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HomeMy WebLinkAboutGRANITE VIEW #1 BLK 10 LT 2Gronife View Block lO Lot #014-302-41 Municipality of Anchorage Development Services Department Building SAfety Division On-Site Water and Wastewater Program, 4700 ElmOre Road P.O, Box i9(:~00 Anchorage, AK 99507 Page of www.cLanchorage.ak, us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Pe~it Number: OSP101056 PID Humber: 014~302-4I HUNTER SHELLY Wastewater System: [] New [] Upgrade Addree~: ....... ~ ........... ~0_03_ ~R;~ITE PL ANCHORAGE, AK 99507 ABSORPTION FIELD pl,o.a: 784-3240 Number or Bedrooms: i b~' ~ [] D~ep Trench [] ~llallow Tret~ I~ Bed x~l Mound LEGAL DESCRIPTION oz ,~.~,~, 4.5 Fi. Bkx~.' 10 LOt: ~2 Subdlvlslon~ Del3t~ t~ pipe bottom from o~glnal grade: G~ve~ ~Nh ~n~.~h pl~; G~ITE VIEW~I 0.5 H. 0,25 Well: ~ New ~ Upgrade m ~,. 4 EXISTING PRIVATE ~, R, 360 ~z ASTM 30~IABS/FBlO F~. ~EED ~CAVATING 6/29/20!0 ~O~: I Pump Set ;t: ~a~ He~ht ~u~'~ound: ' ' .......... ' ......... ..... SEPARATION DISTANCES' ~ septic D Holding D S.T,E,P, D Other: Tank ...... Field Station Tank Sewer Line PREMIER PLASTICS w~ 100'+ 100'+ ~ 0O'+ 25'+ HDPE 2 s~w.~., ~oo'- ~oo', ~oo'+ LIFT STATION LOt Line 5'+ 10'~ 5' 5~ eel PREMIER PLASTICS BENCH MARK ' 1 O0 Ft, Engi~er's Stamp inspe~ions pedormed by: .. I~1 S, ~r~w~ ~ ~ Dates: 1u 6/28/2010 ~ ~ 2nd 8/2g/2~10, r , 4 Development Se~ices Depa~ment Appm~*~ ....... . Conditional Approval Date; ' ~~ ?ERMI? NO.OSP1 01 056 PAGE 2 OF .5 MunicipcLity oF Anchoncge DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, /-+700 BRAGAW STREET P,B, Box 196650 ·Anchorage, A~aska 99519-6650 ·TeLepho~e~ (907) 343-7904 ·www,ci,anchor~ge,ak,u ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL NSPECTION REPOR' LEGAL LOT 2; BLOCK 10; GRANITE VIEW S/D #1 P.I.D. NO. 0t4--502--41 \ FRAME HOUSE ~ \ 1 CONTROL GRANITE".V. IEW $/]~ -BOX t X X ~ · ~.~ .' 1~ / ;. ~ i ~ . . ~x~sr~'.o / ~ g~ ~ 4'.. ; .~w '] .. "~' 3 BBB'ROOM/ ~ ~ ~ '. I.D.S.F. ~" ~' NOOSE / ~ " I ~ ~ NEW ~000 / EXISTING ~o.~ ~f,E;_ NEW 55~ GAL. FRAME ' ~~br,[~ [A]~K j% HDPE FAT OARAOE ~ / ALBERT ~ A~E~ETAC b ~, oo' v PERMIT NO 0 S In 1 01 0 5 6 PAGE $ OF 3 MunicipaLi~cy o¢ Ancho~'ege DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, &700 BRAGAW STREET p,I3, Box 196650 ·Anchoro9e, A~aska 99519-6650 ·Telephone', (907) 343-7904 ·www,ci,cnchoraee,ak,uc ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION RI~POR'- LEGAL LOT 2; BLOCK 10; GRANITE VIEW S/D #1 P.I.D. NO. 014--302--41 FINAL GRADE E1 / S~T2 ~-98'4' r-FINAL GRADE=9?.7' INSULATION ~"~ 550 GALLON FAT ALBERT WITH PUMP ASSEMBLY A B C FCO 23.0' MT 19.6' 34.9' TV1 20.8' 55.5' TV4 27.8' 40.0' TMT 46,4' 18.5' 49.9' ST1 43.6' 16.5' 51.4' ST2 44.9' 18.7' 54.7' MH 48.2' 23.6' 61.0' ~/ff--FINAL ~/- 2" INSULATION PEA GRAVEL ........ tll ~TE~Ls J ~,LTE~ /~- SAND ii~ /~ BOTTOM · NO GROUNDWATER 84.9' B.O.H. GRADE MT ~-MT=96.9' ,~~RADE=94.9' N. T. S. MT=94.4' OF SAND=92,4' ENGINEER STAMP ._,~,~ ~%~_ POST IN A CONSPICUOUS PLACE ALL WORK MUST I~5 INSPECTED .A 24-HOUR ]',IOTICE IL F;~©Ui~:.t ~_) ;:/.-) ~ Ir;SPECTION SERVICE- INSPECT!ON F, EQUhST L.;NE (907) % 3-8300 OR FAX REQUEST (907) 249-7777 MUN!CIPALIYY OF ANCHORAGE BU',LDING SAFETY DIVISION 4700 ELMORE ROAR T~-:LEPHONIE (207) 343-821t ELECTRICAL PER! 41T' RETROFIT NO: Date: SITE ADDRESS; 9003 GRANITE PL PERMITEE/OWNER: HUNTER SHELLY CONTRACTOR: RISING SON ELECTP~C LOT: 2 BLOCK/TRACT: 10 SU:~O, GRANITEVtEW #1 TYPE: RETROFIT PROPOSED WORK: R-3 RESIDENTIAL, ,: WORK DESC. install lift statio~ /)epar tz~ent 10- -7855 06/24/10 REMARKS: mgm TOTAL CONSTRUCTION VALUATION: Total fees for $260,00 this issuance: Total payments for $260.00 this issuance: ~'.00 Permit Issued By: MORISA, MARIAMENE G. Approvals: ALL WORK IN STRICT CONFOAMANCE V.tTH PLAJ~ INSPECTION REQUIRED OF CHECK REQUIREMENTS AS P~R JOB PRINTS. FOUNDATION EXCAVATION PRIOR FIELD INSPECTION REQUIRED TO PLACING ANY CLASSIFIED FILL CONTACT THE UTILITY FOR APPROVAL OF SERVICE EQUIPMENT AND LOCATION PRIOR TO INSTAL- LATION. SERVICE CHANGES MUST B¢~ SCHEDULED iN ADVANCE WITH THE UTILITY COMPANY AND THE BUILDING SAFETY'I;'~SPE I HAVE READ THE ABOVE APPLIC'ATiOk[ ANL,) KNOV'.' Ti.{F,. CO~TCNT$ THEREOF: TFtE SAME IS TRUE AND CORRECT. I FURTHER AGREE THE ABOVE WORl{ WILL OE DC:;';Z ;N ACC0f'.DANC~ WITH ALL STATE, MUNIOIPAL LAWS, AND ORDINANCES. PERM)T EXPIRES IN 360 DAYS IF WORK 18 NOT COMMENCED Signature of permitee or Agent: Printed Name: ~0/~0 Bg~d OI~IDBg3 9MVH EP§§gPz 9g:6~ ~80~/I0/~0 Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit 0SP101056 01430241000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: June 10, 2010 to June 10, 2011 Design Engineer: S & S ENGINEERING Subdivision: GRANITE VIEW #1 Site LegalAddress: GRANITE VIEW #1 BLK 10 LT 2 G:2334 Owner/Address: HUNTER SHELLY 9003 GRANITE PL ANCHORAGE AK 995073944 Site Mailing Address: 9003 GRANITE PL, Anchorage Lot Size in Sq Ft: 10709 Total Bedrooms: 3 I Del~arrmenr This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Priw N Pdvate Well N Water Storage Ail 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to Apd115, a subsurface soil absorption system under construction dudng freezing weather must either. A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: ~~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Property owner(s)~',~//~ Mailing address q~-.-~ Site address Legal description (Sub'd., Block & Lot) L ~. 6/0 Legal description (Township, Range & Section) Day phone Zip Code Zip Code Lot Size Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR ([~] all that apply): Absorption Field ~ Septic Tank [] Holding Tank [] Privy [] Private Well [] THIS APPLICATION IS AN: Initial [] Upgrade ~ Renewal Water Storage I certify that the above i Single Family Dw~ (Signature of pro~ .wI further certify that this application is being made for a ith applicable Municipal Codes. authorized agent) PermitJRush Fees: Date of Payment: Receipt Number;. (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number. Robert A. Shafer, RE. CIVIL ENGINEERING PH: 907-694-2979 June 10,2010 FAX: 907-694-1211 SEWER 8, WATER MAIN EX'r ENSIONS ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE On-site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519 Attn: Jay REFERENCE: Lot 2; Block 10; Granite View Subdivision #1 It is requested that you issue a permit to install a new IDSF septic system to serve the existing 3 bedroom house. This system will be installed in the same area where an existing 5 foot wide drainfield was installed in 1982. We cannot be sure where the old drainfield is. Our best guess is based on a 1982 inspection report which may or may not be entirely accurate. Field adjustments will be made to ensure that the old and new system will be compatible. The existing 5 wide drainfield, according to record, has 2 foot effective, and 2 feet ofcover. We propose to install the IDSF at a depth of 4 feet below the existing grade. This will allow the old drainfield to become an integral part of the new system. The polished effluent from the IDSF should help rejuvenate the old system. A test hole was excavated and percolation tests performed by Alaska Environmental Controls in 1982. The approximate location ofthe test hole is located on the attached site plan. At the time ofexcavation, in April 1982, water was not found. We assume that the new IDSF will be located at least partially adjacent to the existing drainfield. These small lots do not provide any other area for the system upgrade. We believe that using a Category 3 system will not have any adverse effect from the old system. All adjacent lots to the north and east are served by public water and sewer. We do not anticipate any adverse effect on neighboring septic systems, reserve areas or drainage patterns by the installation of the proposed innovative septic system. The construction of this system will not prevent any future development on any of the adjace~erties. . If yo~require~additional information, please contact us. 15861 S. Birchv*ood Loop Road, Chugiak, Alaska 99567 @^NO H33WO 39±119 II o-: II II o-. Z 30¥9d 3/INYWO N01530 I ~. I/ .. .:~ / ~ I I.-~ ~ I I~F ~'- ~ - - ~x ~"~_. ~,~-~,~,.' ' ' ~ [~m~~ ~ 0 . 100' WELL RADIUS ~ o q~o~ 0 ~ O: ,0~ = ,.~ NOIS~Q N~ld-3ZIS 0 ~]ldO~d NOlS3(] 'S'i'N MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION SOILS LOG - PERCOLATION TEST TEST PERFORMED FOR: LEGAL DESCRIPTION: SLOPE SITE PLAN ._4.. ,.I /- 7" 8. WAS GROUND WATER t ! ENCOUNTERED? 13. 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: ~//&~'~/~'~ ~' _; J IF YES, AT. WHAT DEPTH? TEST RUN BETWEEI~ -~"' ~"'./FT AND G FT ~'-.,., ~ ~,! ~ERT,~,SO.~:/ 'X DATE: ..(/-,":--~'-.~ Robert A. Shafer, P.E. CiVIL ENGINEERING SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTiON ENGINEERING STUDIES AND REPORTS W£tJ. INSPECTION & FLOW TEST ROAD DESIGN SOiL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SJTE WASTEWATER DrSPOSAL SYSTEM DESIGN PH: 907-694-2979 FAX: 907-694-1211 INTERMITTANT DOSING SAND FILTER SPECIFICATIONS Lot 2; Block 10; Granite View S/D #I June 1,2010 GENERAL STATEMENT OF WORK The work and plans covered by these specifications consist of fumishing all labor, materials, tools, transportation, and equipment necessary to complete an Intermittent Dosing Sand Filter system as described herein and on the attached drawings. All work under this project shall comply with current Municipality of Anchorage (MOA) Regulations. The scope of this project includes the installation of a new i.D.S.F, septic system to serve the existing 3 bedroom residence located on the referenced property. SITE INVESTIGATION The Contractor must carefully examine the project documents, have full knowledge thereof, have investigated the site, and be satisfied with the conditions affecting the work. Conditions include, but are not limited to those bearing upon transportation, disposal, handling and storage of materials, availability of labor, water, electric power, roads, and uncertainties of weather, physical conditions at the site including all underground utilities, the conformation and condition of the ground, the character of equipment and facilities needed preliminary to and during prosecution ofthe work. The Contractor must be satisfied with the chamcter, quality and quantity of surface and subsurface materials or obstacles to be encountered. Any failure by the Contractor to become acquainted with the available information will not relieve him/her from responsibility of performing the work as stated in these specifications and drawings. Location ofutilities will be the contractor's responsibility. 15861 S. Birch~vood Loop Road, Chugiak, Alaska 99567 Page 2 Lot2; Block 10; Grani~View S/D June1,2010 SEPTIC TANK / LIFT STATION / AIR COMPRESSOR General The work under this section consists of the performance of all operations pertaining to furnishing and installing the septic tank/lift station, air compressor and piping to the sand filter. Materials 1. Tank a. Septic tank shall be a two compartment tank of at least the minimum size indicated on the drawings and MOA approved. b. First compartment shall have aseparate 4" pump-out riser.' The second compartment shall have a separate 4" pump-out riser. HDPE septic tanks are required to have a 4" monitoring pipe installed next to the tank extending to the bottom ofthe tank, a minimum of 2" direct burial insulation, and a maximum of 4 feet of cover. 2. Manhole Riser or Lift Station Tank a. An additional seeond compartment manhole riser shall be capable of being equipped with the following: 1. A junction (Nema 4x) box or equal, bonded or attached to the pump basin. 2. UL listed electrical cord grips, installed in the J-box. -OR- b. An additional tank 0M.O.A. approved) may be provided for the effluent pumping assembly and the items in (a.) above. 3. Effluent Pumping Assembly, Controls, Alarm & Piping a. Effluent pumping assembly shall be of approved materials, including the following: 1. A 110 volt or equal U.L. Listed effluent pump. Page 3 Lot2; Block 10; Grani~View S/D June 1, 2010 2. High-density PVC cylinder housing the pump, with level controls and screen, serving as a baffle to prevent the screen from clogging. 3. AIl piping shall be PVC or other non.-corroding material. Pump controls and alarm system shall be an approved system with the following options consisting of: I. Event counter 2. Elapsed time meter 3. Program timer 4. 10war heater Remote alarm panel option with a minimum of 80 DB sound pressure at 24", operating temperature 30AC to 65AC, continuous sound to be located in the home. 6. Oil-tight visual alarm v, ith push-to-silence feature. Automatic audio-alarm reset. 15 amp motor rated toggle switch, double pole, double throw with three positions; manual (man), automatic (auto) and center (off) (H.O.A.). 8. Nema 4x-rated, fiberglass, or equal, enclosure with hinged cover. 9. All controls to be installed as per manufacturer's recommendations. 10. Control panel to be installed on outside wall of home within sight of septic tank/lift station. Piping from the septic tank to the sand filter is to be I 1/4" PVC schedule 40 solvent weld piping properly bedded as described in Materials Specifications and sloped to drain back . to the lift station. Insulation board 2" thick and 2' ~ide centered over pipe is to be placed where soil cover is less than 4' depth over pipe. Page 4 Lot2; Block 10; Granite View $~D June 1, 2010 do The airline from the house to the filter is to be IIDPE insulated pipe 3/4"-2" SDR-I i. The compressor will have a gauge (0-10 psi), a low pressure alarm, and be extended into the living area or garage for easy monitoring by home occupants. Air Compressor a. Air compressor shall be a T~IOM^S LINEAR SERIES model number 5060-A or 5070V-A or M.O.A. approved equal. CONSTRUCTION SEQUENCE In order to insure proper installation, the system is recommended to be installed in the following order: I. Sewer line from house to tank 11. Septic tank/lift station IlL Sand filter IV. Leachfield bed (if required) V. Final grading CONSTRUCTION 1. Construction Instruments Contractor shall provide instruments such as transits, or levels, for establishing proper elevations and levelness ofpipe or materials. 2. Pipe Laying All pipe shall be laid with material free of large or sharp rocks and organic matter. Each section of pipe shall be handled carefully and placed accurately. The spigot end shall bc fully inserted pointing in the direction of flow and glued in place to make a water tight seal. Page S Lot2; Block 10; Granite View S/D June 1, 2010 Each section of pipe shall be properly supported to insure true alignment and an invert which is smooth and free from roughness or irregularity. At all times, when work is not in progress, open ends of pipe and fittings shall be closed so that no undesirable substance will enter thc end ofthe pipe or fittings. 3. Bedding of Pipe for Sewer Lines The pipe should be bedded with materials free of large or sharp rocks and organic matter, compacted. Native materials may be used as back fill material above the pipe, provided it is free of large rocks and organic matter. All lift stations shall be installed in accordance with the manufacturers recommendations and standards. Electrical installation is to be in accordance with the National Electric Code (latest adopted edition) by a licensed electrical contractor, with M.O.A. inspection where required. If MOA inspection is not required, a licensed electrician is to provide a letter to the Engineer stating that the system meets or exceeds all applicable codes. 4. Excavation Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot, on undisturbed or compacted classified sand fill material. Create a level sand surface over the tank and add 2" burial foam +35 PSI directly over tank. Mound unclassified soil over tank with a minimum of 2 feet of cover and anti-flotation weights that may be required in areas of shallow ground water. 5. Connections All connections to be as per MOA requirements, PVC 3034 piping with Caulder or equivalent couplings for inlet riser pipes. All tank connections are to be completely water tight. Page 6 Lot 2; Block 10; Granite View S/D June 1, 2010 SAND FILTER The work under this section consists of the performance of all operations pertaining lo furnishing and installing the sand filter. A. Materials 1. Sand Filter Liner (if required - not required for bottomless sand filter) - OSI Model LI or equivalent. 30 mil PVC cut and fabricated to provide water tight enclosure of filter sand volume. Seams to be permanent as per Manufacturer's recommendations. All connections, such as boot flanges, through sand filter to be permanently bonded to the liner. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete Sand Specifications with the additional requirement that all but 1% of the materials passing the #100 sieve be removed. All sand shall be approved for use by the Municipality ofAnchomge (M.O.A.). If the sample does not meet specifications, all sand will be removed and replaced. The Contractor shall be responsible for providing pea gravel that shall bo a washed material containing no fines (0% passing the #100 sieve) and a maximum size of I/4" diameter. The Contractor shall provide the manifold assembly. The manifold assembly shall be of approved materials with orifice shields and flushing assembly. All drilled holes to be cleaned of burrs and pipes flushed, prior to assembly. Flushing valve to include riser to finish grade. Lateral distribution piping is to be laid level (6 -+ 0.05'). e. Top of the filter box to be insulated with 2" direct burial polystyrene insulation. f. The Contractor shall be responsible for providing filter fabric. g. Air coil in sand filter to be geoflow WFI 6-4-24 150 LF placed 6" above bottom of sand. Page7 Lot 2; Block 10; Granite View S/D June 1, 2010 Construction of Sand Filter The sand filter construction is to follow procedures as outlined below, as applicable to this design. Pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.05 feet) in filter, taking care not to allow mud or fine soil material into the filter or grovel layer. This would include any soil material picked up by excavation machinery buckets while loading specified material. The Contractor should estimate filter material volumes such that allowance is made for wastage &material in contact with the ground at site. The area over the sand filter to be finish graded with a minimum of 2 feet of cover and to prevent ponding of surface water nm off. Side slopes shall not exceed 3:1. The Engineer will reject any sand or pea grovel that does not meet specifications or is contaminated in transit or while handling. If such material is placed in the filter, all soil material may be required to be removed and replaced with new material. CONTRACTOR / INSTALLER ADVANCED WASTE~VATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCIIORAGE AND TttlS MEMORANDUM OF UNDERSTANDING made and entered into as of this ]/' Dayof ~'t~/~14". of20/O, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AW~WFS), described as at 2. Definitions. ~ '~. 5 ./~, located ,f~-!O ,/".~ n e~hora ge, Alaska. A. 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. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65. B. Certificate of On-Site Systems Approval. 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 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. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. 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. E. Permit (Construction) An On-Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) 'An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Oxvner to operate an AWWTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On-Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of ($ (~).00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AWWTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On-Site approval is issued to the new owner or transferee of the property. 5. Alterations~ Installation anti Removal of Additional Equipment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Repairs. A. Throughout the term of'this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shall be the responsibility ofthe Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (I) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Oxvner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal ofthe permit. The schedule ofmaintenance and repair contained in the Owner's AWWTS Operating Permit is: ~ /~ tr~ /~ /_~/' ./- C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Oxvner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. F. Owner agrees that any sale or transfer oftitle ofthe property will not occur xvithout a new Certificate of On-Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AWWTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AWWTS. 7. Nonwalver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a ~vriting, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such ~xiting shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes ofany amendment modification or change to the terms and conditions of this contract, the only authorized representatives ofthe parties are: O~A~ler: Anchorage: Purchasing Officer C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of l,aw. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws ofthe State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. OWNER: MUNICIPALITY: By: 14, , glBy: -I ' .... '--~ Title: Date: ,,'"YY'Fi'7~,,~ [[- ~,3 ~f'k...,. -Date: STATE OF ALASKA THIRD JUDICIAL DISTRICT The foregoing instrument was acknowledged before me this//rday of 20 / t~, by ,.5',,4~//v /5~f r~ ~ r' , the o,,~., rt · / NOTARY PUBLIC FOR ALASKA My Commission expires: .z~,.,~', o -~ 6"r'~ e.._ ~ , MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION . ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REP IPHONE J [:~NEW MAILING ADDRESS LOCATION Gcan;~' R-~, NO'OFBED~OOMS% Well Absorption area Dwellin9 I PERMIT NO. DISTANCE TO: 'PlOp, ¢O' ,~ I/~i ~ I/~ ~ ~O ~ ~ Manufacturer ~ ~-~--(~ ~ Materia~.~.~_. ~ No. of~mpartments Liq. capacity in gallons Inside length Width Eiquid depth ~ ~. ,OM.M~ ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation Nearest lot line PERMIT NO. L~ngth~ of e~ch line Total length of Jines Trench widt~ ~ Distance between lines No. of lines~ ~, ~8 ~ Top of tile to finish gra~&~'~ '~'~'~ Material beneath tile Total ef~ective absorption area . .~ ~ Length Width Depth PERMIT ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO, ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST ~ATING ~NSTA~LE~ ~ REMARKS ,... to, Il ~ k '7~ Ib~ sc~ 37' ~i~ MUNICIPAL ~ OF ............ APPROVED DATE LEGAL ,~ WELL LOG S=tio Water Level ~5 feet Gallo~ Per Minute Draw Down feet Total Feet of Casin~ J 7 ~ ~ ~ ~IA,'/r6 Type Material Drilled: to Hefty Drilling S.R.A. Box 1553 H A nchorage,Alaska 99507 L Ed" ~:.;; .... E .................... -.~.- ~.....~ ~:: .... ~.... ,...., ,~.... ~.. ~ ........ . _ . ................. - ........ , · ,-'L~ ' i '-.,, ; ,, DEPTH ElF .... ....,M~. .._,..,.,.~q~;,q'.,~:'t ............ DEPTH Z~; q"14~; i! ~,r-,-,l~,~ ~q~.J[) ............ Ti-il;' ~::IZt'!"]'!'"~,'! CIF THE ,:,-.,,. r.~'"'""i' ,,'="f .... _,,,~ '::..~'"~ ....... F:'E:'E"F':, ..... _. ,.,T ......... I,., j ....... :.i.- :[ F:i!"i F::'R!"!:i:!...Zf::iF.: Hi:T?'! "i-HE F:E:.;..J]:F:;:EME.'.~T::.i. F'Of';< "M-.':TTiS ,'.:~;EI.,.!EF:S Fit'-,![:, t,.F'L. LL::.; FIS SET ;:~ ' ! !.l Ti T ?,,i':;TF:II THEE - .'""'Z'?]! .... i',i I::I(]:i];CI~':~:[)F!?'4!'_":E; !'.i ]; TFI -rill= C: "iDES, ii:· ;[ !.I~J[>I:::'~":;TF{i'.,[F:, ............................ 'T'F.I,':qT ''~'~"'T ,.-h.:': ...... ON-ST.T.,'({ :BEI.'ffZF;: ....... :, r:.':, '-¢-~'~:: ! I"iR? !:.Z.;'~'~'~-~ {_..'..F'.'2.~'- E.i"JLF!F:GEMEF~T iii:: ..... I-iF' r-;:'::":-]!.~[,i:?.,l'.]:E Z]~; F:'.I:?]',!t'][:,~ELE[:, "l'i]! T~,Jr'.l !r-t:-~ ,~i'-":,~z' ~::I :.T I:;::" ", " ',":: ......................... t- .... THAN :!i: ...................... MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST [~SO ILS LOG [5~PE RCO LATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 5 6 7- 8 9 10 11 12 13 SLOPE SITE PLAN 14 15 16 17 18 19 20 WAS GROUND WATER j~/ I~ ENCOUNTERED? O O P E IF YES, AT. WHAcT DEPTH? COMMENTS PERFORMED BY: Gross Net Depth to Net Reading Date Time Time Water Drop ..+//.~o ~- ~ ¢'.'~ o -e,- ~.,~' .,-e.- .+ ~o /~,',.o ~ ~.~/ ~ Io.',~o Io ~ 2.~ .I7 7 PERCOLATION RATE ~/' ~ J~ CERTIFIED BY:/ (minutes/inch) 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 AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 01 4-302-41 HAA# 1. GENERAL INFORMATION Complete legal description Lot 2; Block 10; Granite View Subdivision~ Location(siteaddressordirections) 9003 Granite Place Anchorage, AK 99507 Property owner Mailing address Patricia Hansen Dayphone 349-8373 9003 Granite Place Anchorage, AK 99507 Lending agency Day phone Mailin. g address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 '~ TYPE OF WATER SUPPLY: Individual well XX 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: xx If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-O25 (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 investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ¢~ ...... ~,, ...... ~.~ '¢'.~.~ Phone ,Tq~,~ ~',-~.,. ~'~'.%,-*~',-~ Hts. Circle Address ,:', *,,: ........ ~ Alaska 99504 Engineer's signature Date ALASKA WATER & WASTEWATER CONSULTANTS INC~ IS TO B,E PAID ~q~5~AT CLOSING FOR ENGINEERING SERVICES PERFORMED. DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with th-e following stipulations: Additional Comments Date //-/¢'- ~'~ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy ce~ain 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. 724T25 (Rev. 1/91 ) Back MOA ~1 Legal Description: L..oT' -L./ ~-- IO Municipality of Anchorage R L~ C E i V .~. ~ DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division NOV 1 8 1998' 825 L Street, Room 502 · Anchorage, Alaska 99501 · (9071,~u3~n3-4744 licipality of Anchorage Dept. Hea~th & Human Services Health Authority Approval Checklist v~ Parcel I.D.: Ol~- ~O ~-~/ A. WELL DATA Well type ~'J ~'-" Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to / Casing height (above ground) / Wires properly protected (Y/N) ~---~"~ Date of test Static water level Well production FROM WE~J_ LOG g.p.m. AT INSPECTIOI~ WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate ,1'3 4- n,,JQ Other bacteria Collected by: ~ ~ c.Ll~-~~ ..~t~_, B. SEPTIC/HOLDING TANK DATA Date installed ~'/~ ~, Tank size Foundation cleanout (Y/N) Date of Pumping C. ABSORPTION FIELD DATA Date installed ~'/ I Length ~ ~ Width Effective absorption area Date of adequacy test I//~'/'~g Fluid depth in absorption field before test (in.); (o" Fluid depth I ~ '~ ~' (ins) Minutes later: ~ ~-7 -Pem-xide treatment (past 12 months) (y/N) RI ~--,~ Depression (Y/N) /g O Pumper OL~ Soil rating (~ or fF/bdrm) / Gravel thickness below pipe Monitoring Tube present (y/N) Y Results (Pass/Fail) Number of Compartments ~-- Cleanouts (Y/N) High water alarm (Y/N) g.p.m. Immediately after ~?____~al. water added (in.): System type ~ Total depth -7 . Depression over field (Y/N) For ~ bedrooms I 4 ~ + g.p.d. Absorption rate = If yes, give date 72-026 (Rev. 3/96)* LIFT .~J~ Date installed Manhole/Access (Y/N) High wat, er~ Cy~.,~-~ted Size in gallons ~ "Pump off" level at* *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 f (bO ~- On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPAFIATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~ [4~ Property line _~/~ / Water main/service line IO I+ Surface water/drainage I OO ~' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line tO Building foundation [ D Surface water Curtain drain / I oD Absorption field. ~' Wells on adjacent lots ~/-// Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots -- I OO/'j-' F. ENGINEER'S CERTIFICATION/ O I cedi, that/hav~ete~ *spections and review of Mun**al in confo~an~t~~* es ineffect on this *te. Signature~[~~-- __ __ __ / ~ ~ ~ ~' ........ .~ Date ~o~ s 72-026 (Rev. 3/96)* Waiver Fee $ (~ 'Z-~ b-~ Date of Payment ////~ Receipt Number ¢ ~ ~-/ (~'~'~/7Z-/' ) Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorag e.ak.us November 20, 1998 Jeff Garness, P.E. Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle Anchorage, Alaska 99504 Subject: Waiver Request for Lot 2 Block 10 Granite View Subdivision #1 Waiver Request #WR980094 Parcel ID #014 302 41 HAA# HA980443 Dear Mr. Garness: Your request for a waiver of the required 100 feet horizontal separation from the septic tank to private well has been approved. The approved separation distance is 97.0 feet. This waiver applies to the on property septic tank on Lot 2 to the private well located on Lot 3 Block 10 Granite View #1. This waiver approval applies to the existing septic tank to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Civil Engineer On-Site Water Quality Program WR# WR980094 Date Received: Legal Description: Engineer: MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Wa'iver Review Worksheet PID~ 014-302-41 HA~ HA980443 Nov 18, 1998 Lot 2 Block 10 Granite View #1 Permit Jeff Garness, P.E., Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle, Anchorage, Alaska 99504 Applicant: Patricia Hansen waiver Requested: Septic tank on Lot 2 Block 10 to the neighboring Block 10's private welL,of 97 feet. Lot 3 Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~< Waiver is NOT Granted: List Conditions or Reasons for above: ~f ~C~ Date: II- I By: Rec :~: 04351/7174 Amount: $ 625.00 Name of Reviewer Date Paid: 11-18-98 I Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) :t38-3246 November 17, 1998 Municipality of Anchorage, DHHS Onsite Services Section P.O. Box 196650 Anchorage, AK 99519-6650 RECEIVED blOX/ 1 8 1998 IW~mP-.ina[itV 0~' AnoBOrag. e U~.'~;'~th ~ Human Serv,ces p. Attn: Dan Roth REFERENCE: Granite View, Lot 2, Bk 10. Waiver of Separation distance Dear Mr. Roth: In the process ofperfor,,ing an inspection for the purpose of obtaining a health authority approval, we noted that the septic tank on the subject property is approximately 97 feet from the private well on Lot 3, Bk 10, Granite View. Attached is a drawing, which is based upon our field measurements. The facts are summarized as follows: The well was drilled in 1971 and the septic system was installed in May of 1982. There is no log for the well; however, according to DH/IS records it is 210 feet deep, with a static water level of 103 feet (January of 1987). There is a log for the well on Lot 2, Bk 10. It is 173 feet deep, and had a static water level of 73 feet on 11/4/98. Given the fact that the wells are only about 66 feet apart, it is reasonable to assume that the geological profiles are s'unilar: 0-40 feet is sand and gravel, 40-80 feet is clay/gravel, 80-150 feet is sand/silt, 150-165 feet is hardpan, and 165-173 feet is san~gravel with water. The 15 foot layer of hardpan appears to be a confining strata, since the static water table rose to 85 feet BTC from the water bearing strata at 165-173 feet. This confining layer has served to protect the groundwater quality. Recent water samples from Lot 2, Bk 10, Granite view indicated no bacteria, and nitrate levels of.174 mg/1. In short, the groundwater has not been adversely effected by the septic effluent. It is reasonable to assume the encroachment of the septic tank on the neighboring well will not adversely effect the aquifer. · The topography slopes gently downhill t~om the well to the septic system, consequently, there is no potential for overflowing sewage to mn towards the well. Based upon the aforementioned facts, it appears that there is virtually no risk in granting the subject waiver (97 feet from well to septic tank). If you have any questions, please contact me at 337-6179./T~ you for your consideration of this matter. ~ ness, P~.S. Pregidq/~t It ia the responsibilit.y of'the ov~ner.to determtn~ the existence of any easements, covenants,'~r re- strictions 'which do not appear on:the recorded s · division plat. Under no circumstances should any data hereon be Used for constrd,ction or for estab- lishing boundary'or fence lines. The surveyor takes res~ponsib('lit¥ foK the initial transaction only.' LOT ~ BLOCK /O. ANCHORAGE RECORDING D!STRICT paa:E:~ e¥: COWLING B~ ASSOCIATES :." 1426 HYDE.R STREET ANCHORAGE ALASKA 99501 ' , ( ORDER: SHOWN ON THE RECORDED pLAT~ A~E ~u SHOWN HEREOH. , · '- I"/1 / ~ I / / f --"' LOT 1, BLOCK~ 10 , GRANITE VIEW S~D I ! RAZELDA S/D WELL .......... ~ . , LOT i ~¢=~ 100' WELL ~BIUS /_ · ~ ~ ~ ~ LOT 15, BLOCK ~ ~ BLOCK 10/ ~ ~_ ~ ~ LOT 5, GRANITE VIEW S/~ / / ' ~ - ~ / EDGE OF SEP~C TANK. ~S~ WA~ AND WAS~WA~.R CONS~TA~S, ~C. 6901 DE~R ROAD, SUITE 2B. mCHO~GE, AK. 99504 L[OAL D[SC~,~ON: ~.. ~9TH GRANITE VIEW SUBDIVISION, LOT 2, BLOCK 10 ~[PS OF WORK: DRAWING FOR WAIVER ................................. PREPARED FOR: PHONE NUMBER: P,T H*.SON ~49-8573/267-2441 ~0~."'. CE-7953 .." ..... ... 11/17/98 A.C.6. 1 = 40' 1 OF 1 Alaska Water & 'Wastewate " Consultants, Inc. 7320 East Chester Iteights Circle - Ancl,orage N Alaska 99504 Phone (907) 337-6179 N Fax (9~7) 338-3246 Consulting Engineers November 6, 1998 Pat Hanson 9003 Granite Place Anchorage, Alaska 99503 Subject: Inspection of Well & Septic System. Property at 9003 Granite Place Dear Ms. Hanson: Per your request, we tested the septic system serving the subject property. The results of the field investigation and adequacy tests are summarized as follows: SEPTIC SYSTEM PRESOAK: DUe to the fact that the house had been vacant for 1 month, since the chemical treatment (Septiclear), the dralnfield had to be presoaked with water so that it was representative of an active system. This is required by the municipality. On 11/4/98, 1279 gallons was introduced into the drainfield. The monitoring tube in the field was dry prior to the introduction of water and had 14.5 inches standing in the pipe at the end of the filling period. SEPTIC SYSTEM ADEQUACY TEST: On 11/5/98 t~e adequacy test was performed. Prior to the start ofthe test the liquid level in the sump was 6 inches. Over a period of 82 minutes, 330 gallons was introduced, causing the liquid level to rise 16.5 inches, to 22.5 inches (1 inch over the top of the drainpipe). This corresponds to 20 gallons per inch. The level was allowed to drop back down to 21 inches (.5 inches below the top of the drainpipe) and then the recovery was monitored. During the first 307 minutes, the liquid level dropped 7.25 inches, indicating an absorption of approximately 145 gallons. This corresponds to .47 gallons/minute, or 677 gallons per day. Based upon this data, it was determined that the septic system is capable of absorbing at least 450 gallons per day, and meet the Municipality of Anchorage requirements for a 3 bedroom house (450 gallons per day). It is important to note that the septic system had to be filled to 100% of its capacity in order to achieve this absorption rate. WELL TEST: On 11/4/98, 1279 gallons was pumped from the well over a period of 258 minutes. Previous data, from the 9/17/98 well test indicated that the static water level is 73 feet below the top of the casing, and that at a pumping rote of 5.8 gallons per minute, the water level stabilizes between 83.5 feet and 85 feet below the top of the casing. The well is 173 feet deep. Based upon this data it was detemnined that the well production meets the Municipality of Anchorage requirements for a 3 bedroom house (450 gallons per day). In addition, it meets FHA financing requiremems in that it will produce 3 gallons per minute for at least 4 hours. NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not limited to, seasonal surface water infiltration, groundwater variations, septic ~ystem maintenance (frequency of septic tank pumping, usage of biological additives), condition of the drain pipe and pipe joints (which can be damaged by seismic activity and deteriorate with age), type of substances deposited in septic system (cigarette butts, sanitary napkins, misc. objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid for the specific day of the test. Furthermore, because of the limited nature of this investigation, it is possible that there are hidden defects which may not have been detected. No warrantee is made regarding the future performance of this well or septic system If you have any questions, p~ease contact me at 337-6179. /I Rick Mystrom, Mayor Mun c paliW of AnchOrage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 July 29, 1997 Dean Karcz, P.E. Professional & Technical Services, Inc. 4155 Tudor Centre Drive Suite 103 Anchorage, Alaska 99508 Subejct: Waiver Request for Lot 2 Block 10 Granite View Subdivision Waiver Request #WR970030, PID #014-302-41 Your request for a waiver of the required 100 foot separation to the public sewer manhole from a private well has been granted. The approved separation distance is 75 feet from the existing-well to the public sewer manhole. This waiver approval applies to the existing well and public sewer manhole only. Any future upgrade will require all separation distances be met or another approval from this department. If there are any further questions or concerns regarding this waiver, please call our office at 343-4744. S~erely, Daniel J. Roth Civil Engineer On-Site Services h~R= rid Date Receive ~: Lec~a_ loscri. Dti{ ;i: Enc:ineer :dUNi~iPALi~Y SE ANCHbd<AGE , .... ?e~¥ .... cf Hee!%h axd Human Services .{!x-site c~..~ -- ' ~ Neiver Review Worksheet HAS Permit Cfi tot{ a: ! · Geology: A~ Nater Table B~ Soil Sorp~ion C Permeahl liev E. Horizontal PoiIlEs: Amount: S Rick Mystrom, Mayor Mtm c pality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 July 29, 1997 Dean Karcz, P.E. Professional & Technical Services, Inc. 4155 Tudor Centre Drive Suite 103 Anchorage, Alaska 99508 Subejct: Waiver Request for Lot 2 Block 10 Granite View Subdivision Waiver Request #WR970030, PID #014-302-41 Your request for a waiver of the required 100 foot separation to the public sewer manhole from a private well has been g~anted. The approved separation distance is 75 feet from the existing-.well to the public sewer manhole. This waiver approval applies to the existing well and public sewer manhole only. Any future upgrade will require all separation distances be met or another approval from this department. If there are any further questions or concerns regarding this waiver, please call our office at 343~4744. Daniel J. Roth Civil Engineer On-Site Services (~..,) . f ~ ) ~.~' t 7r/ 2.2 2 4155 Tudor Centre Drive, Suite 103, Anchorage A/aska 99508 (907) 561-6237 fax: (907) 563-3813 June 18, 1997 Jim Cross Onsite Water & Sewer Supervisor Municipality of Anchorage Department of Health & Human Services 825 L Street Anchorage, AK 99501 RECEIVED JUN 2 3 1997 Municipality of Anchorage Dept, Health & Human Services Re: Granite View Subdivision - Waiver Request Dear Mr. Cross: Enclosed are two waiver request worksheets for Lots 1 & 2, Block 10 Granite View Subdivision. These requests are for a waiver for existing wells less than 100' from a proposed public sewer line. The proposed sewer line is to be located in South Circle and will be constructed to allow neighboring lots to connect to this existing sewer line and abandon their existing septic systems. The waivers for the 2 subject lots are necessary because these lots will not be abandoning their existing wells at this time. Please note that the existing well on Lot 1, Block 10 is located within 100' of the existing sewer clean-out. The existing well appears to be shown on record drawings for the sewer line at AWWU and on record with the Health Department. This lot should most likely have had a waiver for the existing sewer clean-out. A copy of the proposed sewer sheet is shown indicating that Type B special manholes are to be installed within the 100' protective radius. These manholes shall be constructed in accordance with MASS Standard Details 50-22 & 50-23 for Special Manholes. Thank you for your prompt review of these waiver requests. If you have any questions, please call me at 561-6266. Sincerely, Professional and Technical Services, Inc. Senior Engineer ~ /5' - ? 7 DAK:dal Enclosures cc: Bill Miller, Granite Vi 7-Pt/ ~ 86.~1 8707 /4 E. 88 3;5021 23011 /;5001 AVE. aoo4! a~o 3051 3O82 i 3126 ~ ':5260 25 32~6 3240 '/4.4 ;5230 ;5220 $121 ~921 8951 t06 ? 895O 8961 ! ! GR. 2 MUNICIIhALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # 1. GENERAL INFORMATION (Must be completed prior to submittal) CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Property owner /'~//¢L-,'~6¢ ~ ~'O''pE~ ~-~ .Telephone: (home) : Business Mailing Address (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent --~E~D/ (//)~'E..c~T..~Z;~.;. /.~'?,/7_<--.Zz-~ ~~¢~ ' - ~/~. .- U Address ~ ¢'~2 ~~, ~~ ~. ~;?~'¢~/, ~q:"¢¢~/~/~ Telephone ~5 - ~/ ': " (e) Mail the HAA to the following address: (or check here/~, if hold for pick up,) List contact person and day phone number below: ' ¢ '~ / ¢ /' ~ - '' 2. TYPE OY RESIDENCE Single-Family ~' Number of bedrooms 3. WATER SUPPLY Individual Well ~ Community g Public Note: If community well system must have written confirmation,f.rom the State Department of Environmental Conservation attesting t0 th legality and status. 4. SEWAGE DISPOSAL On-site~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 ENGINFERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. $ & $ ENGINEERING 17034 Eag{~ qb, er Loop Road No, 204 Eagle River, Alaska 9~571, Name of Firm Address Date Telephone MUNICIPALITY OF ANCHOP, A~E DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION HAY 2 2 RECEIVED 6. DHHS APPF?OVAL Approved for --~ A P P rov;d x.~'Ft,~- bedrooms by _ Disapproved Conditional Date Terms of Conditional Approval The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph S 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 DHHSdo not conduct inspections or analyze data before a certificate is issued. The MunicipalityofAnchorageisnot responsibleforerrorsoromissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2; Block I0; Granite View Location (address or directions) 9003 Gra~t~ Pla¢~ (b) Property owner Mailing Address (c) Lending Institution Mailing Address A.H.F.C.#108096 520 East 3#th Avenue, Telephone:(home) Anchorage, Alaska 99503 Telephone Business (d) (e) Real Estate Company and Agent · 200I R&c~lty Address 1~45 West 9th Ay&nM& Surge 201 Telephone 275-2001 Mail the HAA to the following address: (or check here,i~4if hold for pick up.) List contact person and day phone number below: ATTN: Mike~ Dillingh~ Anchorage, Ak. 99501 ':': S & S ENGINEERING ~gle River, Alaska 2. TYPE OF RESIDENCE Single-Family iIX Number of bedrooms 3. WATER SUPPLY Individual Well ~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation a(testing to th legality and status. 4. SEWAGE DISPOSAL On-site,,~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION. 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 shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Telephone $ & $ ENGINEERING Address 1703.~ ~.~le River Loop Roa~ Eagle River, Alaska 99577 Date We~ wires need to be buried from wel~ head to the house. Approved for" ~ ._bedrooms by _ _ ~ ~sapprov~ Conditional o'¢ Co ditio.a ** row The Municipality of Anchorage Department of Health and Human Services(DHHS) issues HealthAuthorityApproval cerificated based only upon the representations given in paragraph S 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 DHHSdonotconductinspections or analyze data before a certificate is issued. TheMunicipalityofAnchorageisnot responsibleforerrorsoromissions in the professional engineer's work. 72-025 (Rev. 7/88) 8ack Page 2 of 2 WELL DATA Well Classification Well Log Present ¢~:)'N) ,'N MUNICIPALITY OF ANCHORAGE (MOA) , Health Authority Approval (HAA) C!PAL,W ?b~L~[~l~' - FEBRUARY 1984 MENTAL oERylCES D VIS1~_4744 "' !930 RECEIVED Date Completed Legal Description: !f A, B, C, D.E.C. Approved (Y/N) ~, ~ ~ - ~'7..-- Yield "~, ~" (-=~ Total Depth ~,'~. "~ Cased to Static Water Level ~ ~:~" Casing Hei,ght Above G~'ound. Electrical Wiring in Conduit~}N) SEPARATION DISTANCES FROM To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field o,~ Lot To Nearest Public Sewer Line 14 To Nearest Sewer Service Line on Lot Depth of Grouting Pump Set At L)~.---, Sanitary Seal on Casing (~/N) Y Depression Around Wellhead (Y~::[~ ; On Adjoining LotS \ \ ~ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole /~/'~ Water Sample Collected by ~,¢~-> ~ ~.r~_~¢~¢.~,-~- ; Date Water Sample Test Results ~~ c~=~;~.~ --"~' Comments'~,~l~'L. ~k.~,¢'~:~ ~:¢c>'~ "'~c:~ ~ l~jC-~t~ B. SEPTIC/HOLDING TANK DATA Date Installed 'ti L)L,~ 6,¢' Size ~. ~.~4;;::L~ No. of Compartments Standpipes tG~TN) y Air:tight Caps ¢Z~'N) ~ Depression over Tank (Y/d~) r-5 Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~/,~" FOundation Cleanout (Y/J~' r'~ i._x_/Date Last Pumped ~- ~- ~ o · ; for /. Temporary Holding Tank Permit (Y/N) r.4/¢, SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well \\ To Property Line To Water Main/Service Line To Building Foundation To Disposal Field To Stream, Pond., Lake or Major Drainage Course Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absortion Area Depression over Field (Y~ Results of Last Adequacy Test Type of System Design Length of Field Depth of Field I Gravel Bed Thickness Statndpipes PresentdCP/N) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well I I ~ To Building Foundatio \z~d~- To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or V~ehicle Storage Area Comments ~i.¢/" ~ - To Property Line ~.~:~1 ~ To Existing or Abandoned System on ; On Adjoining Lots ._.._._~=~l ~ To Cutback (if present) f4/~ D. LIFT STATION Date Installed Size ink.ns "Pump On" L~,~.~ High Water Alarm Level at ~ Tested for Meets MOA' Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Company Date 5 & S '~NOlf'!~~-R!NG 17034 Eagle River Loop Roa~ NO, 204 Eagle River, Alaska 9957~ MOA No. ("7'/"~'~ ¢~ ':- ¢30:7* Receipt No. Date of Payment Amount: $ 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES ALASKA, INC. FEDERAL mX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order ~ 20132 Date Report Pri~ed: ~R 5 90 @ 18:13 Clie~ Sable ID:L2, BIO G~NITE VIEW Clie~ Name : S & S EN~ PWSID :UA Client Aect : SNSENGP Collected FEB 28 90 @ 14:15 ~s. P.O.~ NONE BECEI~D Received ~R 1 90 @ 16:00 ~s. Req # Preserved with :AS REQUIRED Ordered By : ROBERT Analysis Completed :~R 2 90 Send Reports to: Laboratory Supervisor ,:STEPHEN C. EDE 1)S & S ENGR Special Instruct: Chemlab Roi ~: 900283 Lab Smpl ID: 3 Matrix: WATER Allowable Paramete~ Tested Result Units Method Limits NITBATE-N ND(O.iO) mR/1 EPA 353.2 lO Sample ROUTINE SAMPLE Remarks: SAMPLE COLLECTED BY g.J. SHAFER. 1 Tests Performed ' See Special Instructions Above UA=Unavailable ND= None Detected ** See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT=Gzeater Than CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ~<~°RIVATE WATER SYSTEM Name Phone No. $ & S ENGINEERING Mailing AddreSj~gle River, Alasl~ 995Z7 Oily State SAMPLE °ATE' FCzl Mo. Day Year SAMPLE TYPE: /~ Routine [] Check Sample (for routine sample with lab ref. no. [] Special Purpose Zip Code ) [] Treated Water [] Untreated Water SAMPLE NO. LOCATION lc> s I Time Collected Collected By TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ~Satisfactow [] Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. ~///~ Date Received Time Received Analytical Method: Membrane Filter * No. of colonies/100 mi. Lab Ref. No. Result* I-F1 FI-] J I FT-] Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Membrane Filter: Direct Count Verification: LTB Final Membrane Filter Results Reported By TNTC = Too Numberous To Count BACTERIOLOGICAL WATER ANALYSIS RECORD ~ Collform/lOOml BG8 Date ,~,//~[ ~0 Time: I ~'0'~ Collform/lOOml OB = Other Bacteria , APPLI¢ NT FILLS OUT UPPER HA[ "ONLY Property.Owner ~ ~,~ ~f'.... , , Phone Buyer ~,,. ~ /.~ /, ~ c ~. Address~._.~ -~ ~.. / (~ ~. ~ ~ , ~,. ~ . ..... ) '~ C/~ Zip Code ~ ~-~ ~ , ~/ ~L/ /d-~ ~ [~' ~-- Phone Lending Institution ~ / ~ ;~ :: :~ / . ,.- ~ ~ Address .~ ~ Z ~. ~ ' / .. Realty Co. & A~nt Phone Address Zip Code Legal Descript~n ~.~ / ~ /~ ]~ /~ ~"~ ' ~ Type of Resi~nce ~ 8ingle Family ~ Other Water Supply ~' Individual A~ACH WELL LOG. A w~l Icg i8 required for all wells drilled since ~une 1975. D Community For wells drilled prior to lkal date, give well deplh (attach Icg if available). ~ Public Utility Sewer Disposal / ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OOESSING CAN BE INITIATED. Inspector / ~ Inspector Inspector Inspecto/% ( ~_~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received JV <~ ~'-- ~/~ ~ ~ Well to Tank Septic Tank Size //~l~ ~ PC .iH 6-650 ANCHORAGE, ALASKA 99502 0650 (907) 264-4111 ? ONY KNOIW £,% k~A YOH DEPARTMENT OF HEALTH AND ENVIRONMENII\L ?ROTECTION May 4, 1982 Stock Construction Company 6840 Cranberry #2 Anchorage, Alaska 99502 Subject: Sewer Inspection on Lot 2 Block 10 Granite View S/D It should be brought to your attention that the sewer installation was approved on the subject property with the proposed well site only eighty(80) feet away. The protective radii requirement between private well and sewer system is 100 feet. This installation will not be approved if the well is drilled at the proposed site and is, in fact, under 100 feet from the sewer system. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt Associate Specialist RCP/ljw cc: Thomas R. Smith S & S ENGINEERS, INC. 7125 Old Seward Highway Anchorage 99502 eno: . . ~ C~HEMICAL & G~ ~OGICAL LABORATORIES ~_ _,' ALASKA, INC.~~.~ ~ ~ - TELEPHONE (907)-279-4014 ANCHORAGE INDUSTRIAL CENTER z/ .... -,~ Drinking water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER WATER SYSTEM: I.D. NO, Water System Name Mailing Address Phone No City State MO, Day Year Zip Code SAMPLE TYPE: [] Routine [] Check Sample (for routine sample with lab ref. no, [] Special Purpose [] Treated Water [] Untreated Water SAMPLE NO. t LOCATION Time Collected Collected By i.:./' TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: [~]:.Satisfactory [] Unsatisfactory [] Sample too ong in transit: sample should not be over 48 hours old at examination to indicate reliable results. Please send new sam pie. Date Received Time Received Analytical Method: [] Fermentation Tube [] Membrane Filter Lab Ref. No. Result* Analyst *No. of colonies/100 mi or No. of Positive portlor~s READ INSTRUCTIONS BEFORE COLLECTING SAMPLE 06-1220 (b) Rev, 1978 BACTERIOLOGICAL WATER ANALYSIS RECORD Date Collected Source Date Received Time ReCeived p,m, Lab, No, Presumptive 10ml 10mi 10mi 10mi /Omi 1,0mi 0,lml 24 Hours 48 Hours Confirmatory 24 Hours 4B Hours EMB Multiple Tube Report: Membrane Filter: Direct Count Verification; LTB Final Membrane Filter Results Rebor ted By Broth 24 hours: Broth 48 hours: , 10mi Tubes Positive/Total 10mi Portions Collforrn/100ml BGB Collformll00ml Date ENGINEERS, INC. 7!25 OLD SEWARD HIGHWAY · ANCHORAGE, ALASKA 9950~4UN/?~PAL/Ty OF EN~.,, ~;,~T. O~ ,~ '~N~HORAG~ RECEI. l~unicipality of ~nchorage Pouch 6~650 Anchorage, Alaska 99502 Your letter of 4 May 19S2 to Stock Construction Co. Sewer Inspection on Lot 2, Block ].0, Granite View Subdivision. Gentlemen: Please be advised that we have located the n~w well site for this lot to be 107' from the septic system. This should eliminate the protective radii problem. (i.e. 80' prop.). If you should have any questions, please call me at 349v6561. TRS:dd ANCHORAGE EAGLE RIVER HOMER EL ~0o.o LoT 1 -,LOT V ~L,O DW ~ L L.I k-I C~ ,~ Tote oE- PD~q, EL, ~'~, 5 P R O po 6,'¢_.D L_J ~EPT~t, EL, ~o,o LoT I HEREBY CERTIFY THAT I HAVE SURVEYED THE HEREON DESCRIBED PROPERTY AND PROPOSE TO LOCATE IMPROVEMENTS AS INDICATED AND THAT THERE ARE NO EXISTING. IMPROVEMENTS, ROADWAYS, TRANSMISSION LINES OR OTHER VISIBLE EASEMENTS ON THE PROPERTY EXCEPT AS INDICATED HEREON. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. REVISIONS LEGEND gRASS OR AL. ~ON. IRON PIPE REBAR WOOD HUB 8~ TACK NAIL ZONING YARDS, MIN, REQUIRED FRONT SIDE REAR f I0 WATER SUPPLY PUBLIC COMMUNITY SEMI- PURLIC WELL PRIVATE WELL JOB NO..$'2-'~'%] I BOOK ~'2.-0-[ SEWER PUBLIC ON-SITE OTHER ELEV. DATUM-. A~SSUl'q~t::) PLOT PLAN LoT ~. ~bocF-.. IO. G~AIq ITE VIE.W SuDO, Aoofl, ALASKA TECH 20~A WEST 15th AVENUE ANCHORAGE, ALASKA 99~01