r2.0 y:"s,•4.:5•.+:-�.4:+'-kk';;f .su:c.t'.r1:4::;:?.L i•t
yr s•>t4>K_ti2�;=a: t..ki•t".:.'t i,e.dr rrE;>s' •r,etS- .'..
EXISTING AIRLINE PER MOA « .aM �s :.-w-'-j:c,=.4,NI Y'..Y+h .•• „:4, ply,+:. TOP OF PROPOSED SAND=96.61 OR HIGHER
RECORDS=94.88 `` _ fit na-_,..� '•_• -W_ ' . ,
�4.:.'.a.>4'�S�..vi-i''i,> •;o-S.wn�r 144-'ati�ir Y:�rv`_�'l::-sn.
4-.. 12 FEET
TOP OF EXISTING SAND PER
MOA RECORDS=94.15(AVG.) MOA RECORDS=96.51(AVG.)
SEE ATTACHED ANCHROAGE TANK DRAWING IN
REGARDS TO ORIFICE SPACING,LINE SPACING,AND
FLUSHING VALVE CONFIRGURATION
NOT TO SCALE
.♦♦♦ ,,— 4 :iii
GARNESS ENGINEERING GROUP Ltd f4.
`� �-.
•
CIVIL&ENVIRONMENTAL ENGINEERS •
3701 E.TUDOR ROAD.SUITE 101•ANCHORAGE,AK 99507'PHONE(907)337-6179'FAX(907)338-3246'WEBSITE:www.garnessengineering.com . • • ••• �, a ;
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: /0 -u' - l Cfan eSS J L ii lis
BOB CRUMLEY 349-1151 3 OF 3 •�,-a„.•. . SCE-7`953L '.
PROJECT/LEGAL DESCRIPTION: •DRAWN BY: .. o,Li 21013•••• •
BUBBLING BROOK; LOT 5 D.J.G. ♦ FD ••• .. ♦♦
TYPE OF WORK: DATE:
LICENSE��4•IIIOFESS� ��
SEPTIC SYSTEM DESIGN UPGRADE PROFILE DRAWING 6/5/2017 #AECC884 ����� J
Anchorage Tank&Welding, Inc. Intermittent Sand Filter
SAND FILTER CONFIGURATIONS
3O -
24" affillie
A
12' •-•0.--C,-- • • • • • • •• •--- _o d •• ORIFICE SHIELD
30`
FLU5NIN6 VALVE BOX
FROM 5.YE P. -- d END GAP
SYSTEM
12• Ni " .
• . . . • • O -0- O .I
FROM AIR
COMPRESSOR 3/4'PVC LATERAL
... • _•_. •_ _ • _. - ._. (W/I/8"4,ORIFICES)
-I/4'PVC MANIFOLD
TOP VIEW
12 x 30 SAND FILTER w/ GRAVITY DISCHARGE
Page 37
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
BETWEEN MUNICIPALITY OF ANCHORAGE
AND g c 9_6 C(' vt-.1e
THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this
II
Day ofv -� of 201-1, by and between �� C r�,yJ ,
herein the"OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Maintenance and Repair Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. Municipality grants permission to
Owner to utilize and operate an Advanced Wastewater Treatment System
(AWWTS), described as
10SF
located at(legal description).
2. Definitions.
Alteration. Any change to the design or function of an AWWTS that
includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design.
Certificate of On-Site Systems Approval (COSA). An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with Anchorage
Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that
the systems are adequate for the homes that they support and meet the
codes that were in place at the time of system construction.
Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
Maintenance and Repair The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included
in the original design which would allow the AWWTS to continue to
perform as designed.
Permit. An On-Site Wastewater Disposal Permit as required by AMC
15.65 to construct and operate an AWWTS.
3. Term. The term of this Maintenance and Repair Agreement shall begin on the
date of approval by the Municipality to operate the installed system or issuance of a
COSA, and shall continue while the AWWTS is in use or is operational or until the
property is sold or title is transferred by the owner and a new COSA is issued to the
new owner or transferee of the property.
4. Alterations, Installation and Removal of Additional Equipment. Prior to
performing any alterations to an AWWTS, the owner agrees to obtain an On-site
Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65.
5. Maintenance and Repairs.
A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall
maintain their AWWTS in a satisfactory condition capable of producing treated
septic effluent in accordance with the equipment's approval for operation in the
Municipality. The owner shall enter into a service agreement with an AWWTS
service and maintenance provider approved by the municipality and the
manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it
shall be the responsibility of the Owner during the term of this Maintenance and
Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay
for any and all: (1)repair(s), (2) maintenance, (3)adjustment(s), (4)replacement
costs, and(5)inspection costs.
B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules
and orders for the AWWTS.
C. Upon request by the Municipality, the owner agrees to provide the Municipality a
written schedule of routine maintenance and repairs which have been performed
on the system. When a record of maintenance is documented and maintained by
the system vendor, the owner agrees to allow the Municipality access to this
information.
D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS
may be assessed in accordance with AMC 14.60 for improper discharge.
E. Owner agrees that only maintenance and repair personnel approved by the
Municipality will inspect and make any necessary maintenance, repairs or
permitted alterations to the system.
F. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
G. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On-Site Systems Approval.
H. 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.
I. Owner agrees to provide and maintain a telephone connection to the AWWTS as
required by the AWWTS approval.
6. Nonwaiver. The failure of either party at any time to enforce a provision of this
Maintenance and Repair Agreement shall in no way constitute a waiver of the
provisions, nor in any way affect the validity of the Maintenance and Repair
Agreement or any part hereof, or the right of such party thereafter to enforce each and
every provision hereof.
7. Amendment.
A. This Maintenance and Repair Agreement shall only be amended, modified or
changed by a writing, executed by authorized representatives of the parties, with
the same formality that this Maintenance and Repair Agreement was executed
with, and such writing shall be attached to this Maintenance and Repair
Agreement as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this agreement, the only authorized representatives of the parties
are: t
a. Owner: C5 b �
( Cc `e.
r1 U
b. Municipality: Director, Community Development or designated authority
C. Any attempt to amend, modify, or change this contract by either an unauthorized
representative or unauthorized means shall be void.
8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance
and Repair 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 Maintenance and Repair
Agreement.
9. Severability. Any provisions of this Maintenance and Repair Agreement decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining
provisions of the Maintenance and Repair Agreement.
OWNER:
B : (signature)) Date Co2
y
WI_ lib
( ►
,,., Ve I (print name)
STATE OF ALASKA )
) ss.
THIRD JUDICIAL DISTRICT )
The foregoin instrument was acknowledged before me this day of_J �--
201, by t o br'
r ti4
NOTARY PUB IC FOR KA ti;: `�,,
My Commission expires: Ii I at �yc��. �`o4, :,`
••ti! 3kry
72o4
4.
MUNICIPALITY:
By: pJ�,r �.. � (signature) Date:
(print name) Title:
Municipality of Anchorage Page 1 of 5
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: SW000179 PID Number: 015--492--09
N°meEiARBARA WILLS Wastewater System: [] New · Upgrade
Address:
11400 MAEL STREET ANCHORAGE, AK 99516 ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) `546--2014 `5 IDDeep Trench rnShollow Trench BBed DMound BOther*
Soil Rating: Total Depth from oflglnol grade:
LEGAL DESCRIPTION 0.45 sPa/Sq. ~ ** 5.02
5 - BUBBLING BROOK 0 - 0.18 r~ 0.,51
Township: -- -- -- 1.0' - 1.2' F~ 30
WELL: [] New [] Upgrod 12 F~ 5 * Ft
Ft. MIKE ANDERSON 8/11/00 - 8/12/00
~ ~..I.um..., ^,: Ft.l~a.l., ,.,Oh, ~o.. ~.u...~ TANK
SEPARATION DISTANCES n SepUc n Holding B S.T.E.P.
TO Septic Absorption Uft Holding Publrc/Privote
From Tank F~eld Station Tank Sewer Unes ANCHORAGE TANK 1250
Well 100'+ 1 O0% 100'+ -- 25'+ STEEL 2
su,o~. 1aa'+ 1aa'+ loo'+ - LIFT STATION
Water
Lot 5'+ 1¢+ 5'+ - ANCHORAGE TANK
Line 1250
"Pump on' level at: I'Pump of" revel a'c IHigh water o'en~ at: 45,,
Foundotlon 5'+ 10'+ 5'+ -- TIMER TIMER
NONE KNOW~ #20 OSI 05 HHF M.O.A.
Drain
Remarks: *THIS IS A BOTrOMLESS INTERMITENT SAND FILTER. BENCH MARK
· , SOIL FROM TOP OF ORIGINAL FILL GRADE TO BOTTOM TOP OF MANHOLE LID.
OF THE EXCAVATION.
F,",¢~'~*~ q4~x¢.,,~--¢'~;~t,~ ~.,'-~-~?'¢/ 100.00 rt.
~'/,,~.....v'";~.~. ~, ~.
1 //4& :'.?F
Inspections performed by:. AWWC, INC. Dates:lst 5/11/2000 ~..~....~1~.~....~.... '-.."~
2nd s/12/2000 , .... r' ...............
3rd ~/~ 2/2000 ~"~. ~"~ ..'1 t W'%:..~""~ '"".:'"'~
~ .~ '/I eli re ~ A. ~orness.
4th 8/~2/2000 f/0¢¢,~'../ ¢~:-795~ .." ~
Department of Health and Human Services .approval -~;~_ ... v .... ~
Reviewed and approved by: D.~'~'_~-~/ ~. ¢'~--'~.~/~: Date: /O - ~'0 ~ ~t[~*,~e~ ..........
'~r o f e s s'~ot~
PERM. NUMBER: AS BUILT DRAWING P .oEL,o "UMBER:
SWO00179 ' O15-492-09
~'- 5 FOR DETNLS.
/ ,?///~T~
8.T.E,P. T~K
I ~ ~ "~-~ ~,,.,-, ~ ~' .
I - ¥ 'q ..~ · '~
DBL1 55.9 49.4 -
~ ~7.~ 4a.a - ~~ ~ ~ /
ST2 66.6 54.8 -
MH 68.0 55.7 -
~T1 79.7 66.0 -
MT4 98 9 .
z( O~WN BY:
~, ..
A B
C
BBL1 55.9 49.4 -
DBL2 57.1 49.8 -
ST1 61.2 52.0 -
ST2 66.6 54.8 -
MH 68.0 55.7 -
MT1 79.7 66.0 -
MT2 77.6 - 87.2
MT3 101.5 - 108.6
MT4 98.9 - 103.0
K.D.W.
ALASKA WATER & WASTEWATER scAu~,
....... ......... ~ CONSULTANTS, INC. ;~*:'¢ .~'~'~*~ ..... '~'~*~'~
1" = ,.50'
~REPAEED FOR: PHONE NUMBER: PAGE NUMBER:
BARBARA WILLS (907) .t46-2014 2 OF' 3
JEGAL DESCRIPTION:
BUBBLING BROOK SUBDIVISION; LOT 5
T(PE OF WORK:
AS-BUILT OF SEPTIC SYSTEM UPGRADE (ISF)
PERldlT NUMBER: AS BUILT D~W~TG PARCEL ID NUMBER:
SW00017g ' 01 $-492-09
5~
_ - ~o~
ATIN~T 9F,~ ~
O~bQN
~1~1~ ~ILL ~ ~ ~ ~1~ ~ ~
P~TOM ~ 5Y5~M 3m z-
~ 9~.10 (AV6,)
D~WN
CONSULTANTS, ING.~ ..... sCA~: t~ ........................
BARB~RA WILLS (~07) 345-20~4 3 of
~PE OF WORK:
PROFILE AS-BUILT OF SEPTIC SYSTEM UPGRADE (BOTTOMLESS ISF)
¢o~ ~ tATLPECT!ON REPORT
MUNICIPALITY OF ANCHORAGE -- BULLDING SAFETY DFV'ISION
4700 $OLTTI-I BRAGAW STREET, ANC]ffORAGE, AL.,~KA
IN~PECTIOlCS: Voice: (9~7) 343..8300 Fax.. ('900 343.8235 INFORMATtO.~. (90J9 .?,43.3211
COMMENTS:
TYPE OF m..A: ~ ~..
L~L~PECIYO.~:
~Nonomoomp]ianceobs~rve& ~ Collections e~s~mlial as explained belov,-. ~ C.O.~pproved,
I
i
_Ei~PECTOR:
IWHEN CORREL~7ONS ARE MADE, PLEA,gE C/iLL FOR INSPECIION
DO NOT!f. E3.IOV£ TIIZS NOT~CE.
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade ~.,~.FL~..0~7~/-.
Date Issued: Jun 20, 2000
Expiration Date: Jun 20, 2001
Permit Number: SW000179
Legal Description: BUBBLING BROOK LT 5
Design Engineer: 0041 AK Water & Wastewater Consultant
Owner Name: Barbara Wills
Owner Address: 11400 Mael St.
Anchorage, AK 99516-1850
Parcel ID: 015-492-09
Site Address: 011400 MAEL ST
Lot Size: 43602 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [~ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 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.
Issued By:
Date:
ALASKA WATER & WASTEWATER
July 14,2000
Municipality of Anchorage
Department of Health & Human Services
DMsion of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Septic System Upgrade for Bubbling Brook Subdivision; Lot 5
(Bottomless Intermittent Sand Filter - ISF). REVISED DESIGN PACKAGE.
To whom it may concern:
1. GENERAL: A permit was issued by your department (SW000179) on 6/20/00 to install a
conventional septic system on the subject property. Prior to the excavator (Mike Anderson)
installing the system he checked the water level and found it to be 10 feet below the surface.
AWWC, Inc. monitored the level on 6/26/00 (12 feet) and 7/5/00 (13 feet) and found it to be
subsiding. It is unknown what caused the water level to rise between 6/1/00 (AWWC, Inc.
measurement of 14 feet below grade) and the aforementioned readings. Regardless, the rise in
groundwater dictates a design change. Given that groundwater is 10 feet below grade, the
maximum depth of the system would be 6 feet or shallower. In order to provide a factor of safety
to the design I would prefer to have a 5 foot separation to groundwater. This would limit the
total system depth to 5 feet.
Given the elevation of the sewer line leaving the house, and the topography of the area, a shallow
system (6 inches effective) would certainly be required in order to achieve gravity flow. Based
upon the perk rates previously established, 1000 square foot of shallow trench (200 lineal feet of
5 foot wide trench), or a 1500 square foot bed would be required (15 feet wide by 100 feet long).
Either installation would require more test holes (at least $1200.00 in additional costs), and would
be inspection intensive.
I am of the opinion that the best chance for a successful installation would be to design an
intermittent sand filter (ISF). In talking with Mike Anderson (excavator) he is indicated that it
will only add about $3000 dollars to the installation cost. Given the fact that we won't have to
do additional test holes, the difference in project costs between and ISF and conventional
technology is only around $1800.00. The uncerta'mty of being able to install 200 lineal feet of 5
foot wide drairdield makes the ISF becomes even more attractive since it only requires an area of
12 feet by 30 feet. The ISF design is summarized as follows:
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
2. DRAINFIELD DESIGN: Bottomless Intermittent Sand Filter (ISF)
a. Percolation Rate: 40 & 60 minutes/inch
b. Allowable Application Rate for ISF: 2 gallons/day/fi2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 225 fi2
f. Effective Depth below pressure pipes: 2.5+ inches
g. Width: 12 feet
h. Length: 30 feet.
i. Effective absorption area = 360 fi2
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
m. 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 down to a depth of 4 to 5 feet (as require to 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 Tank), equipped with a
programmable timer so that flow can be intermittently dosed to the ISF.
3. SURFACE WATERS: There is no surface water within a 100 foot of the proposed septic
system upgrade.
4. TOPOGRAPHY: As can be seen on the attached topography site plan, there are no slope
concerns.
5. 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.).
6. CLOSING: I am open to any suggestions fzom your department, which would be an
improvement to the proposed design. 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. Thankyo~ br your assistance.
s'
Je e q. U.S.
mresiO/prtl U
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akva~c.com
~. SHADOWBROOK / SHADOWBROOK
S/D LOT SA, q/n /nT '~ SHADOWBROOK
~. ~ -/ ...... '~ S/D LOT 1,
~.--~" 11361 MAEL SREET
~ --S/D LOT 7, / ~ ~ / / I
/ '-- / ~ // ~ ~ ~UPG~DE. SEE DESIGN FOR
, ~ .~-~ / ~'/ //'- ,-,
-~~ ~ ~.~ ~ ~oc~.,~ .OA~
~ ~ ~ I /
/ ~ffZ ~. / ~--~. D~OE SUBDI~SION ~
/ / i ~ '~~ A
/ ~~. / I.mo'~ ~h~s ~ / I
7/12/2000 ~=~"
~WN .Y: ~'";
~SI~ WATER & WASTEWATER K.D.W. ~' / ~
....... . .......... ~ ........... CONSULTA~T~, ~C.~ .............................. 1 ....... : .... 1'~'~'~ ..............
BARBARA WILLS (907) 346-2014 1 OF 3 ',~ ~,~ A.
BUBBLING BROOK SUBDIVISION; LOT 5 q,de '-....'
~E O~ WORK: ~'~PrOfess~O~;~;:~
SITE P~N FOR SEPTIC SYSTEM DESIGN (ISf) '~{~t~t~TM
NOTES: ~' ~. ~ ~
THE AiR COMPRESSOR SHALL BE ~ ---- __ ~
LOCATED WITHIN THE BASEMENT OR THE
GARAGE. THE COh'THACTOR SHALL PROVIDE A
0-10 PSi PRESSURE GAUGE AT A LOCATION
WHICH IS REAOILY ACCESSIBLE FROM W/THIN PROPOSED BOTrOMLESS INT£RMRTENT SAND
THE HOUSE . NOTE: A 30 PSI GAUGE WILL FILTER, EXCAVATE A BED THAT IS 4 FEET
NOT WORK. DEEP MAXIMUM BY 12 FEET WIDE BY 30 FEET
LONG. SEE ATTACHED DETAIL AND PROFILE
(PAGE 5 OF 3) FOR CONSTRUCTION DETAILS
SHALL BE 1/2 INCH DIA. HDPE (1 Piece), ~
.Ne s,,.._. ~,Rl~O ~O^,,I.,,,~. s eP,H ~ ~7M~,.~
or 3 ~ET. i,~////~/H/I1//"" ~-
me CONTRO, P=e, ~OR me ETEP ~,'////// ~,
T~K s,~.~ se ~NS'rAU.~O ou~sloe ~,E / ///////I .~,+~
Res,oeHoe ~TH ~ ^,D,sLE~su~ / ~/~////// ~ _ --
V,O, / /z~~ ' /--PROPOSED 1250
o" / :~, /// /GAllo. s.'~.E.P. ~-ANK ...~. /
-- // , -'., ·
/ ~ "k [ : / / ;~/'")~ / (See NOTES)
~R MUST HAVE THE 100' ~ ~. /
~R 'THE REFERENOED LOT ~'"(
~GISTERED LAND SURVEYOR ~
PRIORTOANYCONSTRUCTION. ' ~"
7/~=/=ooo .,~N~
ALASKA WATER & WASTEWATER K.D.W.
~,~,~,~ ........ ~,~ ~<~:~=~= CONSULTANTS, INC, ~ ............. ..... ,~ 1" .
BARBARA WILLS (907) 5,46-2014 2 Of ;5
gah~'ess,.-
LECAL DESCEIPTION:
BUBBLING BROOK SUBDWISION; LOT 5
DESIGN OF SEPTIC SYSTEM UPGEADE (ISF)
iglSOR~ blN~ ~OM O~ 5,~9 ~P PI~I~ON ~lr~ ( ~X~NP ~
PLAN VIEW
~/4" PVC LA~ (~,4)7
/ ~PIL~ W~IC
M( / MC / OVgR PgA
,, ~ ~ r~
~ R~OFILE VIEW ~ ,
7/12/2000
~ , ~ K.D.W.
~S~ WATER & WASTEWA~ ER
BARBARA WILLS (907) S46-2014 S OF ~ )~ Ly~fft~_i~_~arnes~;
BUBBLING BROOK SUBDIVISION; LOT 5 ~.e~ -..~ ....... ..~
DESIGN PROFIL~ Or S~PTIC SYST~ UPGRADE (IS~)
ALASKA WATER & WASTEWATI]R CONSULTANTS, INC.
~o~ ~ ~o~, ~ ~. ~o~, ~. ~o~
[SOIL LOG - PERCOLATION TESTI ~'" ('
LEGAL DESCRIPTION: BUBBLING BROOK SUBDIVISION; LOT 5 ,/~: .... Z~.~,
[ ] ............. ·
TEST HOLE ~1
ORGANICS
DEPTH
(~e~ (.AS~ ~ Or ~)
~GP ~Ti ML ~ ~/ I
~ ~!GC OL SITE PLAN / --
~ ~ S~ MH ~ I": I00
s, I OH
DEPTH TO DATE
GROUNDWATER * ] 2' 6/26/00 ~ ~ ~ ~
11 DATE READING CLOCK NET TIHE WATER LEVEL NET DROP
TIHE (HINUTES) READING (INCHES)
12 5/25/00 PERC. HOLE WAS PRESOAKED ~+ HOURS PRIOR TO TESTING
15 _ _ 1 5:15 6"
2 5:45 50 5 1/8" 7/8"
14 - 5 5:45 6"
4 4:15 50 5 1/4"
15 - -- 5 4:15 6"
16 6 4:45 50 5 1/4" 5/4"
17 ___
18 -~
19 PERCOLATION RATE 40 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20 TEST RUN BETWEEN 5.0 FT. AND 5.5 FT.
CO~ENTS; PERCO~TION DATA ON THIS PAGE FOR UPPER BENCH PERC. HOLE ONLY.
· GROUNDWATER AT 10' DURING THE WEEK OF 6/~2000 PER MIKE ANDERSON ('EXCAVATOR).
PERFORMED~Y A~SKA WATER & WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS
WAS PERFO~ED/IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUDEUNES IN EFFECT ON
DATE: ~ I/'~ lDO
DEPTH TO DATE
SROUNDWATER
DRY 5/25/00
14' 6/1/00
'12' 6/26/00
13' 7/5/00
ALASKA WATER & WASTEWATER CONSULTANTS, INC.~._-=-'~"~ ~'~( [
LEGAL DESCRIPTION: BUBBLING BROOK SUBDIVISION; LOT 5 _--~/~/~J/~c'-~'~--
DATE PERFORMED: 5/25/2000 ~aA.~ /E_7953 ...' ,~
(feet) F TEST HOLE ~1 "~ ?~ "' .......
GM CL I <
4-- GC OL
SM OH N
6-- . SC
7- g DEPTH TO
m CLOCK NET TIME WATER LEVEL NET DROP
11 -- P DATE READING TIHE (MINUTES) READING (INCHES)
~ 5/25/00__ PER(. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
Z
14~ m 3 3:4~ 6"
~ 5 4:14 6"
6 4:44 30 5 1/2" 1/2"
19-- PERCOLATION RATE 60 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20 TEST RUN BETWEEN 7.5 FT. AND 8.0 FT.
COHHENTS: 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 PERFqRM~ IN ACCORDANCE WITH ALL STATE
AND
MUNICIPAL
GUIDELINES
IN
EFFECT
ON
DATE: ~lt~/oO
ALASKA WATER & WASTEWATER
June 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
Reft Septic Upgrade Design for Bubbling Brook Subdivision; Lot 5
To whom it may concern:
The existing 3 bedroom house is served by a private well and septic system. The existing
drainfield is in a state of failure and in need of an upgrade. One test hole was excavated on the
property. The proposed septic system will be designed within the 30 foot radius of this test hole
We are proposing that a 1000 gallon septic tank and dual five foot wide drainfields be installed.
Comments regarding the proposed design are summarized as follows:
1. SOILS: Attached are logs 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 and then transitions to a ML material to a depth of 15.5 (bottom of test hole). No
groundwater was encountered during the excavation of the test holes. Seven days later,
groundwater was measured at 14 feet below grade. A percolation test was performed between
the depths of 5.0 feet to 5.5 feet which had a percolation rate of 40 minute/inch. Another
percolation test ~vas performed in the same test hole at the depths of 7.5 feet to 8.0 feet which
had a percolation rate of 60 minute/inch. It is our opinion that due to the overall appearance of
the soils, an application rate of 0.45 gallons/day/ft2 should be used.
2. TILENCH DESIGN:
a. Percolation Rate: 40 & 60 minutes/inch
b. Allowable Application Rate: 0.45 gallons/day/ft2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 1000 ft2
f. Total Depth: 9.5 feet (max.)
g. Effective Depth: 4 feet
h. Width: 5 feet
i. Reduction Factor: 0.5
69Ol Debarr Road, Suite 2B - Anchorage, AK 99504 - Ph: (907)33%6179 N Fax: (907)338-3246
i. Minimum Length: 100 feet long (2 .~ 50')
j Effective absorption area = 1000 ft2
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average
topography of this property is generally flat. In short, there are no slope concerns.
We are 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, or 244-9612. Thank you for
your assistance. ,;
Jef~p~ A~ ~am'e~, P.E., M.S.
Pregid~nl~J
NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, 2 soil log, and
a 7page construction specification letter which are allpart of the designpackagefor this septic
system.
6901 Debm¥ Road, Suite 2B N Anchorage, AK 99504 - Ph: (907)337-6179 - Fax: (907)338-3246
S~ IADOWBROOK SHADOWBROOK OOK
S O LOT 3A SHADOWBR
/ ' S/D LOT 2, S/D LOT 1,
.~ 11361 MAEL SREET
/ x~ / ~ // ~ ~ ~ SY~EM. SEE DES[DU l
'~-_~ ~ ~ .;:. ;:t .~:~-'' · -.--
/ ~vm~m~J -~ '~ /~ ~ I ~ LOT lA,
__: ,.. ..
' / / / '--.. ', ~ v
/ ......... / I_~oo'~ ~s_ ~.~ / ~
' 2',~~ ~.~.~.~oot',. '~ >~
S/D LOT ~, k ]
DATE:
S~LE:
co~su~T~TS, ~c., ................ ............. ~ ~" ~..:.~fl. ~.~..~:...
BARBARA WILLS (907) 546-2014 1 OF2 ~gf~'~ess.
LEGAL DESCRIP~ON: '~',~.~ ~E-795~ '"
BUBBLING BROOK SUBDIVISION; LOT 5 ~e ......
SITE P~N FOR SEPTIC SYSTEM DESIGN
/
/ ~ :~~',/ .......... ~...:.. ~{...
~ ~ ~. / /
~GISTERED ~ND SURV~OR
PRI~ TO ANY CON.RUCTION.
~/2/2000 ~.~
~SI~ WATER & WASTEWATER
~ ~ ~:.~ ......... .~
BARBARA WILLS (907) 346-2014 2 Of 2
LEGAL DESCRIP~ON:
~h:~ · . ...~
BUBBLING BROOK SUBDIVISION; LOT 5
DESIGN O~ S[PTIC SYSTEM UPGRADE
I[ :
ALASKA WATF_,R & WASTEWAT~R CONSULTANTS, INC.~:.'1//~7~.:
690 DE, R ,o o. ,U,E 2,* 0,O, CE.
PHONE (907) 337-6179 * F~ (907) 338-3246 ,
EEGAE D~SCRIPTION: BUBBLING BROOK SUBDIVISION; LOT 5 ...............
PERFORMED FOR: BARBAra WILLS
DATE PERFORMED: 5/25/2000
(fee ORGANICS TEST HOLE ~1
(PAGE 1 OF 2) rofess[O
FILL (SAND) SOIL C~SSIFICATrONS '~?
~:.~ ~W ....... OR~ ~ ~
~ ORgANiCS ~ GM CL ~ /
I
GC OL ~N~/
DEPTH TO ] DATE
GROUNDWATER'
10
ML
11 DATE READING CLOCK NET TIHE WATER LEVEL NET DROP
TIHE (HINUTES) READING (INCHES)
12 5/25/00 PERC, HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
15 1 5:15 ~ 6"
GROUNDWATER 2 5:45 50 5 1/8" 7/8"
14 ~ 3 5:45 -- 6"
4 4;15 50 5 1/4" 5/4"
15 5 4:15 -- 6"
1 6 6 4:45 50 5 1/4" 5/4"
17
18
19 PERCOLATION RATE 40 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20 TEST RUN BETWEEN 5,0 FT. AND 5.5 FT.
COHHENTS: PERCO~TION DATA ON THIS PAGE FOR UPPER BENCH PERC, HOLE ONLY,
PERFORMED BY A~SKA WATER & WASTEWATER. l, JEFFR~ A. GARNESS, CERTI~ THAT THIS
WAS PEREO~ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
DATE: ~/~JOO
DEPTH TO
GROUNDWATER DATE
DRY 5/25/00
~4' 6/~/oo
ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~,r~' O}-/~,z'.~'2 ~h~'"
6901 D/BARR ROAD, SUIT~ 2B * ANCHORAGE, AK. 99504 .~:='.~x~_..'~'"~''"2')
I solL LOG - PERCOLATION TEST I .................
LEGAL DESCRIPTION: BUBBLING BROOK SUBDIVISION; LOT5r~e't~''~m'[//~
PERFORMED FOR: BARBARA WILLS ~ e~:
DATE PERFORMED: S/2S/2OO0 c E-7os,
DEPTU --(foot) TEST HOLE #1 u *oe '~ ...... oxv,~"~
1-- (PAGE 2 OF 2)
2-- SOIL CLASSIFICATIONS ~ Z~"~ / /
i';~,!~.~':~'~ GW ~:~.-. ORG _~ ~ / /
4-- GC OL
6 -- ~' SC
7-- ~ DEPTH TO DATE
3ROUNDWATER
8-
~ CLOCK NET TIHE WATER LEVEL NET DROP
11 -- ~ DATE READING TIHE (HrNUTES) READING (INCHES)
~ 5/25/00 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
12--
Z
~ 6,-~--
~ 2 3:44 ~0 5 1/4"
14 ~ ~ 3 3:44 ~ 6" ~____
4 4:14 30 5 1/2" 1/2"
15-- ~ ~ 5 4:14 -- 6"
m 6 4:44 30 5 1/2" 1/2"
16-- m
17--
19-- PERCOLATION RATE 60 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20--~ TEST RUN BETWEEN 7.5 FT. AND. 8.0 FT.
CO~ENTS: 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 PERFQR~D IN ACCORDANCE WITH ALL STATE AND MUNICIPAL QUIDELINES IN EFFECT ON
DAT[: ~ l ¢/m
DATE:
~-~'~P~O,~C....J ~
BROOK SUBDIVISION; LOT ~
Sent By: Ataska Waten& Wastewaten Consu; 907 338 3246; Jul-14-00 9:20; Page 2
PROPERTY OWNER MAINTENANCE AGREEMENT
ON-SITE WASTEWATER D1SPOSAL SYSTEM
This agreement, dated 7-- / ? ,200_0, is made between the Municipality of
Anchorage Department 9~f Health and Human Services (DHHS) and the property owner(s) of
This agreement is made for the purpose of maintaining an on-site wastewater disposal system
on the subject property.
The property owuar(s) agree to the following:
The property owner(s) will have an annual inspection of the system performed by a registered
professional engineer. This inspection shall verify that all effluent and air pumps, timers, and
alarms are functioning as designed. Any deficiencies shall be corrected and the engineer's
statement that the system is functioning as designed shall be filed annually with the DHHS.
Property Owner Name
Property Owner Name
(Notarize Here)
Judicial District ~ SS.
On tiffs /$~t'~ay of d~/q in ~e
y~r ~ , before me, ~e ~dersi~ no~
p~lie,
· e person(s) whose nme(s) is/~e subscfi~ m ~e
wi~ ~smnt ~d ac~owledg~ ~at he/she/&ey
execut~ ~e s~ for ~e pu~s~
~nta~ed.
In witness whereof, I hereunto set my hand and
o iai seal.
~ Public ~'~ature.~/
(N'otary's printed name~-' /
My commission expires:
/OZa /, /o ,o.. .
!
,~__.~.~, _ MUNICIPALITY OF ANCHORAGE
· /// ~ :'~"~ -\\ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
~ ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME ~PHONE
LEGAL DESCRIPTION
LOCATION ~ NO. OF BEDROOMS
IWel~ Absorption area Dwellin~ , PERMITNO~/~
DISTANCE TO:
~ Manufacturer ~. ~ **~ Mat~ ~ No, of compartments
4Liq. capacity in gallons ' Inside length Width Liquid depth
~O IF HOMEMADE:
~ ~ DISTANCE TO: Well ~ ~ Dwelling PERMIT NO.
O ~ ~ Manufacturer -- Materia) Liquid capacity in gallons
~ DISTANCE TO: Well ~r ~ Foundation~ ~r/~ Nearest~oIotli~ PERMITNO¢i
~=~ ~ No, ofli~/ Lengtho~ea~line Totallen~h~lines Trench~Z inches Distance between lines
~ Total effecF~b r n area
~ ~ ~ Top of tile~.t%fi~ish grade Material bane ~ inches
~en~th ~idth De~th ~fiBMIT ~O.
~ ~ T~e of crib Crib diameter Crib de~th Total effective absorption area
m Well Building foundation Nearest lot line
~ DISTANCE TO:
~ Class Depth Driller Distance to lot line PERMIT NO.
~ Building foundation Sewer line Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER '
PIPE MATERIALS
INSTALLER/ ~~ ~ I ~ ~'~
REMARKS
APPROVED DATE LEGAL
72-013 (Rev. 3/78)
feet Gallons Per
Minute
feet Total Feet of
to
PERM!T NO. ,' 8;L07;26 )
RF'F'L ! CRNT
_ l]f -_ .~ T I FI N
._E
MZ_.HcLE INC,
MREL
L5 B1 E:UE:E:LING E:ROF~F S,-'D
P. 0. BO>:; :10-"± 2 ]:5
_ 0 T S I Z E
..-376- 7:L_:'- E1
,~$]:~aE~b SL-..!U~.F.:E FEET
TYPE --P' SOIL ~.E:SORPTION =,,=,TEft IS' TREN'_':M
MR;:.:: I MUM NUHE~ER OF E:E[:,F.:OOM':; = 3:
SCi I L RRT I NG ,:: :56! FT,..'BR ::, = :---:'?5
THE REC!UIRED StZE OF THE SF-~IL RBSORF'T!ON =,~=,TEM IS-
!Z:'.' r:' F' T H := :1_ 2 L E
.H= ~ ENGTH !MENSI?-4 lC; 'THE _ENISTH ,"IN FEET) OF THE TF'ENCH OF.: [:,RRTNFtELD.
THE [:,EF'TH OF R TRENCH OR PIT IS THE [:,ISTRNCE BETF.!EEN THE SURFRCE OF THE
GROUND F!N[:, THE BO'rTOM OF THE E',:<Cff,/RTION (IN FEET::,.
THERE IS .NO :gET Pl I[:,TH FOR TRENCHES.
THE GF..:R',,,'EL [:,EPTH IS THE MINIMUM [:,EPTH OF GRFt',,,'EL BETHEEN THE OU'FFF~L.L PIPE
R?-4E:, THE BOTTOM OF' THE E::.::CRVRTION ,::IN FEET).
-r T" TO !NFORM THIS [:,EF'F]RTMENT [:,URI[-4G THE
PERMIT RF'PLIE:RNT HFIS THE RE'_=;PONSIE:I-z ~
INSTRLLRT!ON !NSPEF:T!ONS OF R.N'~ HELLS R[:,JRF:ENT TO TH!S FRLFEFT~ RN[:, THF
NJMEEF' OF F.:ESI[:,ENE:ES THRT THE HELL. HILL SER',,,'E
T !.,...1C~ ,:] 2 7, I f-~ S_; F' E C: T I C~ f-~ '--:: R F: E F: E C:-! I_1 I F: E
_ _ HFF ....... T
E.~.C:K'FILLTNG OF RNY SYSTEM t4ITHFiltT FI.NRL IN. SF'ECTION RN.[:* -'"'F.'F¢~HL THIS
E:,EF'FtRTMENT HILL 8E SLIE',3ECT TO PF.:F~SEF:UTION.
MI.,".,IIr'IUM DISTIaNCE E:ETHEEN R .HELL R. ND RN'¢ C114-SI TE SEFIRGE [:,ISPOSRL SYSTEM IS
J.E~O FEE]" FOR R PRI'.,.'RTE HELL OR :15C~ TO ;2¢."1C~ FEET FROM R PUBLIC HELL [:,EF'ENE:,ING
UPON 'THE TYPE OF F'UBLIC HELL
M!NIHUM DISTRNCE FROM R F'RIVRTE HELL TO R PRI',,,'FtTE SEHER L. INE IS 25 FEET RNC,
TO R E:OP1MUNIT'f SEHEF-: LINE IS 75 FEET.
HELL LOGS RRE REC.!U IRE[:, F!N[:, MUST E:E RETURNE[:, TO THE [:,EPRRTMEN]'.' H ITHIN ::El DRYS
OF THE HELL COMF'LETION..
OTHER RE6!UIREP!ENTS r'lR'¢ RPPL'?'. SPECIFICRTIONS RN[:, CONSTRUCTION [-',IRGRRMS RRE
R',/FIILRBLE TO INSURE F'ROPER INSTFtLLRTION.
F" E F: ~'1 I T E :=-:: F' I F-: E :5 [:, E C: E ~'1 E: E F;-: _-2: :1. .. i :9 :--: J-
I E:ERT!FY THRT
±: ! RM FRM!LIRR HITH THE REQUIREMENTS FOR ON-SITE SEHERS RN[:, HELLS .RS SET
FORTH E:Y THE MUNIE:IF'RLITY OF RNCHORRGE.
2: I HILL INSTF!LL THE SYSTEM IN RCC:OF.:E'.,FtNC:E FILTH THE CO[:,ES.
?: I UN[:,ERSTRND THF4T THE ON-L-T, ITE SEI.,!ER SYSTEM MFIY RE6.!UIRE ENLRRGEMENT IF THE
S I GNE[:, ' ....................
RF'PL. ! E:RNT HICHELE IN.C.
I :E SUEr:,
PROJECT'BUbSli'ng Brook Subd. -
CLIENT 'Buster Newton
W.O. 77886
TEST HOLE IqO.
ELEV. TOP OF HOLE
5
DATE '11/15/77
718
Peat, PT
Damp, brown, sandy silt, ML
(traces of small gravel)
Damp, brownis~ grey sandy silt, ML
(traces of small gravel~
Damp, brownish grey sandy silt, ML
(redish lenses)
Bottom e
NOTE: -'
1. No ground water table at.time of drilling.
2. Field perculation test results - 35 rain/inch.
LI WL, - SCHE BE . KORY NTA
CONSULTING ENGINEERS AND SURVEYORS
2515 A ST., ANCHORAGE 9.9503 (907} 27(;-4245
'
December 5, 1977
Mr. Buster Newton '~'
411 East 36th Avenue .'
Anchorage, Alaska 99563
Re: Proposed Bubbling Brook Subdivision
Subsurface Soils Investigation
Dear Mr. Newton:
This report presents the results of our soils investigation for the proposed
subdivision of a l0 'acre tract located east of Birch Road and just west of
Ravenwood Subdivision. The investigation was conducted on November 15 and 16,
1977. The results of this investigation are included in this report as follows;
Vicinity Map
Test Hole Location Sketch
Test Hole Logs (Sheets 1 through
Standard Explanatory Information
Drilling was accomplished utilizing a mobile dri!l B-50 mounted on a flex
track Nodwel vehicle, owned and operated by Denali Drilling, Inc. Test holes
were logged and perculation tests conducted by our firm.
The purpose of the investigation was to provide soils data and perculation
tests for establishing the feasibility of on-site disposal of sanitary wastes
using seepage pits. To accomplish this, we drilled 9 borings distributed
across the site with 1 test hole on each lot at the probable septic system
location. The test hole locations are shown on the attached location sketch.
All borings were drilled to a depth of 16 feet. During the drilling, our
engineer was present to log the materials encountered and obtain grab samples
of the soil types. All soils were visually classified in the field in accord-
ance with the unified soil classification system as described in the standard
explanatory information attached herewith.
Since the site is fairly small and readily.accessible from both sides, per-
culation tests were conducted in all holes at the completion of the drilling
and logging. The perculation tests were conducted from the 6 to 12 foot
levels in each of the holes in accordance with the Manual For Septic Tank
Practice published by the PHS', A ground water table was encountered in test
hole Number 9 at the 12 foot level. Therefore, the perculation test in this
hole was conducted between the 4 to 8 foot level.
--'~'~'~N', P.'E, LEO $CHEDEN,JR.,F~E.,L.S. EARL D. KORYNTA P.E.
Buster Newton
December 5, 1977
Page Two
SITE AND SOIL CONDITIONS
The site is a 660 foot.~quare parcel having access from Rockridge Drive on the
east and Ravenwood Subd.~¥ision on the south. The site is dissected in a
southeasterly/northwesterly direction by a fork of the Little Campbell Creek.
The parcel slopes uniformly from southeast to northwest at an approximate 6%
to 8% average slope. A small knoll is located in the southeasterly corner.
There are no areas with slopes in excess of 25%. The parcel may be divided
into two very distinct soil map units for purposes of identifying pe~culation
characteristics. A 300 to 400 foot wide band centered on the creek channel is
characteristic of old alluvial deposits and consists primarily of well graded
sands and gravels with good perculation characteristics. Test holes 2, 8 and
9 are typical of this deposit. Beyond this band, the materials are much
siltier and tighter as demonstrated by test holes l, 3, 5, 6 and 7.
CONCLUSIONS
The minimum perculation rates observed in'the field for the.following holes
are:
Test Hole Number 1 - 30 minutes per inch
Test Hole Number 2 - 13 minutes per ~nch
Test Hole Number 3 - 30 minutes per ~nch
Test Hole Number 5 - 35 minutes per ~nch
Test Hole Number 6 - 45 minutes per ~nch
Test Hole Number 7 60 minutes per ~nch
Test Hole Number 8 - 5 minutes per ~nch
Test Hole Number 9 - 5 minutes per inch
On-site waste disposal systems appear feasible on all lots. An aerated package
plant or other treatment process is advisable for the lots with high percula-
tion rates.
We hbpe this is sufficient for your present needs. If we can offer further
clarification, please do not hesitate.to contact us.
Very truly yours,
~] D.~orYnta, P.E.
Attachments
EDK/cl r
.If
I~Z.
I
!
i
/
!
!
LEGEND
/
/
/
SUF~VEYOF?'S CERTIFICATE
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
Parcel I.D. # 015-492-09 HAA#
1. GENERAL INFORMATION
Complete legal description BUBBLING BROOK SUBDIVISION: LOT 5
Location (site address or directions) 11400 MAEL STREET ANCHORAGE, AK 99516
Property owner
Mailing address
Lending agency
Mailing address
Agent
Address
BARBARA WILLS
11400 MAEL STREET ANCHORAGE, AK
Day phone (907) 546-2014
99516
Day phone
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 5
3. TYPE OF WATER SUPPLY:
Individual well xxx
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legafity 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
ing to the legality and status of system.
72-025 (Rev. 1/91 ) Front MOA #21 Computer Version
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $2,620.00 at,
or prior to, closing for the engineering services provided.
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 vedfy that based on the information obtained from the Municipality of
Anchorage files and from my investigation and insp,~cfion, the on-site water supply and/or wastewater
disposal system is in compliance with all Municip, a. lfand State codes, ordinances, and regulations in effect
on the date of this inspection.
Name of Firm ALASKA W.NTER & ¢//~S.TE~/A~ER CONSULTANTS, INC. Phone (907) 337-6179
./ ! tiling/? .. .
Address 6901 DEBARR ROAD, SUJ'EE 2Bf-A['4CHORAGE, ALASKA 99004 . /
Engineer's Signature Date
In conducting this evaluation, AWWC, Inc. ~tt~rr~ted to provide a thorough, conscientious engineering analysis of the
system in accordance with ADEC and MOA DHRS Guidelines & Regulations. 'l-he reported results described the
pedormance of the system under the conditions encountered at the time of tho 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
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 rile
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
l,-''''~ Approved for
Disapproved
Conditional approval for
bedrooms
bedrooms, with the following stipulations:
Additional Comments
By: ~.~--~-,~ /--/'/' ,/~::p~-d/''-- Date /O-,~-¢O°
The Municipal[fy of Anchorage Department of Ilealth and Human Services (Dill-IS) issues Health Authority
Approval Certificates based onl~ 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 ef
homes and their lendin~ institutions in order to satisfy certain federal and state requirements. ~mployees of
DHHS do not conduct inspections or analyze data be[ora a certificate is issued. The Municipality of
Anchorage is not responsible for errors or omissions in fha professional engineer's work.
72-025 (Rev. 1191) Back MOA #21 Computer Version
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744
Health Authority Approval Checklist
Legal Description:
BUBBLING BROOK S/D; LOT 5
Parcel I.D,:
015-492-09
A. WELL DATA
Well Type PRIVATE
Leg present (Y/N)
Total depth 201'
Sanitary seal (Y/N)
Date completed
Cased to 201'
YES
If A, B, or C, attach ADEC letter. ADEC water system number N/A
YES 2/10/82
Casing height (above ground) 24"
Wires propedy protected (Y/N) YES
Date of test
Static water level
Well production
FROM WELL LOG AT INSPECTION
8/2/82 /
135' ~
8 g.p.m. ~ g.p.m.
WATER SAMPLE RESULTS:
Coliform 0
Date of sample:
12/10/99
Nitrate
0.5 mq/L Other bacteda 0
Collected by: A.W.W.C., INC.
B. SEPTIC/HOLDING TANK DATA
Date installed 8/11/2000 Tanksize 1250 Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) N/A
Date of Pumping NEW
C. ABSORPTION FIELD DATA
Date installed 8/12/2000
Pumper -
Soil rating (g,p.d./ft2 or ft2/bdrrn) 2
*FROM FINAL GRADE TO~
TOP OF SF SAND
J
System type BED (ISF)
Length 30' Width 12' Gravel thickness below pipe 0.31 Total depth *3.8'
Effective absorption area 360 SO FT Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO
Date of adequacy test NEW Results (Pass/Fail) For ~
Fluid depth in absorption field before test (in.); ~ded (in.): __
Fluid depth (ins) M~ Absorption rate =
Pero~nths) (y/N) If yes, give date
72-026 (Rev. 3/96)* Computer Version
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested
8/11/00-8/12/00 Size in gallons
YES "Pump on" level at* TIMER
45"
1250
"Pump off" level at*
*Datum BOTTOM OF TANK
TIMER
NEW
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot 10O%
Absorption field on lot 1 O0%
Public sewer main N/A
Sewer/septic service line 25'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LO'r TO:
Foundation 5'+ Property line 5'+
Water main/service line. 10'+ Surface water/drainage 100'+
SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10%
Surface water. 100'+
Curtain drain NONE KNOWN
F. ENGINEER S CERTIFICATION/
of Municipal /~c ?s/ f.h.¢t /fl~.~[ab.~ve systems are in conformance
sWi:hnatMurOAeH~,~ ;,iiCi/ti: ,e ctonthisdate.
Engineer's Nam /_~/ d~h'FREY A. GARNESS
Date
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Lift station 100'+
Absorption field
Wells on adjacent lots
5'+
100'+
Water main/service line 10'+
Driveway, parking/vehicle storage area 10'+
Wells on adjacent lots 100'+
HAA Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)' Computer Version
Waiver Fee $
Date of Payment
Receipt Number
Parcel I.D. #
MUNICIPALITY OF ANCHORAGE
ARTMENT OF HEALTH & HUMAN SERVICES
hEP
Division of Environmental .S. erwces
On-Site Services Sect[on
P.O. Box 196650 Anchorage, Alaska 99519-6650
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILLY DWELLING
015-492~0~9
1. GENERAL INFORMATION
Complete legal description BUBBLING BROOK SUBDVISION: LOT 5
Location (site address or directions)_! 1400 MAEL STREET ANCHORAGE. AK 99516
Property owner ~_BARBARA WILLS
Mailing address_!1400 MAEL STREET
Lending agency
Mailing address
ANCHORAGE. AK
Day phone_ (907) 546-2014
99516
Day phone_
Agent.
Day phone_
Address_
Unless otherwise requeste~ HAAwi#be held forpickup.
2, NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
individual well
Community well
NOTE:
5
XXX
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding Tank
Community on-site
NOTE:
XXX
Public sewer
If community wastewater system, provide written confirmation from State ADEC
lng to the legality and status of system.
72-025 (Rev. 1/91 ) Front MOA ¢21 Computer Version
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
Cycles tested
8/11/00-8/12/00 Size in gallons
YES "Pump on" level at* TIMER
NEW
125O
"Pump off" level at*
*Datum BO~¥OM OF TANK
TIMER
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
100'+
10o'+
N/A
25'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout. N/A
[.iff station 10O%
SEPARATioN DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 5% Property line 5'+
Water main/service line 10'+ Surface water/drainage 100'+
Absorption field 5'+
Wells on adjacent lots 100'+
SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO:
Property line
Surface water
Curtain drain
10'+
Building foundation
100'+
NONE KNOWN
10'+ Water main/service line 10'+
Driveway, parking/vehicle storage area 10'+
Wells on adjacent lots 100%
F. ENGINEER'S CERTII~
I cert/fy that I h/a'~ d~
of Municipal r~co¢ds/ t
with MOA H.¢A
Signature ~.~..,~"~/[
Engineer's NaJe V
Date
TI
JEFFREY A. GARNESS
ru field inspections and review
)va systems are in conformance
act on this date,
HAA Fee $
Date of Payment
Receipt Number
72.028 (Rev, 3/98)* Compuler Version
Waiver Fee $
Date of Payment
Receipt Number_
Parcel I.D. #
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILLY DWELLING
015-492-09
.AA#
1. GENERAL INFORMATION
Completelegal description BUBBLING BROOK SUBDIVISION: LOT 5
Location (site address or directions) 11400 MAEL STREET ANCHORAGE. AK 99516
Property owner
Mailing address
Lending agency
Mailing address
BARBARA WILLS
11400 MAE[ STREET ANCHORAGE, AK
Day phone (907) ,346-2014
99516
Day phone
Agent Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well xx×
Community well
Public water
NOTE: ff community well system, provide wrftten confirmation from 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 confirmafion from State ADEC
lng to the legality and status of system.
72A325 (Rev. 1/91) Front MOA ~21 Computer Vemion
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $2,620. O0 al
or prior to, closing for the engineering services provided.
5. STATEMENT OF INSPECTION BY ENGINEER
As ced/fled 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 vedfy that based on the information obtained from the Municipality of
Anchorage files and from my investigation and insp,~ction, the on-site water supply and/or wastewater
disposal system is in compliance with all Municip~lfand State codes, ordinances, and regulations in effect
on the date of this inspection. ~//'I
I ' /'/" /
NameofFirm ALASKAWA,TER&WASTEWA'~EROONSULTANTS, INO. Phone (907)857-6179
/_ ~ I Ii/ J/ -
Address 6901 DEBARR ROAD, 8UCCEi'2¢&NO~ORAGE, ALASKA 99504
Engineer's Signature ~-..~'~g~y¢ L~)''~ Date ?/~///c~
In conducting this evaluation, AWWC, Inc.~att~m,~ted to provide a thorough, conscientious engineering analysis of the
system in accordance with ADEC and M¢A DHHS Guidelines & Regulations, The reported results described the
performance of the system under the conditions encountered at the time of the test, and separation distances
measured to readily identifiable features. The operational life of all wells and septic systems depend
on the local soils condition, 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 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
I~' Approved for
Disapproved
Conditional approval for
bedrooms
bedrooms, with the following stipulations:
Additional Comments
By: ~//~~'-.,.-"~/ /_~/' //~'~- Date ./O ~,g.¢¢o
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 Version
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744
Health Authority Approval Checklist
Legal Description: BUBBLING BROOK S/D; LOT 5
Parcel I.D.: 015-4-92-09
A. WELL DATA
Well Type PRIVATE
Log present (Y/N) YES Date completed
Total depth 201' Cased to 201'
Sanitary seal (Y/N) YES
if A, B, or C, attach ADEC letter. ADEC water system number N/A
2/10/82
Casing height (above ground) 24,
Wires properly protected (Y/N) YES
Date of test
Static water level
Well production
FROM WELL LOG AT INSPECTION
8/2/82
135'
8 g.p.m. ~ g.p.m.
WATER SAMPLE RESULTS:
Coliform 0
Date of sample:
12/10/99
Nitrate
0.5 mg/L Other bacteria. 0
Collec{ed by: A.W.W.C., INC.
B. SEPTIC/HOLDING TANK DATA
Date installed 8/11/2000 Tank size 1250 Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N). YES Depression (y/N) NO High water alarm (Y/N) N/A
Date of Pumping NEW
C. ABSORPTION FIELD DATA
Date installed 8/12/2000
Pumper -
Soil rating (g.p.d./ft2 or ff2/bdrm) 2
*FROM FINAL GRADE TOI
TOP OF SF SAND
System ~pe BED (ISF)
Length 50'
Effective absorption area
Date of adequacy test
Width _ 12' Gravel thickness below pipe 0.31 Total depth *3.8'
560 SQ FT MonitoringTubeprasent(Y/N) YES Depression over field (Y/N) NO
NEW Results (Pass/Fail) For ~
Fluid depth in absorption field before test (in.); ~ded (in.):
Fluid de~ Absorption rate =
~ (past 12 months) (Y/N) If yes, give date
72-026 (Rev. 3/98)* Computer Vemlon
D. LIFT STATION
Date installed 8/11/00-8/12/00
Manhole/Access (Y/N), YES
High water alarm level at* 45"
Cycles tested NEW
Size in gallons
"Pump on" level at* TIMER
*Datum BOTTOM OF TANK
125O
"Pump off" level at* TIMER
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic servlce line
E, SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
100'+
100'+
N/A
25'+
SEPARATION DISTANCES 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 FIELD ON LOT TO:
10'+ Building foundation 10'+
Property line
Surface water
Curtain drain
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Lift station. 100'+
Absorption field 5'+
Wells on adjacent lots 100'+
Water main/service line 10% _
F. ENGINEER'S CERTIF
I cerfify that I h/~ ~d~
of Municipal r~cl
with MOA H~IA ~.
Signature ~
Engineer's Na~ V
pete
100%
NONE KNOWN
Driveway, parking/vehicle storage area
Wells on adjacent lots 1
ru field inspections and review
ve systems are in conformance
on this date.
JEFFREY A. GARNESS
HAA Fee $
Date of Payment
Receipt Number
72-026 (Rev, 3/96)* Oomputer Version
Waiver Fee $
Date of Payment _
Receipt Number
Parcel I.D. #
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
HAA #
GENERAL INFORMATION
complete-legal description
Location (site address or directions) / / ,~L~,¢~ ,,,'/.~.c,/' ..-~7~.
Property owner
Mailin ,g address'
Day phone
Lending agency
Mailihg address
Day phone
Agent.
Address
Day phone
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Unless otherwise requested, HAA will be held for pickup.
NOTE:
Individual well
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
Individual on-site ~
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) Front MOA #21
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my inves_ti_gation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
NameofFirm ,/~l~,'x~/ /./. ,~,~'¢".~.'7, 7~. ~. Phone
Address ~&..~¢ ~4~6/~t: /
Engineer's signature
Date l'"/--/'~
6. DHHS SIGNATURE
Approved for
bedrooms.
Disapproved.
××× Conditional approval for 3 bedrooms, with the following stipulations:
Money shall be put in escrow for the amount of $20,000.00 to perform the work
~LL,~.~:~u '-' ...... ~-~' '~'~ 1999. ~- ,,-',cnc7 ~
escrow--sh=11 nat h~ ~'~lp~p¢] ,z, tt] thi~ office has ~iven final approval.
This work shall be completed no later than June 15, 2000.
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 cedificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72~325 (Rev. 1/91) Back MOA#21
MICHAEL N. ANDERSON, P.E.
4640 Shoshoni
Anchorage, Alaska 99516
(907) 345-3377/FAX345-1391
December 27, 1999
Municipality of Anchorage
Dept. of Health & Human Services
On Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
ATTN: Daniel Roth
Subject: Lot 5, Bubbling Brook
Gentlemen:
In February, 1998, we tested the well and sewer system serving the subject lot. At that time
the trench was excavated, the lateral line traced with a camera then cleaned, and several new
cleanouts and a monitoring tube installed (see previous letter). The system easily passed an
adequacy test; standing water in the system was approximately two feet below the lateral.
Recently the homeowner requested a re-certification for a sale. Water samples were taken
and the septic tank was pumped. We found, however, that the system was surcharged to the
top of the lateral pipe. Upon investigation we found that there have been at least two
constant toilet leaks and a faucet leak. The toilet leaks were repaired just last week. It is
unknown how long these leaks have existed, but very likely for a number of months. We are
unable to determine if the system is saturated or in a state of failure.
We believe there is adequate space for an upgrade (see enclosed survey), however a soil test
has not been done. Furthermore, since the closing for this sale is set to occur on December
30, 1999, there is not enough time to complete a soil test. The buyer is a single individual
whose water use should not exceed that of the present three occupants. We do not believe
that there is an imminent health risk present.
We are requesting that a Conditional Health Authority Approval be granted until July 1,
2000. The seller is prepared to escrow $20,000 for a potential upgrade to this system.
Since we believe that the curreut surcharged condition is due to leaks, an attempt will be
made to salvage the present system. We will perform an initial soil test in the
Page 2
Municipality of Anchorage
spring to rule out groundwater encroachment and will reach a conclusion as to the status of
the existing system. If we determine that the system has failed, or that it is encroaching
groundwater, a design for a new system will be developed and presented for permitting.
If you have any questions about this request, please contact me at 345-3377.
Sincerely, ~ /) /
Michael N. Anderson, P. E.
Encl.
Municipality of Anchorage DEC 2.8
DEPARTMENT OF HEALTH & HUMAN SER~'^Li~'
Environmental Services Division ~NVIRONMENT^LSE~VlCES
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Health Authority Approval Checklist
Legal Description: ~:)~ ~ ~'~/~ ~/'~'~ ~7~3 ~. Parcel I.D.:
A. WELL DATA
Well type
Log present (Y/N)
Total depth
Sanitary seal (Y/N) F
IfA, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to ~'~/~
FROM WELL LOG
Casing height'(above ground)
properly protected (Y/N)
Wires
AT INSPECTION
Date of test
Static water level
Well production
g.p.m.
g.p.m.
WATER SAMPLE RESULTS:
Coliform
Date of sample: / 2~ -/~ ~/~
Nitrate '
~ ~' Other bacteria
Collected by: /¥/~,5,~ //~/g~' -~/
B. SEPTIC/HOLDING TANK DATA
Date installed ~ / ~ - ~'/ Tank size
Foundation cleanout (Y/N)
Date of Pumping
/~, ~o Number of Compartments ~' Cleanouts (Y/N) .
Depression (Y/N) k,,/ High water alarm (Y/N). /C)~
Pumper
C. ABSORPTION FIELD DATA
Date installed , g'~/~ -'
Length '~AL r Width
Effective absorPtior~ ~rea ! g2 ~ ¥~_:~M~0nitoring Tube present (Y/N) ~ Depression over field (Y/N) __
Date of adequacy test ~ - '7-~ Results (Pass/Fail) /~ For
Fluid depth in absorption field before test (in.); Immediately after gal. water added (in.):
Soil rating (g.p.d./ft~ or fF/bdrm..) ' D.q: ' System type /~¢~,?
/ Gravel thickness below pipe ~' / Total d,~pt, h /~//
bedrooms
Fluid depth. (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3/96)*
Absorption rate =
If yes, give date
g.p.d.
LIFT STATION
Date installed
Manhole/Access (Y/..N)~'~
High water.~rm level at*
c~cr~tes tested
"Pump on" level. J.a¢''''''''~ "Pump off" lev~ePat
E, SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO;
Septic/holding tank on lot
Absorption field on lot / ~ / '/'
Public sewer main .~,'~
Sewer/septic service line 2. '~' //
On adjacent lots I ¢~ z'f
On adjacent lots / d~'¢/¢
Public sewer manhole/cleanout ./["///
Lift station ,'~/-//
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation Z~ / Property line Absorption field ~
Water main/service line '~-~; /''/ Surface water/drainage / ~/'¢' Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 1~'/~ / '~' Building foundation ~ ~ / '/ Water main/service line
Surface water / 67"~' /~'- Driveway, parking/vehicle storage area ~O
Curtain drain W¢¢?¢_ //-.~.,~¢v/,/ Wells on adjacent lots / ~ ""~'
F. ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections and review of Municipal records..~
in conformance with M(.~A I-JAA guidelines in effect on this date.
Sign at u re ,~, .~.._ ..~.~--¢(-,..~
Engineer's Name
are
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3196)*
o
0
N
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
Parcel I.D. #
CERTIFICATE OF HEALTH AU'I~HORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
O1~'-5L¢/~_- O~ ¼ HAA# ~_~,{"~o~0~(-)(-~ /'-'"~
1. GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Property owner
Mailing address
Lending agency
//,-,LOC A4 ~.~..[
Day phone
Day phone
Mailing address
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: -~
TYPE OF WATER SUPPLY:
Individual well ~'
Community well
Public water
NOTE:
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my inves_ti_gation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
NameofFirm A-'(~/.~./ ,A,/. ~-~_~f-¢~,.~, ,~.~. Phone
Engineer's signature . ~,/~, ,,~(~ ~/"~~/'>~,-~'//~' Date 2-/////
DHHS SIGNATURE
'~' Approved for 3
Disapproved.
Conditional approval for
bedrooms.
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.
72-0~5 (Rev, 1/91) Back MOA I¢21
:'~MENTAL SERViCE,S DIViLi
Municipality of Anchorage FEB
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 ° (907) 34
Health Authority Approval Checklist
Legal Description: ~o ~/ ,--5- ~5'~/~ ~ ./v ~ ~-c-t~J~_ Parcel I.D.: ~/.fi_ ~ q ;z -- Cq
A. WELL DATA
Well type //,--z ~
Log present (Y/N) '7
Total depth ~. c' / /
Sanitary seal (Y/N) y
If A, B, or C, attach ADEC letter. ADEC water system number
Date completed
Cased to ~-~ / ~
FROM WELL LOG
Casing height (above ground)
Wires properly protected (Y/N)
AT INSPECTION
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform ~ Nitrate C>. Other bacteria
B. SEPTIC/HOLDING TANK DATA
Date installed ~' -~ t -'7 ~ ,~ / Tank size / ,~ .~-O Number of Compartments 2_ Cleanouts (Y/N)
Foundation cleanout (Y/N) 7 Depression (Y/N) Ax/ High water alarm (Y/N)
Date of Pumping ~-;/~ ? Pumper
C. ABSORPTION FIELD DATA
Date installed ~- /6'- [ t
~Length /~ q/ ~ Width
Effective absorption area /g72~ R
Date of adequacy test ;z - '7.~ q ~
Fluid depth in absorption field before test (in,);
Fluid depth ! 5 ~ (ins) Minutes later:
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3/96)*
Soil rating (g.p.d./ft2 or ft2/bdrm) 2_ '7 5' ¢ System type ~7z~%~, Gravel thickness below pipe ~; ? Total depth /
(Y/N) '~' Depression over field (Y/N)
Monitoring Tube present ~
Results (Pass/Fail) For ~
'~ ! ~ ~ Immediately after ~r~gal. water added (in.):
/ 4-'-/-~ Absorption rate = ~ ~-c~ .g.p.d.
bedrooms
If yes, give date
D. LIFT STATION
Date installed
Manhole/Access (Y/N) ~
~igh w~
~in gallons
"Pump on" level at* "Pu~
*Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation 2.~ / Property line ~--~ ) ~ Absorption field
Water main/service line ~'~ / '~- Surface water/drainage / ~ ~ -/- Wells on adjacent lots
/ fro f'~
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line / ~) ~ -r Building foundation ~ J -] Water main/service line
Surface water / ~'~o ~ d- Driveway, parking/vehicle storage area '~-~ f '+
Curtain drain /~!o ~ ~--/~.-~ .¢-'-w__ Wells on adjacent lots / ~;~
F. ENGINEER'S CERTIFICATION
I certify that lhave determined thru field inspections and review of Municipal record.,,.~e~~.s~tems are
in confo~ance with MO~ H~ guidelines in effect on this date. ~ ~.. · '. ·. ~ ,~ ? ~
,. ~,~.,~ '.-~ ~
Signatur O IH ~ ~,
H~Fee $ ~ ~' ~ Waiver FeeS
Date of Payment ~//f {~ Date of Payment
Receipt Number ~ 0 / ~ ~ ~D ~ ~ecoipt ~um~or
72-026 (Rev. 3/96)*
February 10, 1998
~,~r:ixiTAL SERVICES DIVIS,
FEB 9911
ECEIVED
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Lot 5, Bubblin9 Brook S/D
Gentlemen:
On January 13, 1998, an adequacy and well flow were attempted on
the above property. Unfortunately we were unable to locate the
monitorin9 tube at the end of the trench and so the testin~ was
postponed. Subsequent to that an attempt was made to excavate
the monitorin~ tube usin~ the Municipality inspection report form
as a ~uide to its location. This attempt was fruitless.
On January 31, 1998, the line just beyond the septic tank was
excavated and a new cleanout was installed which sweeps towards
the field. At the same time a camera was used to locate the end
of the trench. At a point approximately 49 feet past the tank
the line appeared to be plugged. Further excavation at this
point revealed the line was indeed plu~ed. A portion of the
lateral was replaced, two reverse sweep cleanouts were added, and
a new monitoring tube was installed. We were not able to install
the monitorin~ tube to the total depth of the rock below the
lateral; instead it is installed approximately 92 inches below
~round level. The lateral line at this point is 54 inches below
ground level. We also found that approximately two feet of
9ravel below the lateral were clean and above effluent level.
After cleaning we were able to follow the line an additional 20
feet. This information supports the contention that the
inspection report is misleading, and that only 64 feet of trench
were actually installed.
I trust this information will clarify any apparent inconsistency
in monitoring tube and cleanout depths shown on the worksheet.
Michael N. Anderson, P. E.
Attach.
Ddt6 . _ (Date Date ,
Inspector Ir~spector Inspector
~mments Conditional Approval ~
Date Sewer Installed ~-~ v'-- '~ Permit No. Septic Tank Size /
~ ~ f Holding Tank Size
Soils Rating Well To Absorption Area Well Log Received
Well to Tank
APPLICANT FILLS OUT LOWER HALF ONLY
Prope~y Owner ~ ~ ~' ~~ Phone
Buyer ~ ~~
Phone
Realty Co. & Agent ....... :
Address ~ ~
Street Lo,ariD. ~ ~ ~
Type p~esidence
~ Single Family
~ Multiple Family No. of Bedrooms
~ Other
Wate[ ~ply
~lndividual A~ACH WELL LOG. A well log is required for all wells drilled since June
~ Community 1975. For wells drilled prior to that date, give well depth (attach log if
~ Public Utilit~ available.~
Sew~g~isposal .
~ Individual Year Individual Installed: ~ - ~ ~
~ Public Utility When Connected to Public Utility:
~ Holdin~ Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.