Loading...
HomeMy WebLinkAboutBIRCH TREE ESTATES BLK 1 LT 3Birch Tree Estates Block 1 Lot 3 #017-141-48 Legal Description ck, L3 Development Services Department Pump Installation Date: .� /itr-11 -a Building Safety Division PGE e� Pump Manufacturer's Name: 1AY j1/lL app aSCd' On -Site Water & Wastewater Program s " az %- == 4700 Elmore Road z P.O. Box 196650 aWE Pitless Adapter Manufacturer's Name: la S A E T Y Mark Begich Anchorage, AK 99507 Mayor www.muni.org/onsite .� ANCHORAGE, AK 99518 (907)343-7904 AWPS.COM Pump Installation Log Well Drilling Permit Number: SW Date of Issue: ParrPl Identification Number: b 11 - 1 LAI - Li S Legal Description ck, L3 Property Owner Name & Address: L-14 C< 5 -r I Ah—t* (� Z wi Awr ,�2,-0 Jr R�t-o�T ,-,e,1, S� G Pump Installation Date: .� /itr-11 -a Pump Intake Depth Below Top of Well Casing: $ t% feet Pump Manufacturer's Name: 1AY j1/lL app aSCd' Pump Model: A i ✓k 50 F 3 % ` — ! V Pump Size �Z hp Pitless Adapter Burial Depth: O feet Pitless Adapter Manufacturer's Name: la Pitless Adapter Installer: /) A Well Disinfected Upon Completion? 2 .Yes ❑ No Method of Disinfection: Comments: „ Cio4a,_ ANCHORAGE WELL & PUMP SERV. Pump Installer Name: !'7 �� 330 EAST 76TH AVENUE .� ANCHORAGE, AK 99518 PHONE: 907-243-0740 AWPS.COM Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Feb 12, 2010 Expiration Date: Feb 12, 2011 Permit Number: SW100012 Parcel ID: 017-141-48 Legal Description: BIRCH TREE ESTATES BLK 1 LT 3 Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 005250 RIVERTON AVE Owner Name: CHRISTINE WITZMANN Lot Size: 27767 SQ. FT. Owner Address: 5250 RIVERTON AVENUE Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 995164230 This permit is for the construction of: ❑� Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. The permit was issued with a pdf copy of the maintenance agreement. On -Site will need a maintenance agreement bearing the owner's notized original signature prior to final approval of the septic system. Received Issued Date: B . Date: Municipality of Anchorage • Development Services Department Building Safety Division J•, ,,, Onsite Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017- 14I - 4 S Property owners) CHRISTINE WIT71JANN Day phone 575-8534 Mailing address 5250 RIVERTON AVENUE ANCHORAGE AK Site address Legal description (Sub'd, Block & Lot ) BIRCH TREE FSTATFS, BLOCK 1. LOT 3 Legal description (Township, Section & Range) N/A Lot Size 02-2-s7,67 Sq.Ft. THIS APPLICATION IS FOR ( ®all that apply): Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 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. CARNESS ENGINEERING CROUP, Ltd. (6ignature ef property owner or eulheFized agent) Permit/Rush Fees:�S 3 O au Date of Payment: is y Receipt Number: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS February 5, 2010 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Proposed Septic Upgrade for Birch Tree Estates S/D; Block 1, Lot 3. To whom it may concern: The existing 3 bedroom house is served by private well and septic system. The septic system is in a state of failure and needs to be upgraded. Our original intent was to rebuild the existing bed given the limited area in the backyard. Per you direction, since the previous design did not have percolation test information, you required us to perform a test hole, percolation test, and take groundwater readings. Based upon our findings, the soils between I to 2 feet had a percolation rate of 80 minutes/inch and the soils between 2 to 9 feet had a percolation rate of 30 minutes/inch. Assuming a 0.3 gpd/sq.ft. application rate, we would be required to have a 1500 sq.ft. drainfield be installed. Given the limited usable area outside the well radius and without removing the shed, it appears that there is limited area available to install this size of a drainfield. Given the little cost difference between such a large conventional septic system and an advanced wastewater system; and due to the limited area available for septic system upgrade, we are proposing that a Quancis Aerocell treatment system be utilized for this property. We are proposing that a new 1000 gallon "Premier Plastics" H.D.P.E tank, a "Fat Albert" lift station, a Quanics Aerocell unit, and a bed type drainfield be installed. On 1/28/2010, one test hole was excavated on the property and groundwater was found to be at 7'4" below the existing ground surface. The drainfield will be designed around the 30 foot radius of this test hole. We are proposing the new drainfield be installed over the same area as the existing drainfield. We are proposing that the drainfield be excavated a maximum depth of 3 feet from original grade. All contaminated material is to be removed and 2.5+ feet of sand filter is to be added. The new drainfield is to be installed at or higher than the existing bed elevation. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached site plan drawing with the topography information on it, the average slope in the drainfield area is a 5 to 8% slop running from approximately cast/northeast to west/southewest. In short there are no slope concerns. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: www.gamessengineering.com We are unaware' ny adverse impacts this installation would have on adjacent wells or septic systems. If you have�1n� c� es ons, please contact us at 337-6179. Thank you for your assistance. Pjt., M.S. NOTA• Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179 • Fax: (907) 338-3246' Website: www.gamessengincering.com tLIAMNA ACRES S/O: LOT 7C. ILIAMNA ACRES S/0: TRACT 6, W LL AN M ON NORTH HALF OF LOT RIVERTON COURT \ / 1 \ I I I II I I I / \ I/ / ILIAMNA ACRES S/D: 4 LOT SD. \ I \ I \ I 1 I I � I EXISTING WELL \ I //—EXISTING 3 (BEDROOM H USE BIRCH TREE EST. S/0: BIRCH TREE EST. S/D: �$ \\ /!( THJI BIRCH TREE EST. S/D: lrp — — \ LOT 6. BLOCK 1,� — iLOT S. BLOCK 1, -11W . — LOT 2. BLOCK 1, R /J/ — — — — BIRCH TREE��\ / LOT 4, BLOCK 1, SHE — EXISTING SEPTIC SYSTEM ------L—-------t— ------ -- ------------ ----/-------- / 1 loo• wFll e - 1 BIRCH TREE EST. S/D; LOT 13, BLOCK 1, ---------- PROPOSED SEPTIC SYSTEM (SEE DESIGN PAGE 2 OF 4) I I BIRCH TREE EST. S/D; L T 14. BLOCK 1, SEMP` �/ / / BIRCH TREE EST. S/D: LOT 1,5. BLOCK 1, \ I I \ ------------- BIRCH TREE EST. S/D: LOT 16. BLOCK 1, t 1 I 1 EAST 145H AVENUE \ / I GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS i GENERAL CONTRACTORS ro, [. noon low. wr[ ,o, ...nowt, r war • wio,4 (rorlvr-s,» • ru fr n' -"" • wwx — PREPARED FOR: PHONE NUMBER: PACE NUMBER: CHRISTINE WITZMANN 575-8534 1 OF 4 LECAL DESCRIPTION: DRAWN BY: BIRCH TREE ESTATES: BLOCK 1 • LOT 3 J.L.M. ITYPE OF WORK: FOR PROPOSED SEPTIC UPC Mw MM, 2/3/2010 DF BEDROOMS: 3 PER DAY (GPD): 450 ION RATE/S: 30 ) APPLICATION RATE: 2.0 DRAINFIELD SO.FT.: 225 MAXIMUM DEPTH: 3 FEET BELOW ORIGINAL (PRE -MOUND) GRADE (REMOVE ALL CONTAMINATED MATERIAL) WIDTH: 10 FEET LENGTH: 25 FEET M.OA. APPROVED SAND FILTER: 2.5+ FEET EFFECTIVE: 0.5 FEET ACTUAL SO.FT.: 250 LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPA OF THE LETTER CONTACT CEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION. THE ENGINEER, WELL DRILLER. CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND APPROXIMATE PERIMETER OF EXISTING BED PROPOSED 10' BY 25' DRANFIELD (SEI DESIGN CRITERIA) - PROPOSED 650 AEROCELL UNIT - PROPOSED VALVE E �ROPGALLON 'FAT FAT ALBERT' LIFT STATION-� C A RIVERTON COURT NOTE: THE CONTRACTORSHALL HAVE THE 100 FOOT WELL RADIUS ANO THE WEST UT LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION ?DOUBLE 0PROPOSED 1000 GALLON e � PLASTIC SEPTIC TANK EXISTING SEPTIC TANK AND OUTS LIFT STATION TO BE COMPLETELY ABANDONED _ _ _ _ _ _ -ER"DpC— ID' UTILITY EASEMENT i WELL GARNESS ENGINEERING GROUP, Ltd. o;'?' T ;y¢ CONSULTANTS A GENERAL CONTRACTORS�� O"""' ""' .. ]ill [. 11AM •olo. Wl[ lel • wC+Cele[. A[ Mlol • FC•[ pot)].7-61T • I" InnAl•�314 • Reel[: �w.•s•wryi�iye,w PREPARED FOR: PHONE NUMBER: PACE NUMBER:•E A. G......arn 5. CHRISTINE WITZMANN 575-8534 2 OF 4 OQ a :i LEGAL DESCRIPTION: DRAWN BY: CE -7953 O.P, '•, •• �d'G BIRCH TREE ESTATES BLOCK 1, LOT 3 J.L.M. OD sip ••��,lD�'I�oo TYPE OF WORK: SLE° REVISEDPtofessLo DESIGN DRAWING FOR SEPTIC SYSTEM UPGRADE 2/10/2010 �00000� (Rs,. 01AS) \\ +�\ yTH f IA11 JBf sly � , 1 OO •,: ?DOUBLE 0PROPOSED 1000 GALLON e � PLASTIC SEPTIC TANK EXISTING SEPTIC TANK AND OUTS LIFT STATION TO BE COMPLETELY ABANDONED _ _ _ _ _ _ -ER"DpC— ID' UTILITY EASEMENT i WELL GARNESS ENGINEERING GROUP, Ltd. o;'?' T ;y¢ CONSULTANTS A GENERAL CONTRACTORS�� O"""' ""' .. ]ill [. 11AM •olo. Wl[ lel • wC+Cele[. A[ Mlol • FC•[ pot)].7-61T • I" InnAl•�314 • Reel[: �w.•s•wryi�iye,w PREPARED FOR: PHONE NUMBER: PACE NUMBER:•E A. G......arn 5. CHRISTINE WITZMANN 575-8534 2 OF 4 OQ a :i LEGAL DESCRIPTION: DRAWN BY: CE -7953 O.P, '•, •• �d'G BIRCH TREE ESTATES BLOCK 1, LOT 3 J.L.M. OD sip ••��,lD�'I�oo TYPE OF WORK: SLE° REVISEDPtofessLo DESIGN DRAWING FOR SEPTIC SYSTEM UPGRADE 2/10/2010 �00000� (Rs,. 01AS) NOTE: THE MOUND (S REOUIRED TO BE TOPSOILED AND vECETATED. GRADE GARNESS ENGINEERING GROUP, Ltd.p, - H AI CONSULTANTS A GENERAL CONTRACTORS 3n, c nqa •o.o. wrt 101 • rc•o..cr. w nor • wqK (W'W?-4'n • rw (107) . A RIS�L ....,µr!koo PREPARED FOR: PHONE NUMBER: PACE NUMBER:• • • • • • • • • , • •"';trey essCHRISTINE WITZMANN 575-8534 4 OF 4LEGAL DESCRIPTION: DRAWN BY:BIRCH TREE ESTATES; BLOCK 1. LOT 3 �•L•M0 TYPE Of WORK: DATE: � Op Oressio�D`e PROFILE DRAWING OF PROPOSED DRAINFIELD 2/3/2010 �04000��00 _orl �oJl ILIAMNA ACRES S/ TACT 6. IL NA ACRES S/D; WELL AN I M N N RT MAF F T LOT 7C. 5 E: LAM ACRES S D; 1'� 1 L75D, P ♦ IVE TO COU P • E7 TING W E% TING 3 B ROOM USE RST.H TREE EST. S/D: $ �M BIR TREE ES S/D; L T 2. BLOC t, OT S. BLOCK 1, T/�. SEPTIC ACANT AREA BIRC TREE EST. S/ LO 4. BLOCK 1, SHE E%ISTIN SEPTIC YSTEu D SEP C SYSTEM G AGE 2 OF t) ��++ `-VACANT / SiR TREE ST. S D; ZBICRCH IRCtEEOT��'S/� TREE EST. S/D; BI CH TREE EST. S/D LO 16, BL K 1, LOH, BLOCK 1, LOT S. BLOCK 1, R� AST 11 45HI VEN E 1o �F,.......... q 0 GARNESS ENGINEERING GROUP, Ltd. W: 49 CONSULTANTS GENERAL CONTRACTORS •• ••••• •••• •T•4•� 1••••• 1d 11 w t m OLD. wx log ... iov . woi� nv�-a • �.� Iwn -lxu • irevrt.... o••••.•�ro•�••�o •••• P EPAREO F R: P 0 NUMB ACE NUMBER: CHRIS INE W MA N 5 -85 F 4 •• ••••• •• �Q Y n6 GAL DESCR TION: DRA s p� IN CE-79 ,• fipp ��`c 2�y/' BIRCH TREE E ATE ; BL K 1, T L• �� DALE: TYPE OF WO p � SITE LAN F R PRO SED S IC G E 2/3/2010 o ....... gS4to GARNESS ENGINEER ING�GROUP, Ltd. &:4 T y�0 ONCTORS SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: BIRCH TREE ESTATES; BLOCK 1, LOT 3 s f CE 779 3 es.:pO PERFORMED FOR: CHRISTINE WITZMANN DATE: 1/28/2010 r •' SFO r e4- -6 •Q DEPTH ooslol, (feet) 333 ORGANICS ITEST HOLE 1 UPPER ML SOIL CLASSIFICATIONS 2 a'^o GW ====Z ORG Nn • : •. GP ML 3 GM CIL 1 4 GC OL N i °• • a o SW MH f 5 '• •'• : SP CH GM SM OH .r 1 6 SIC 7 DEPTH TO DATE GROUNDWATER g DRY 1/28/10 7'-4" 2/4/10 9 TtNERfON'-----�-seA6c ML t O B.O.H. tt 12 13 14 15 16 17 18 PERCOLATION RATE 80 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 1 FT. AND 2 T. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY COMMENTS: PERFORMED BY CEG. Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 2 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 1/29/10 1 2:55 — 6" — 2 3:25 30 5 5/8" 3/8" 3 3:25 — 6" — 4 3:55 30 5 5/8" 3/8" 5 3:55 — 6" — 6 4:25 30 5 5/8" 3/8" ell*�� o��F �O�o ........ �gSpO GARNESS ENGINEERING GROUP, Ltd. '` `r00 CONSULTANTS & GENERAL CONTRACTORS 11p.0. W1t 101 • Y,tMpglyt. Y. PY)0) • P.0•S: YO) )-11 )Y • Y'. t0) O SOIL LOG — PERCOLATION TEST , ........ .•••,•...� LEGAL DESCRIPTION: BIRCH TREE ESTATES; BLOCK 1, LOT 3 e 'J f E-7 53 ess: •�� PERFORMED FOR: CHRISTINE WITZMANN DATE: 1/28/2010 e'L/S .l0 `6ov DEPTH 44��040��to (reef) ___= ORGANICS TEST HOLE 1 LOWER 1 ML SOIL CLASSIFICATIONS 2 GW ORG I ` RN TON COURT, 3 :.•. GPML ` GM CL 4 GC OL N IILLLLH •�.: SW MH T 5 '. �•.: SP CH GM SM OH �. 6 SC 7 DEPTH TO DATE " GROUNDWATER g DRY 1/28/10 7'-4- 2/4/10 9 SCALE: ML 10 B.O.11. tt 12 13 14 15 16 17 18 PERCOLATION RATE 30 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 2 FT. AND 3 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES [_-]NO SOILS LOGGED BY: ROB CAMPBELL PERCOLATION TEST PERFORMED BY: ANDREW GRAY COMMENTS: PERFORMED BY CEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: D DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 1/29/10 1 2:55 - 6' - 2 3:25 30 4 3/4' 1 1/4' 3 3:25 - 6' - 4 3:55 30 5' 1' 5 3:55 - 6' - 6 4:25 30 5' 1' Z r A m O rT 'D ��o O y V'10 i Z N r mZ �i Z >< = O --40 y [_7 OZ y0 Z y xm m m n To 0 c n O a n W m p O Zri ;DN r X1 -1 Z O*O m r 1O \_� .,T r O Z N0D Ln 1 A • Z c rC D y O Z A O Z o m0 v z a rn v - N III O D Z m C O O rn O r- - \Z c Z m D CD A 0 IS a�pF �O44D i 4 wTL: RAWN BY. . , � °... ................°v.�0 2/3/2010 J.L.M. LEGAL DESCRIPTION: re A. G ness? BIRCH TREE ESTATES; BLOCK 1, LOT 3 GARI�ESS ENGINEERING GROUP, Ltd. C :o TYPE OF WORK: CONSULTANTS AGENERALCONTFACTOFS a e^''•Z r ,.•'•cq p� DESIGN OF SEPTIC SYSTEM UPGRADE ». .m A» �� » ^» ^�• ^^^+ •••^�� ron i. w •...R -�. -.+ a "" o 6 �p�olasS�o�000 PREPARED FON: PHONE NUMBER: PAGE: °�°ppppOpo CHRISTINE WITZMANN 1 575-8534 3 OF 4 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN MUNICIPALITY OF ANCHORAGE A.'YD 3'ra' HEN 4 L114Lct4hw 4nT2A16wr.r 4-rjb C4f1%1J%r7Mr 94ST2 M 4+dnJ THIS MEMORANDUM OF UNDERSTANDING made and entered into as orthis Jj_Day of,& j e, a of 2010• by and between SIV;f a [-kAIP-1 TI-JI-ZMA-4J herein the "OWNER." and the Municipality ofMchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: I. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), des�crribed as a( rnni et ii« IIlocated at 8'(4-k Tiff ES 1. ! J L 3 . Mehonge, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AW WVTS that Includes the Installation or removal of any parte, components or pieces ant included in the original construction permit and design. Prior to performing any alterations to an AW WTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC)15.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time ofproperty sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the lime of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AW WTS that were included in the original design which would allow the A W WTS to continue to perform as designed E. Permit (Construction) An Onsite Wastewmer Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An AdvancedWattewaterTreatmentSystem Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AW WTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Pcrnit and all relevant provisions of AMC 15.65 7. F—m– Owner shall pay to Municipality an annual fee of 0 (SQ.00), payable on or before the issuance of the operating permit and annually thereafter. The armual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understtnding shall be for the life of the AW WTS. The term begins on the date of approval by the Municipality of the instated system and shall continue while the A W WTS system is In use or operational or until the property is sold or title U trarufemd by owner and a new certificate of On -Site approval is Issued to the new owner or transferee of the property. 3. Altentions. Installatioo and Removal of Additional £llotpment. Owner agrees not to make any aherations, removal of parts or additions to the AW WTS without a Construction Permit from the Municipality. 6. Maintenance and Reoain. A. Throughout the term of this Memorutdum of Understanding, the Owner shall maintain AW WTS in good repair. In addition, it shall be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or mrnewals thereof, at the owner's sok expense, to pay for any and all: (I) m*r(s), (2) maintenance, (3) adjustment(:), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulatimm rules and orders for the AW WTS. D. Owner agrees to provide the Municipality a written schedule orroutine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained In the Owner's AWVM Operating Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's A W WTS OperatingPermhis:_1Luir�_ C. Owner acknowledge that the fine schedule for failing to maintain aid repair an AWWTS arc codified In AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and nuke any necessary maintenance, repairs or permitted alterations to the system. E Owner agrees to grant the Municipality reasonable access to test and inspect the AW WTS upon 24 bours written notice. F. Owner agrees that any We or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. 0. Owner agrees that the relevant provisions of the standard specification guidebook for A W WTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AW WTS. 7. Nonwalrer. The faihue of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. S. Ameadmeat. A. This Memorandum of Understanding shall only be amended modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be atmched to this Memorandum of Understanding as an amendment. H. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner —54rpliebt `f (,IfWSYlise �.%/�2L1/eYG1�i Anchorage: Purchasing Ofri C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. jurisdiction! Choke of liw. Any civil action arising from this Memorandum of Understanding shell be brought In the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The Iaws of the State ofAlaska shell govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum ofUnderstanding decreed Invalid by a court of competentJurisdiction shall not invalidate the remaining provislons of the Memorandum of Understanding. OWN R,_ 2/;" 2"0:—/ ' " MUNICIPALITY: By (�/�LQ Wl�N1Gll�Ja By Title: Date: � Date: STATE OF ALASKA ) )u THIRD JUDICIAL DISTRICT The foregoing Instrument was ae]rnowkdpd before me this M day of oz 201 Q, by TJ1: 1.4 4—n A.,4.j . 64zow E 164a4a k NOTARY PUBLIC FOR ALASKA [ -co tc—r T&,t ftQ jOpt..C.t 4,< My Commission expires nPA�.1 c r i SYC f NST?}rt,y p�ttG L Name Address �1 Phone(s) MUNICIPALITY OF ANCHORAGE r) •('� n ^ �" DL RTMENT OF HEALTH AND HUMAN SEF, ;ES V i f`' 4 Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT � l� 0 T E DISTANCES TO SEPTIC I ABSORPTION ,9-77-7S Lot Block 3 1 / Township, Range, Section 7_42-P/ , R 3 Permit No. R6 0 TANKS FROM o. of Bedrooms WELL LOT LINE �S FOUNDATION ❑ SEPTIC ❑ HOLDING Manufacturer Capacity in gallons E7 t ' Material No. of Compartments Installei Date Installed: water WELL 3.2 3n (Show location of well, septic system, property lines, foundation, rol iz REMARKS: -7/46 16 -© Scale:'FER -4r-/e bust ' L t V V" bV H 0 f Inspections Performed by. .10 � , ; t • w is., Date. 8/mY If I I certify that this inspection was performed according to all y JUN, 2' r Municipal and St guidelines in effect ont ' ate:Z�• L ,,,Health Department Approval: Date: e rc-u 1,) toioof TYPE OF SYSTEM ❑ TRENCH BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original grade FT FT FIII added above original grade Gravel depth beneath pipe FT O, 5 FT Gravel length Gravel width FT A 6 FT Total absorption area Distance between lines 6 % 3 SO FT FT Number of lines Soil rating Pipe material / 50 SO FT Tv� Installer Date Installed WELLS ❑ PRIVATE ❑ OTHER (Identifv) Classification (A,B,C) Total Depth to JCased FT FT Installei Date Installed: water WELL 3.2 3n (Show location of well, septic system, property lines, foundation, rol iz REMARKS: -7/46 16 -© Scale:'FER -4r-/e bust ' L t V V" bV H 0 f Inspections Performed by. .10 � , ; t • w is., Date. 8/mY If I I certify that this inspection was performed according to all y JUN, 2' r Municipal and St guidelines in effect ont ' ate:Z�• L ,,,Health Department Approval: Date: e rc-u 1,) toioof # ��� ���� �� "«������� DEPARTMENT ' HEALTH AND ENVIRONMENTAL ROTECTI0N ' 825 L STREET, ANCHORAGE, AK 99501 - / 264-4720 PERIv. I1� NO: 860197 UPGRADE DATE ISSUED: 06/26/86 APPLICANT: SPOKANE MORGAGE, T. SPURKLAND ADDRESS: 1:2 W.15 ANCHORA8E, AK 99501 CONTACT PHONE: 279-3916 LEGAL DESCRIP: SUBDIVISION: BIRCHTREE EST. LOT: 3 BLOCK: 1 SECTION: 34 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 27000 SQ FT. OR ACRES) I certify that: 1. I am {amiliar with the requirements for on-site sewers and we1ls as set [orth by the Municipality of Anchorage (MOA) and the State o[ Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria o{ this permit. 3. I will adhere to all MOA and State of 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 CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOU[ AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELEClRICAL WORK MUGT BE DQNE BY A L�CENSED ELECTRICIAN. SIGNED DATE: APPLICANT: SPOK lSSUED BY IleDATE: / �^� ��e . ~. �� ~ �~ ~� ^� /'~~� ^U� �^�,xm 7rwnm��^ -761 74"Av- �.-- ~-4�` C' MUNICIPALITY OF ANCHORAGF DEPARTMENT OF HEALTH & ENVI ROa N MENTAL PROTECTION m ��-/ 093 ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE Bruce Lattermore 277-5551 -- _ UPGRADE MAILING ADDRESS --"—" ---"-- ----- — P.O. Box 10-33.5 Anchorage, AK LEGAL DESCRIPTION -- Lot 3 Block 1 Birch Tree Estates Subdivision, Anchorage AK 1 LOCATION TNO. OF BEDROOMS DISTANCE TO Well 105 Absorption area Dwellin PERMIT NO. U X 3 1- 2 a I- Manufacturer Material Nm o, of copartments wF y J Liq, capp city in gallons l�(1U IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well 110, Dwelling 40, PERMIT NO. L` Manufacturer Greer Materi – Liquid capacity in gallons J w = DISTANCE TO: Well Foundation teel Nearest lot line 500 PERMIT NO, J LL z 2w _Length lines Length of each line Total length of lines! Trench width Den istance betwelines ~ 1". Top of the to finish grade Material beneath til, _ nches 0 Total effective absorption area inches Length Width Depth U1 PERMIT NO. Q H UJ a Type of crib Crib diameter �— Crib depth — Total effective absorption area y DISTANCE TO Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. UA DISTANCE TO: Building foundation Sewer line _ Septic tank Absorption areas OTHER PIPE MATERIALS 1" & 2" PVC SOIL TEST RATING Se A to he A -B it INSTALLER ORCA Construction REMARKS As -Built Inspection Performed by R&M Consultants, Inc. on August 23, 198 by Philip R. BAldner See Attached Mound Design (r'l+� t i' APPROVED t1° F Ci4 v"'Vrir DATE LEGAL 72-013 (Rev. SIGNED 3 WITH CARBON INTA Redifprm® 4S 471 SENDPART 3TWILLAND BE RETURNED WITH REPLY. DETACH AND FILE FOR FOLLOW-UP DATE POLY PAX (50 SETS) V 471 INSULAT1oN YL,('C'Lo It -4 ItRF p \ — SILT GAP OV�FR SAKID ; II_G.- 4 r� "` �` M I N. 12" DEF_ P OVER TKENCHF 5 AN D ON SLCPF_S - �\ ! \ �, S� SHAPE. FOR G'RA1 hIAC�5 •/.r T�.I't: � I r Opp // SILT SU5IGI;AAE Gxc6s . SE:c-rcor• A -A r —' 4-' I 1 Iwo LIMIT t of I r-- L m 4T ?77 � I I W f NS 1 A L L! LEVEL � J J= ✓ � � J ? PVC.- ! �(sL0rr TU PORCC l?r•IlV A \ �' DWR_ O1G Fe. --� CKD. GRID. R&M CONSULTANTS, INC. DATE. i3- _ � E�.O tifE0• GEOLOOIfITB PIANNEf g SUAVaYOP9 PROJ.NO. 05/0.93 SCALE. ; J DWG.NO, 7RC�164�x�sJ. C-lV-4lvj 'A VisTRl Svr1 oN Flpr= 'VC 14AS I i t brATION F VisTRl Svr1 oN Flpr= 'VC 14AS I i t brATION Z -11 7v - RIVERTON AVE. � DWK CKD. DATE. I u z a� io ' u r« I T Y c: Asp nAAE-ry r- - - - - - - - r = a 1- ,-.a • 1 43.0' AS - O LI LT L 0 F3 51- 0C,& t su.a J>/v)IS) ON R&M CONSULTANTS, INC. GRAD. ENOINEENS OEOLOOISTS PLANNERS SURVEYOR• PROINO. DWG.NQ N AAA -ry r:i)(I STIN6 13 �D R��1.�tGG Gi DWN. CKD. DATE. :4 - SCALE. O FB. V &M CONSULTANTS, INC. GRID. R&M CONSULTANTS, PLANNERS SURVEYORS PROJ. NO. DWG.NO. 77-'Xl To MCUND 7AL. CAP. 500 r STF- CL 7A P4 I" -- m E Y E k5 F\ m AWS-! LE\/F-L 5VV I TC - 0 . 4J 1 TA, -4 K s; 2 -IF -V 7-0 PROVtr)E GPf 0AY SrGRAGE AFTER ALA'RtA, F Lr LOP r'AILUR9 -1,4 LARM 7pump ON (70 E�Z GP! F- 7 7Z FLIM P 0 F P7 M Y c- DWN. CKD. DATE. :4 - SCALE. O FB. V &M CONSULTANTS, INC. GRID. R&M CONSULTANTS, PLANNERS SURVEYORS PROJ. NO. DWG.NO. SPv KA- � T47 cLnut : �.� )4 5 y AO-tA— . /tea >e A >L 3 Z 7�' (o 7a vo (LA, w -it 04" U, V% (IDX X X!5 y) /0- 7` db DESIGN PARAMETERS ESTIMATED DAILY FLOW (GPD) = 2 BDRMS X 150 GPD/BDRM = 300 GPD GRAVEL TRENCH BOTTOM ULTIMATE PERMEABILITY = 1.23 GPD/FT2 SILT SUBGRADE PERMEABILITY = 0.24 GPD/FT2 TRENCH BOTTOM AREA REQ'D: AREA (FT 2) 1 300GPD/FTGPD 2 = 244 FT TRENCH WIDTH = 4 FT LINEAR FEET OF TRENCH REQ'D = 244FFT2 = 61 FT NUMBER OF TRENCHES = 61 FT = 2.03 OR 2 EACH 30 FT TRENCHES 30 FT TRENCH SPACING = 12' TRENCH DEPTH = 12 INCHES HEIGHT OF MOUND AT TRENCHES = 3 FT HEIGHT OF MOUND AT CENTER = 4 FT THE 1 FT CROWN INSURES SURFACE DRAINAGE OF THE MOUND SIDE SLOPES OF 4:1 ARE TO BE USED BASAL WIDTH = 36' BASAL LENGTH = 54' TOTAL INFILTRATIVE AREA = 36' X 54' = 1944 NECESSARY INFILTRATIVE AREA = 300 GPD 2 = 1250 0.24 GPD/FT LENGTH OF 2 INCH MANIFOLD = 12' LENGTH OF 1 INCH LATERIALS = 30' - 6 IN = 14.5 FT (Trench shall extend 6" 2 beyond end of lateral) NO. OF LATERALS = 2 TRENCHES X 2 LATERALS = 4 DIAMETER OF HOLES 1/4 INCH NO. OF HOLES PER LATERAL (SPACED 30 INCHES) = 14.5 FT = 6 2.5 FT FORCE MAIN SHALL BE 2" PVC AND SHALL BE INSTALLED TO DRAIN BACK TO PUMPING CHAMBER AFTER EACH USE. Audible or visible high water alarm to be installed within residence per owners direction. APPROXIMATE MATERIALS QUANTITIES SAND - 120 CUBIC YARDS V TO 2�" GRAVEL - 9 CUBIC YDS 1" PVC PIPE - 58 FEET 2" PVC PIPE - 39 + FEET 1 EACH PVC TEE 2"X2"x2" 2 EACH PVC TEES 1"X1"X2" 4 EACH PVC END CAPS SILT PLACED OVER SAND MOUND - 75 CUBIC YARDS TOP SOIL - 36 CUBIC YDS GRASS SEED PUMP - MYERS SS411 LEVEL SWITCH AWS -1 BUZZER ALARM CA-SS4 FLOAT SWITCH FLC-20P 500 GAL CAPACITY TANK 960+ FT OF DOW SM STYROFOAM 2" THICKNESS GRE' ^R ANCHORAGE AREA BOF "GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME �C�/%� ��'�� MAILING ADDRESS X616'16 .ST PHONE LOCATION �� 1���.��C�.�G� ZKY LEGAL DESCRIPTION el aCf J % �f� 462��� SEPTIC TANK: DISTANCE NUMBER OF FROM WELL/MANUFACTURER P�% MATERIAL �� ���-COMPARTMENTS INSIDE LENGTH INSIDE INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY A'759 2 GALLONS. SEEPAGE PIT: / /G ��f el NUMBER OF PITS �L/ . DIAMETER OR WIDTH_4t1LENGTHL//;; DEPTH /e LINING MATERIAL ���il'FS CRIB SIZE: DIAMETER --DEPTH DISTANCE FROM: WELL �y �� TOTAL EFFECTIVE BUILDING FOUNDATION NEAREST LOT LINEO� ABSORPTION AREA (WALL AREA)( 1, SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE �r,� CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION -,LOT LINE SEWER LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: -%1t�) "<-/­-) INSTALLED BY: Z � ��� -ZZ1Z- G,c'c-,U.ri PIPE MATERIAL: LOT SLOPE: REMARKS: .GSL/7 Form No. EQ -031 DEPTH SEPTIC TANK_ DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM �? J/ "y. �id DATE -?/ //% APPROVED } G.A.A.B. f// GREATER ANCHORAGE AREA BOROUGH 4 DEPARTMENT OF ENVIRONMENTAL QUALITY P NO. — 4 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT ' "� � d 1` MAILING ADDRESS 71� ST�-- PHONE a? ¢' Q Op INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK c— SEEPAGE PIT C-- , DRAIN FIELD , OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH �`�g-� """v "`"�x' TO BE INSTALLED BY SOIL TEST—RESULTS NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE ` J�" TYPE SEEPAGE AREA SIZE I ` 1" TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ,.,gv FOUNDATION TO SEEPAGE PIT "ate+ ( DRAIN FIELD l e- ( SEPTIC TANK TO SEEPAGE PIT WALL Ix J i SEPTIC TANK , SEEPAGE PIT, DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK loot DRAIN FIELD WATER MAIN TO SEPTIC TANK V i DRAIN FIELD t 8 1 ` SEEPAGE PIT /oU, ALSO CONSIDER AREA WELLS. —, SEEPAGE PIT 40f f , 1 SEPTIC TANK, Qy , SEEPAGE PIT G ( DRAIN FIELD , TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES .ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. ')ATE APPLICANT'S SIGNATUREX�9 i'7� 1 ZM NO. EQ -016 - - .. 7'--{(EydINkdS; SEAL) e Municipality of Anchorage L-,oDEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG —PERCOLATION TEST +? -`:. I9/1 PERFORMED FOR: SF0'K+ANL M0QTGA%a DATE PER FOR191I c LEGAL DESCRIPTION: LICiT 3 �Y�I. Pi9cRTPaifownship, Range, Section: r-1 SLOPE SITE PLAN 2-0 • W 3 O v 0, 5 V too 6 D^ f 7 d 8 0 10 WAS GROUND WATER ENCOUNTERED? 11 S IF YES, AT WHAT L DEPTH? Z t 12 P Depth to Water Alter E 13 Monitoring? Date: 'b 14 15 16 17 18 19 Reading Date Gross Net Depth to Net Time Time Water Drop 20 -{ I u PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER COMMENTS " ""�•� m e- TEST RUN BETWEEN by.se.i/i�tcc'� FT AND � FT ^`y� CV97 PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN 72-008 (Rev. 4/85) &99f91&ff!1K CERTIFY THAT THIS T WASPERFORMED IN ON THIS DATE. DATE: D. a`_ xSOILS LOG - MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION TEST / 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: SpD 16/.ANG HOOMAdg E DATE PERFORMED: (0/! 7! 16 LEGAL DESCRIPTION: LpT 3?, Sk- I I CAiT EE FESTAT+iF- SIC C. 3 112-N A SLOPE SITE PLAN—��� PT vi4 �OcCS 1 jj�� SIL.T 2 p c G vU b d 3 p p G4 rt.v 4 a � 5 J I $o'tTO U" 4 N• o It 6 7 8 9 10 11 12 13 14 Date ` Net Time Depth to Water Net Drop rj. 18 • 19 20 WAS GROUND WATER S ENCOUNTERED? n L O P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT_ COMMENT�j 11 0 r "%-CW �'N' PERFORMED BY: CERTIFIED BY: > DATE: 72-008 (6/79) m:.>. GRE;ATUF ANCHORF ;. AREA BOROW,H HEALTH Di PA}•MMENT CASE 0 ]ir•� �I �' D 327EAGLI, STREET ANCHORAGE, ALASKA 99501 B I.bMS'Tr�rTlov► Date Performed _Mck114 1974 Fp,a Dc scription� at Block ��sUc ivision �' �. Q'_ eS -- This Fcrm Reports a: Soils Log ercolation Test Depth Eeet Soil Char--cteristics 09ai to,Se; l 0 S i I+ a / C {-ravel o n' �0 �Z I�00 La, -9e C0661FS - G 'P s� \� Was Ground Water Encountered?120 °oo if Yes, At What Depth Location Sketch 11 Reading Date Gross Time Net Time Depth To H2O Net Drop www Percolation PaTe V17 M xnu e Protosed Install.at�' Toni Seepage Pit Drain E'ield Depth Of Inlet _ _Depth To Bottom Of Pit Or 'french mow.,._... COMMENT•>: PQ_ cct_u S(-- 7li P /-7 i ,o k >;14 Test Performed B;:w f-�lCIL i�c�9o�o__.�«.I_ �yLs� ate-{ ST+1C, Data Certified By:� �. Date: ENGINE LHING INNOVATION IN Tm:, F=AFi NORTH ARCTIC ENGINEERS, INC. I'Ncjir ELv!RHNG SIU(m `, e)E l_ sE7 € .: "t MANAE `Et P !3URVIYlc, August 19, 1983 AEI# 83-013-19 Mark Schindler Lot 3, Block 1, Birchtree Estates Anchorage, Alaska Dear Mr. Schindler: On August 3, 1983, an inspection of the individual well on the above referenced lot was performed by cur firm. The Municipality of Anchorage requirements for individual wells are: 1) Casing extends 12" above ground. 2) Ground surface around the well is sloped away from the well. 3) Well cap is properly sealed. 4) All wiring is in electrical conduit. 5) Water analysis for Total Coliform is satisfactory. 6) Adequate clearance from septic systems is maintained. We inspected all of the above and found them to be in compliance. A copy of the water analysis report is attached. If we can be of any further assistance, please don't hesitate to contact us. Sidney CI r 9 °° •°° �� ARCTICk% PROFESSO 1506 v �.. 29 r Pa' !'RIGIA L f, NCi AN ?',> A E t.. A I S' 64 530 August 9, 1983 NGiNF EFON(I INNOtile USN 1N s fll ' M,, N._ PI H ARCTIC ENGINEERS, INC. Mr. Mark Schindler c/o ARCO Alaska P.O. Box 100360 Anchorage, Alaska 99510 SEPTIC SYSTEM ADEQUACY TEST LEGAL: Lot 3, blk. 1, Birch Tree -Estates OWNER: Mark Schindler HOUSE TYPE: 2 -Bedroom, single family WATER: On -Site Well SEPTIC SYSTEM: From MOA Records Tank: 1250 gallon, 1 compartment, steel Absorption System: Mound Absorption Area: 244 ft.2 Soil Rating: 0.24 gpd/ft.2 Approval Date: August 23, 1980 TEST DATE: August 8, 1983 PROCEDURE: 500 gallons of water was input into the absorption system standpipe. Liquid level rise was monitored in the mound at the standpipe. No backing up into the wetwcll was observed, and the system absorbed all the water input within 5 minutes after input was stopped. RESULTS: The system accepted 1.5 times the daily design flow for a 2 -bedroom house. The absorption system is adequate by Municipality of Anchorage requirements. OF � f ?i a �� yi Q 06`nf'��680®/9OA�Y10���i�p p ® Sidney. C; ,, t �s�Pmo® CE -156 a pROFES0,10* 4V ARCTIC ENGINEERS, INC. 3901 1"A R2 GIA E.. Wf, - Nj(;Hi. RAG( A.hSKA 99504 907/133,9428 F� (L,3'.,tJ 1P1Cz appliedr sciences Engineering Geology a Mining a Geophysics a Groundwater a Petroleum 16 July 1974 Greater Anchorage Area Borough Dept. of Environmental Quality 3330 C Street Anchorage, Alaska 99503 ATTENTION: Ronnie Kinneen 21�, vi,D kjL L23 1974 ANI D plA ER ANCHORAGE DEPT, OF En BpROU AREAFNTAt (ilUAkliVM Re: Soil and Ground Water Conditions, Lot 3, Block 1, Birch Tree Estates Subdivision Gentlemen: This letter is to reaffirm and certify our earlier investigation and evaluation of soil conditions as they affect on-site sewage disposal on the referenced property. On the basis of our work on the property and previous subsurface exploration in the general area, we do not anticipate a water level within the upper 20 feet of surficial soils on this property. Very truly yours, ALASKA GEOLOGICAL CONSULTANTS, INC. Harold J. Moening HJM:d 3944 Spenard Road 9 Anchorage, Alaska 99503 • Telephones: 277-7601 277-7602 • Telex: 090-25268 Municipality of Anchorage • '', Development Services Department _ y Building Safety Division . OnSite Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage. AK 99519.6650 www.d.anchorage.sk.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING c� Parcel I.D. 017-141-48 HAA# Zh!O 16 3 8 b 1. GENERAL INFORMATION Expiration Date: / 0 ' 2 %' O Complete legal description BIRCH TREE ESTATES; LOT 3. BLOCK 1 Location (site address or directions) 5250 RIVERTON ANCHORAGE, AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MIKE TAGGART C/O DYNAMIC PROPERTIES Day phone 348-0444 Day phone CLAIR DALTON w/ DYNAMIC PROPERTIES Day phone 229-1275 3111 'C" STREET, ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for p/ckup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ 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 Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results 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 Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined In the Health AuthodlyApproval 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 Finn ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone 337-6179 Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AWWC Inc. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines 6 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the kcal soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do theyguarantee that there are no hidden defects or encroachments. A41WC, Ina can therefore not provide any warranty or &uture estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal tight whatsoever. S. DSD SIGNATURE Approved for _9 bedrooms. Disapproved. Conditional approval for bedrooms, with the flowing Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Date ZS O / Manitenance Agreements Supplemental Engineer's Reort Other Yt0Fr cn,�� V. gyp. • ON-SITE WATER AND ; m- WASTEWATER PROGRAM ' By: -7 �. Original Certificate Date: 7 0 / Municipality of Anchorage Development Services Department Bueding safety Olv alon Onaft water & WasW*u er Progrem 47W south srapaw SL P.O. Box 198850 Ancfwrape. AK 99519850 wwwx andorape.sk.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LOT 3 BLOCK 1 BIRCNTREE ESTATES Parcel ID: O 17 - III -'y g A. WELL DATA Wen type Pyr If A. S, or C provide PWSIDN NIA Date completed 1974 Sanitary seal (YIN) -M. Total depth 93' R Cased to 400+ fL FROM WELL LOG Date of test Static water level fL Well production — 9 -p.m -WATER SAMPLE RESULTS: Well Lop (YIN) N Wines property protected (YIN) YES Casing height (above ground) 38" in. AT INSPECTION 7-5-01 50' g 3.09 g.p.m. Coliform 0 colonies/100 ml. Nitrate 0.5 mgJL. Other bacteria_0 coktnles/100 ml. Date of sample: 7/5/01 Collected by: AWWC. INC. B. SEPTICIHOLDING TANK DATA Tank Type/Matertal STEEL Date instaned 8/23/80 Tank etze 1000 pal. Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YM) NO High water alarm (YIN) YES Date of pumping 7/5/01 Pumper NORTHLAND C. ABSORPTION FIELD DATA Fj5jR REQUIRED FOR S BEDROOMS: ax UNOMMED Date installed 8/25/ae Son rating .p.d r R'lbdrn)150 System type MOUND Lerch 39 ft. Width 16 tL Gravel below plpe 0.5 fL Total depth -12=--ft. Eft. absorption area *624 R' Monitoring tuba YES Depression over field N2 Date of adequacy teat 7/5/01 Results (PasslFan) PASS For 3 bedrooms Fluid depth In absorption field before teat1.5" 1n. Water added620 gal. New depth 5_5 in. Elapsed fie: 213 min. Final fluid depth -?L in. Absorption rata x 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN N yes, give date - • FROM GRADE TO BOTTOM OF MT: COVE D. UFT STATION Date Installed 8/80 Size in gallons 509 Manhole/Access (YIN) YEs 'Pump on• level at2VIn. 'Pump off level at -!ILK Hgh water alarm level at 28" in. Datum BOTTOM TANK Cycles tested MULTIPLE Meets alarm & circuit requirements? Y E SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAlft station on lot 100.5 TO ST1 Absorption field on lot 90' WAIVER #WR88-006 Public sewer main On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manholeideanout N/A Sewer /septic service Ane 25'+ Holding tank N/A *WR88-006 SEPARATION DISTANCES FROM SEPTIC(HOLDING TANK ON LOT TO: Building foundation 5'+ Property Une 5'+ Absorption field 5' Water main NSA Water service tine 10'+ Surface water, •100'+ Welts on adjacent kits 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main-----ALA— Water ainN/AWater service line 10'+ Surface water '100'+ Driveway, parldnglvehide storage 25'+ Curtain drain NONE KNOWN F. COMMENTS G. ENGINEER'S CERTIFICATION I cerV& that I have determined through field lnspecdlons and review of MuMdpal records that the above systems are in conformance with MOA HAA goideiines In effect on this date. Engineers Pr tyAme JEFFREY A. GARNESS Date i7 DI HAA Fee S 300. 00 Date of Payment 71/ a(o 10 i Receipt Number 7 78 8 atsv.12=) Wells on adjacent lots 100'+ 7 Waiver Fee $ Date of Payment Receipt Number fal 07/16/2001 09:10 FAX 9078686770 A+ Rome Services. Inc. 0002 •,•,,1•M I IL y1 � � y ••4I. A IVLL MOJ A+ HOME SERVICES, INC. 7501 E. 140th Avenue Anchorage, Alaska 99516 345-1890 CUSTOMER 17,5m 3L wlte.Amn Ago - Block Lot r INVOICE# 19.818 DATE DESCRIPTION AMOUNT s 14 • TOTAL RE RKS J {� W -Ott CIV Ww� 76 q4 1 of 113 AM I I TI Gallons Septic Leach Area Holding Tank ❑ PROBLEM AREA—CALL FOR MORE INFORMATION ❑ NEEDS TO BE DONE AGAIN IN 6 MONTHS ❑ Good Shape ❑ sludge buildup on bottom ❑ Jim cap missing or ❑ Cut standpipe to 11 above ground needs replacing Standpipes Time ❑ Floater on top ❑ Needs Septictrine JOL-II-01 19:43 FR0M-CUE ENVIRONKNTAL SRV L1�/1 G CT&E Environmental Services Inc. + rrrrrrrrrrrrrrrrrr� CT&E ReLM 1014118001 Client Name AK Water & Wastewater Consultants Inc. Prof ect Name/N 5250 Riverton L3 Bl Birchtree Client Sample ID 5250 Riverton L3 B 1 Birchtree Matrix Drinking Water Ordered By PWSID 0 Sample Remarks: 9075615301 T-850 P.02/03 F-049 Client PON Printed Date/rime Collected Date/time Received Date/17me Technical Direct�or� Released By /{ ?. 07/10/2001 12:18 07/05/2001 9:10 07/06/2001 8:15 Stephen C. Ede fo �Ey� Allowable Poep Analysis Parameter Results PQL Units Method limits Dam Due lnit Natere Department NitnwN Microbiology Laboratory Total Coliform Y 0.500 U 0 0.500 mg/L EPA 300.0 (<10) 07/06/01 SCL 0 col/100ml. SM189222B (<1) 07/06/01 SKW JOL-I1-01 19:44 Alld� FROM-CTLE ENVIRONIENTAL SRV 9075615301 T-850 P.03/03 F-049 ME Environmental Services Inc. Laboratory Division w 200 W. Potter Drive Drinking Water Analysis Report for Total Coliform Bacteria TAnch age, z 9618-1606 READ INSTRUCTlONSONREVERSE SIDE BEFORE COLLECTINGSAMPLE Fax: (907)561.5301 MUST BE COMPLETED BY WATER SUPPLIER O PUBLIC WATER SYSTEM I.U. R 1i PRIVATE WATER SYSTEM D Seed Results 97 Seed leeofee YY PUG. 14. 1 V •. My A V Sri 0 Rn ihv , SrNd lewire r., w Y. Analysis shows this Water SAMPLE to be: XSatisfactory O Unsatisfactory D Sample over 30 hours old, results may be unreliable O Sample too long in transit; sample should not be over31Chours old at examination to indicate reliable results. Please send new sample via special del very it. Date Received '11 Time Received QTl /5 Analysis Began Analytical Method: Membrane Filter o MMO-MUG • Number of colonies/) 00tn1. r s` -r "- Result* Analyst SAMPLE DATE: 71FT F07 Fo—�71 1014118 � SctJ Month Day Year SAMPLE TYPE: Routine O Treated Water 13 Repeat Sample (for routine sample ex Untreated Water with lab ref. no. ) O Special Purpose Time Collected S t NPLE LO ATJON Collected By 50 flow hr Comments: nth Fbks Jun ❑ Faced Date: Time: Client notified of unsatisfactory results: 13 Phoonned Spoke with Fa Date: Time: BACTERIOLOGICAL WATER ANALYSIS RECORD MMO-MUC Result: Total Coliform J" Cell Membrane Filter. Direct Count d - Colopledloo ml Verincation: LTII BCH COLIFIRM_ Fecal Coliform Confirrnatlun Final Membrane Filter Results ei Coliform000 ml Reported 03 Time 14-206) hes rare-rY'V ' neve Oe .0th"S#a/i. WEMS Mamber of the SOS Group (SociN1 (1lnarale de Surveillance) ENVIRONMENTAL FACILITIES IN ALASKA. CALIFORNIA, FLORIDA. ILLINOIS. MARYLAND. MICHIGAN. MISSOURI. NEW JERSEY. OHIO. WEST VIRGINIA MUNICIPALITY OF ANCHORAGE ' DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # _i? / 7 –10 — �lHAA # _ tii 1�` 1 ,- 1. GENERAL INFORMATION Complete legal description Lot 3; Block 1; Bic ,ch Tree E,6 tate.s Location (site address or directions) 5250 Riverton Avenue Anchoxa e., AK Property owner Rai Choudhun t; Day phone Mailing address CIO Pail(/Ffome.quitu P.U. Box 4039 Conco%d CA 94524 Lending agency Day phone Mailing address Agent _ Jack Baan% Remax PrLopen.ti.e,., Day phone 276-276i Address 2600 Cordova St. Anchorage., AK 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 XXX NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) From MOA M21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEERING G of Y _ } cf -� ci Name of Firm Phone 4rir1rpcc Eagle River, Alaska 99577 Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments By: Date -a/;�"/j-ia bedrooms, with the following stipulations: Date 2 " 2 � _ F� The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 D. LIFT STATION Date installed �,l R-0 Manhole/Access ((PN) _ High water alarm level at* Cycles tested 3 Yo,S E. SEPARATION DISTANCES a� Size in gallons _ "Pump on" level at* a 6 S-00 "Pump off' level at* /t *Datum 7A —K ?aT7oM SEPARATION DISTANCES FROM WELL ON LOT TO: i S tic holding tank on lot /00 ; On adjacent lots /00 4 Absorption field on lot C O ; On adjacent lots / y 0 t Public sewer main /4 Public sewer manhole/cleanout N 14 i Sewer/septic service line -f- Lift station -16- w 2 TV — O b i SEPARATION DISTANCES FROM TI /HOLDING TANK ON LOT TO: Building foundation - -F- Property line S 4- Absorption field Water main/service line a 9-1 Surface water/drainage IJ0 �t Wells on adjacent lots _ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation a Water main/service line a S7 -,' Surface water I D t Driveway, parking/vehicle storage area a � Curtain drain NO kN nwA� Wells on adjacent lots )0 0 �} Property line > o �t F. ENGINEER'S CERTIFICATION 1 certify that I have determined thru field inspections and review of Municipal records th aa are in conformance with H nide ' es in effect on this date.Are �,........d�f Signature�[;� map Engineer's Name �0 Q �� Co uo nJ J ROBERT C. COWANt cr Date a / a o 9 '/ ��+ CE - 8801 rr � -----__-------------------------------------------------------------- —-------- ------- -------- ---3., J ............. ,.. _. HAA Fee $ 3 o'a Waiver Fee $ Date of Payment / / Date of Payment Receipt Number & 5 5 7� l Receipt Number Rev. 8/95 OSS: haa.wk.doc L -�3 MUNICIPALITY OF ANCHORAGE • `� DEPARTMENT OF HEALTH & HUMAN SERVICES AlrM Division of Environmental Services ` On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744, CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ()kn - t L11.. Ll R HAA # 1. GENERAL INFORMATION 2. 3. Complete legal description L.a f 30 Glc,ctc ! , l3 irch Tree Ess) -g Location (site address or directions) s- -5-0 R• ,e r)6 A,e nu e Property owner Pwg'y44('e' ,^ Day phone 269 - 372' Mailing address � 2so R t v.erkn A, enme , At ch amu: 9�S1� Lending agency Un k Day phone Mailing address Agent Qeh hie Clary, Forkcnl Properl4.el Day phone SK2-76S3 Address 2S 2S �' S14.. AMC'4orc►cyp ,4-k 995-03 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 N TYPE OF WATER SUPPLY: Individual well +, Community well Public water NOTE: If community well system, provide written confirmation from State AC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC' attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes ordinances, and regulations in effect on the date of this inspection. Fl Name of Firm uffs Tecti n�ca1 Servit•P✓ Phone 3q-5' 1355 Address J1530 macho Sf ^chs. -a Q A- c 9951 or 'Yr4.-� Date Tu" 3 4t i99 y Engineers signature (W j ' � • Y 1• �S ll rt r' •• �. •S ��"r?� • 17 �,�, 1 I j �r �, • 0r••••••••••••••••.. ••.ti011 �' J11", Li5 h21 1� ?1111 JLJ JSSJ1v. /y 1111•• + ' THEODORE F. MOOREso ; � Q••••••••`,�Q O 6. DHHS SIGNATURE Approved for bedrooms. ed By: Disapprov . .: Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paas a courtesy o purchasers of homes ragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72.025 (Rev 1/91) Back MOA 821 Municipality of Anchorage IaL Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 40 f 3, Black 1, Birch Tllee Parcel I.D. A. Well Data Well type Pv f Log present (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed 19,50 Driller un k Total depth 93' Cased to 93' Casing height 3(0" Sanitary seal (Y/N) V Wires properly protected (Y/N) y FROM WELL LOG Date of test Static water level Well flow Pump levell SEPARATION DISTANCES FROM WELL TO: AT INSPECTION 112�1�y C_ oZ r n D Zr g.p.m. '� g.p.m. < o ' � 5 1+ IT co n z ^i. ( 2 0 _y G) O "' Z Septic/holding tank on lot 10 f ` Ir., C. --. ; On adjacent lots > (GG ' Absorption field on lot Sof A- ; On adjacent lots > too' Public sewer main 4 A. Public sewer manhole/cleanout N• A. Sewer service line > 2S` Petroleum tank Se-eo * Seraral4vn �u%tanrc GuG(t�C/ �Izrnfro( t/2B/8b' WATER SAMPLE RESULTS: Coliform O co( /toG .n .Q Nitrate 0• t B rn 5� /-e Other bacteria 46-oe Date of sample: Tan l'9, l99 y Collected by: B. SEPTIC/HOLDING TANK DATA Date installed 8180 Cleanouts (Y/N) Tank size 10d0 Z l Compartments I Foundation cleanout (Y/N) Y Depression (Y/N) High water alarm (Y/N) N, 4. Alarm tested (Y/N) N• 4. Date of pumping l0 1(2 I q3 Pumper RO-r 0 - RoQi & 2 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot _ 10 r ' Az,- c.o_ On adjacent lots -;> t oo, Foundation 3 2 ' To property line 30, Absorption field 34:57' Water main/service line > zs' Surface water/drainage 72-026 (3/93)' Front CONTINUED ON BACK PAGE It «4111114II&3f-All �]►1 Date installed 8 / 23 /90 Manufacturer y ` 16^ y x 5-6" oCia S kei I n L; Size in gallons 5 OU Aa I Manhole/Access (Y/N) Y Vent (Y/N) N "Pump on" level at Flu i A "Pump off" Level at I I FL uiD High water alarm level S F L v CC> Cycles tested �o Meets MOA electrical codes (Y/N) No non-ro.►l.p1 coin ce o 6 sere ¢of SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot > Cao' On adjacent lots > ►ao' Surface water > (co ' D. ABSORPTION FIELD DATA Date installed a/ Z3 /,go Soil rating (GPD/Ft2) /. 0 ur9r�ad�! 8/zo/86' Length 9 Width 19 Gravel thickness SY ' X °I,S' h e►Jee r a "ca. /. o' System type lit oun c( _Total depth G�yove Total absorption area 9t9 _Cleanout present (Y/N) C Mo,;k.- Depression over field (Y/N) N Date of adequacy test I :Z6/1q Results (pass/fail) PA S'S for 3 Bedrooms Water level in absorption field before test .2 After test 2 Peroxide treatment (past 12 months) (Y/N) Hvn a knocun of -.If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: f Se1,ezr-ocf?vn oCJirn�! Gua iv{r 1-UI41-1 / Z6 /&� c. Well on lot X- 90' On adjacent lots > t 00' Property line ? ems' To building foundation 2 E' To existing or abandoned system on lot NI A-. On adjacent lots > 30' Cutbank N.4. Water main/service line > Zs' Surface water > toot Driveway, parking/vehicle storage area > .sa ' Curtain drain none c.een E. ENGINEER'S CERTIFICATION I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection HAA Fee $ —300 Date of Payment 1-31— Receipt Number a`,5 -(p 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number c Signature moi- Engineer's Name 7-7-7e0 oQo !`-tvo•,e iiaiaa. a.r• p ♦aaaae eeeae THEODORE F. MOORE ; Date J Ct n ,,tct vy 3 /� l99 Y •e CE - 3539 e y.. �4Ariii:t , e „•:i mac! _. _. HAA Fee $ —300 Date of Payment 1-31— Receipt Number a`,5 -(p 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES '�i CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL F'1 ?9- CII) OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date ✓ an 220 f96g 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) L.af Z 810,C4 ! . 4 1,ch Trac Etla! Location (address or directions) SZSO iwtr'ian JDrt✓e (b) Property Owner !" tcLetr 44 Q^'pTelephone: Home Business 2 y6 -t717 Mailing Address til (OS Tu rnagain ,C� t'�o(, /} n c har5 yc (c) Lending Institution P/Ome Savony "LA&C i► Telephone 2 76 - rys'/ Mailing Address 1001 .G. t3eruan Q/viC (d) Real Estate Company and Agent WA, Le- 4, , - r_evfgm "C_ a y Address 3 20/ G S+AchorayC fhk 94s�- Telephone (e) Mail the HAA to the following address: or: Check here ®, if hold for pick up. List contact person and day phone number below. 7-ecX t -too re 3 yS - 13 SS-) 2. TYPE OF RESIDENCE Single -Family 10 Number of Bedrooms 3 3. 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 0 Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (Rev 8/86) Front NEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION ENGI As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtaineand/or from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. w i3SS Name of Firm � /u TtGhni�u/ SQrvrc<. Telephone 3 Ys'- Address !'! 3 0 E cti e S t /417 CA ora r 4 k Date Januur o! �+" u��l a1af erP�ian ,{-�tlaI ,s'yo4i'airan, 0 "la ,1jer neem 6. DHHS APPROVAL Approved for .7 bedrooms by Ar IV'4+• ` J LM �..........................� gineer's Seal 4 ; THEODORE F. MOORE ; 1� Q� •°. CE - 3569 Ar � °%rte '•. • •' $` xr Approved x Disapproved Terms of Conditional Approval Conditional CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev 8/86) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) TH APPROVAL S`C�EA CHECKLIST - FEBRUARY1984- 264-4744 3 Legal Description: L-vi3; /3lock I 13 trch Trcr Et1aFe1 A. WELL DATA° Well Classification .`fit" rt vcr E� If A, B, C, D. E.C. Approved (Y/N) /V, A. Well Log Present (Y/N) N Date Completed :tr 19 as Yield > S• TS' 6-0'rr 1"~ 7 Total Depth 9? Cased to ^ 9 3 Depth of Grouting No 4 Static Water Level Y71 Pump Set At 76' Casing Height Above Ground 29 .r Sanitary Seal on Casing (Y/N) i Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N), Al Separation Distances from Well: To Septic/Holding Tank on Lot C. ° ; On Adjoining Lots > To Nearest Edge of Absorption Field o Lot On Adjoining Lots > too, p /Aoew� t To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole N, To Nearest Sewer Service Line on Lot N�. Water Sample Collected by 7"1=1`1 ; Date — I I !g 198 Water Sample Test Results $ScttuAaciv!y O cobdorm / lcao r"4 d 4 0.1 P"XI.e N,"tie -'y Comments We-(( P& W kea f 6X A'MCX 00) 17-1161-97 B. SEPTIC/HOLDING TANK DATA Date Installed 61180 Size 1000100 No. of Compartments I Standpipes (Y/N) Y Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Depression over Tank (Y/N) N Date Last Pumped 12 J l6 t67 &y J'scaary Pumping/Maintenance Contract on File (Y/N) /H. ; for N, 6• Holding Tank High -Water Alarm (Y/N) N' Temporary Holding Tank Permit (Y/N) A. Separation Distances from Septic/Holding Tank: To Water -Supply Well 10! ` draw C. 0, To Building Foundation 32 To Property Line 30` To Disposal Field 36' To Water Main/Service Line N, A. To Stream, Pond, Lake, or Major Drainage Course > !u o' Comments Page 1 of 2 72-026 (Rev 6/66) Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ISO a,/aa— Type of System Design Mr+•��� Date Installed _8123180., 14n9!rvw(&1( /641� Length of Field 39 (Sy x NS bard c�rtroR� Width of Field 14 Depth of Field rnocue �C Gravel Bed Thickness l.0' Square Feet of Absorption Area 67S r 2yd = 919 Standpipes Present (Y/N) all G Depression over Field (Y/N) N Date of Last Adequacy Test N- A. Yoto3 bar,-,„ Results of Last Adequacy Test ^ 0 / x/66 Separation Distance fro orption Field�___� To Water -Supply W �+ c. 90' m �e Property Line ? <U p mound tlyre To Building Foundation ' To Existing or Abandoned System on Lot N, A. ; On Adjoining Lots 7 -7,01 To Water Main/Service Line To Cutbank (if present) Nt �. To Stream/Pond/Lake/or Major Drainage Course > coo To Driveway, Parking Area, or Vehicle Storage Area > -V 1 Comments 6t/at'✓ee 7ecol er.! ,for we!/ :xk c& rp A01 -4ila S-944trxvfco1P avAv,e D. LIFT STATION Date Installed 8/ 23 18p Dimensions `✓" la -g AS'&"ylcoc _V le( Size in Gallons Manhole/Access (Y/N) `r a "Pump On" Level at 2Y y "Pump Off" Level at High Water Alarm Level at Tested for It Electrical Codes (Y/N) Comments 3d," ** Check Permitted Bedroom Rating Against HAA Request ** — Vent (Y/N) N Pumping Cycles during Adequacy Test. Meets MOA I certify that I havechecked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed �/�- - f -*� Date Tar+ ZZ 1998 Company l=(uHkp 7*ech .{vcf MOA No. 8 7 ::IS' P_ Receipt No. 1 0 0 l 0 D // Date of Payment Amount: $ W *,,\j cam- S'? 6 , Page 2 of 2 72-026 (Rev 8/86) Back AV /iC07o' `•��A Engineer's Seal 7..f.....9TR ♦o...f f...of os.o® 0. •f.f0.. ......f o THEODORE F. MOORE ;• d��`.• CE - 35139 w`AV Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 January 28, 1988 Ted Moore, P.E. Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 Subject: Waiver Request for Lot 3 Block 1 Birch Tree Estates Waiver Request Number WR88-006 Dear Mr. Moore: Your request for waiver of the required separation distance of a well to a mound type absorption field has been approved. The required 100 foot separation has been waived to 90 feet. The water in the well appears to be supplied by a confined aquifer at 88 feet with layers of silt and cemented gravel and clay between the aquifer and the surface. You also indicated that solid casing extends to the well bottom which should work with the clay layers to stop any surface contamination from entering the water bearing aquifer. This approval applies to the existing mound/well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Daniel J. Roth Civil Engineer On -Site Services cc: Gus Andress, P.E., Manager On -Site Services/Water Quality Programs CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. PH: (907)345-1355 January 22, 1988 M.O.A. Dept. of Health and Human Services Environmental Health Section P.O. Box 6-650 14530 ECHO ST. MUPM"9?49t KA 99516 ENVIRONMENTAL SUVICES DIVISION 2 a 1 'r)8 ;6 Anchorage, AK 99519 RECEIVED Re: Well - Absorption field waiver, L3, Bl, Birch Tree Estates Dear Sirs: By means of this letter we wish to request a waiver of the required 100 foot separation distance down to 90 feet, between the well and the closest portion of the soil absorption mound, on the subject lot located at 5250 Riverton Drive. A site plan as well as other relevent backup material is enclosed for your review. No well log was located, however the well was undoubtedly drilled in 19800 at the time of house construction. On January 18, 1988 I measured the static water level to be at 47 feet below the top of the casing, and the total well depth to be 93 feet below the top of the casing. On December 16, 1987, A.E.C.S. pumped 1382 gallons of water from the well at 5.75 gpm, which caused the static water level to be drawn down an additional 29 feet. The well yield is adequate for a three bedroom residence. I was able to find a log for the private well on Lot 16, located approximately 165 feet southeast of the subject well. This well has a total depth of 91 feet, a static water level of 45 feet, and a yield of 8 gpm. Thus, this well appears to be very similar in all regards to the subject well, and its log (see enclosed) should generally apply to the subject well. The log indicates sandy clay between 6 and 14 feet, and cemented clay and gravel between 14 and 83 feet in depth. These strata should provide an effective barrier to prevent surface contamination from reaching the aquifer. The effectiveness of this barrier is attested to by the fact that the static water level of the aquifer in the wells is much lower than the surface groundwater level observed in several nearby shallow test holes. Water samples taken from the subject well on January 18 were satisfactory, showing no coliform bacteria per 100 m1., and a non-detectable Nitrate -N concentration. The wastewater disposal system consists of a 1000 gallon septic tank followed by a 500 gallon lift station, which pumps the effluent up into a 45' by 54' (basal area) mound. The mound was originally constructed in 1980 for a two bedroom system, and despite the fact that it passed an adequacy test in 1985 for three bedrooms, it was upgraded in August, 1986 with an additional three bedrooms worth of absorption area. On January 18, I measured the monitor tube located near the east side of the mound to be 99 feet away from the well on this lot. Based on a visual determination, it appears that the well is 90 feet from the toe of the slope of the mound at its closest point. Thus, the minimum distance between the well and the actual absorption area is greater than 90 feet, due to the fact that the mound's outline is determined by its cover material. The original R & M mound design in 1980 refered to an underlying silt stratum, however the 1986 upgrade by Tobben Spurkland encountered GW material with a water table at 6 feet below the natural ground surface. Numerous other soil test hole logs from the immediate vicinity (enclosed) confirm the presence of generally tight soils with localized pockets of clean material and a generally high surficial water table. The mound that was constructed appears to have achieved an adequate separation from the surficial water table, and the generally tight underlying soils serve to prevent a free exchange between this and the underlying potable aquifer. The topography of the lot slopes to the west at approximately 5%. In the event of failure of the wastewater disposal system, this would tend to direct contaminants directly away from the well. It appears that the gradient of the potable aquifer parallels the surface topography, making it extremely unlikely that should any contaminants from the mound system reach the aquifer, they would then be able to enter the subject well. All of the above factors lead me to recommend that you grant the requested waiver. It is my professional opinion that, due to these factors, the waiver can be granted without incurring risk of a public health hazzard. Please give me a call if you have any questions. Sincerely, Ted Moore, P.E. .W-. aaA��� cc: John Huber, Marston Property Management George McCoy, Jack White Co. AVAr 49'" s..........................f .............; ... . THEODORE F. MOORE ; `Af ®� ••, CE - 3589 too,.• •. : b� L9 Flattop Technical Service; 14530 Echo .Street Anchorage, A c ska gn7l r L OT 1 LO T (VACANT) 1 � 1 �\ 3 l3oRr� Slaec M.7% kip DoT 3 roW o& t•tou N D A4�@ `•s W.. «...�.T6..........Oslo To K ie.�a.. •. THEODORE F. MOORF.`; X y %••. CE - 3589 to Ar �®�� �+ ���, eivrtC STN Loi 17 � o � SEf�rrc \ SYS T la oct,S E pvr, wE�.ti LOT is - (VA C_ A Iq r) S(VAC.ANr) MUNICIPALITY OF ANCHO?AGE ENVIRONMCNTAL SEKVICCS DIVISION 5 i ` ") _,U RECEIVED i �.G7 3, QGlc 1, BIRCH TRcE EST S /TE pi -4N SCA>;C; I s S-0 p wN i3 Y. Tteo NUTe: TYU 11 Nu r A SctiTw6c eEO AG.Ai A L I. 40CAr tone hR$-c APPRoxt i -f ,4ra WATER WELL RECORD STATE OF ALASKA s, DEPARTMENT OF NATURAL RESOURES Division of Geotopieal a Geophysical Surveys v 1 `; Orillfh{ ►•twit No. LOCATION OF WELL 41110.10 complete either If, If of 1t.) A.0 L Na. 10. B•fer0h rbirisa Lel Sleek 11. 1/001 re. Seeti. No. Towa•hlp Nr .asap m Meeldiah • • [ It. DISTAN E AND DIRECTION FNOM�ROA NTERSECTIONS 3. OWNER OF WELL- ELL Address: Address: 414 Street Address God Are• of Well L•a•tleh 1. WELL Los Fest Oolow setteee0new 4, WELL DEPTH: (fledl) S. DATE OF COMPLETION Mef•fl•1 Typo Tap it.< -- „r c3Cahle feel ❑ Rotsty ❑ Orlven ❑ Ors ,�- �{r..�.tw� �j G ❑ A•oer ❑ Jstod ❑ Bored ❑ Other! r .`• r.—., i // T, USE: Q•DewOatle ❑ Pa1Ut Sepplf ❑ ladwtrl .+r �.•� C.<�.t14. '�7 tw �/, '� ~ ❑ Irriletlen ❑ Recharge ❑ Cemwoflsal l,�` Tell Well ❑ Other: e �:r •r a •. CASING, ❑ Threaded ❑ Welded N - 11. Depth Weight ,.�110./ft, diem. 111. fe ft. Depth Stlokup__;u ,, ft. G. FINISH OF WELL Tillie: OIawNOr: SIot/Mosti Site: Length: Sot between 1t *ad�� ft.. Bathflfff"s ��•— Gravel path 10. STATIC WATER LEVEL ❑ Above at ❑ Below land serfooe Dole Earirm.nl atu: 11 . Pu LEVEL ►stew land surface and YIELD = ft. offer Ors. pempM4 i• e.p.m. It. offer nus, pumping 4.0.0. 12.OROUTING Weil Oreuted: ❑ Ye• (3 N0 Material: ❑ Hest Covent ❑ Otnet. 13. PUMP: (if erellohle) M/ -tee LaRsth of Orap 0100 ft. to►eeit f C3 Srhw. ❑ JN ❑ Caatraleol ❑ of"? 14. REMARKS 19, WATER WELL CONTRACTOR'S CERTIFICATION: It3. Water temperature e TSIs well get. drille iin•er rF )•rJsdlstleh *ad his revert Is free to rho tort of m1 hnewhdp eRa NMI; �. t! /ter, �'/• , I �� / �) �`� R/p►N•rN BrNMs1 Nelfle Contract License member 'Asilifted �. • _ r_ DCH: �/ 1 Aethwltea Roprq$ Rsell,* Form 01 -woo (11/811 Jr C"? D.sfrisetiM: WNITC . sofa DOGS, PINK • Driller, CANARY CYrtow4f C MUNICIPALITY OF ANCHORAGE, - -,L DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 //�� Application Date .L1 t 6-7 cc, 1 W �' 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) L'h i %E. F -f TR E - En tr',rAT 3YF l ON- 2C3 ` Location (address or directions) J5 -2J50 wRI VI~12 TO A,VF— (b) Applicant Name A - FO K -A N I.. M. C ME Telephone: Home Business :4_77 7 6' 3 1 Applicant Address 'V C L- w, /-/g a tz'a tw G 74T 57- 1 AW 15' t- (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; Other K (explain); (d) Lending Institution Sp.? k:lkN is ",_1)&T 6A 6 0 Telephone 9-7'7— 75-3 if Address tic? L W/ f= lfl,F ti"k;i a 0 'P/4 T f;'i- / t4 A% �_- 7- (e) (e) Real Estate Company and Agent No h/ 1= Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms 3 3. WATER SUPPLY Individual Well `° Community ❑ Public ❑ Note: If commu,'ni``ty well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsit� Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (1i 84) 5. ENGINEERING FIRM PROVIDINta INSPECTIONS, TESTS, FILE SEARCH, DA i A AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm LLQ t' i� Telephone .27 cf �.Ez Address Date j �• %���C' I�`r•.� y • � St r N, a� 'l; Ls R 03 , )UNE 25. L971 s Engineer's Seal 6. DHEP APPROVA� Approved for bedrooms by ate &�i/�� Approved I� Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 t1 P 264-4720 V86 Legal Description: Aer 3. 13 1. 73/&,,H ?-r2LGi� rP s F L � �t�T12N, X23 uC/ A. WELL DATA Well Classification lZaS If A, B, C, D.E.C. Approved (Y/N) IIIA Well Log Present (Y/N) t4 Date Completed Igeo t Yield ►'+'� X Total Depth � 7d . Cased to > -7 0 Depth of Grouting NONE Static Water Level so Pump Set At ,> 70 Casing Height Above Ground �� Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) y Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot 103 ; On Adjoining Lots > To Nearest Edge of Absorption Field on Lot On Adjoining Lots > To Nearest Public Sewer Line N oN a To Nearest Public Sewer Cleanout/Manhole No NA To Nearest Sewer Service Line on Lot / > d Water Sample Collected by //__ Date Water Sample Test Results S 4-4 der Comments -PS4- B. SEPTIC/HSWNNG TANK DATA 14CDate Installed r7 Size %8'd No. of Compartments ©N� Standpipes (Y/N) Air -tight Caps (Y/N) Ye Foundation Cleanout (Y/N) Depression over Tank (Y/N) a Date Last Pumped t117189 Pumping/Maintenance Contract on File (Y/N) �� ; for W% Holding Tank High -Water Alarm (Y/N) XA Temporary Holding Tank Permit (Y/N) WA Separation Distances from Septic/Holding Tank: To Water -Supply Well /b 3 - To Building Foundation' 3 2 To Property Line % 30 To Disposal Field 3 To Water Main/Service Line > /0 To Stream, Pond, Lake, or Major Drainage Course F40 NE Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /.5© Type of System Design _0/el a yew A100,1gl Date Installed Awuk ya r� A4 Length of Field ✓ 11)4 41 5 84 3110 ' 4ALo.- Width of Field Depth of Field NSA Gravel Bed Thickness 4 �J Square Feet of Absorption Area 6 7 Standpipes Present (Y/N) /® ,v/ e - Depression over Field (Y/N) N Date of Last Adequacy Test r( �► �� S Results of Last Adequacy Test 150. 1b.- l 6A4A-. "rC9~ 9 Separation Distance from Absorption Field: To Water -Supply Well 1 &0 To Property Line > 3 d To Building Foundation 30 To Existing or Abandoned System on Lot N Q N C ; On Adjoining Lots 7 750 To Water Main/Service Line To Cutbank (if present) N e5 N To Stream/Pond/Lake/or Major Drainage Course NA N C To Driveway, Parking Area, or Vehicle Storage Area > 4: Z> Comments D. LIFT STATION Date Installed fir U-0, l 4 8' y Dimensions 50mD GA L Size in Gallons O -E3 Manhole/Access (Y/N) y "Pump On" Level at ,2 y�� "Pump Off' Level at High Water Alarm Level at - a O �! Vent (Y/N) til Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, orconformed to II MOA and HAA guidelines in effect on the date of this inspection. Signed r Date 19i I 9e6 Company MOA No ZY Receipt No.OF / 11 ••�•- Date of Payment t b 1 Amount: $ b�'b� d� y►• "'' ••:r Engineers Seal * • 49TH` ' 0 • 2225-L Page 2 of 2 �� '. JUNE 25, 1971 ' `v 72-026 (11/e4) APPLI`,j-4NT FILLS OUT UPPER HALrj ONLY ^ perty Owner Mtvr 4 7, Ae�,ti `p y- Time Phone � Date Mailing Address A" � . 04 \ Zip Code Inspector Buyer 1\CSV\ Q v\V r Address Zip Code Lending InstitutionI r, 1 L� f� 'T �1 Phone � Address Zip Code DEPT. OF HFALTH r^. Realty Co. & Agent o r 0\1\ M ENVIRONPvLNTAL PROTECTION Phone Al)G 1 9 998: �} Address Zip Code' ( ) DISAPPROVED Legal Description 1 ( ) COND TIO`NA APPROVAL` Street Location Type of Residence Single Family Date Sewer Installed ❑ Multiple Family No. of Bedrooms Well Log Received ❑ Other Water Supply Well to Tank Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). /Ck ❑ Public Utility V36 r Sewer Disposal Individual A � 1 r!� Year Individual Installed: F ElPublic Utility t ���a , t �'- 1 When Connected to Public Utility: ` ❑ Holding Tank L s• - NOTE THE IN PECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE DEPT. OF HFALTH r^. ENVIRONPvLNTAL PROTECTION Al)G 1 9 998: RECEIVED ( L) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) COND TIO`NA APPROVAL` DATE �74. BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank 72023 (3182) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO Cl FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size: I 4-7� If Tank is homemade give dimensions: SOILS RATING L/0 TYPE OFTANK 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 ~ L J o� 2 APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter u ccompany certificate) C�ISAPP VED - -E C DATE —��-'iv'i 15 S-- BY C . July 24,11980 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SOLLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Carol Lattimore Post office Box 10-335 Anchorage, Alaska 99511 Subject: Lot 3 Block 1 Birch Tree Estates Subdivision The adequacy test performed on your sewer system has failed. Therefore, before an approval can be granted an upgrade will be necessary. Prior to the upgrade, a soils test must be obtained so that a permit may be issued by this department. If there are any further questions, please call this department at 2.64-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Amfac Mortgage Corporation 401 East Northern Lights Boulevard Suite 212 99503 FQC� F RIV E R. APS�P Bruce Lattermore P.O. Box 10-335 Anchorage, Alaska 99511 Dear Mr. Lattermore, DAVID A. SLENKAMP MECHANICAL ENGINEER 694-9055 June 30, 1980 ROBERT A. SHAFER CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGE DEPT. OF H.ALTH & ENVIRONMENTAL I✓ OTECTION J UL 3 1980 RECEIVED Reference: Lot 3, Block 1, Birchtree Estates Subdivision At the request of John Russell of Lee Houston Realty, a sewage system adequacy test was performed on the system located on the referenced property. The septic tank was pumped and verified to have a capacity in excess of 1000 gallons. The seepage pit was checked and found to be completely full of water. Approximately 700 gallons was removed from the crib. It was then replaced with approximately 700 gallons of fresh water. After a period of 24 hours the seepage pit was again checked. There was no measurable decrease in the water level in the pit. It can be concluded from the above test that the septic tank is of adequate capacity for your two bedroom home. However, I regret to in form you that the seepage pit is inadequate and will require upgrading. A permit for the upgrading can be obtained from the Department of Health and Enviornmental Protection, 825 L. Street, Anchorage, Alaska. If we may be of further assistance, please do not hesitate to call. Sincerely, .,:7 T A. SHA,F R, P.E. S/ss `cc:Lee Hous `n Realty ATTENTION: John Russell Municipality of Anchorage Department of Health and Enviornmental Protection SRB 196X EAGLE RIVER, ALASKA O ®f 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DFPARTMENTOF HFAL.TH AND ENVIRONMENTAL PROTECTION June 13, 1980 Carol/Bruce Lattimore Post Office Box 10-335 Anchorage, Alaska 99511 Subject: Lot 3 Block 1 Birch Tree Estates Subdivision Approval for your individual sewer and water facilities can not be granted until the following items have been completed: (1) The water analysis report be delivered to this department from Chem Lab, 5633 B Street, for our review. (2) The depression or pit around the well casing needs to be fil:Led with impervious type soil so that it slopes away from the well casing. (3) Locate and expose the standpipe to the septic tank for our inspection. It should be raised above the ground level twelve(12) inches. (4J The septic tank pumped with a receipt submitted to ,"Y�",Q�,�I1this department. (5) An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing ,•/� of private firms performing the test is enclosed. This report needs to be submitted to this department for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw T_ ��RNM D 7M '1*132 NA ORW_ -WIMINSTITtMON 6D A S *44 kT-1 c -NG A K _IV. H W -MMM _W All- 54KIIUM*� [a te- -I-91vo -test is torwire-d i TRIS SIDE FOR OFFICIAL: USE ONLY ' - DATE RECEIVED INSPECTION' APPOINTMENTS' TIMETIME-: TIME DATE _ DATE _ DATE INSPECTOR A' INSPECT-OFr 7 INSPECTOR DIRECTIONS, - 1 TYPE- O#�RESI I)ENCE NUMBER OF BEO13OOMS SIN L> FAI1ll1LY [:3 ONE ❑ ; THREE Q FIVE ❑ OT IE!R - In MUE FAMILY_ 17 TWO ❑ - FOUR- ❑ SIX 2 WAi ER SUPPLY PERMIT NUMBER - 11VDC/1bUAL_ DEPTH OF WELL r ❑ _COMMUNITY DATE DRILLED ❑ PUBLIC UTI LITY Connection Verified L06 RECEIVED ti a SEWAGEi3ISPOSAL SYSTEM PERMIT NUMBE+3 INDIVIDUAL/ON -SITE DATEINSTALLED %, ` ❑PU13MI LNILITY - r - Connection Verified ; INSTALLER 'ElSeptid'Tank or ❑ Holding Tank Size: lay] - = If Tank is homemade gOLLs RATING „z�i�re dimensiebns:=` - TYPEOf-TANK MANUFACTURER - TOTAL 1gSORPTIONAR.EA MATER L - 4. DISTANCES` Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS _ ❑ ' APPROVED FOR BEDROOMS - ❑. CONDITIONAL APPROVAL (letter -must accompany certificate) - _ 1SAPPROVED DATE BY Title( LEGAL DESCRIPTION ,72.010 (Rev,3/78) r. _ ! MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DepartmE of Health and Environmen 1 ProtezItionr'-ALT! I & 825 L Street, Anchorage, Alaska 9"jyTNMENTA_1 ';:_: .:CTION 264-4720 FEB 7 19%0 ,request for Approval of Individual Sewer, and Water Facilities RECEIVED 1. Property Owner: -Gregory A. LoForte Mailing Address: C/O Lattimores Phone: P.O. Box 10-335, Anchorage, Alaska 99511 2. Name of Buyer: Edward Bruce Lattimore & Carol L. Lattimore HONE:- Mailing Address. � g P.O. Box 10-335 Anchorage, Alaska 99511Phon e:WORK: 272-1322 � 3. Lending Institution: National Bank of Alaska Mailing Address. Pouch 7-025, Anchorage, Alaska 99510 Phone: 276-1132 4. Realtor/Agent: n/a Mailing Address: n/a Phone: 5. Legal Description: Lot 3, Block 1, Birch Tree Estates S/D ,Street Location • 000 Riverton Avenue, Anchorage, Alaska 99507 6. Single Family Residence: (X) Number of Bedrooms: 3 Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well (X) Public/Community System ( ) If Individual Well, well depth If Community System, name of system 8. Sewage Disposal System: "On-site System (unknown) (K) Public System ( ) If On-site System, date of installation: 1974 *MRS. LATTIMORE IS AVAILABLE FOR.A66&SWTWqFNSPWr THURSDAY, FEBRUARY 8, 1979 AT 3 PM. *NOTE.: A well log is required on ALL wells drilled since 6/75. **If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 �„�-c-`�.�'vc,J '�t�; I � c�,`�c.4-rte �!�`'``'� .. �'.ri•e�.,-���_