HomeMy WebLinkAboutSHENANDOAH HILLS LT 9h
nondooh
H ills
Lot 9
015-212
-46
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP191180 PID Number: 015-212-46
Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade
Name
Corrine Finnie
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑■ Bed ❑ Mound
Site Address
12130 Shenandoah Road *Anchorage, AK
❑ Other
Phone
Number of Bedrooms
Soil Rating
ITotal depth from original grade
907-350-2490
4
*5 (Horizontal) GPD/SF
SEE ATTACHED DWraFt.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
SEE ATTACHED DWG. Ft.
Gravel depth beneath pipe
0.55 Ft.
Subdivision Block Lot
Shenandoah Hills; Lot 9
Fill added above original grade
SEE ATTACHED DWG Ft.
Gravel length
40 Ft.
Township Range Section
-
Gravel width
20 Ft.
Beds: Number of Lines
4
Distance between lines
5 Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
120 Ftz
-
- Ft.
Well
*501+
*501+
*50'+
-
_
TANK ❑ Septic 0 S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Anchorage Tank
Capacity
1500 Gal.
Surface Water
*50'+
*50'+
*50'+
-
Material
Number of compartments
Lot Line
5'+
10'+
10'+
-
NA
Epoxy Coated Steel Septic Tank
2
Foundation
10'+
10'+
10'+
_
LIFT STATION
Manufacturer
Capacity
Remarks Old tank decommissioned per upc per
Anchorage Tank
109 Gal.
contractor
Alarm location
Inside Home
Electrical installed by
ml0A
PIPE MATERIAL House to tank D3034Tank to D2665
drainfield
Installer
A+ HOME SERVICES
Drainfield D2665 CO/MTD3034
Inspector DAVID GARNESS AND TIM ECKLUND
BENCH MARK (Assumed elevation) 99.47 ft
Inspection15` 7/16/19 7/19/19
Location and description
1
OF MW
3`° 7/18/19 4117/22/19
ITOP
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Conditional Approval: Date
Engineer's Stamp
o 950
.....••. �O��D
�........................�
Septic System
Approved QDate 1311 1
Q ff A. Gar ess.
00 ' . CE DOS
Note: this approval does not include well permit requirements.
of
#AECC884
(Kev 05/02/18)
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING SALES CONSULTING -—__—____._-
July
----_
July 30, 2019
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Section
4700 Elmore Road
Anchorage, Alaska 99507
Attn: Tim Ecklund
Ref: Shenandoah Hills, Lot 9 — Separation from new drainfield to "surface water"
Mr. Ecklund:
When the permit (OSP191180) was issued for the subject property we had addressed
surface water in the road ditch on the east side of Elmore Road. This surface water was
noted on 4/24/2019, during Spring break-up. This surface water was addressed in the
design package used to obtain a permit and it was stated that the new drainfield would
be at least 50 feet from surface water. During the installation of the drainfield in July
2019, the subject road ditch was dry. According to the MOA wetlands/stream mapping
(copy attached), there are no surface waters present in the subject road ditch in the
vicinity of this property. The separation distance from the closest monitoring tube in the
new drainfield, to the road ditch is approximately 50 feet. Given that there is no mapped
stream in this area and the fact that the road ditch was dry in July 2019, we are assuming
that there is no separation distance concern between the drainfield and surface water.
Please call or email if -you have any questions.
I.S.
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
ARCEL
PERMIT
OSP191180 RECORD DRAWING P015-2 2-46NUMBER:
015-212-46
N
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I GALLON STEEL SEPTIC TAN
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ONSITE EMPLOYEE TIM ECKLUND /
'CONTRACTOR DID NOT TAKE MEASURES TO BALLIST/ANCHOR THE PUMP
VAULT AND STEP TANK TO COMBAT BUOYANCY FORCES; A TANK I I
MONITORING TUBE WAS INSTALLED TO MONITOR GROUNDWATER
PUMPING AS REQUIRED FOR PLASTIC SEPTIC TANKS'
NO SURFACE WATER IN ROAD kAI \
\ DITCH ON 7/15/2019. SEE I
ATTACHED LETTER DATED N 1 I
\ 7/30/19.
ALE:
/ 1"=40'
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING - SALES --CONSULTING - - -- -
3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK 99507 -PHONE (907) 337-6179 -FAX (907) 336-3246' WEBSITE: w gamessengineemg.com
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
CORRINE FINNIE 907-350-2490 2 OF 4
LEGAL DESCRIPTION: DRAWN BY:
SHENANDOAH HILLS; LOT 9 D.J.G.
TYPE OF WORK: DATE:
�,_ SEPTIC RECORD DRAWING 7/30/2019
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PERMIT NUMBER: RECORD DRAWING PARCEL ID NUMBER:
OSP 191180015-212-46
FINAL GRADE ELEVATION = 99.3-99.2 f ELEVATION AT TOP OF MANHOLE = 99.46 ELEVATION AT TOP OF MANHOLE = 99.45
ELEVATION AT TOP -I Ill �I I II OF TANK = T TO
OF TANK = 94.52 Ll II ELEVATION AT TOP
ELEVATION OF INVERT = 93.95
ANCHORAGE TANK 1,500
GALLON S.T.E.P. TANK
(RATED FOR 10 FOOT BURIAL
AND EPDXY COATED)
PASSIVE AIR VENT (TYP)
ELEVATION AT TOP OF POD = 99.2-99.3
ANCHORAGE TANK & WELDING
DISCHARGE PUMP BASIN WITH
ORENCO COMPONENTS -
TO
DRAINFIELD
AX -20 POD WAS NOT PLACED DIRECTLY
OVER TANK DUE TO THE PRESENCE OF
SEASON GROUNDWATER
ELEVATION AT INVERT
OF INLET = 96.11 n
ANCHORAGE TANK 1500
GALLON S.T.E.P. TANK
(EPDXY COATED)
ELEVATION AT BOTTOM OF
PUMP VAULT = 91.42 -
GARNESS ENGINEERING GROUP, Ltd
ENGINEERING -,SALES CONSULTING!---_- --
3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507 -PHONE (907) 337.6179 -FAX (907)338-3246 ' WEBSITE: vnrx.gamessengineering.cam
PREPARED FOR: PHONE NUMBER: PAGE NUMBER:
CORRINE FINNIE 907-350-2490 3 OF 4
LEGAL DESCRIPTION: DRAWN BY:
SHENANDOAH HILLS; LOT 9 D.J.G.
TYPE OF WORK: DATE:
� SEPTIC TANK PROFILE 1 7/30/2019
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SHENADDOAH ROAA,
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://w,vw.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP191180
Work Type: Septic Upgrade
Tax Code Number: 01521246000
Site Legal Address: SHENANDOAH HILLS LT 9 G:2736
Site Mailing Address: 12130 SHENANDOAH RD, Anchorage
Owner: POTPOURRI TRUST
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
RI Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy
Effective Date
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
t t cod 17 . tso it
71z 77- 7h
moo,
Department
6/3/2019
6/2/2020
57192
❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions: On the record drawing, show the location of the waterline that serves the shed. If it does
not meet the required separations, the line is to be removed.
Received
Issued By:
Date:
/r
Date:
4
EPft7
MUNICIPALITY OF ANCHORAGE
Community Development Department \ - Phone: 907-343-7904
Development Services \ Fax: 907- 343-7997
On-Site Water& Wastewater Program
Mayor Dan Sullivan
On-Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 015-212-46
Property owner(s) CORRINE FINNIE Day phone 907-350-2490
Mailing address 12130 SHENANDOAH ROAD*ANCHORAGE,AK 99516
Site address 12130 SHENANDOAH ROAD"ANCHORAGE,AK 99516
Legal description (Sub'd, Block& Lot) SHENANDOAH HILLS: LOT 9
Legal description (Township, Section & Range)
Lot Size Sq.Ft. Number of Bedrooms 4
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING:
(®all that apply) Initial
❑ Single Family(SF)
Absorption Field ® (w/wo ADU)
Septic Tank ® Upgrade Duplex(D) ❑
Renewal ❑
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: 546 Waiver Fees:
Date of Payment: /(5-1/91 1 Date of Payment:
Receipt Number: Q 056-46 Receipt Number:
Permit No.
QJP`/of/90 Waiver No.
(Rev.01/11)
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191180, Deb Wockenfuss, 06/03/19
Page 2 of 2
above existing grade. We are proposing to utilize the 1 feet of sand between 1-2 feet
below grade as a path for horizontal conveyance. This means the "effective area" would
be the perimeter of the bed times 1 foot of receiving soils (40 + 40 + 20 + 20 = 120 feet).
In addition, we are proposing to utilize CAT III application rate due to the fact that the
CAT II effluent will pass through at least 2.5 feet of MOA filter sand before it reaches the
"zone" of horizontal conveyance. It is reasonable to believe that the CAT 11 BOD/TSS
levels will be reduced to CAT III levels (non-biomat forming) by the time it passes
through 2' of MOA sand.
6. DISCCUSION REGARDING LIMITED DESIGN OPTIONS: Due to challenging
soil/groundwater conditions, the proposed system is one of the few wastewater
treatment/disposal options for this property. The only other viable options appear to be
a "holding tank" (which is the current practice), or a surface discharge system. If the
proposed drainfield were to fail to perform adequately due to rising groundwater or other
unforeseen circumstances, it may be necessary to resort back to using a holding tank or
consider tertiary treatment and surface discharge. The ability to implement surface
discharge is uncertain at this time.
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.
ce
Jefffe�!,EGarnes's, P.E., M.S.
Pre;Aelnt `---/
3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.com
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191180, Deb Wockenfuss, 06/03/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191180, Deb Wockenfuss, 06/03/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191180, Deb Wockenfuss, 06/03/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191180, Deb Wockenfuss, 06/03/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191180, Deb Wockenfuss, 06/03/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191180, Deb Wockenfuss, 06/03/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191180, Deb Wockenfuss, 06/03/19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191180, Deb Wockenfuss, 06/03/19
-' _ MUNICIPALITY OF ANCHORAGE
D~ITMENT OF HEALTH AND HUMAN SER~, ~S E~iRONME~AL PROTE~ION
-'~ Environmental Health Division
~' ' 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ~;~ N 1 9 1987
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INspEcTION REPORT
Name DISTA J V
~/' ~' ~ ~ +~ ~ ~ ~ ?n SEPTIC ABSORPTION
Ae.,es~FROM~" TANK FIELD WELL
Phone(s, IPerm.t.o. J.oj~om~ WELL
LOt J Subdlws~on
Township, Range, ~bon
AS-BUILT DIAGRAM IShow Iocabon ct well, sepbc system, prope~y hnes, loundahon,
~ ~ ( ~ ~ ~ / ~ ~ ~ driveway, waler bodies, etc.)
TANKS
~ SEPTIC ~OLDING
Manufacturer Capacity in gallons
Material No. of Compa~ments
TYPE OF SYSTEM
TRENCH g ~E= a W..RA~N gOTHER /%' J
Depth to p,pe bottom from Total depth from original grade
original grade
FT FT
hll added above original grade Gravel oepth beneath p~pe
FT FT
Gravel length Gravel w~dth
FT FT
Total absorption area D~stance ~tween hnes
SO FT FT
o
Number ol hnes ~ Sotl rahng P~pe mater~al
I
SQ FT
Installer Date Installed
WELLS
~ PRIVATE ~ OTHER {Identify1
Class~hcabon (A,B.C) ]oral Depth ~ Cased to
Inslalle~ Date InstalleO:
REMARKS:
':'~ ~, ENGINEER'S SEAL
I _ ~ ' cedily that Ibis inspe~ion was pedormed according t0 all
u~elines in effect on this date: ~ ~ j -- ~ ' .
Health Depadment Approval: ~ _ _ Date:
72-013 (3/85)
PERMIT NO:
DATE ISSUED:
APF'L I CANT:
ADDRESS:
CON'FACT PHONE:
['-'lltJ I'.! :[ C I~AL I TY OF ANC~RAGE
DEPARTMENT i HEALTN AND ENV I RONMENTAL~ ROTECT I ON
825 L STREET, ANCHORAGE., AK 99501
264-4720
OI',1-S I TE SEWEF~ F'ERM I T
86¢)282 HOLDING TANI<
08/1.5./86
H.P. CHRISTENSEN
P.O. BOX 1'1'1443
ANCHORAGE, AK 99511
345-5066
LEGAL DESCRIP:
LOT SIZE:
SUBDIVISION: SHENANDOAH HILLS
SECTION: 22 TOWNSHIP: 12N
1.3A (SQ. FT. OR ACRES)
LOT:. 9
RANGE: 3W
BLOCK: N/A
I certify thai.: .
1. I am ~amiliar with the requirements £or on-site sewers and wells as set
forth by the Municipality of Anchorage (MOA) and the State or Alask. a.
2. I will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria or this permit.
3. I will adhere to all MOA and State o~ Alaska requirements £or the set back
distances ~rom any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
IF A LIFT STATION IS. INSTALLED IN AN AREA COVERED BY MOA BUILDING .CGDES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; .(2) AS-BUILTS
WILL NOT BE AF'F'ROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL WORK MUST BE DONE BY A LICENSED.ELECTRICIAN.
S I GNED DATE
APF'L I CANT: H,, P. CI-IR I S:I"ENSEN /
ISSUED BY, , ' DATE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVl RONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[~"'~1LS LOG
· [~ERCOLATION
TEST
"ERFORMED FOR:C' I~~[~. tAohle~
LEOAL DESCR,PT, O.: St'~. ~
1
2
3
4
5
6
7
8
9
SLOPE
~ )I_
I ¢U
WAS GROUNDWATER l~IO S
L
11 ENCOUNTERED? _ O
P
12 E
IF YES, AT WHAT
DEPTH?
13 -
Gross Net Depth to Net
Reading Date Time Time Water Drop
1:3c~
14
15
16
17
18
19.
2O
PERCOLATION RATE ' (minutes/inch)
c/ , ti,<-- .
TEST RUN BE]WEEN , {. FT~A.~Nq p ! FT -
72-008 [6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264~720
SOILS LOG -- PERCOLATION TEST
[~'~OI LS LOG
[] PERCOLATION
TEST
I GA,
1
2
3
4
5
6
7
8
SLOPE SITE PLAN
10
11
12
13
14
15
16
17
19
20
COMMENTS
WAS GROUND WATER HO [
ENCOUNTERED? O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
(minutes/inch}
FT AND . FT
DATE:
72-008 {6/79) ....
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
[~SOI LS LOG
r'l PERCOLATION
TEST
· EOAL DESCR,PT,ON; 3 N~ 4OO-V~ I~; It:~
1
2
3
4
5
6
7
8
9
SLOPE
SITE PLAN
10
11
12
13
14
15
16
17
18
19
ENCOUNTERED?
O
P
E
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
COMMENTS
72-008 (6/79)
PERCOLATION RATE ' · (minutes/inch)
TEST RUN BETWEEN FT AND ~ FT
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264~1720
SOILS LOG - PERCOLATION TEST
SOl LS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESC.,PT, O.: '-~k~ a ~ct~.k
FEET)
3
5
6
8
10-
WAS
1 1 - ENC(
12
IF YI
DEP~ 'H?
13
R
15
PER
SLOPE SITE PLAN
)UND WATER
ITERED?
14
:, AT WHAT r~../"-,:~
/
uo~Il
S
CERTIFIED BY:~
CO LATION RATE
TEST RUN BETWEEN
FT AND FT
DATE:
{minutes/inch)
COMMENTS
PERFORMED BY:
72-008 (6/79)
Gross Net Depth to Net ..
Reading Date Time Time Water Drop '
;.
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
9
10
11
12
13
14
15
16
17
18
20
COMMENTS
PERFORMED BY:
72-008 (6/79)
DATE PERFORMED: ~,~'- I-6~q
q "-/-/4 ~
SITE PLAN
SLOPE
WAS GROUND WATER S
ENCOUNTERED? '~--;~l 0L
P
IF YES. AT WHAT ~'~/('"'~'i~,) ~ E
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
TEST RUN BETWEEN
CERTIFIED BY:
(minutes/inch)
FT A.~ - FI
L
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
SLOPE
DATE PERFORMED:
SITE PLAN
10
11
12
13
14
15
16
17
18
20
WAS GROUND WATER S
ENCOUNTERED? ~.~ ..0.,~ ~
P
IF YES. AT WHAT ,.~.,...~__~ ,/,~ E
DEPTH?
Gross Net Depth to Net
Reading Date Time Time ' Water Drop
PERCOLATION RATE
(minutes/inch)
COMMENTS
72-008 (6/79)
TEST RUN BETWEEN
riot0
CERTIFIED BY:
FT AND FT
HOME SERVICES
15900 Francesca Drive
Anchorage, Alaska 99516
907-345q890
..Hal & Claudia Christcnsen
P. O." Bo:: 111443 "':' ~' ' ' '
Anchorage, Alaska 99511
Date
12130 Shenandoah
Lot 9
Blk. Shenandoah Hills
I, ~l~,,a~o/~l rh~i~o.~o, agree to have
A+ HOME SERVICES pump my holding tank(s) on an as
needed basis or on a date specified by me for a
period of one year.
Total volume of tank(s) z aaa~¢1]nn~
Pri=e per pumping, S50 Der 2, 000 ~all0n 10xd.
Hal/Claudia Christensen
J~mes R. Wingerd '/ ..
A+ HoME SERVICES
* Price reflects pumping during normal business hours.
A+ HOME SERVICES reserves the right to increase their rates
in accordance ~ith any rate increase incurred from the
Municipality or any other agency.
DEPI.
ENVI~ONM"~',II ,% P~OTECTION
FEB 2 9B7
RECEIVED
' : "!i. · · I~ISPECT ..... "lNG SAFETY OlVlSIO
N
' I r' ' TY oF ANCHORAGE' ~U~'~ ,. '
MUNICIPAL! 350o EAST TUDOR ROAD~i)i~iNiSTRATiON (9O7) -/86-8301
~,,:PLBG:UNDGR'~ ~
~ ELEC, TEMP' ~ ~ ;'~.~:'PLBG. ROUGH ~
~ ELEC. SERVICE ~ O::':' GAS TEMP. ~ ~
ELEC. ROUGH ~ ~".G~S ~
FOOTING .~
FOUNDATION ---'--
BOND BEAM ---------
FRAMING '------"'--'
iNSULATION -----'""--
SHEETROC, K -----'"'-'
NAL ~
NO~COMPLIANCE OBSERVED
ELEC. FINAL ~
E ~ ~EC.AN,CAL------
~~O PLBG. FINAL ~ O
FIRE FINAL ~ ~ OTHER
ZONING ~
. · ~ ~ORRECTIONS ESSENTIAL AS
'- '~ .: EXPLAINED BELOW
.,, . , ,?.:: .. ~ ....
I";:: .... EcT,oNs ARE UADE. p~.EASE C~. ,NSPECT,ON _.._____---
WHEN GUt'ir~= .......
DO HOT REMOVE THIS NOTICE
84-002 {Rev 101861
1
6
?
8
9
10
11
12
13
14
15
16
! 17
ALASKA 8 LIII OFIm( rlTAL COrlTI OL Il'lC.
I~cji~eeri~q $ i~ui~o~m¢~tal StudJes
John W. Colver, Esq.
427 E. Street, Suite 500
Anchorage, Alaska 99501
July 9, 1985
M'JI' "C?'~tltY OF ANCHORAC~E
DE;"[. OF I'tEALTH &
ENVI~C ' ", ":"qTAI. PROTECTIOJ~
AUG . 8 ig88
[' £CEIVED
Dear Mr. Colver:
I have reviewed the three legal documents that you left. me last week.
The first being the Affidavit of Charles E. Jackson, the second'being
the Opposition to Motion for Summary Judgment, and third being the
Errata Sheet. Here are my observations:
1. The curtain drain was installed in the summer of 1974. It
encompasses the foundation and the sewer system. It has removed the
water from the basement area and since it is upstream of the seepage
trench, external water is cut off from the field. If water were the
only problem then the system would now properly function. However, the
system is still not functioning. This indicates that the soils in which
the system is installed is tighter than that indicated on the soils test
and on the inspection report.
2. On June 27, 1984 when making an inspection of the construction of the
curtain drain, I had the excavator dig a test hole between the system
[9~ the location.~f the curtain drain.
3. During an inspection of the b~ilding, I noted that water was pouring
under the footer in the vicinity of the stairs· The stairs are located
adjacent to the garage which WOuld be the northeast corner of the living
quarters. The pipe from the well is located in the southeast corner of
the building. Where that pipe came out of the ground no flowing water
was evident. ',
· [,,As -of. th~s date ~nonb'.of 'the" four~ soils tests"
generally a gray silt. Past experience ~"~h'6~'~-~h'~'S*~' soils to be
,~[ly impermeable. Unless a suitable site can be located,
kank ~s ,the-:,only,.recourse left;:for"a 'sewer:'svstemf Genera1%'~'this
depreciates the value of the house. ~e sozls logs are enclosed.
If I can be of any further help please let me know.
Sincerely,
~ero ~id Jr'., ~D,
Preslde~
PE
1200 J. JUesl 33r(J Aucnue. Suite B* AncJ~orag¢. Alaska 99503,,(907) 561-5040
CONTROL SERVICF,.S. INC.
1200 West 33rd AvenL~' 'Suite B
ANCHORAGE. ALASK,. ~/9503
Phone 276-1361
SHEET NO.
CALCULATED BY
CHECKED BY
SCALE ,/b ~'
J
OF
DATE
DATE
Z
6//z
//. ~EFmmY~.~\ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
I .............. ENVIRONMENTAL ENGINEERING DIVISION
~ / ~ 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
i~ SE_WA, GE DISPOSAL SY TEM AND/OR WELL INSPECTION REPORT
r MAILiNGAD~RES~ '~"~ ~.M ~ ----
D,STANCE TO; t
Manufacturer
) Materia~
IF HOMEMADE: length depth
DISTANCE TO: Well Dwelling PERMIT NO.
Manufacturer
No. of lines I~nqth ~s -- ~
inches ~
eathtile ~ inches ~~s~pti~area
~HMIT NO.
~ effective absorption area
Type of crib Crib diameter Crib depth
DISTANCE TO: Well Building foundation
y in gallons
3th Driller
Building foundation Sewer line
DISTANCE TO:
OTHER
SOIL TEST RATING
R EM~'KS ' --'
Nearest lot line
Distance to lot line
Septic tank
PERMIT NO.
Absorption area (s)
DATE LEGAL
72-013(Im'rb"~. 3/78) --
PERMIT NCo
APPLICANT CHARLES E. JACKSON
LOCATION SHENANDOAH PLACE
LEGAL : .............................
MUN ! C IhAL I TV OF Af4CF~ '.,i., RAGE /;~ ....
· DEPARTMENT,.L,~' HEALTH AND ENVIRONMENTAL
· 825 L STREET'"ANOHORAGE, AK. ''50i
264-4728 ·
NELL Rf4D 0~4--S ITE SEWER PERM
BOX 10-&06 ~. 51~0 ~44-04~1
LOT SIZE 4~ SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS
SOIL RATING
THE REQUIRED size OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= :[~_ LENGTH=
GRA~/EL DEPTH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> Of THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
THERE IS NO SET I,~IDTH FOR TRENCHES.
THEiGRAVEL DEPTH IS THE MINIMUM'DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND!THE BOTTOM OF THE EXCAVATION (IN fEET>.'
REQUIRED SEPTIC TANK SIZE= ' ~_800 GALLONS
PERMITjAPPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMEN~'bURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER iOF RESIDENCES THAT THE WELL WILL SERVE.
TPIO ( 2 ~ INSPECT IONS ARE REQU I RED
BACKFILLING Of ANY SYSTEM WITHOUT FINRL"INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT. TO PROSECUTION.
',.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS "
i00 FEET FOR A PRIVATE WELL Or i50"tO 200 FEET FROM A PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC'iWELL
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS
OF THE IqELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND' CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T EXP I RES DECEMBER ;1, 1988 i
I CERTIFY THAT ·
l: I AM~ FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2' I WILL INSTALL' THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTA~ THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
~PPLICRNT ~S E.
,.//
.Tes~ Hole #1, lA
Table A
WO #A19110~
Date: 10/22/79
Logged by: J. Finley
Depth in Feet
From To
0.0 2.0
2.0 16.0
Soil Description
Dark brown Peat and Organic Silt, wet, soft, Pt
F-4, grayish brown Sandy Silt with gravel and
occasional cobbles, moist, dense, non-plastic,
saturated at 15' ML
Bottom of Test Hole:
Frost Line:
Free Water Level:
16.0 Feet
None Observed
15.0 Feet While Drillinq
Minimum Percolation Rate = 20 minutes/inch with water level at 40"
Sample Depth Unified
Number (feet) Classification
1 5 ML
2 10 MI,
3 16 MI,
Remarks: 1.
®
Samples obtained from cuttings brought to surface
by solid flight auger.
General Information, see Sheet 1.
Frost and Textural Classification, see Sheet 2.
Unified Classification, see Sheet 3.
V/ATEN ;';ELL LOC-
FOSS DRILLING ASSOCIATED
909 CHUGACH DR. #3?
ANCHORAGE, ALASKA 99503
WELL OWNER ChArles Jackson
USE OF WELL Domestic
WELL LOCATION Lot ~. Shenandoah Hills Subdivision
SIZE OF CASING 6"
STATIC WATER LEVEL
REMARKS
DEPTH OF HOLE 65 FT.
4-5 FT. G. P.' M.. 7
CASED TO 65 FT.
WITH 58 FT. OF DRAWDOWN.
DATE COMPLETED 4/15/80
PUMP TO BE SET AT 64'
Oto5
Organic: brown color and soft
_~to 35 Alluvium: brown color, medium hardness; with water
35 to 45 Alluvium: grey color, medium hardness
4~ to 55, Sand and Silt: grey and soft; with water
~5to60 Alluvium: grey color, soft: %:,ith water
60 to 65 Sand and Gravel: grey; with water
tO
___to__
to
to
to
to
to
to
to
to
to
to
to '
•Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904 S a E T Y
Parcel I . D.015-212-46
Certificate of On -Site Systems Approval
Expiration Date: -3 t 17
1. GENERAL INFORMATION:
Complete legal description Shenandoah Hills: Lot 9
Location (site address) 12130 Shenandoah Road *Anchorage, AK 99516
Current Property owner(s) Corrine Finnie
Day phone 907-350-2490
Mailing address
Real Estate Agent Kevin Elfrink
Day phone 907-727-2150
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE`OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ®
Individual
Individual Water Storage ❑
Holding Tank ❑
Community Class Well ❑
Community ❑
Public Water System ❑
Public Sewer ❑
Waiver/Variance request for:
Distance:
Received by:
Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ t1 t/
Date of Payment 7- 3)
Receipt Number V 13 5 17
COSA# QS L I t���
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: 31
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
perform the evaluation. Reliance upon the information provided in this report by any other person or
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
6. DSD SIGNATURE
System #1 Approved for bedrooms �Qp�ITYIp���/�/
System #2 Approved for bedrooms
',/��i�
Disapproved 0 -SST y0
^l
Conditional approval for bedrooms, with the following stip tda ' ns- 87g FRA Q
pR ��''� TER
z,
�C.b
Original Certificate Date: '�S l l
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
r
Legal Description: SHENANDOAH HILLS; LOT 9
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 4/15/80
Total depth 65 ft
Cased to 65 ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 12+ in.
Date of flow test for COSA 4/22/19
Parcel ID: 015-212-46
Structure served by this system
Well production at time of test **9.0+ gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? ❑ Yes ❑ No
❑ Coliform bacteria is Negative
Nitrate 2.7 mg/L ❑ Nitrate less than MRL (ND) . --
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Collected by GEG
Date of Sample
4/22/19
Static water level at beginning of test *UNK ft
Comments *ARTESIAN WELL - HAS PLUG **PUMPED 1566 GALLONS IN 150 MINUTES
B. TANK DATA
Age of tank(s) NEW years
Tank type/material sEP...... E
Measured operating fluid level in septic tank -
❑ Standpipes/foundation cleanout per record drawing
Date of pumping N/A
D. ABSORPTION FIELD DATA ADVANTEX SYSTEM
Which system tested:(date installed) NEW
❑ ALL standpipes present per record drawing
Total measured depth from grade * ft (max)
Measured depth to pipe invert from grade * ft (min)
❑ N/A — pressurized field
F0 Monitor tubes go to bottom of effective. If not, state
depth into effective
0 Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced N/A gallons
Comments/Deficiencies: 'SEE ATTACHED INSPECTION REPORT
COSA Checklist yellow sheet
C. LIFT STATION
❑ Required maintenance completed
Age of lift station NEW years
Lift station material PVC
Comments: N/A
Adequacy test date -
Results ❑ Pass For 4 bedrooms
Fluid depth prior to test - in
Water added - gal
New depth - in
Elapsed time - min
Final fluid depth - in
Absorption rate 600+ gpd
Any rejuvenation treatment (past 12 months) N/A
If yes, enter date -
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100''Community Sewer Manhole/Cleanout > 100'
F1 Yes if No *50 + ft M Yes if No ft
Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25' EZI Yes if No ft
Absorption Field on Lot > 100' ❑ Yes if No *50'+ ft Holding Tank > 100' 0 Yes if No ft
Neighboring Absorption Fields > 100' Animal Containment > 50'✓❑ Yes if No ft
❑✓ Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑✓ Yes if No ft ❑✓ Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
t7'*50 Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' El Yes if No + ft
w Property Line > 5' ❑✓ Yes if No ft Wells on Adjacent Lots:
Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' ❑ Yes if No *50 + ft
Water Main > 10' 7/1 Yes if No ft Community Wells > 200' ✓ Yes if No ft
Water Service Line > 10' ❑✓ Yes if No ft If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' ❑✓ Yes if No ft If absorption field is under driveway comment below
Property Line > 10' MV Yes if No ft Wells on Adjacent Lots:
Water Main > 10'✓❑ Yes if No ft Private Wells > 100' ❑ Yes if No *50'+ ft
I{, Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No ft
I� Surface Water > 100' ❑ Yes if No *50'+ ft
F. ENGINEER'S COMMENTS
*CAT III ADVANCED WASTEWATER TREATMENT
G. ENGINEER'S CERTIFICATION 0000bo��
1 certify that / have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date. .. . .
COSA Checklist yellow sheet
V, —1'V .
QO .J ff e A. arne S:
QO9. '• E-79 •3 �
rofes o� o
#AECC884
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM.
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this, ' -' Day of �j _ of 20_./2 , by and between
JA W{ sy / " , herein the "OWNER.," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as 1` A,,j,5x/1Ac
located at (legal description)
< �� �. 141AS Ll
2. Maintenance. Repairs and Alterations.
( ner is required to read, understand and initial each section)
Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
It shall be the responsibility of the Owner during the term of this Agreement to pay for all
( repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
I includes an annual maintenance fee (typically $400 to S600).
Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 o£3
r
Owner acknowledges that the Municipality may request records of maintenance and
(repairs from the manufacturer's representative or maintenance provider.
1 / Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
in accordance with AMC 14.60.030.
�Wssessed
wner agrees to grant the Municipality reasonable access to test and inspect the
WWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
certificate of On -Site Systems Approval.
wner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
uidelines for the construction, maintenance and repair of the Owner's AWWTS.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of AIaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severabilitv. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
OWNER:
B! ? " (signature) Date:
(print name)
STATE OF ALASKA )
} ss.
T1-11RD JUDICIAL DISTRICT )
The foregoi inshliment was acknowledged before me this 51 day of
20 �I, b
Public
PERRIER
AR Alaska
My Commission expires: ob . i gZ0ZF7f
mmission Expires Feb. f8, 2020
MUNICIPALITY:
By: t (signature)
(print name)
Date:
V-7
� i ,;
Title:
(rev. 05/18/2018) Page 3 of 3
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section - ' '
P.O. BOx 196650 Anchorage,'Ala'ska 99519-6650
-- 343-4744 , -
CERTIFICATE OF HEAL'i'H AUTHORITY
..' ,i " APPROVAL FOR A SINGLE FAMILY DWELLING
Par~ell.g.~ .'015~212-46 ~ .-:.-::.~"' ','. ;., ,.:.,. :..,HA~t.::~ 97.';0124.. .......
1. -' GENERAL INFORMATION ' ' ~:::' ' '~ ............ ' ........
Complete legal description
Location (site address or directions)
.,f,~.' ,,' -: ... :-,;,
12130'Shenandoah Road
Anchoraqe, AK 99516
345-0046
~ P. roi~erty owner"' Terri Bram!ett Day phone
;. -.~. , . :~ .
~'~ .... Mailing ~dd~:e~$. '12130 Shenandoah Road Anchorage, AK 99516
;:.,~,'ii Lending ag?cy ..... ,'.,' Day phone
',. 'Mailing a'ddress
"~e. nt Tim Wor~hon - Crawford/Century 21 Day phone
Address
337-7258
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 4-
3.- - TYPE OF WATER SUPPLY: ........
Individual well y, xx
· . Community well
....... Public.water ..... ' . .... .: ,.'.: .,.::.,, i"" ' ~..
· NOTE: · If community well system, Provide written Confirmation from State ADEC attest-'~ '
. : . .:.~ ,: ..,
". ing to the legality and ~tatus of System .... :
:. ~ .:
'. :' DispOs
4. ~ ,TYPE OF.wAsTEWATER AL: , , · '~- . .;.', .%... .--..
· ;-,-: .: ...... . .... , -. .:
In'div uhl on-site '.., ..... - ..~::. ..:
'" : Hodngtank: .,.~ xxx ".' ' '"" · :. ':"' ":' :': ;": i" :"' :'!'-' :! '
· . Community on-site .' -.- .... .~- : : "· ...... -
. · , ... ,.' ~ . ·, . .... ~ . ~ · , ...; :'. ,', , -.
: Public ........' " .... ' ' ~'" : '
. sewer; .. : :. ;... . .. ,... . .. ....
: "NOTE:' :If commUnity te sYS!em,'Pro ide writ ion from s e ADEc ' '.:'..
Wastewa r v ten confirmat tat .:
...... .. , , ! ; ;~;'''~: . ;; ~ , ' · , ; ..,. · ~ ..
g litya Ystern
'tO the lea nd StatuS of s ~:i': .! ::. ! :F,:~ ~..:.t' ,~-, :,~ :..
' ' 'attesting .'
72-025(Rev. 1/91) Front MOAII21 '-.' . .i' '. :
5. STATEMENTi, OF INSPECTION BY'ENGINEER.' , "*;~';*~
; . ~ :.~ .i'.;.:;}~.ix." -
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
* investigation Of this Health Author;ity Appr0va!applicat!on shows that the on-site water supply
and/or Wastewater disposal system is safel functional ai~id.'adequa~'i°!ithe number of bedrOoms
and type of structure indicated herein. I further verify that based on the information obtained from
..... the Municipality of. Ancho_rage files and from my .invesfig~ionand'inspection, the on-site water
' ':' ;' .supply'and~0i'~a~e~v~'e~;:~i~)~s~i~t~'i~:
- · . $ &SENGINEERING ' ' .... ~ ' '--W -
·Name of Firm
6, . DHHS SIGNATURE
{~ . Approved for ~'~t?,-/L~i bedrooms.
Disapproved.
Conditional approval for
bedrooms, wi{h the:following stipulations:
; ~ .Additional Comments
.., ,. . .. '_,.,.,:.*.;%... .... . ....
,.,?~.-. *. . .;
..L~' , '.~';~ .;..: .,' .; .... -~. ,..~..~..~ ;. . .:'C '
· The Municipality of ~n.ch0rage Department Of .Health and Human ~r~i~e~'"iDHHs) iSSues· H~alth Authority'
. ·Approval Certificates ibased only upon the representations given in paragraph 5 a,bove by an independent
' pr0fe~ion~l ~n~in~e~ r~ist~'re~! in {h~ sta~e ~)}',kiA~k-A:'~-·~'e DHHs d(~es this as ~,:c(~u ~e~y;t(~ Purchasers of homes
' ~' and..t.~,ei .r le:nding i,n~i~uti0.n,~ in 9[ er to, satis, fy?ert, ai,,n~ f.ed. ~! ~nd ~tate req uireme.n,,.ts: E.m. ployees of DHH,S do not.
- -.conduct inspections or.analyze data before a certificate is issued..The Municipality of Anchorage is not
'/~s':ls0n~sii~ie·'f61; ~;~;~)'r~ Or ~mjSSi0~s in'the p~;~3f~i~i'eh'gi~r~ W;or{<. ~" · ' '
* "*mr';'' ' ......
I~.,~lCIPALIPI OF ANCHOi~GE
: : -. ~ "~ ~NVIRON~ENTAL ~ERVICES
I : ' ' DIVISION
i, Municipality of Anchorage PR 09 1997
i DEPARTMENT OF HEALTH & HUMAN SERVIGES.
~"~ ' '! : ': 'i E~ir°nmentarserVices Division :JJ~ ~'~:~ ! t/r' ~,
~ 825 L Street Roo .... :.' ' ' ' ~'' ?%""''
::' i , ,". ' m.: 5q2~ Anchorage,., Alaska,,. 99501° (.,907)_; 343.417~4E .... U
ii : ':' Health AU'h°rity'ApptOval Checklist ~J'J'Jl ' .
: ','~ ~ : '; ' · i ''J! I ' '
Legal .... . o~ . ' ' .a.~=, ,.~,: ,i ~ - --'..- - - .
A. WELL DATA
Well t:CPe '
_ 'Log pr,esent (~N)~; YE .~ .:
Total de.' pth
Sanita .ry seal ¥
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
',Nitrate
Coliform :O 0
.... ~' /,4 / .'~/~ , :
- .. uate o~ sample' ~: --' ~ - · ~. ~. .: ~nlln~.t~_d h~. ..~..., ~ I ~' ~ ' ;~ · _. '
: : ,, - : ....... ..~- ,.. . ,;
'~ ' ~ ' fl' . ' ' - ' ' ' ;- ' ,. Ea leR~ver ~laska 9957
'" IH ~ ..... , .... g , 7,
. I' B. SEPTIC HOLDING~ANK DATA ,
~;' Date~nst~lled~,~I'1 ~ ~:'' .Tanksize' .~¢¢o ~NumberofCompa~ments
', ' ' ~% '
. ~' Foundatmncleanout ~), .Y[~ ;,.'.,,Dent' 'f
~: ( . · · ,, ..ess~o!~/~'~wo.. ,,,~.,..~ ~.,,,~,¢,~ -
;. Dateo[Pumplng:~-31~;~7 :. Pumper'S' .t ~ ~ ~]¢,~v, ce~ . ; .....
~ ~ 'r ~"~' "'' ', .',' " ' ' : '' : ' ~ ~J~
~C. ABSORPTION,FIELD DATA :"',. :; bridle , i:
~. Dale~nstalled~~ .... ~ Soil~atn~'t-'-~/~or'fl~d~
~ " * / ~'~' ' m). . . se n~pe ·
,~, Date°fadeq~'a'[V;t~si'' ;.~ ~ ' ~1:, ' ' ~ j~ ~,; bedrOOms
Fluid depth in abso!l~tior~ field
Fluid de
tre~ 1'2 months), (y/N)
72'0~ (Rev. *;' '
3~96)
yafter~.: :g
rate =
Yes'~, give date
at~r added :(in.):
' - g.p,d,
LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level~
E. SEPARATION DISTANCES
Size in gallons_~
off" level at*
"Pump
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank on lot l § o -~-
Absorption field on lot
Public sewer main
Sewer/septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
!
I o 0 -/' Lift station
SEPARATION DISTANCES FROM SEPTICS, LDIN~T'ANK ON LOTTO:
Absorption field
Wells on adjacent lots
/"/4
!
Foundation ) 5- -'J- Property line
I
Water main/service line 3 o/-/- Surface water/drainage /o
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
I
1oo q'
!
I0O -!-
Property line
Surface water
.
Building foundation _._-.-Water,lain/service line
/ Driveway. parking/vehicle storage area
Wells on adjacent lots
ENGINEER'S CERTIFICATION
,cedi ,hat lhave determined thru field inspections and review of Municipal record_~3e~.~.o...~.~l~n~ s are
fY
...... ~"/,, ~...."- ..
in conformance with MOA HA~A guidelines in effect on this date. j c~-..-- /~ '"....~-~.
Si nature
Engineer s Name
Date
HAA Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
1. GENERAL INFORMATION
Complete legal description
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
DivisiOn of Environmental services
~ ~' on-site ser~,iCes section'~ ~
P.O. Box 196650 Anchorag~. A~laska' '99519-6650 " ' ;343'-4744
CERTIFICATE *OF HEALTH AUTHORITY
~APPROVAL FOR A SINGLE FAMILY DWELLING
i :':. !' ;I ~,'
HAA # ~q
Lot 9, Shenandoah tlills Subdivision
Loca'{i~n..(sJte add~'eSs 6r directions)
12130 shenandoah Road, Anchorage, Alaska
Property owner
Mailin~l addres§
Lending agency
Mailing address
Agent
Address
'Virginia.Mann-Marston
Day phone
2816 Sterns Road.. Brandon: FI~ 33594
Commonwealth Mortgage Co.
Day phone
753-3586
Unknown
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 3
TYPE OF WATER SUPPLY:
NO:rE:
Individual well x
Community well ~-.
Public water
if Cor~munity 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
NOTE:
Public sewer .
If community wastew~ter system, prov~ide written confirmation frorn"state ADEC
attesting to the legality and status of system.
72-025 (Rev. 119t) Front MOA #21
· , ,,~ ;, · , ..:,~ ~ .... SlUOWwoo I~upIIIPPV
-..:suollelnd]ls ' 13UIMOlIOI' eH1 :qI!M--'SLUOOJpeq ...... "JOJ~ I~)~oJdde~ 18UOlllpuoo ,-, -.,
'swooJpoq
,.: ; ,,'.: eleCl '
'9
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVALCHECKLIST
*LegaI DeSc~;ipti0'n: LOt 9,' Shenandoah Hills Subd '
A. WELL DATA
Well type Residential If A, B, or C, attach ADEC letter~
Log present (Y/N),
65'
Total depth
sanitary seal (y/N)
Parcel'l.D. Plat #77-187 '
Yes
' ADEC water system number : ~,. .N/A
Date completed 4/15/80 .Driller Fos'~' Drillin Assoc.
Cas!rig height
Wires properly protected (Y/N) '/es
Date of test
Static water level
,FROM WELL LOG AT INSPECTION
.... 4/15/80 - '23 May 91
":. ' ~": ·Artesian
' 4.5'
Well flow
7 '; g;p.m. 7,48
64'
· ,- '64',
Pump level
SEPARATION DISTANCES FROM wELL TO:
SeptiC/holding tank on let 130'
Absorption field on lot N/^
Public sewer main
N/A
z_U o~ ~.
Public sewer service line ' ~N/A.
;On adjacent lots 260' South/
i On adjacent lots · N/A
'Public sewer manhoie/cleanout N/A
300' North
Petroleum tank N/A
WATER sAMPLE RESULTS:
Coli~orm Nitrate
Date of sample:
Collected by:
Other bacteria
SEPTIC/HOLDING TANK DATA
Date installed 8/.1/86 .- ..,... ,Tank size /4'000gJl'
CleanoutsJv'~''{,.,,,,, "' ..... . · ,,=.
s -.-£L.-Foundation cleanout (Y/N) '/es
High watbr a{arm (Y/N) !; ~ Y~s" '~"~' ' Alarm tested (Y/N)
Date of',p.u.m.p, ing ..,; 51719 .:, ,.. ·
SEPAR~,;i"I'~i~I DIST~NC'~S FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot. '130'" ~.; ~" ~; Onadjacentlots260's/~00'N
To property line "80 ~..' ~ ' ^bsorption field
Surface water/drainage 146 '
Compartmen,ts
Depression (Y/N)
Yes ,'i;
No
Foundation 25'
'Watermain/serviCe line' N/A
*. coNTINUED ON BACK PAGE
72-0.26 (Rev. 3/91) Front MOA 21 '
LIFT STATION
Date installed
, ,~." ~NOT APPLICABLE
Manufacturer
Manhole/Access (Y/N)
Size in gallons
Vent (Y/N) "Pump on" level at
High water alarm level
Meets MOA electrical codes(Y/N)' ,'
"Pump off" level at.
Cycles tested
.... " :i . ~.: '
SEPARATI0'I~I"DjST/~NCE FROM LIFT STATION TO: , ~ .
I;~::'., '~ ' '' ' '',' "' '" .... ~: .,' '. i'
Well on lot
On adjacent lots Surface water
· ',; i'.'; i !'..:!J:~i ....... · i
.... System type
Gravel thickness ........... Total depth
Cleanouts present (Y/N)
Date of adequacy test
D. ABSORPTION FIELD DATA NOT APPLICABLE
~'Date installe~l (. ' .... ' ;Soil rating
~Total absorpiiOh area
[Depression ~v~. field (Y/N)
~1~ (~ ~il) l~r
If yes, give date
Peroxide treatment (past 12 months) (Y/N)
SEPARATION DISTANCE FROM ABSORPTION FIELD TO: NOT APPLICABLE,
............ ~: '~ ~!i::,,'I-;~ ; ,' - .......... .......
Well on lot On adjacent lots Property line
To building foundation To existing or abandoned system on lot
On adjacent lots Cutbank Water main/service line
Surface water Driveway, parking/vehicle storage area
Curtain drain
......................... ;'. "~ i') ..,.,{:' :!, .: '~ ...............
E. ENGINEER'S CERTIFICATION
bedrooms
.................. '.I. .' ....... : ',' : !~., '.- ~:~,
Signature .~~/,
Engineer's Name L.D. Randolph~ PoE.
Date
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect~o~.o~t~.e~d~a~_oo.[ e. of this. inspection.
"--~ OFAX~V'~:~ ';' '"
..
...................... ~ ', _. .:.. :.: .~.:: . ' ~.' ..~ -.....':. ~., ,,
a,e o . men, "'
Recei.~.umbe~. ~ ~ a-3-,? (~ ?~) Receipt Num~e~ -
72-026 (Rev. 3/91) Back MOA 21
LDR
consulting
services
(907) ~488-3453
p. o. box 73576
fairbanks, alaska 99707
To:
Municipality of Anchorage
Dept. of Health & Human Services
Anchorage, Alaska
OctOber 5, 1991
Ref: Lot 9, Shenandoah Hills Subdivision
Plat #77-187
RECEIVED
Sub: Holding Tank Inspection
OOT 8 1991
Att: R. Robinson
; .,.~., .,~f ^nchorage
Health & Human Services
Gentlemen:
On October 5, 1991, the property noted above was visited and an
inspection of the sewage holding tank high water alarm system
was conducted by the undersigned. Witnessing the inspection were
James Bratcher and David Marston. The system controller, light and
klaxon are located in the garage of the house. Both the light and
klaxon operated when the system was function checked in the "test"
mode. The klaxon horn is very loud and can be heard throughout the
household. The new occupant verified that the system operates
properly, citing an instance When she heard the horn while showering.
She further indicated that the alarm had operated on more than one
occasion when the tank was nearly full.
I am confident that the alarm system is installed and operating
correctly, with no reason to believe otherwise, based upon personal
inspection and discussion with the homeowner.
NORTHERN TESTING LABORATORIES, INC.
3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456-3116 · FAX 456-3125
2505 FAIRBANKS STREET ANCHORAGE. ALASKA 99503 (907) 277-8378 · FAX 274-9645
David H. Marston
4720 Ham Lane
Anchorage AK 99517
Attn: -
Report Date:
Date Arrived:
Date Sampled:
Time Sampled:
Collected By:
08/29/91
08/27/91
08/26/91
1025
DHM
Our Lab ~:
Location/Project:
Your~sample !ID:
SamPle i~atrix,
Comments:
Al13412
12130 Shenandoah
Water
Flag Definitions
U = Below Detection Limit
DL Stated in ResUlt~
B = Below Regulatory Min.
H = Above Regulatory Max.
E = Below Detection Limit
Estimated Value
Method
Parameter
Date
Units Result Flag Analyzed
EPA 300.0
Nitrate-N
mg/1 0.4 08/27/91
Reported By:'William E. Buchan
Anchorage Operations Manager
r
CITY, STATE AND ZIP CODE
DATE OF PLANIS
We hereby submit specifications and estimates for:
rnpn al ·
ISAACS PUMPING SERVICE
(Norm Tibbetts, Owner)
6218 Quinhagak Street
ANCHORAGE, ALASKA 99507
(907) 563-3300
PHONE
JOB NAME
JOB LOCATION
Page No. of Pages
IJOB PHONE
t~I~ ~rllllllfl~ hereby to furnish material and labor -- complete in accordance with above specifications, for the sum
Payment to be made as follows: dollars ($ ).
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifica-
tions involving extra costs will be executed only Upon written orders, and will become an
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen°s Compensation Insurance.
Authori~ed~ %. ~'7~' I. ~ ~
S gnature
N~. This proposal may be
withdrawn by us if not accepted within days.
ArtepIa.re o[ ropnsa! --The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized
to do the work as specified. Payment will be made as outlined above.
Date of Acceptance: '
Signature
Signature
ISAACS PUMPING SERVICE
(Norm Tibbetts, Owner)
6218 Quinhagak Street
ANCHORAGE, ALASKA 99507
(907) 563-3300
of Pages
PROPOSAL SUBMITTED TO
STREET
PHONE
JOB NAME
CITY. STATE AND ZIP CODE JOB LOCATION
ARCHITECT DATE OF PLANS ~ JOB PHONE
We hereby submit specifications and estimates for:
......... ..................................
We propose hereby to furnish material and labor --complete
Payment to be made as follows:
in accordance with above specifications, for the sum of:
dollars ($ ).
Allmaterialis guaranteed to be as specified. AII work to be completed in a workmanlike [ f.%~~.~3
manner according to standard practices. Any alteration or deviation from above specifica- Authorized !
tions involving extra costs will be executed only upon written orders, and will become an Signature ~_]C~'IC%.(1% ~ ~-,,.~,~_t' t ~
extra charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note: This proposal may be
Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days.
Arreplanre o~ ~roposal--The above prices, specifications
and conditions are satisfactory and are hereby accepted· You are authorized
to do the work as Specified. Payment will be made as outlined above.
Date of Acceptance:
Signature
Signature
n c pal ty AnchOr ¢
MEMORANDUM
DATE:
January 18, 1983
TO:
Risk Management - Attention: Jill
FROM:
Environmental Health Division
SUBJECT: Claudia Mobley Property - Lot 9 Shenandoah Hills Subdivision
In reference to "Description and Manner of Occurence" I have
noted 1 - 5 items and comments on each one.
(1)
This department does not have the responsibility of
inspecting any .plumbing inside a dwelling.
(2)
This would have been inspected at time of installation and
also a second time at the request of the lending agency.
I feel it would be very unlikely that this would have been
overlooked twice. Had the vent caps been installed, it
would still not have alleviated the problem.
(3)
The sewage from the septic tank is probably backing up
do to a high or fluctuating ground water table, which is
an act of nature and this department has no control.
The soils test submitted to us indicates no ground water
to fifteen(15) feet. Th~ inspection report shows that
the bottom of the seepage trench is eleven(il) feet which
is four(4) feet above the water table and this four(4)
foot separation between water table and trench depth is
approved by ordinance from this department.
(4)
The 208 Hillside Wastewater Plan was not approved until
May 18, 1982. The sewer system was installed prior to
that date.
(5)
Enclosed'. you will find a copy of the inspection forms
and approvals from this department, dated April 4, 1980
and July 7, 1980.
I feel the Municipality of Anchorage is not responsible for this
· claim. If there are any further questions, please call this
office at 264-4720.
Robert C. Pratt, R.S.
Acting Program Supervisor
RCP/ljw
cc: to file
enclosurers
91-010 (5/78)
.an unsuitabl~'Site for a conventional on-
site septic tank, a m~und-type system will be required at a cost of $20,000.
The settling damage that has already occurred due to improper hook-ups of the
plumbing and septic system, r~sulting in several feet of standing water in the
crawl-space for a period of months, is estimated to amount'~ to $10,000.
total $30,000
vii and VIII Description and Manner of occurrence
The house was purchased new in July of 1980.. During the winter of 1981, we
noticed an odor.~innthe-lst..flooDf the house:.and found the crawl-space to be wet,
with some areas of standing water. We thought that the water was due to the
extremely wet winter and that the odor was from stagnation. The house had very
little use during the summer and fall as we were gone much of that time. The
problem of water in the crawl-space% worsened and in,he fall of 1981 there was
four feet of foul-smelling~ Wa-t~"ben'~ath'the house'.'Uw%~e had a sump pump installed.
}~oticing that the pump ran almost continuously, we had the plumber check it. He
found that the main pipe which drains sewage from the house into the septic system
had not been capped off, and that although most of the solid waste was going
into the septic tank, t~e waste water was being disposed of in the crawl-space.
He capped off the pipe~At the same time we found that the sewage overElow pipe
next to the house on the North side had ~been capped, so that spillage from
it was also seeping into the crawl-space ~,~ow that these problems have been
corrected, the water from the septic tank backs up into the garage. We have to
ve the system pumped every few days. '
According to the Hillside :';astewater Management Plan of 1982, .the entire area
of Shenandoah Hills is unsuitable for on-site sewer systems, yet it is not included
in plans for public sewer installation. ?Ye hold the Municipality responsible
for allowing building to be done in an area kno%a~ to have unsuitabl'e drainage
and no access to public sewers~In addition, I have h~d Municipal Ombudsma~'s
Investigator Kathy Foltz check into the final inspec..t, i0n of?the house. After a
thorough check, she was unable to find one, leading me to'believe there was never
one done. We request reimbursement for damages and i~medi~'te at%ention to correction
of the problem, i.e., a mound-type system. " "~ ..
:
AGAINST:
&IUNICIPAL USE ONLY
Name
Claud ia,~Hobley
Home AclU;tess
I Mailing Address
12160 .qhen&~d0ah Pl. PO BOx. 10-1443 nnctDra~,e 99511
Il. DATE, TIME, PLACE OF INJURY OR DAMAGE
Date (Mo.,. Day, Year).~.'/A I Time~]~;AOrpm) I Place/LOcatiOn
III.PROPERTY INVOLVED
Description
Lot 9 Shenandoah }{ills Subdivision
I[ Vehicle (Year, Make, Model and License No.)
ju~y or damage. ~
I, the undersigned, do hereby submit U~er
.
person or property. I do hereby ~ntend to hold
PERSON OR PERSONS MAKING CLAIM
IV. MUNICIPAL DEPARTMENT INVOLVED (II known)
Department I Municipal Employee
Ilealth Department, Zoning and Platting N/A
I
V. INJURED PERSON/PERSONS (Use attachment if additional space is necessary)
1) Name [';/A Age 2) Name Age
Address Telephone Address Telephone
Occupation Employed By Occupation Employed By
Person's location when injured Person's location when injured
Person's activity when injured Person's activity when injured
How did injury occur? How did injury occur?
VI. AMOUNT CLAIMED. (Please a~tacban ~stimate or itemization of the dama es claimed)
30,000
s
VII. DESCRIPTION (Nature and extent of injury or damages. Please describe in detail.)
see attached sheet
, 2.. N[u cipality ,
:,
DATE:
I '
TO:
FROM: Jill, Risk ~nagement
o¥
SUBJECT: Request for additional information regarding:
Employee or Incident
Accident Date
at_tacb~d cl ~im
Our File No.. pendin,~
Vehicle No.
Adverse Operator
Location
Claudia Mobley
Lot 9, Shenandoah Hills
Please furnish the following information to Risk Management so that we can give further
consideration to this claim. PER ATTACHED WE NEED THE ITEMS MARKED BELOW.
[] Workmen's Compensation Claim Form 07-6101 (Formerly ADL 07-210)
[] Supervisor's Report
I--I Request to Doctor
[] Return to work notice
[] Medical Authorization
[]
[]
[]
Exactly how many working days has this employee lost from work
Auto Accident Report (completed by employee)
Itemized repair cost
Itemized repair estimate (vehicle damage)
Complete copy of your file and/or all back material (All supporting documents)
Other: PLEASE SF. ND ANY INFOI~i~TION ON THIS?
If the information requested above has not been sent, please do so immediately. If you are
unable to give information pertaining to this incident, please advise Risk Management at
264-4201.
Please attach this request to your return correspondence.
Thank you,
Jill '
Risk Management Division
Property & Facility Department
g5-013 (10/82)
4040 '°B" STREET
ANCHORAGE, ALASKA 99503
(907) 278-1551
October 25, 1979
W.O. #A19110
Grid #2736
Perry Eaton
P.O, Box 10-1592
Anchorage, Alaska
99510
Subject-.
Subsurface Investigation for Suitability of On-Site
Sewer, Lot 9, Shenandoah Hills
Dear Mr. Eaton:
We hereby transmit the results of the.above.referenced investi-
gation performed by Alaska Testlab on October 22 and 23, 1979.
The scope of this project is the.investigation for suitability of
an on-site sewergge system.
Included in this transmittal are:
Si'~e Plan'
Test tIole Log
Explanatory Information
Figure' i'
Table A'
Sheets 1-3
The exploration was conducted using a continuous flight solid
stem auger drill rig owned'and, operated, by Denali Drilling, Inc.
The drilling was supervised, the.test hole' logged and percolation
test performed by Mr. J..Finley, Alaska Testlab geotechnical
engineer. Soils encountered consisted of approximately two feet
of organics overlying sandy silt 'with gravel and occasional
cobbles to 16 feet, the maximum boring depth. Ground water was
encountered at 15 feet while drilling. Therefore, a second test
boring was drilled near the first boring to perform the percola-
tion test. This boring was drilled to a depth of 11 feet.
~'~en drilling was completed a 3/4 inch slOtted PVC pipe was
inserted into the hole to aid in determining the free water
level. For the percolation test, the test hole was filled with
water and left overnight to saturate. On returning the ne>;t day,
the hole-was ~refilled with water, and the drop in water, level
carefully monitored over the nexti60 minutes.
This procedure is not a standardized percolation test, however,
we understand the Mun~cipal~t~ of Anchorage, Department of Public
Health and Environmental Pretection, ~refers tests performed in
this manner to evaluate a site for proposed on=site sewage system.
.Perry Eaton
October 25, 1979
· Page Two
Using the above test, the observed minimum percolation rate was
20 minutes per inch. We recommend the system be designed for.an
absorption area of 210 square feet per bedroom. This recommendation
is based on criteria in the "Manual of Septic Tank Practice",
U.S. Department of Health, Education and Welfare, Public Health
Service.
We recommend that the seepage trenches be inspected priOr to
· installing the system as the above recommendations are based on a
six inch diameter test hole. The seepage trench will provide a
much clearer picture of subsurface conditions than a test hole.
If conditions are different than encountered in the test hole, it
may be necessary to modify the design.
We hope this report meets your present needs. If we can be of
further service, please fe~l free to contact us.
Very sincerely,
ALASKA TESTLAB
James R. Finley, Jr., P.E.
Geotechnical Engineer
Approved by:
Melvin R. Nichols, P.E.
Laboratory Manager
JRF/ms
Attachments
.,~ "-, "~..'MUNICIPALITYOFANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
- DIVISION OF ENVIRONMENTAL HEALTH
-' '~" '::"= '-":"" ...............":(~'ERTIFICATE '0'F INsPECTiON 'FOR HE~i':T~I' AUTHORi~'Y APPROVAL.
: OF ON-SITE SEWER AND WATER FACILITY
264-4720
' Application Date
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions) "
1~13o .~U~qAN[~AFI ROAD
(b) ·Applicant Name COtVIlV[O~~ MOR'I~AG]~l'elephone: Home N/A Business
Applicant Address 3L601 C $~'R'~m~7; SUITE 222 ANCHORAC-F.; AK 99503
'--.:.- (c) i"Applicant is (check one): Ler~ding Institution ]~J~; Owner/builder []; Buyer []; Other [] (explain);
562-6477
".' (d) 'Lending Institution APPT,TO,,AN'P Telephone
,- Address 'ARi3~/'R, . . .
;" , i ;"i: :(ei: '~'ai'Estate Company and Agent HOWARD RRT/1P, Aq~TON nRC)!m
..... ~ .....L:; '. :,.'" '. '.. ...... · ,.
i~WATER~
'stem, must have written conf rmatlon from the State
Id status. 2; ~; ~,c,, ,;,?,/: ,.- .:.., .,,~. ;; "4 J t;::~ ': '.:-;:;' ~;,:-:.~.~'
.-~:.;....:m :.,?. -:T, .... · -..v-. - t ~.: '..:~.L~':..-
· attesting .t~ the legalityand status.
Page 1 of 2
72-025 (11/84)
'" ' .' '.: 4. -::SEWAGE DISPOSA,Lt ::,.' ='..-.:. -:--':..-. :':-.: i -: .i.. -.,: :- .' -- ;: :T: ':'. i - :',-:.).: '. =.,y ":".. :: :':'".. ::;:'. :'!", ::-;'*.: .4 -': r: ~.~' ' 'F; ,.:":=~": ".' ...... ,:': ........
:.. '?~.'-'":.":;~;t::';-;::'.-.:~'~'.:. U::'~':'.'.: :: ,'."':'.. ~ '. '" =" ' ' : - ' ": ".. ' :: ...... ...:".. ,"'~:.': /": ' : -. ': ,: ' :!,._ .:
. ..... .~ ..... -. , . · . :-,,~ ....... , '-'. '. -; :',.,-~ ', ."-' ' ..... : ~,'""7"~:~':";.'.";.it - :=~
'" ": I~10'i~-:~ii';;i~ n~;n'ii~-;;ll s~,stem, must have written confirmation` from the State Department of Environmenta~ Conservation '.'
Address P.O' P[~'x' 77329/4
Date ,//,~/,~"~
ENGINEERING FIRM PROVIDIN(. SPECTIONS, TESTS,.FILE SEARCH, DA'~ :~ND INFORMATION
As certified by my seal affix(~d he'retoand as of the validation'date shoWh 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 herei.n. I further verify that based on the information obtained
from the Municipality of Anchorage files and from.my investigat on and inspection, the on-site water supply and/or
wastewater disposal system is in complianc~r With all Municipal and state Codes, ~6'rdih'ances, and regulations in effect on
the date of this inspection.
Name of Firm ~_AG[,]~ R~ ]D'~'P,~G' F;RRV-[C-'ES Telephone
: ::',:' ,.:Terms. Of Conditional'APpr6~l :'- ':' ' '-:'~ "" '. ...... :;- ':-'."-',.': ,":' : ' - ' .:'-.:: ',~,
'..'"The ~i~n¢iPality of ~nchorage D~pa~tment of' Health and Environmental. Pr~tefitiOn (DHEP) issues Health A~thorii~ '" '.
: '..- ~ Approval certificates based solely upon the representations §iven in paragraph 5 above by an indel~e'ndent'p~0fe~sional '.i' :}'~·.';7:
· engineer registered in the State of Alaska. The DHEP does this as a courtesy to pub:chad/erS of homes and their lending '
institutions in order to satisfy.certain federal and state requirements. Eml~l°yees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality' of Anch°i'age is~not responsible for errors or omissions in· the
professional engineer's work. ..~
Page 2 of 2
72-025 (11/84)
~ MuNICIpALITY OF ANCHORAGE ~ ~
*' PROTECTION
DEPARTMENT OF HEALTH AND ENVIRONMENTAL
DIVISION OF ENviRONMENTAL HEALTH"
CERTIFICATE .... OF INSPECTION FOR HEALTH AUTHORITY APpROVA
OF ON'SITE SEWER AND WATER FAClLI~
264-4720
Application Date
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
.-:~,-'-'-~- ; ~./~-[ [-T'i'T,T~q SEC. 22, T12N~
Location (address or directions)
12130 SEEN~AH ROAD
(b)
(c)
Applicant NameCOM240NWEALTH MOR'I~AGE Telephone: Home N/A Business 562-6477
Applicant Address 3601 "C" ~, SUITE 222 ANCHORAGE, AK 99503
ApPlic.ant is (check one): Lending Institution ~; Owner/builder []; Buyer []; Other [] (explain);
(d) Lending Institution APPI~,ICANT Telephone
Address AROVE
(e) Real Estate Company and Agent HOWARD RELOCATION GROUP
Address 190 SOT~-~ OPAUC~g LMNGSTON, NJ 07039'
Telephone
(f) Mail the HAA to the following address:
MS. GAYLE DOMZALSKI
2. *' TYPE OF RESIDENCE
_..Single-Family ~ Multi-Family []
- .Number Of Bedrooms 3
Other
WATER SUPPLY ....
Individual Well [] Community [] Public [] .... : ....!.:.. ' ..... . ' ': .:
· :. .
Note: If community well system, must have Written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL "
Onsite [] Public [] Community [] Holding Tank J~] '
Note: if community well system,,must have written confirmation from the State De partment of Environmental Conservation
attesting to the legality and status.
.72-025 (11/84)
Page 1 of'2
5. ENGINEERING FIRM PROVIDING .$PECTIONS, TESTS, FILE SEARCH, DA'i'. ND INFORMATION
As certified by'my se.al affixed he~e~0 and asof the validation date shoWn below,:l vei'ify that my investigation of this Health
.... Authority Approval shows that the on-site water supp y and/or wastewater disposal system is safe, functional and adequate
'" .... ?~f°r t-h~nUm, ber of bed,rooms and type of strucidr(~ indicated herein. I further verify that based'~'6 i~'fo'rmati~'n~obi~
from the Municipality of Anchorage files and from my in, vestigation and inspection, the on-site water supply and/or
·wastewater disposal system is in complianCe with all Munic. ipal and State Codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm .'EAGLE R1-VER-ENGINEMRING SERV-ZCES Telephone 69~-5195
'Address P.O. BOX 77q2q4 EAG3_,~, RIVER, AK 99577
.......... , .................... CAUTION ..... ~ ............~..., ...............
k~, ~;~{.~!Approval Ceaificates based solely upon the representatiofis given in paragraph 5 ab0V~'
':'.:" ':..~.;::?~::ehgin~e~'rdgistered in the State of AlaSka. The DHEP does this as a cou~esy t° ~u'rcha'~erS ~f hCmes"~dd their lending" '"' :';::'
~' ': "'~?..~:institutio~ in Order to satisfy ce~ain .f~deral and state requirementS. Employees of DHE~.~6'fi&t ~d~ct inspections or '.'
_:.. ~'fi~l~z0 dat~ before a ce~ificate is issued. The Muni~}pality.o~ ~nChora~e i~ not responsible for e~ror~'°r omissions in tho
~'~a~e2o12 · · ... : ...
. .;'Lr.v.- ...... :-.~...,.-. ........ ~.~...r.. ' . ~"' · : ·. . . : .(.'-'
WELL DATA
Legal Description:
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY.1984
264-4720
Well Classification
Ii A, B, C, D.E.C. Approved (Y/N)
Date Completed ~_/',,.~-//~ o Yield
Cased to ~'~- / Depth of Grouting
~,---,~-- Pump Set At
Sanitary Seal on Casing (Y/N)
Depression Around Wellhead (Y/N)
; On Adjoining Lots
/-/go' ; On Adjoining Lots
Well Log Present (Y/N)
Total Depth ~"5" /
Casing Height Above Ground
ElectriC:al Wiring in Conduit (WN) Y
Separation Distances from Weil:
To Septic/Holding Tank on Lot
To Nearest Eclge of Absorption Field on Lot
To Nearest Public Sewer Linel ,,?/~
CleanouVManhole
Water Sample Collected by
Water Sam pie Test Results
Comments
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
· .
~',,v.r~.~c~,-,~,.r ; Date :/
B. sr=IaA~=7HOLDING TANK DATA
Date Installed
Standpipes (Y/N)
Depression over Tank (Y/N)
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N) ~'/'
Se paration Distances from Septic/Holding Tank:
To Water-Su pply Well '/'~
To Property Line ~-z-'/
To Water Main/Service Line ~/'~
Course
Size ,/_-~o ,5</o No. of Compartments /
Air-tight Caps (Y/N) Y ii .
Foundation Cleanout (Y/N)
Date Last P~gmped --'~.,'/~ ~
~"_¢',¢-r¢.r ":,'for ~'~'~/-/,~""'",'"
Temporary Hol~?g, Tank Permit (Y/N)
To Building Foun'dation
To Disposal Fiel(~': '
TO'Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field
Square Feet of Absorption Area
Depression over Field (Y/N). :
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line :i I
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or v~ihilcle-' Storage Area
Type of System Design
Length of Field
,Depth of Field
Gravel Bed Thickness
Standpipes Present (WN)
:
Date of Last Adequacy Test
To Property Line
T° Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if pre~;ent)
Comments
D. LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N) '
Comments
Dimensions
Manhole/Access (Y/N)
'.'Pump Off" Level at
Vent (Y/N)
Pumping Cycle~ during Adequacy Test. Meets MOA
** 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.
Si~ned ~'~"'~~~ ~' ,/-///!
~ ,' ' Male ..,/
Company ,Z~',,,~,~__~, _C. ,i I MOANo. "~'?'
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72-026 (I 1/84)
-~' '~." DATE RECEIVED
INSPECTION APPOINTMENTS ',~-d.. ~.--'"~-~ (? .~:
DATE
DATE DATE
NSPECTOR : ~. INSPECTOR .. INSPECT
" MUNICIPALITY OF ANCHORAGE ~ uilulCIPAL OF ANCHORAGE
' ~ I~' _1~
~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT '~;;~ ~" I &
..... T. OF I..:ALT~
825 L Street - Anchorage, Alaska 99501 E~IRONMENTAL F;,OTE~IO~
ENVIRONMENTAL SANITATION DIVISIONjUJq 2 1980
' Telephone 264~720 ' :' ' '
DIRECTIONS: ~omplete all parts on page 1. Incomplete reques~ will not be proce~ed. Please allow ~eq (10) days for processing.,
MAI ~ADDR ESS
PROP~TY RE'DENT (If different ~m above) , ' PHONE
~ ;
PHONE
2. BUYER ~ :
MAILING ADDRESS ~
3. LENDING INSTITUTION ' ~ PHONE
MAILING ADDRESS'
4. REALTOR/AGENT ,: : ~ PHONE
I
MAILING ADDRESS .'
6. TYPE OF RESIDENCE
[~SING LE FAMILY
I-'1 MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One [] Four
[] ~ [] Five
~ Three [] Six
[] Other
7. WATER SUP~.L-~
I~"INDIVIDUAL'
[] COMMUNITY
[] PUBLIC UTILITY
ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available,)
8. SEWAGE D.~38AL SYSTEM
' ~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY '"
/~;~ YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79)
........ THIS SIDE FOR OFFICIAL USE ONLY,
, . l.~ . i~
1. TYPE 'OF RESIDENCE '
[] SINGLE FAMILY
[] MULTIPLE FAMILY
NUMBER OF BEDROOMS
[] ONE [] THREE i~ [] FIVE
[] TWO [] FOUR I ~-1 SIX
[] OTHER
2. WATER SUPPLY
[]. INDIVIDUAL
[]~ COMMUNITY
[] PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE DRILLED
3. SEWAGE DISPOSAL SYSTEM ,
E ::"
[]PUBLIC UTILITY
Connection Verified
[]Septic Tank or []Holding Tank
Size:- /~ o' OD ' If.Tank is homemade
give dimensions:
TYPE OF TANK
TOTAL ABSORPTION AREA .......
4, DISTANCES
WELL'TO:
DEPTH OF WELL
LOG RECEIVED
PERMIT NUMBER
DATE INSTALLED
..
MANUFACTURER
MATERIAL ......
Absorption Area to nearest Lot Line
5. COMMENTS .... ........
[] CONDITIONAL APPROVAL (letter.must accompany certificate)
.... []-' DISAPP-ROVED
72-010 (Rev. 6/79)