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HomeMy WebLinkAboutNORTH WOODS BLK 3 LT 9No th Woods Block 3 Lot 9 #051-731-31 Municipality of Anchorage Development Services Department ~ ~: Building Safety Division '~ ~ On-Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW101015 PID Number: 051-731-31 Name: MICHAEL LAUER Wastewater System: [] New [] Upgrade Address: 22618 MCMANUS DR ABSORPTION FIELD Phone: Number of Bedrooms: /9071 229-6089 ~, ~ ~ DeepTrench ~ Shallow Trench ~ Bed ~ Mound ~ Other: Soil Rating: Total Depth from original grade: LEGAL DESCRIPTION 1.2 ~PD/Ft= 6.0 Block: Lot: Subdivision: Depth to pipe bo~om from original grade: Gravel depth beneath pipe: 3 9 NORTHWOODS 4.0 Ft. 2.0 Ft. To.ship: Range: Section: Fill added above original grade: Gravel Length: 0 .t. 30130 ~t. Well: ~ New ~ Upgrade G~=w[ width: Number of lines: Distance be~een lines: 515 ~. 2 13.8 Ft. Classification (Private, A, B, C): Total Dep~: Cased to: Total absorption area: Pipe Material: EXISTING .t. .t. 428 ~ 30 34 PVC Driller: , Date Drilled: Static Water Level: Ins~ller: Date Installed: CLASS A .t. FLINTSTONE 614/2010 Yield: ~ GPM Pump Set at: Ft. Casing Height Above Ground:Ft, TAN K SEPARATION DISTANCES ~ Septic ~ Holding ~ S.T.E.P. ~ Other: ~To Septic Absorption Lift Holding =ublic/Private Manufa~urer: Capaci~: From ~ Tank Field Station Tank SewerLine ANCH TANK 1000~.~. Material: Number of Compa~ments: w~, 200+ 200+ - 200* STEEL 2 Sudace Water 100+ 100+ ~ ~ LIFT STATION ~.,. Foundation 12 20 "Pump on" level at: "Pump off" level at: in. High water alarm at: Cu~ain Drain 50+ 50+ Pump Make & Model Ele~rical Inspe~ions pa, .... d by: .,m~k~: BENCH MARK L~tion and Description: GAUGE FF Assumed Elevation: 100.0 Engineer's Stamp Inspections pe~ormed by: PANNONE ENG. SVC, LLC Dates: 1st 6/3/2010 2no 6/4/2010 ~-~ ~ ...... Development Services Department ~proval ,r~,...- ~ ...-, OonditionalApproval Date: ~ ...... ;.~ ......... & ..... evJewed and approved by: ,. Z J, ate:/-,,~ / i / / t / / / / ? / / I CO A B I FCO 21.46 ' 25.38 i ! C1 26.5 23.0 C2 27.4 22.8 I T1 29.4 22.9 ~ T2 34.2 23.9 DC 36.7 24.7 DV 37.6 25.0 DC2 40.8 15.4 CO M1 C3 M2 C4 I M3 M4 / / / / EXIST'G WATE~ MAIN A B 535 3701 ;~!03 35~!91 ~ 60.3 54.7 29.5 44.0I 32.7 I 45.1 47.2 62.8 46.5 62.6 SERVICE%ER EXIST'G 3BP HOUSE SEPTIC AREA --.~-- 1% ~,~ / / BC(4DON PER EXiST'G FIELD iN FAILURE TO BE REUSEE DC: LOT SERVE~ BY CLASS A WATER SYSTEM NO WELLS W'/iN 200' OF PROPOSED UP~RAuE. NOTES: RECORD DRAWING 5{ PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 NORTHWOODS S/D BLK 5 LT 9 Michael Louer 22618 McMonus Drive CHUGIAK, AK 99567 (907) 229-6089 NSTALL NEW 1000~ SEPTIC TANK, DC( --RTER PLAN .7 1% 3SED U 2EA, 50LFxS'Wx2'ED, DRAINFIELDS. /-- SEPTIC AR~ lC AREA graven R. CE 8149 Dote 6/29/10 Scale 1 "=50' P.I.D. NO 051-731-3! PERMIT NO. SWxxxxxx Sheet 10F5 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 5. SCOPE OF WORK: 3 BR HOUSE NEW SEPTIC INSTALL, 10009 SEPTIC TANK, 2 EA 5-WIDE TRENCHES 30 LF X 5' W X 2.0' E.D., 6' T.D. ABANDON OLD TANK PER CODE. REUSE EXlST'G DRAIN FIELD. 4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION, AS EVIDENCED BY THE SOIL TEST HOLE INFORMATION ABOVE 12 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 10 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. 2' R.I. o 99.1 ~ ~ _ / **~',,~J~.~ 96.5 .......... 96.5 ...... DESIGN PARAMETERS ABBREVIATIONS LEGEND UPGRADESEPTIC SYSTEM CU COPPER ~w w~ WATER LINE/ NO. BEDROOM: 5 (450 gpd) DIP DUCTILE IRON PIPE WELL RADIUS TANK SIZE: 1,000 gallon TH TEST HOLE PERC RATE: 4.8 MPI FCO FOUNDATION CLEAN OUT ~ ss ~ ss ~ EXIST'O SEPTIC AREA RQD: 575 SF SYS. TYPE:5-WlDE TRENCH, 2' ED T~ TANK CLEAN OUT NO. RF=0.70. MIN LENOTH 52.5 LF C~ CLEAN OUT NO. ss ~ ss NEW SEPTIC MC MONITOR TUBE NO. USE: 2 EA 50 LF X 2'E.D. X 5' WIDE, 6' T.D.R.I. RIGID INSU~TION ~ CHAINLINK FENCE INSTALL DIVERTER VALVE. DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLICER ....... e/ 9/lO RECORD NORTHWOODS S/D BLK 5 LT 9 ¢~~~"~P.I.D. NO 22618 McManus Drive PERMIT NO. CHUOIAK, AK 99567 i~?~-.. ..-~ sw~ DESIGN NOTES (907) 229-6089 ,ll~peb~<s~4~~ Sheet Permit Number: OSP101015 Tax Code Number: 05173131000 Work Type: Septic Permit Effective Dates: May 12, 2010 On-Site Wastewater Disposal System Permit 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 to May 12, 2011 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: NORTH WOODS Site Legal Address: NORTH WOODS BLK 3 LT 9 G:1459 Owner/Address: LAUER MICHAEL J 50% & GARING JOANNE M 50% 22618 MCMANUS DR CHUGIAK AK 995675446 Lot Size in Sq Ft: Site Mailing Address: 22618 MC MANUS DR, Chugiak Total Bedrooms: C /;3c 20278 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The 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 April 15, 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: ~ Date: Date: o._cp IOlO~5'- Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051.731.31 Property owner(s) Michael Lauer Mailing address22618 McManus Drive Site address 22618 McManus Dflve Day phone 229-6089 Zip Code 99567 Zip Code 99567 Legal description (Sub'd., Block & Lot) North Woods, Block 3 Lot 9 Legal description (Township, Range & Section) Lot Size 20,278 Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR ([~ all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Priw [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. Pannone Engineering Services, LLC.~.~~~ (Signature of property owner or authorized agent) PermitJRush Fees: ~"3~) Date of Payment: 5-/~//f-.) Receipt Number: ~q'~'>- I g (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: Pannone En§ineerin§ Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: ~teve(~panenl~ak.com February 17,2009 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 S. Bragaw Street Anchorage, Alaska 995:19 Ladies and Gentlemen: I am writing to request a permit to construct an upgrade to the existing septic system be issued for this property. The proposed system will serve an existing three-bedroom house. Currently the lot is developed. This and the surrounding lots are served by a community water system and there are no private or public wells within 200 feet from the proposed soil absorption system. Soils. See the attached soils log. Ground water was monitored for 7 days. Ground water was not encountered in the test pit or monitored at a depth :12 feet below ground level on February 17, 2010 after the monitoring period. Bedrock was not encountered in the test hole. It is my opinion that the overall soils appearance of the soils, an application rate of :1.2 gallons/day/square feet should be used using a Class I conventional treatment system. 2. Trench Design. a. Percolation Rate: 1 to 5 Min Per Inch b. Application Rate: 1.2 gpdpsf c. Number of Bedrooms: 3 d, Design Flow: 450gallons per day e. Min. Absorption Area: 375 sf f. Totaldepth: 6 feet g. Effective Depth: 2.0 feet h. Width: 5 feet i. Reduction Factor: 0.7 j. Minimum Length: 52.5 feet k. Design Length: 60 feet I. Effective Absorption Area: 428 sf m. Septic Tank Size: :1,000 gallon Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 615 East 82"d Ave, Suite 8-6, Anchorage, AK 99515 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 3. Surface Water: There is no surface water within 100 feet of the proposed system. The proposed systems will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The average topography in the area of the proposed septic system is approximately 1 to 2 percent. The area is fairly uniform as it slopes to the north west. The proposed system will be installed in the southcentral portion of the lot. The proposed installation will be greater than 50 feet from the shoulder of the steep slopes. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 3.00 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-823.8. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer 2/17/3.o Attachments: Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 3.1301 Olive Lane, Anchorage, AK 99515 Telephone: (907) 272-8218 FAX: (907) 272-8211 / / / 11/ ,,' / ///.," ~ .... /.~1 .~/ / / ' X ~~~ PROPOSEDUPGRADE~ ~~EA, 5~'Wx~ED, 6'~ ~ WATER SYSTEM P.0. BOX 100217 :SSUED FOR CONSTRUCTION PHON[ (907) 272-8218 FAX (907) 272-8211 ~..' ~:}~ Sc~,e NORTHWOODS S/D BLK 5 LT 9 ~ .... ~ ..... ~ P.,.D. NO ~~ ....... , ~ o5~-73~-5~ Michoel Louer 22618 McMonus Drive ri~ CE 8149 ...~ PERU,~ NO. PLAN (907) 229-6089 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTAL/ED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALI'TY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL DE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: 3 BR HOUSE NEW SEPTIC INSTALL. lO00g SEPTIC TANK, 2 EA 5-WIDE TRENCHES 30 LF X 5' W X 2.0' E.D., 6' T.D. ABANDON OLD TANK PER CODE. REUSE EXIST'O DRAIN FIELD. 4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION. AS EVIDENCED BY THE SOIL TEST HOLE INFORMATION ABOVE 12 fl'. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 10 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. <-- I ' DESIGN PARAMETERS ABBREVIATIONS LEGEND UPGRADESEPTIC SYSTEM CU COPPER -- w w WATER LINE/ NO. BEDROOM: 5 (450 §pd) DIP DUCTILE IRON PIPE WELL RADIUS TANK SIZE: 1,000 gollon TH TEST HOLE PERC RATE: 4.8 MPI FCO FOUNDATION CLEAN OUT -- ss ~ -- EXIST'G SEPTIC AREA RQD: 375 SF T# TANK CLEAN OUT NO. SYS. TYPE:§-WlDE TRENCH, 2' ED RF=0.70. MIN LENGTH 52.5 LF C# CLEAN OUT NO. ~ as ~s ~ NEW SEPTIC M# MONITOR TUBE NO. USE: 2 EA 50 LF X 2'E.D. X 5' WIDE, 6' T.D.R.I. RIGID INSULATION ---'0 CHAINLINK FENCE INSTALL DIVERTER VALVE. DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER NOTES: ?ANNONF_, :ENG SVC, ]J_C tt, ~/~/~ P.O. BOX 100217 ANCHORAGE, AX gg510 .'~-~-~'" ' ,SSUEO ~o~ CONSTRUCT,ON PHONE (~0;)~7~-~ ~A× (~07) ~7~-~ ~' '~_.,~""~'~, ~°" NTS ~.t."~--,.::-*t ,.,.o. NO 22618 McManus Drive rl~.~.~x CE 8149 ..,~, PERMIT NO. CHUCIAK. AK 99567 ~ '~". DESIGN NOTES (gO?) 22g-608g ~X~,<.~.~.~-~ 2 or SOILS LOG - PERCOLATION TEST TEST HOLE 1 DATE PERFORMED: ~10/~10 WAS GROUND WATER SLOPE ENCOU~ERE~ IF YES, AT ~AT TH DEPTH? DEPTH TO WATER A~ER MONITORING? - DRY PEROLATION RATE 4.8 (min/inch) PERC HOLE DIAMETER 6 Inches TEST RUN BETWEEN 5 FT AND 6 FT COMMENTS: Test hole excavated by FLINTSTONE CONSTRUCTION. Test Hole was presoaked before perc test. PERFORMED BY: Stevcn R. Pannone~ P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL OUIDLINES IN EFFECT ON THE DATE OF THIS TEST, ? PANNONE ENG SVC. LLC ~-~5.. F:~".~F':.' C~::_¥ P,O. BOX 102954 ANCHORAGE, AK 99510 ~?.:., .... -'~;7.6'~..'h ~.-s'.~c.l.~'~ ~','~ ("~/,,~;~.( PHONE (907) 272-8218 FAX (907) 272-8211~'~;4 J"~,~ :'*'~ ~.~...9~.~5~,,~ .~. ~,~--~ Scale NTS I'~-~rt~ ~ ~ ........ ~ PERMIT NO. Michael Louer ~,,' 22618 McMonus Drive CHUGIAK, AK 99567 SOILS LOG (907) 229-6089 . ',._, MUNICIPALITY OF ANCHORAGE ', DEPARTMENT OF HEALTH & EN\/IR©NMENTAI. PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 I.Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~PHONE ~ ~EW MAILING ~D~R ~SS LEGAL DESCRIPTION LOCATION NO, OF BEDROOMS I~u ~ , i Absorption area Dwelling I PERMIT~0~ ~ Manufacturer ~~ Mat~ . No. of compartments ~ ~ Liq. ca~a~i~gallons IF HOMEMADE: Inside length Width__ Liquid depth Well PERMIT NO. ~ ~ DISTA~O: ~ ~ Dwelling ~--~ DISTANCE TO: ~ ~ /~ 'Z~ ,~ No.~/~of lines~. Leng,¢ of eac~n3 , Total length of 'i~.:~' Trench width.~__ ~7 Distance betwe~n/~/~lines ~ ~ ~ Top of tile to finish grade ~ , Material beneath tile /~ ~ Total effec~e absorption area ,~/ ~ inches Length Width Depth PERMIT NO.  Cfi Cr T ion ar ~ ~ll ~earest lot line ~ , / DISTANCE ~ ~ ~ ~ Depth Driller Distance to lot line PERMIT NO, Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER SOIL TEST RATING INSTAELER t I APPROVED . / DATE LEGAL 72-013 (R~ ]/78) PEF.:M I T NO. RPPLICRNT FRRNK BETHRR[:, SRRi698K RNC 9950? "- RT I rqJ. PETERS CREEK ZE T'¢PE OF SOIL RBSORPTION S'T'S]"EM IS: TRENCH MR',:,';IMUM NUMBER OF BEDROOMS = 2: SOIL RRTING (SQ FT,,'"BR)= THE REL-]UIRE[:' SIZE OF THE SOIL RBSORPTION S"¢ZFEM IS: [:, ~__ $' T ['-ii .... 20278 S[.:!URRE FEE]' t. 5E THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR [.',RI~!NFIELD. THE DEPTN OF' R TRENCH OR PIT IS THE DISTANCE BETklEEN THE SURFFICE OF THE GROUND RN[:, THE BOTTOM OF THE E::.::CFI',,,'RTION ,:.'IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRR'v'EL DEF'TH IS ]'HE MINIMUM DEPTH OF GRRVEL BETPIEEN THE OUTFFILL PIPE FIND ]''FIE: E:OTTOM OF THE E:.'4CFI',,,'FITION ':] IN FEET). , ,- - '-T T"r' - PEF.':MIT RF'F'LIC:RNT HRS TNE RE:,FUN:,_E:ILI 'FO INFOF.:M THIS [:'EF'RRTMENT [:,IIF.'IN3 THE IHSTFILLFITION INSF'ECTIUN-, OF Ftl"t"r' WELLS RDJFICENT l"O THIS F'ROF'ERT'¢ FIND THE NUMBEF.: OF F.:ESIDENCES THRT THE WELL PIILL SER',,,'E. . . .-- - r- ' a E C~. U I a a [:: ............ -I"L,.I,3 ,:' 2 -:, I ~'..~_:.PE _--tr I C~t'q~ BFtC.:KFILLING OF RN'¢ S¥'-'iTEM WITHOUT FINRL INSF'ECTION RND RF'PF.:O',,,'FIL E:'¢ THIS DEPRF.:TMENT [,ti LL E:E SUB.3EC:T TO F'ROSE =:IJT I L-il'd.. MINIMUM [:,ISTFINC:E E:ETFIEEN R PtELL AND RN'¢ ON-SITE SEMRI3E [:,ISF'OSRL .L;'T'STEM IS ~.00 FEET FOR R PRIVATE NELL ]iF.' ~50 TO 200 FEET FROM Ft FUE. LI .. HELL [:,EPEN[:,INI3 UPON THE T"r'PE OF F'UE:LIC NELL MINIMUM [:'IL=;TFINC:E FF.:OM FI F'RI'.,"RTE WELL TO R PRI',/WT'E SENER LINE !21 '25 FEET aND TO a COMMUNIT'T' SENE"'R LINE IS 75 FEET. OTHER REC!UIREMENTS MR"r' RPPL'¢. SF'ECIFICRTIONS RN[:' CONSTF.'_"TI]~N [:,IRGRFIMS RRE R',,,'RILFfE',LE TO IN= .F.E FF._PER INSTRLLFtTION. F EF-.~*I - T' E><F' ][ Fl..E_. L-:.. r::' C: E I-.1E: E F: ='~: ::L., :1.. ...... I _.EF.TIF~ 'FHRT · '±' I IqM FF!MILIFIR PtITH THE REQUIREMENTS FLF. GN-$ITE SEP~ERS RN[:, LIELL='] RS .:,~] FORTH BY THE MUN!CIPk]LIT¥ OF i~NC:HORaGE. 2: I WILL INSTFtLL THE SYSTEM IN I=ICCORDaNCE WITH TNE CEE,ES ]:: I UNDERSTRND THFIT THE ON-SITE SENER SYSTEM MaY ,REg!UIRE ENLARGEMENT IF ]"H~ ~x ~/' ~ ','4 0 l ~O , ,.. ~._~, MUNICIPALITY OF ANCHORAGE · DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ~ . PERCOLATION TEST · ', Pouch E-SS0, Anchorage, Alaska 99502 276-~2;2~ SOILS LOG -- PERCOLATION TEST PERFORMED FOR== DATE PERFORMED" ~ .,~,~"" ~/ / LOPE SITE P~N .. ~ 10- 11 12 13- 14- 15 16 17 18 19 20 COMMENTS · DEPTH? " I ~t' -- i Grow Net Depth to Net Reading Date Time Time Water Drop PERCOLAT'OI"¢ "ATE q~' 7 [minutes.finch, TEST RUN BETWF. EN PERFORMED BY:~ ~' DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE t~.~~' DATE INSPECTOR INSPECTOR-"- ~ INSPECTOR · ~,{UNICIP,~,LIT¥ OF ,',,~CIIORACE DEPT OF 14~AITk[ & MUNICIPALITY OF ANCHORAGE~k]x/ ,' '~ .7 .~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~I~I' j'O'ONMENTAL uCTION 025 LStreet-Anchorage, AleskaBBB01 AIJ3 2, 4 t98i ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C E i V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES !DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten (10) days for processing, 1, PROPERTY OWNER PHONE Bethard Construction, Inc. 345-1615 MAILING ADDRESS SRA Box 1698-K, Anchorage, AK 99507 PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE Blaine Baer tsch 272-4668 MAILING ADDRESS PO Box 6207, Anchorage, AK 99502 3. LENDING INSTITUTION I PHONE Ranier Mortgage Co.1279-0665 MAILING ADDRESS 4797 Business Park Blvd., Anchorage, AK 99502 4. REALTOR/AGENT I PHONE RE/MAX Properties, Inc./ Will EasonI 276-2761 MAILING ADDRESS 2702 Oambell St., Anchorage, AK 99503 5. LEGALDESCRIPTION Lot 9, Block 3, North Woods Subdivision STREET LOCATION NHN McManus Drive, Peters Creek 6. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four [] Two [] Five [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* COMMUNITY [] PUBLIC UTI LITY * 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 DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY 6/8 1 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 , ~ 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY E~ ONE [~ THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] iNDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] I NDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or [] Holding Tank Size:. If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS [~"~ APP ROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~ DATE BY 72-010 (Rev. 6/79) ..~ * MuniclpahtyofAnchorage. . :.~,: Development Services Department*.' ::.,. ;',:' ::,'; . : .., '. Ol~.Si~Water&W~:~tev~t~'Pl~ra'm':* '~'.':' ... :,:~ ';:,'.~ .: ~: :!':~./*,.. ,.'. - (9oT) ~43-?~o4 ' ' - '- -. ..... ..'. ,' '.CEI~TiI~iCATE oF'~HI~AI',TF:I .AUTHORIT.Y, APP, ROVA ........... :', :. - FOR A' SINGEE:FAMIL~Y.:'DWEL, LING':' ~"., ' "' .... I..'arc~l i'lJ' '1,: GE RAL INFORMATION "' C0~ ere &~a 'desc~i~tJo~ ~ NORTq,,OODS,SUBDIVISION; :LOT.O,-BLOCK'3t" ..... ' Locafioh*[~teaddr~ss0i. dractJo~s) ... ',22618,McMANUS,DRIVE,-'* .CHUGIAKF-AK'99567 .......... ESTATE' OF BLAJNI~ ;B~,ERT~CH".' '; :Day ph~ n?'-." '" Curr~ni Prope'rt~ owner(s) :"' ' ~/o ERNE~'T ~'~t HLERET~t' address : ;' "'"' ' ' * " " " __f~ ding agency --.. ' ..........' -" - .... Mailing ~ddres-~ - · - ' ....... ~ ...... . ... . . .... ..,.;..:.,...... Real Estate Agent ERNEST. SCHLERL-rH * R . AT: ':'; Day p.h0ne .272-5549:. - - Mailing address 225 F_AS'I;. FIRE'WEED '. LANE 'SUITE :301; * ANCHORA(;E.': AI~ -': .. U~le§s otherwise requested, HAA will be held by 'DSD for plckup. '~ ' '2. NUMBER'OF BEDROOMS: 3 : ' ' 3, .' TYPE OF WATER SUPPLY: TYPE OF WASTEINATER DISPOSAL: .' : "i;~ividua[ Weft [] Indivldual on-site ' [] IndivlSual Water Storage E]~ Individual Holding tank ~[~ '":'Co~;,nityClass "^' Well CommunityOn-slto Public Water System [] Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 5 by an independent professional civil engineer registered In the State of Naska. CedJficates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastowater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval ara valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Munlclpality of Anchorage Is not responsible for errors or omissions In the professional engineer's work. 4. STA~*EMENT OF INSPECTION BY ENGINEER :... As cerb'§ed by my seal affixed hereto and as of the v~.i. dation date shown below, I redly that my Invesb'gaUon, based on procedures out/ined In the Health Authonty Apprm,al Guidelines for this eppliceUon, shows that the on-site water $~pp~/ and/or wastewater disposal systen~ Is(are) ~afe, func~onal and adequa for the nUmber Of bedrooms*and type'of strtlctur~ lndic~'ted hemin.'; I further verify/that based on the Information obtained fro~ the'Mun/c/[~lil~ of Anch~a-g~.flle~' ~Hd fron~ m'y Investigation End Inspect/on, the · on-slte water supp~' and/or wastewater disposal system Is(am) In compliance wfth ell epp//ceble Municipal and State codes, ordinances, and regulations In effect at. ~. ti~e of Installation. Name of Firm ~- ALASKA WATER .&:' ~wAsTEWATI~R CONSU[-T~',ITS, INC. ,Address .6901.DEBARR .ROAD, SUITE 2B .**ANCHORAGE. AK 99504 Engineer's Printed Name Engineer's Comments: JEFFREY ~ ~ARNESS.',[~.E.-. · Phone 337-6179 Date '7/~/0) In conducting this evaluation, AWWC, Inc.' alternpted to provide a thorough,' . ...... DSD Guidelines & Regulations. The reporl~/ results described the p~forn'mnce of the system under the conditions encountered at the Ume bf the tes~ '~d set:~aralion distances rnessured to madi~, Iden~fiable fea~tres. The operalio~al life of all wells and These cdndib'c~l~ are ~lside' th'e ~3~nkol ~f the evaluator,of the systee~.'SaUsfactoty test any warran~y ~r future estJmafe of how long the ~Ts'tem wfll~con!inue to meet the j ' operab'onal r~qulremonts of the ADEC or MOA DSD. The content of thls report ls for . other person or party is not authcrJzed, nor w/II It confer any legal 8, ght whatsoever, ' 5. DSD SIGNATURE tJ Approved for bedrooms, ~ ~e fllowlng s~pulafions: ~: WATER AND : ~ = : WASTEWATER · Disapproved. CondiUonal approval for Attachments: HAA Checldist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: ;;7 -..~...~ 0 / Municipality of Anchorage Development Sen/Ices Department 8ufld~ng safety oMsm Off-Site Wator & W~r ~ P.O. ~ HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: NORTHWOODS S/Di LOT 9t BLOCK Parcel ID:. 051-751-51 A. W~U. DATA Well type. '__:A' If A, B, or C provffie PWSlD# 2~3oo~ Well Log (Y/N) Date c~mpleted ~(Y/N) To Cased. It. Casing height (above ground) FROM WELL LOG AT INSPECTION WATER SAMPLE RESULTS: Callfom~ colonies/lO0 mL ~ .~./L. -~.T, col~tle~/lO0 .,I. B. SEFTIC/NOLDING TANK DATA I*IN CRAWl_SPACEI Tank Type/Material STEEL Tankslze 1000 gM. NumberofCompeflmonts 2 Foundalion cleaonut (Y/N) ~ Depression over tank (Y/N) NO Date of pumping 7/9/01 Pumper Oat~ Installed 6/29/81 Oeanouts (Y/N) YES Hlgh water ~ (Y/N) N/A JR'S PUMPING C. ABSORPllON HELD DATA Cato Installed 1 Soil rating (g.p.dJft'or(~ 15o System b13e TRENCH Lengift 73 It. Width 5 .It. Grovel below pipe 2 lt. Toteldepth ~ ft. Eff. absorpllonarea 521 ttt Monltarlng~ube YES Depresslonoverfleld NO Oateofadequacytast 7/11/01 Results(Pass/Fell) PASS For 3 bedrooms 13.`5/ 21.5/ Fluid depth In ebsorpflonfleld bofore tast 13-Oin. Water added 663 gal, New depth 21.Oin. 13.5/ Elapsed Time: 1335 min. Final auld depl~ 13.0In, Any rejuvenation treatment (past 12 mo.) (Y/N & typo) Absorption rote >=. 4.50+ g.p.d. NONE KNOWN If yes, give date - D. UFT STATION Date installed Size In gallons 'Pump on" level at .in. ~__~_~-e~--'-~: E SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: High water alarm level at In. Meets alarm & drcult requirements? COMMUNITY WELL Sepflo tenk/llft station on lot Absorption field on lot. Publio ~ver main On adjacent lots Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Bulidlng founda~on. 5' Propar~y line 5'+ Water main 10'+ Water ~endce llne 10'+ Wells on adjacent lots 200'+ Abeorption field. 5'+ Surface water. 100% SEPARATION DISTANCE FR~M ABSORPTION FI;I n ON LOT TO: .~ / · Pmberly line ~'4-~ Water ,,ewlce line 10'+ Curlaln drain NONE KNOWN Bulidlng foundation 10'+ Surface water 100'+ Wells on adjacent lots 200'+ Water main lO'+ .Dflveway, parking/vehicle storage lO'+ F. COMMENT5 O. ENGINEER'S CERTIFICATION I cerfEy that I have determined through field inspec~ons and review of Munlclpal reco~s that the above eysfems ere in conformance with MOA HAA guidelines in ef~ct on this date. Engineer's Prln~l Na~e Date "~ ~ JEFFREY A. OARNESS I-L~ Fee $ Receipt Number WalverFee$ /1~.'.~. ~ Date of Payment 7/~ 5ID~ I I Receipt Number Municipality of Anchorage George P. Wuerch, !layo~r P.O. I~)x 19(')(').50 * 4700 S. Bragaw Street Anchorage, Alaska 99519-6650 * (907) 3-~3-8301 htt p://www.cl.anchoragc.ak.us ~epnv~tmeni of Public Works AK Water & Wastewater Consultants, Inc. ATTN: Jeffrey Garness, PE 6901 De Barr Road, Suite 2B Anchorage, AK 99504- July 25, 2001 Subject: Waiver Request forNORTH WOODS BLK 3 LT 9 Waiver # WR010062 Lot Line Request for Parcel ID 051-73 I-31 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 5 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Engineering Technician III On-Site Water Quality Program Gent By: RE/UAX OF EAGLE RZVER~ [NC.; / 9078980214; Ju[-20-01 10:59AU; Page 112 ASBUILT ":"' --'... $_~'.__~,.~D.'& ASSOCT-~TF3 I HEREBY CERTI~'~i.THA'F I HAVg SU~VL~I~D T"~ ..~"'.~."' ~~/~ ~~ ...:.: .~, ~.. ...... .~.~ ~. ~1~ ~ N~ VISI~ P~T. U~ NO CIRCUM~C~ S~ F~ · ' ~ DATA H~ US~ 'FOR ~N~ION. ~-7~ .~*~ '~,~ -. .... ~9i~ ~.~ . ARY LINES. CONSULTANTS, INC. July 24, 2001 Municipality of Anchorage Public Works On-Site Water & Wastexvater P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Lot 9, Block 3, Northwoods Subdivision To whom it may concern: We request that your department issue a 5 foot lot line waiver from the southwest property line to the existing drainfield. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistan,c~/1 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907)337-6179 * Fax: (907)338-3246 * Website: ak~wvc.com Municipality o.f Anchorage Development Services Department Building Safety Division On-Site Warn' and Waztewater Program 4700 Brag, aw Street P.O. Box 196650 Anchorage, AK 995194650 www.ci,anchorage.ak,us (907) 343-7904 Waiver Review Worksheet WI~: WR~010062 Pli~: 051-731-31 I-IA~: 010383 Pe~nit~: Date Received: 07-26-01 Legal Description: NORTH WOODS BLK 3 LT 9 Engineer:. AlaSKA WATER & WASTEWATER CONSULTANTS INC. 6901 OeBARR ROAD. SUITE 2B ANCHORAGE. ALASKA 99504 Applicant: ESTATE OF BLAINE BAERTSCH Waiver Requested: ABSORPTION FIELD TO LOT UNE OF 8 FEET Criteria: Geology Points: A. Water Table S. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver Is Granted: Waiver is not Granted: List Conditions or Reasons for above: Rec~: 7-25-01 Amount: $ tt5.00 Date Paid: ?.25-01