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HomeMy WebLinkAboutCHUGACH PARK ESTATES BLK 4 LT 3Chugach Park Esta Block 4 Lot 3 #051-481-19 'oi/l 5 I 1 -T7 3N�C�rn��rr G� Q, 11 r 61)6. MUNICIPALITY OF ANCHORAGE ,0ent On-Site Water&Wastewater Program PO Box 196650 4700 Elmore Road 1; ® � •� ; Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 ,� r, \ . , 1 http://www.muni.org(onsite \ / Dul. mew u '11 ki 44,cHogr'< On-Site Wastewater Disposal System Permit Permit Number: OSP181106 Effective Date: 6/18/2018 Work Type: Septic Upgrade Expiration Date: 6/18/2019 Tax Code Number: 05148119000 Site Legal Address: CHUGACH PARK ESTATES BLK 4 LT 3 G:1161 Site Mailing Address: 19325 SULLINS DR, Chugiak Owner: TODD STEVEN M & Lot Size in Sq Ft: 58243 Design Engineer: C & M Engineering Total Bedrooms: 4 This permit is for the construction of: El Disposal Field El Septic Tank ❑ Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska • Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 1. The Engineer needs to do an additional test hole prior to the construction of the septic field. Construction may proceed at your own risk before the 7 day water monitoring is complete. Please submit stamped and signed results with the As-built Inspection Report. If the results require a design change, construction of the system will stop pending On-Site review and approval. 2. If the soils perk faster than 1 min/in, a sieve analysis is required to determine if the insitu soil is sand. • Received By /� Date: 17i/ ? ' C�s Ow._ ag/9' Issued By: i�. /�. Date: / »inr Municipality of Anchorage ,gas P.O. Box 196650 e 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.orq/Onsite Development Services Division On-Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV181033 COSA#: Permit#: OSP181106 PID#: 051-481-19 Legal Description: Chugach Park Estates 64 L3 Engineer: CM Engineering Applicant: Steven Todd Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 9.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: 6/2- 7/6 � Approved by: //1,/ _ • _ Name of Reviewer. **** VARIANCE/WAIVER REVIEW **** ` , UIN8CIPAUTY OF ANCHO AGE � • 1 /o.;t Community Development Department �"'l .- ^ Phone: 907-343-7904 Development Services Division �' Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. (9 'j/ - L 1 1 Property owner(s) ` EV Est/ 10(),D Day phone 1 7c/ 1v Mailing address t C 3)6 S(JC(_Iti5 . Site address 16(32-5 j-1i15 Legal description (Sub'd., Block & Lot) C N 1C, i ff (PAP-k -657-A7475 Jj L.67 2 Legal description (Township, Range & Section) J Lot Size 5% 2L Sq. Ft. Number of Bedrooms q APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field lg. Initial ❑ Single Family (SF) ❑ (w/wo ADU) Septic Tank K U s 70 '� Duplex (D) ❑ Holding Tank ❑ e , Privy ❑ ,� �� , , �1. Multiple Dwellings ❑ (SF and/or D) Private Well ❑ - MAY 2 1 ZU18 3 Water Storage ❑ 1-4. ti THIS APPLICATION INCLUDES A VAS '• e • I • •�IVER REQUEST FOR: .. ® r� 10 -T- R. �l ` r= �1) Distance: 'W-f I certify that the above information is correct. I further certify that this is in accordance with applicab - unicipal .des. (Se of property owner or authorized agent) Permit/Rush Fees: 5L9 Waiver Fees: Date of Payment: .512218 Date of Payment: Receipt Number: 0/tO3D Receipt Number: Permit No. O5P1t?I!D1 Waiver No. Permit App_9-1-12.doc C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water&Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System replacement for Chugach Park Estates Block 4 Lot 3 Dear Reviewer, The above referenced property is currently served by an older, failed 3 bedroom septic system. The owner would like to replace it with a new septic system. We are proposing to install a new advantex tank, and a new drain field. The old tank will be decommissioned per moa requirements. The old system may be connected with a diverter valve to serve as an alternate. Our review of available documentation and field investigation show that this project will not adversely impact any nearby Wells, Wastewater disposal systems, replacement disposal sites, or drainage flowing onto and off the subject property. The lot is served by a private well and the placement of the well on the lot necessitates the installation of the septic system within the 100' protective radius, but outside of the 50' required for Cat III AWWTS. The home is located on a very steep lot. We are requesting a waiver of the steep slope separation requirements. The proposed system is being installed on a bench located on a slope with grades above and below ranging approximately 50%- 100%. The bench is approximately 10-15'wide. We are requesting a leachfield to steep slope separation distance waiver for a distance of 9.3'. We believe a waiver is justified by the following points: 1. The slope is vegetated. 2. Underlying soils appear to be free draining, making it unlikely that effluent would migrate laterally. 3. The use of a cat III AWWTS makes it unlikely that biomat will develop in the trench causing effluent migration. 4. The system is being placed deep in the soil column to effectively increase the separation from the system to the slope. Included with this letter is a permit application and design package, including plans, specifications, calculations. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzariniPgmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE �� �/7 5s// C&M ENGINEERING SERVICES 907-854-5558 Septic Design Calculations Residence: CHUGACH PARK EST. B4 L3 RESIDENCE/LOT INFO number of bedrooms 4 br Water usage/bedroom 150 gpd/br Water Usage 600 gpd DRAINFIELD system type: riv oral.j`�4/t.✓7 type: Trench Application Rate 6 gpd/sqft required absorption area 100 sqft trench width (W) 3 ft gravel depth (D) 5 ft below distribution pipe Min Required Length: 10 ft Total Excavation Depth: 11 ft Cover: 6 ft Insulation: 0" blueboard Use Length: 20 ft Effluent Pipe: 4"ASTM 3034 Design Summary System type: ADVANTEX Tank: 1500 gal advantex New Drainfield: 3'x20'x5' W'xL'xD' deep trench Total absorption area: 200 sqft Calc By: CGB Date: 5/20/2018 = pt�. OF.q�4aft er tf.( fr' . y Io 17111111 13854 . � r ......... +';PpoF ' `� +:.te ��1��N\ ESTATECHUGACH PARK y/• \,� � ESTATES 63 LS CHUGACH PARK ].•• wvvQ` YVELL+200 FROM THIS LOT VVELL ESTATES 64 L2A /�y(�` .� N CHUGACH PARK FROM� LOT �/.�,,...„A:17.40. �'�••�.7 ��� ESTATES B3 L4 I N '.* A '' • • FA 3 ••• / FA /� 1 Oa LNEIL IGGI€ORING 0.•ARLES G V. BALZARIN�i \ '! • l�``'ROFESSI=�•� \ •A: J I I / •�• CHUGACH PARK N • ESTATES 64 L3 \ / ;St' / .., , . .51 /� \ 3BR \'� • a- ( , HOME \ \ (( •,.. / 1 OLD SYSTEM . I O REMAIN - A` • f • .t:'� . V EXISTING MOA ./ I _ "�°L P CON . DOLL I . "=. :. C.2015 ►J I , •; GARAGE / OPTIONAL . '4 e ! , ( _ '.* ... TIE INTO , DE • ISH \ . .i .• ,.. EXIST SY' , tin '•. u T ,,K ' ! IPE MO ,:-...-.0 :.s : .r. t? / ....i i • EMENTS :,3" AD ., kt1)' 7!9N11 '::1 . . ..f e 7�� D(IV YYA`i!. :+%: t 50'RADIUS .. /• GALL• Noll . �r.� ' �.^.....,. .. •. .,t- :i BULL RUN � I 9 :1- CHUGACH PARK DIVERTS-�.. i \\',I��,,, •...,.,,...,,...,, :....,.:.• .. . ESTATES B4 L2A VALVE OPTIONAL t ��� :..•:' •.a c,,',•op V.lit.- N) \,\--\. \ ;__ —/ \� ' sfi, NOTES: LEGEND UNDEVELOPED O CLEANOUT 1.THE PROPOSED SEPTIC SYSTEM IS GREATER THAN: 50'FROM ANY PRIVATE WELLS • MONITOR TUBE 200'FROM ANY PUBUC WELLS 50'FROM ANY SURFACE WATER ® TEST HOLE 10'TO ANY PROPERTY LINE OR FOUNDATION 5'TO ANY TEST HOLES 0.5% \SLOPE INDICATOR g:1"=40' LEGAL DESCRIPTION:CHUGACH PARK ESTATES BLOCK 4 LOT 3 C&M ENGINEERING SERVICES OWNER:STEVEN TODD I DATE:6/14/18 I REV:0 I DRAWN:CBI REF: 907-854-5558 SITE PLAN ..P'°F` xilt •�t' • •• ,4 * /\ • 4 • j -:--/.. . ..... .., .. � /� • ,,_ AR E BALZARIf �+ �'�` . E-13854 .9.!,j,,--1A11 IklIk4ZP.R.OFESS100:10' x,41,4* -3S J835.0 --wM,8% 28.4 Trf.f7gf 18.5 896 .5.77% EXISTING i4ROUNO •7.44% 5.6 • ���F«aF 10.6 INVrPT 6.0000 ii...........--[ •�vAN. "“) i ,. ppi TOM OF TRENCH b�3.7 PROPOSED 16gTHOLE DEPTH SCALE:1"=5' LEGAL DESCRIPTION:CHUGACH PARK ESTATES BLOCK 4 LOT 3 C&M ENGINEERING SERVICES OWNER:STEVEN TODD DATE:6/14/18 REV:O DRAWN:CB REF: 907-854-5558 SECTION-A 'AWkr•0• •''•• sit i..:. i V i ....?1 �/ • o sALZAw #tlkV` ROFESSIONps. 1- AN — 38.0 '28x— -- 18.8— • 0'3m EXISTING GROUND 42.88% -2.a,.0% - • 2.0 .-1_ ems& 1 .6 �'4 7 441, A'tic 6,0 17.0 '16:54*MIAOP 11!RDH -4?zDt ••/4* PIIOPOSID TIsmOLE DEPTH SCALE:1"a LEGAL DESCRIPTION:CHUGACH PARK ESTATES 4 LOT 3 C&M ENGINEERING SERVICES OWNER:STEVEN TODD I DATE:8/14/18 I REV:O 1 DRAWN:CB 1 REF: 907-854-5558 SECTION-B C&M ENGINEERING SERVICES Ph: 907-854-5558 SPECIFICATIONS FOR ONSITE SEPTIC SYSTEM - MOA CERTIFIED INSTALLER LEGAL: Chugach Park Estates Block 4 Lot 3 May, 2018 A. GENERAL 1. The septic design is for a 4 bedroom, single family residence only. 2. The site plan and drawings shall be a part of this specification. 3. The Wastewater system shall be installed by a certified installer in accordance All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. The engineer shall perform percolation tests and groundwater monitoring prior to finalizing design. An additional Test hole and percolation test is required during construction. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environment of Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. A licensed surveyor should locate all nearby lot lines, easements, exact 100' radius from the existing and neighboring on- site wells, and any nearby surface water. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. Any remaining open test hole excavations shall be filled and monitor tube removed, after construction of the Drainfield. 9. The contractor shall familiarize himself with the new code requirements for inspection notification and notify the engineer at least 24 hours prior to beginning work. 10. The contractor shall set the grades for the tank and leach field prior to commencing work to ensure gravity flow is acheived. B. SEPTIC TANK 1 . Septic tank shall be a fiberglass or steel, 1500 gallon Advantex tank capacity of MOA approved construction with an adventex AX-20 filter pod. Installed to meet MOA and manufacturer requirements. 2. A combination of soil and 4" minimum of insulation shall be placed over the tank, to prevent ponding and promote drainage. The insulation shall be rated for burial and meet moa requirements. 3. Tank shall be bedded per manufacturer recommendations. C. DRAINFIELD 1. The Drainfield is to be located as shown on the site plan. Notify Engineer of any changed site conditions. 2. The total depth of the initial drainfield excavation is to be at maximum 11' deep Bottom of excavation shall be level +/- 1 .5" max. If bedrock or inconsistent soils are encountered, notify the engineer immediately. 3. In the event of over-excavation, a moa filter sand shall be used to maintain the 6' separation distance from the bottom of each trench to the bottom of the test hole(s).The top of the sand layer shall be level, plus or minus 0.5", and raked, prior to placing sewer rock. Care shall be taken to not compact the sand. 4. A 60 inch effective layer of sewer rock is to be placed in the each trench. The 4" effluent piping is to be buried within the gravel layer with 2" of sewer rock cover over the piping. 5. The Distribution pipe shall be 4" perforated pvc pipe conforming to ASTM D3034. 6. The complete Drainfield gravel and piping is to be covered with a geotextile filter fabric. 7. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the drainfields. Mounded side slopes shall not to exceed 3:1. The minimum insulation thickness shall be 2". Insulation shall be moa approved and rated for burial. 8. The septic tank and leachfield must not be closer than 50' to any existing private well, or 200' to any public well. 9. The soils at this site may contain fines such as silt and clay. Rake sidewalls and bottom of trench to remove any smears from excavation. Design Summary: Excavation Depth: 11' Gravel Depth: 5' under distribution pipe, 2" over pipe. Drainfield Length: (1) 20' Drainfield Width: 3' Soil Rating: 6 gpd/sqft System Capacity: 4 Bedrooms ------------ // 1 ... r MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the"AGREEMENT" made and entered into as of this Day of Su ul; of 20 I o , by and between dealt M. M44 , herein the "OWNER,"and the Municipality of Anchorage,herein the"MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein,the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System(AWWTS), described as ACS vM 4e,)e located at(legal description) Lo-1 3 woa- 4{- , ckui6 cls Park £sh.ks 2. Maintenance,Repairs and Alterations. (Owner is required to read, understand and initial each section) join Throughout the term of this Agreement,the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. xT413 It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s),maintenance, adjustment(s),replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Arno Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. 40 Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. 4' Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. 'J Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. Pill Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction,maintenance and repair of the Owner's AWWTS. A1y►j Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title,and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: 'e`'" Ill \V (signature) Date: -lud E 20i e) Sw.e•, M '%aelo (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoi : instrument was ac owledged before me thisay ofJE , 20A,byyi .. U 4.i, Ilh._ 1i a; A 1 STAT PUBL • i C AS • I Notary Public i My Co, fission expires: V /` SHARON G. CRUZ State of Alaska 4 My Commission Expires Sept. 1,2020 MUNICIPALITY: By: ibeA lj() (signature) Date: rij/( / l DP jj to <en FLA , (print name) Title: (rev. 05/18/2018) Page 3 of 3 Frontier Surveys, LLC Project No: 17-168 Date:July 27th, 2017 NORTH Ordered By:Steven Todd PIat:72-188 Grid:N/A Scale 1' =50' e 1 LOT 4 /J' 1) % / I LOT 2 BLOCK 3 /� , S60• � / / 3 f ?0000 /� 1 g J I O 4, I �I laj % �� �/ o°^�q, ISI $ qo hJi / $1 'CI I I )80 w "�� g Chugach ParkQEstates / Q/ // i i 2ND STORY DECK Lot 3, Block 4 C ., / I 2.0' "��4z, 58,243 sq.ft. +1- / /411 / I 14.4' nl 19235 Sullins Drive �` / 1 \ f7 ti 2 Story Wood Framed House 4 1 1 6.0' w/Attached 2 Car Garage 4P �/ / 1 13•.8", cn cko , / \ \I2.0 4,° / \\ • 5.0' \ -i–. / /es O I —100�WEL�RADIUS T �� ^f• ``.y \LANDSCAPING 11.1' r tio- '/' e ,, 1 \\ t�'� LO '/by ..► / es 3, ® in / ,y'; er / 3° A / et h j�� v'J` 4 y1, /' �/ \// \\ SS �/ \ \ �/ / \ \\ ) LOT 4 / f, �/41 , R ��89 80 — — \ N83.22.22"W 108.88 _\ *--C*-WARNING DRIVE__ �_�- _ Legend: A Electric Meter/Outside Power cQ, Telephone Pole Q Gas Meter ft Deck -awP- Over Hanging Power 025 50 100 \S,` Septic `AJ Water Well % Satellite Dish Feet General Notes: 1.This document is created for the purpose of a single property transaction and is subject to Federal Copyright Law. 2.Excepting for gross negligence,the liability for this survey shall not exceed the cost of preparing this survey. 3.All measurements/setbacks are to the visual/apparent building footprint. 4.Dimensions to property lines are plus/minus O.lft. 106:1L lb,\I, This survey complies with ASPLS Mortgage Location Standards.The survey represents visible improvements and .:�� 0 F A�q o, conditions at the time of the survey.This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal.It is the responsibility of the Owner to determine ••.........••s e the existence of any easements,covenants,or restrictions which do not appear on the record plat.Under no .0,1% • .• /�- a circumstances should this document be used for construction or for establishing a boundary or fence line. e s 2;• 4 I H •, * , As-Built Survey of: % - i Lot 3 Block 4, Chugach Park Estates W. WAGNE: I,Frederic Wagner,hereby certify that this Mortgage Inspection Survey was performed by me,or • $%.•FREDERIC •, LS-9946 •• 1 under my direct supervision on July 21st,2017. '•.S•t z i 1.7•• i •+af �� Frontier Surveys, LLC FRONTIER* i� '3 �• 650 W.58th Ave.Suite E Anchorage,Alaska 99518 I I ����� 907.460.1686-info@frontiersurveys.com 4• Sury ti* PROFESSIONAL SEAL www.frontiersurveys.com t 6 O  Municipality of Anchorage ,,..~ e Development Services Department :."_= --' := Building Safety DMslon On-Site Water & Wastewater Program. 4700 South Bragaw St. -' P.O. Box A ho ge, 5 -665o www.d.anchorage.ak.us (907) 343-7904 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Numben SW010201 PID Numben 051--481--19 Name:TOM SWAFFORD Wastewater System: [] New · Upgrade Address: 19525 SULUNS DRIVE * CHUGIAK. AK 99567 ABSORPTION FIELD No, of Bedrooms: Ph°ne:(907) 688--5709 ,3 nDeep Trench · Shallow Trench n Bed DMound ~30~her LEGAL DESCRIPTION = ~ 1.2 ~/~ .~ 10-12 `3 4 CHUGACH PARK EST. 6-8 rL 4.0 - - - 0-1.0 ~ 49 WELL: [] New [] Upgrade 5 ~ 1 .~- ~L .L 490 ~.~ D 3034/ F-810 ~L OWNER 6/27-30/01 ~ ,~ ,~ TANK SEPARATION DISTANCES .s.p~c n Hold;rig m S.T.E.P. 13 Oilier To SepUc N:,sorpfio~ Lift Hotdlng ~/IM..~.~ I~r,~ct.,-.c. c~l~:~'~ ~n ~ From Tank Reid Station Tank GREER 1000 Well *96'+ '82'+ -- -- 25'+ STEEL 2 au,ac, wot,~ ~oo'+ too', - - - LIFT STATION Remarks: *EXISTING WANER t~WR010038. REQUEST WANER BENCH MARK BE AMENDED TO INCLUDE NEW SEPTIC TANK. BOTi'OM OF BARN SIDING ~) NORTHEAST CORNER EXSITNG SEPTIC TANK WAS COMPLETELY ABANDONED AND ALL CONTAMINATED MATERIAL FROM THE E~ISTING TRENCH 100.00 Inspections performed by: AWWC, INC. Dates: 1st 6/27/2001 r.?.:.; ,...~j~:~.%~. ........... 3rd 6/29/2001 ~'~ ~; Department of Health and Human Services approval ~ ~.,._~ '--~...- ~'~ R~vlewed and approved by:~--~===~:~ Dote: ~- ~' ~ ! ~ ° AIJ~SI~ ~VATER & '~VASTE'~VATER f^~.'r ..... .'. 5 )q C-'r ....... ISOIL LOG - PERCOLATION TESTI ..~:~F.., ...j'....~ ...... :....~ ;J Je reJ/ A. Gamess: LEC. AL DESCmP~ON: CHURCH P~RK ESTA~S S/O: LOT ~, eLOCK 4~a~_Ai". '~- .E. FOR~£D FOR: ~o. SW~TO.O DA~: ~/~/~ "~;'""'"~-,,.-. ~ ......... FILL SOIL C~SSInCATIONS 2 SH HIXED ~JGW ~ ORG GC  SW NH .... SP CH SM ~OH  sc SEE AS-BUILT DRAWING DEPTH TO DATE GROUNDWATER ~ s/=~/o~ 10 11 SM TO DATE RE,lNG CLOCK NET TIME WATER LEVEL NET DROP TIME (MIN~ES) RE, lNG (INCHES) SM/SP s/~/o~ ~ - - s' - 12 2 - 5:00 O' 6' 15 ~ - _ 6' _ 4 - ~:50 O' 14 5 - _ 6' - 6 - ~:50 O' 6" 15 16 17 18 19~ PERCO~TION ~TE <1 .(MIN./INCH) PERC. HOLE DIA. 6' (INCHES) TEST R~ BETWEEN 9.0 FT. ~D 9.5 20 COMMENTS: ~[ INS~ ~DY SOILS SHOULD A~ AS A ~AND R~R. PERFORMED BY A~ WATER · W~ATER I, JEF~ A. C~NESS, CER~ T~T ~IS W~ ~ERFORMED IN ACCORD~CE WI~ ~L ~ATE ~D MUNIClP~ GUIDEMNES IN E~CT ON ~IS DATE: DEPTH TO DATE GROUNDWATER DRY 6/27/01 ~'~ ~'~: AS- BUILT D RAWIN G SWOI0201 051-481-1g ~/ 3'/ / . / ~ ~'/ / ~ .;.J _ _ ~o~ / i~-/ / ~.:., x i ~~ -~ ~ ,~ Ii~ 5 Al ASI~ ~TER & ~STEWATER a.L.~. - CONSULTANTS. INC. 1 TOM SWAFFORD 688-5709 CHUGACH PARK ESTATES SUBDIVISION; LOT 5, BLOCK 4, PROFI~ AS-EUILT OF $EPIlC SYSTEM UPORADE '~ ~'*~': AS-BUILT DRAWING SW010201 0,51-481 - 1 g /-F1NAL GEADE - TOP OF TANK AT..-x S~=I /99.92-100.4 S? 7.--TOP OF TANK AT / IqR~L OR.~[ ~ ~ CO ~t~ GR~' k. - g9.67-101.67 DRAWN ~: J.L.M. ~SI~ ~TER & ~STE~TER ~ CONSUkTANT$, IN~. ,- = ,o. ......... ~: a7 ............ TOM SWAFFORD 688-5709 ~ OF 3 CHUGACH PARK ESTATES SUBDIVISION; LOT 5, BLOCK 4, PROFILE AS-BUILT OF SEPTIC SYSTEM UPGRADE MUNICIPALITY OF ANCHORAGE Development Sewices Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (gO7) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 20, 2001 Expiration Date: Jun 20, 2002 Permit Number: SW010201 ~Legal Description: CHUGACH PARK ESTATES BLK 4 LT 3 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Tom Swafford Owner Address: 19325 Sullins Dr. CHUGIAK, AK 99567-9707 Parcel ID: 051-481-19 Site Address: Lot Size: 54433 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 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. Received By: ~ Date: Issued By: Date: 'i' Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Pr0gmm 4700 South Bmgaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us [907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number 5[UDID;ZO! Property owner(s) TOM SWAFFORD Day phone 688-5709 Mailing address (1) I~l~g address (2) 19325 SULLINS DRIVE * CHUGIAK. AK ~pCode 99567 Legal desctlption (Lot. Block&Sub'd.) LOT 4. I~LOCK 3: CHUGACH PARK ESTATES S/D Legal desc~ption (Section, Township & Range) Lot Size ~'/.//c//~ _~> Acres/Sq. FL Number of Bedrooms THIS APPUCATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade Well Only Water Storage THIS PROPERTY CONTAINS: Hot Tub Swlmmlng Pool Therapy Pool Water Softening Unit 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. ALASKA WATER &: WASTEWATER CONSULTANTS~ INC. Permit Fees: ~ ~ 6~). ~C3 Date of Payment: ~-~/~/~/ Receipt Numbe~ ~ 0 '? Waiver Fees; ,~ ? o~/,z~ · c:,C~ Date of Payment: Receipt Number:. .~0 ~7' ALASKA WATER & WASTEWATER ~ .~ ~.,,,," CONSULTANTS. INC. May 31, 2001 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water 8: Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic System Upgrade Design for Lot 3, Block 4, Chugach Park Estates Subdivision To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing septic system is in a state of failure and must be upgraded. Due to the steep slopes over the entire property, there is no other place to install a new dminfield besides rebuilding the existing drainfield. We are proposing that a new 1000 gallon septic tank be installed in the same area as the existing septic tank and a that a new five foot wide dminfield be installed in the same area as the existing drainfield. We are proposing that all contaminated material be completely excavated and that all new material be installed. Comments regarding the proposed design are summarized as follows: SOl .LS: Attached are to soils log from the original installation, which shows the soil~ classifications, groundwater monitoring, and the percolation test result. We are proposing that test hole be excavated 6 feet below the proposed trench elevation and that a percolation test beI performed prior to construction. If the percolation test is slower than the original soils rating, the,_ trench length will be modified. TRENCII DESIGN: a. Percolation Rate: To be performed. b. Allowable Application Rate: 150 fl2/bedroom (original soils rating) c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 450 fl2 f. Total Depth: Limited to contaminated material removal g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 50+ feet long k Effective absorption area = 500 fl~ 6901 Dcbarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: {907) 338-3246 * Website: akwwc.com SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic upgrade. TOPOGRAPHY: The existing drainfield is placed at the toe of a steep slope. There is a pad that has been pushed out on the downhill side of the drainfield. The pad is 25 to 40 feet west/ northwest of the drainfield and than the slope than increases to a 25 to 50 percent slope running approxim, ately east/southeas~t to west/northwest. The trench has existed for over 17 years and even at it current surcharge'state, there is no indication of effluent surfacing downhill. Based upon the current conditions, it is our opinion that there is minimal risk with the new installation be installed 25 to 40 feet from a slope that is greater than 25 percent. ~VELL WAIVER AMENDMENT REQUEST: Attached is a copy of an existing waiver that~ was granted by your department on December 29, 1987. The waiver was granted for 87 feet from the existing well to the existing drainfield. We request that the existing waiver be amended to 82 fcct from the existing well to the new drainficld that is to be installed in the same area as the existing trench. It is our opinion that the same justifications for original waiver should still be applicable for this waiver amendment request. - We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. amess, P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, a detail drawing, two soils log. and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com ~ ~i~~ ~ '---~ ~/~.~.'.~ ~ ~ /~~ ~ ~-,. ~ ~ , ,.,~~,~ ~/ ~//,,' / / [~- -'i / / / ~~ ..... I I I I I I ...... ~__~ CHUCACH STATE PARK 5/~1/2001 d.[.M. Al &S~ 5~WI'ER & 5~STEWATER ~ CONSULTANTS, lng. TOM SWAFFOED 688-5709 1 OF 3 ~ CHU~ACH PARK ESTATES SUBDIVISION; LOT 3, ~LOCK 4 SITE P~N FOR SEPTIC SYSTEM UPGRADE AND WAIVER AMENDMENT REQUEST A NEW DRNNFIELD IS TO BE INS'TAI~3 / / · "~ ~ ~ ~;g \ S~ D~N~K. ~E CU~ ~CH ~ / ~ a P~ON I~T ~T ~ BE ~NE :: · : / / ~ .~ ~ ~ ~ ~~_.~- .:X / ~ ~. .,~ x ~ c~o~ X~ ~ ~ ~ ~r'~/ ~ .~ ~ A .~ x & '~~ '.. 5/~/~oo~ o~w. ~= TOM SWAFFORD 688-5709 2 OF 5 DESIGN OF SEPTIC SYSTEM UPGRADE AND WAIVER AMENDEMENT REQUEST INSTALL MOINTORING TUBES.--~ ~INSTALL CLr-ANOUTS ~.-1RENCH D~:~TH FOR 1~1£ N~/ ~ ~ IS ~'O BE: uMn'ED TO 1HE EXCAVA~ON + OF ALL COhTA~4~NAT~D ~TERU~J.. A ~r..~ + ~. HOLE IS 10 BE EXCAVATED 8 F~ET ~~ BE:I.OW 7Hit ~.EVA'I~ON OF' TH£ BOTTOM OE THE NEW 0RNNRELD. ALASIqak WATER & WASTEWATER ~:~ ,~.~: CONSULTANTS, INC. TOM SWAFFORD 688-5709 5 OF CHUGACH PARK ESTATES S/D; LOT 5, BLOCK 4, PROFI~ D~AIL FOR REBUILDING OF EXISITNG DRAINFIELD. Municipally, of Anchorage Buildh~g Safe~. D~usxon P.O. l~x 19(5f~50 * 4700 S. Bmgaw Street Anchorage. Alaska ,~.)519-¢~'~50 · (907) :5~5-~01 Public Wor 'ks 06/20/01 Jeffrey A. Garness, PE Alaska Water 8: Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B Anchorage, Alaska 99504 Subject: Waiver Request for Chugach Park Estates Subdivision Block 3 Lot 4 Waiver Request #WR010038 Parcel ID #051.-481-19 Wastewater Disposal Permit Number SW010201 Dear Mr. Gamess: Your request for a waiver of the required 100 feet horizontal separation from the absorption field to private well has been approved. The approved separation distance is This waiver approval applies to the existing absorption field to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Daniel J. Roth Civil Engineer On-Site Water & Wastewater Pro.am Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewatet Prego'am 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.¢i.anchorage.ak.us (907) 343-7904 Waiver Review Worksheet WRY: 010031} PID~: 0~1-481-1~1 HA0: Permit~: Date Received: Legal Description: Chueach Park Estates ~fD Block :3 Lot 4 Engineer:. Alaska Water & Wastewater Consultants, Inc. Jeffrey A. Gamess P.~= 6901 Debarr Rd. Suite 2B Anchoraae AK 99~4 Applicant: Tom Swafford Waiver Requested: 82 feet from existing well to dralnfletd Critsda: Geology Points: A. Waler Table B. Soil Sorption C. Permeability D. Waler Table Gradient E. Horizontal Separation Total: Waiver Is Granted: ~(. Waiver is not Granted: List Conditions or Reasons for above: .~'gr~' Date: 6 --~Z~ -~7/ By: Name of Reviewer Ret0: ~}{1~)7 Amount: $920.00 Date Paid: June 8. 2001 ',-ET R  MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAI LING AD D~jESS o ~ I,O-/3'/8 ~ ,,vc,~ LEGAL DESCRIPTION V NO. OF BEDROOMS ~o~^¥,o~ ?e~- c,,-~.~/c DISTANCE TO: Iwell //i~! Abs°rpti°~l~ea/ Dwelling/o O ' PERMIT NOi~) ~m ~ Manufactur0r ~ ~ ~ Material~ ~_~ ~o. of comp.r~ Uq. cacacitg in ~allons Inside length Width kiquid de~th ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in gallons Well Nearest ,~ PERMIT NO~ ¢ DISTANCE TO'. //~/ Foundati~length~es, ff ~ "~ ~ ~o. ofline~ ken,thof~¢e, Total Tr.nc~2d~f~ D,,t. ncebetw, enl,nes_ ~ Top of tile to f~ Material beneath ti~ ~ p Tot~ effective absorption area Length Width Depth PERMIT NO. ~ ~ Tvpe of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO, ~ DISTANCE TO: Building foundation Se~er line Septic tank Absorption area(s) OTHER PIPE MATERIAL~ INSTAELER ~ R EMAR KS ' ~.........4.~. i _ ~.'"~'~:~:~"7"~~/~~""- .... 'I ~ .[ ',m;... '" 72-013 (Rev. 3/78) .. ~'¥' DEPFIF.:TME'11'.,IT OF: HIERL..TH FIN[:, EN',,,'IF.:ONHE1'.~TFIL PROTECTION ::='::251 .... S'T'F.:EET., FINCHORFIGE., RI< 9'_-.,5C~:t 264-.4'72E~ s.'=~ IP-41 ....... ."=T=T, % T' EEL' :.EE; E: I~,.i lEE F..': ,~:= I-,-II E ~_ L. F' i:-.. F-: i',1 I T PERMI'¥ IqO: .[:'.,FITE I L=;SI...IE'D: 840:1.40 0,,:1.,," 05,.."t:34. RPPI.... I CRNT: FIDDREE;S: CONTFtCT PHONE: JFIMES G MURPH'T' B O i:.~: ::I.. El-.. :.1. 3 4. :.:.'i', FI 1'.,IC H 0 R F11.'3 E., FIl.::: ~-' '::~ 6 :.'='.: :E: - 4. J. E, ;:2 t...EGFIL DEr.:T:;CR :[ P: L. OT SI ZE: I'"IFI::.:~ BEDROOMS: ::ii;I...IBD I ',,,' 1:51 O1'4: CHLh3FICH F'RRK ESTFI'TES L. OT: :E.,EE:T 1 ON: ±5 'I"OI.4NSH I P: :i. 51'4 RFINGE: 58;F.',~t. 3 ,:.' :.:..;g!. FT. OR FICRE::+; :.', Z: BL. OCK: 4 ,+:,+: DEF:'TH TO PIPE: BOTTOH ".::: :+::+: GRF¢,,,'EI .... LENGTH > '75 F'T. RE:I::'41jIRE'5 MUL. TIPL. E: RUNS ,::NOT EXCEEDING 75 FT. El=ICH> :+,:+: TFINK' MI...I',i.:;T FIFI'v'E FIT LEFr'ST Tt.,.IO CEff'IPFIRTMENTS I CE=.F.':T I F"T' TI'4FI]": :t.. I FIH FFIMII..~IFII:;.: I.,.I:I:'I"H THE REg!I...I!F;i:EMENTS FOR ON'-SI'I'E SEI.,.IER"='; FIND i4ELL. S FIS SET' FORTH E:"r' THE MI...I1'.,t I C :[ F'FIL i Th-' OF': FINC':HORFIGE ':: HOFI ::' FIND ]"HE C';TRTE OF' FILFISKFI. ;2. I I.,.IIL. I .... II",I:E';TRL. L. ]"HE :.::;'T'STEH I1",f FICCORDFINCE 1.4ITH FILL MOFI CODES FIND REGULFITION$., RI",ID I N COMF'I.... ]: FINC:E i41 TH THE [:,ES I GN E:R I TER I FI OF' TH I S F'EF.:M I T. :]:. I I.,.IIL..L FI[':'HE':RE TO FtL. L HOFI FIN[:, STFtTE OF FIL. FIt.::;KFI RE(.:.!UIREMENTS FOR 'THE SET BFICK' DI:.:.'.";TFI1",ICE:i!.:, FROM F11",t"¢ E::-'-',I:STII",IG I.,.IELL., P]FIS]"EklFITER. DISPOSFIL SYSTEM. OR PUBLIC '"7, EI.4ERFIC.iE". S'T':STEM O1'4 TH I'.E; OR F!N'T' FFIDJ'FICECNT OR NEFIRB'T' LOT. I I.JNDER:iSTFII",I[:' "FHFIT TH I S I:::'EF::M I 'T' 12:; 'v'FIL I [.':, FOF.: R MFI',:-:: I MUM OF :Z-': BEDROOHL=.; FIND FIN'T' ENL. FIF.:GE:ME1'-,I'T' 1.41 [...L REOU I RE 1:::t1'.4 FI[::,[:, I T I ONFIL. F"EF.'.M I T. IF FI I....]:Ff' ::7,"FFt'T :[ ON :t::5 INEi;'I"FILJ....E[:, IN FIN FIF..:EFI CO'v'ERE[:, B'¢ MOR BI..IIL[:,ING C:Fi[:,E:L=,., THEr. N (::I..) FIN EL. ECTRICFIL. F:'EF.:MIT FII'.4[:, INSPF.'.':'CTION i"IU:ST BE: OBTFIINED.~ ,::2) FISi-E:UILT$ kl ILL. NOT BE FIF'F'RO'v'E[:, 1.41 THOUT FIN ELEC'I'R I C:FIL I NL=,F'E:CT 1 O1'.4 REPORT.~ FIND ( ;2-': ) THE EL.E:CTR ~'-".. . . .: t"IU~'.;CF BE [:,ONE Bh" FI L I CENSEI:::, ELECTF.: I C I FIN.. : .... _ . :::: ', ": ..: ':. '" :.:.:::::, 2. '" ....: ........ PERMIT NO. f"lLii'J I ms: I ~ rtL I T%r' rjF DEF'FIRTMENT OF HEFILTH FIND EN',/IRONMENTFIL PROTECTION ,:,.-"-- "'L '" STREET., RNCHFIRRGE.. RK. '3q. SF~t 264-4?20 I_-,~-~--S I TE SEL.JEF~' F'EE'~-I I T ( 82~02tD ) RPPLICRNT LOCRTION LEGRL JRMES G. MURPHY BOX t0-t548 LOT g BLK 4 CHUGRCH PRRK EST. LOT SIZE 3:gg-5gl± 999999 SQURRE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: DRRINFIELD MRXIMUM NUMBER OF BEDROOMS SOIL RRTING (SQ FT?BR)= 23t THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: [:.EF'TH= 5 L E i'-,I m]i T H = '_-]~. :_---: m_3 R R'..-" E L [:.EF'TH= 2 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF ~ TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THE TF:E[-~,]:H L-~ I [:,TH IS 5. ~~ FEET. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). PERf'IlT RPPLICRNT HRS THE RESF'ONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THBT THE WELL WILL SERVE. TI4~], (2) I ~-JSPE£:TImCm~S RF:E ~:Em~!ggI F~E[:. BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWRGE DISPOSBL SYSTEM IS t00 FEET FOR R PRIVRTE WELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND 'TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS 8ND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. I CERTIFY THRT t: IRM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. ~ AF'~'LI~iRNT~ JRMES G. MURF'H'~ PERFORMED FOR: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST DATE PERFORMED: SOILS LOG PERCOLATION TEST LEGAL DESCRIPTION: 1 2 ~'-"~3 4 6 7 SLOPE SITE PLAN lO 11 12 13 14 15 16 17 18 19 2o WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop ~O i'. z~ ~ ~0 t ,'~ - 5 ,, ~, o8 ,fro , i~ PERCOLATION RATE TEST RUN BETWEEN CERTIFIED BY: (minutes/inch) 2. ~/2 FT AND ~--~ FT 72-008 (6/79) SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99§01 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Robert D. Bush CE - 5333 COMMENTS ~.~ O i / PERFORMED BY: WAS GROUND WATER M~.) SL ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? [] PERCOLATION TEST Gross Net Depth to Net Reading Date Time Time Water Drop MUN UIPALII¥ ur ~ '~, ........ DEPT. OF HEALTH & F,%~V iROhi~,;!:NIYAL PI.OfECTION L .. n n EIVL PERCOLATION RATE (minutes/inch) FT AND FT DATE :_Z~__~~ TEST RUN BETWEEN CERTIFIED BY: 72-008 (6/79) Municipality of Anchorage Development Services Department Building Ssfely Division On-Site Water & Wastewater Program 4700 ~ Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ct.snchorage.ak.us (eO?) ~43.-7e04 CERTIFICATE OF HEALTH AUTHORITY ,APPROVAL FOR A SINGLE FAHILY DWELLING Parcel I.D. 051-481-19 1, GENERAL INFORMATION Expiration Data: Complete legal description CHUCACH PARK ESTATES SUBDIVISION; LOT 5, BLOCK 4, Location (sita address or directions) 19525 SULLINS DRIVE * CHUCIAKt AK 99567 Current Property owner(s) TOM SWAFFORD Day phone 688-5709 Mailing address 19325 SULENS DRIVE * CHUCIAK, AK 99567 · Lending agency Mailing address Day phone · Real Estata Agent CAROLE B£NNE'I'F w/ DYNAMIC PROPERTI£S Day phone ..... ".. ,'-Mailing address 3111 'C' STREET * ANCHORAGE, AK 99503 ? -, ·Unless... o~he..~...se._ requested, HAA will be held by DSD forplckup. · 2. N(JMBER OF BEDROOMS: · 3. TYPE OF WATER SUPPLY: indivld~al Well Individual Water Storage Community Class Well Public Water System 3 TYPE OF WASTEWATER DISPOSAl.= Individual On-slta Individual Holding tank Community On-site Public Sewer 261-7648 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 cml engineer registered In the State of Alaska. Certificates of Health Authority Approval am required for the transfer of title (except between spouses) for properties served by a single family on-slta wastawatar disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. CedJficatas of Health Authority Approval are valid for 90 days from the data of Issue for properties served by a private or Class C well and may be mlssued with new water sample results less than 30 days old. (Certificates may be reissued for a pedod of up to one year with valid water samples.) Certificates am 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 professlonal engineer's work. Note: Alaska Water and Westewater Consultants, In~ shal/ be paid $3,515.00 a~ or pdor to closing for the engineering seMces provided. 4. STATEMENT OF INSPECTION BY ENGINEER ,4s certified by my seal affixed hereto and as of the validation date shown below, I varify that my Investigation, based on procedures outlined In the Health Authortty Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations In effect at the Ume of Installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS. INC. Address 6901 DEBARR ROAD. SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. CARNESS. P.E. Engineer's Comments:. In conductlng thls evaluaUon, AWWC, inc. a#empted toPr°vlde a ff~,ough, consdenflous englneedng analysis of the system In accoMance with ADEC and MOA DSD GuldeSne~ & Regulaffo~ The repoKed resu~ described lhe pedommnce of ff~e sysh~m unde~ U)e conditions encounl~red at the Urne of ihe ~est, and separaUon results do not guarantee future pedotrnance of U~e system, nor do ~ guarana~e Itmt Iflere a~ no hlddon dofects or encroachments. AWWCo Inc. can #~-efore not ptovlde opem#onal requlrernen= of the ADEC or MOA DSD. The conair of this mport ls for the sole benefit of the owrier gsted above. Any reliance upon or use of lhis repott by any Phone 557-6179 5. DSD SIGNATURE oproved fer Disapproved. CondiUonal approval for __ Attachments: HAA Checldist Septic System Advisory Well Flow ^dvlso~ Manltanance Agreements Supplemental Engineer's Reort Ob~er Original Certificate Date: Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 ~xJth Bragaw ~t.. P.O. Box 196650 Anchorage, AK 99519-6650 Legal Description: HEALTH AUTHORITY ~,PPEOVAL CHECKLIST CHUGACH PARK ESTATES S/D; LOT 5, BLOCK 4, Parcel ID: WELL DATA Wall~'pe PRIVAI~: IfA, B, orCpmvldePWSlD~ N/^ Date completed 4/27/84 Sanltery ~ (Y/N) YES Totaldepth 570 lt. Casedk) 305 FROM WELL LOG Date of test 4/27/84 Static water level ~57 .lt. Well pmd~on 1 - 1.5 .g.p.m. Nitrate 0.51 mg./t.. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Date of eample: *6/4/01 B. SEPTIC/HOLDING TANK DATA STEEL Number of Compartments 2 Depression over tank (Y/N) NO Pumper PBELOW FINAL GRADEI ~ol] rating (~or ~Fedrm) 1.2 Tank alze 1000 gal. Foundation deanout (Y/N) YES Date of pumping NEW C. ABSORPTION RELD DATA gate Installed e/zT-3o/m ~ngm ¢9 ~. 051-481-19 well Log (Y/N) W~ms probe~ pmtec~ (Y/N) Casing height (above ground) AT INSPECTION 7/2/o 440 .It. 0.5 g.p.m. Other bacteria o AWWC, INC. Elapsed Time: - min. Final fluid depth - Any reJuvenaUon treatment (past 12 mo.) (Y/N & type) *LAB ANALYSIS DATE 6/5/01. __.colonies/100 mi. It. ToteldepUt ~o--t2 ft. Eff. absorption area 490 ft* Monfieringtube YES - Depmsalon over field NO Date of ededuacy test NEW Results(Pass/Fall) - For 5 bedrooms Fluid depth In absorption field before test - In. Water added - gal. New depb~ - In. In. Abeorpflon rate >~ - g.p.d. - If yes, give date - System type TRENCH Gravel below pipe 4 YES 12+ In. Date Installed 6/27-30/01 Cteanoute (Y/N) YES High water alarm (Y/N) N/A D. UFT STATION Date installed. SIze In gallons ~ 'Pump on' level et in. 'Pump n. High water alarm level at ~ ,In. ~ C/dse tested Meets alarm & cimult requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WFI I ON LOT TO.' Septic tank/lift ~tallon 0ll lot .96'+ Absorption field on lot. *.82'+ Public sewer main N/A Sewer/se~c sewlce line 25'+ Holding tank *REQUEST WNVER ~WR010_0.~8 BE AMENDED. **SEE WANER ~WR010058. On adjacent lots lOO'+ On adjacent lots 100'+ Public sewer manhole/cleanout N,/A ./^ Absorption field, 5'+ Surface water. 100'+ Bulidlng foundation. 10'+ Water main N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Buliding foundation 5'+ Property line 5% Water main N,/A Water eewlce line 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN F, COMMENTS G. ENGINEER'S CERTIFICATION Surface water 100'+ .Driveway, parldng/vehlcle storage, 10% Wells on adjacent lots 100'+ I cerlffy that I have determined through field Inspec~one end review of Municipal records f/mt the above systems ere In conformance wfih MOA HAA gu/defines In effect on this date. Engineer's Date JEFFI<EY A. GARNESS Fee $ Date of Payment~ Receipt Number (~. Waiver Fee $ Date of Payment. Reeelpt Number, MUNICIPALITY OF ANCHORAGE MEMORANDUM WATER WELL ADVISORY BBALT AUT ORXTY APPROV NO. OIO During a recent Health Authority Approval on-site inspection and test of t]~e potable water supply well on Lot _3- Block ~ of C~p,&~ p=~ Subdivision, the well's productivity was ~etermined to be O,~- gallgns per minute. The minimum well productivity required by this Department '(~C 15.55) for a ~ bedroom residence is O. ~ gallons per minute. Although the subject well Currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory mumt be attached to all copies ~f the subject Health Authority Approval. MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lOt, block, subdivision, section, township, range) Lot 3; Block 4: Chugach Park Estates Location(address ordirections) Sullins Drive (b) Property owner Mailing Address A.H.F.C. ~72058 Telephone · (home) Business (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent Re/Max Address 16600 Centerfield Dr. 9201 Virginia Kbbfield Eagle River, Alaska 99577 694-4200 Telephone (e) Mail the HAA to the following address: (or check hera~if hold for pick up.) List contact person and day phone number below: ~ & $ FNG!N_~FR!NG 17034 Eagle River Loop Read Ne. 204 ¸3. .' TYPE OF RESIDENCE Single-Family K] Number of bedrooms WATER SUPPLY Individual Well [] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. SEWAGE DISPOSAL ' On-site [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional.and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection, Name of Firm Address $ & S ENGiNE~-~.ii'iG Telephone 17034 Eagle Ri.vet Loop Read No. 204 Eagle River, Aias a Date 6. DHHS APPROVAL Approved for .-~ bedrooms by Approved ~. Disapproved Terms of Conditional Approval Conditional The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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, 7/88) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) ~C,H CKLIST- FEBRUARY 1984 343-4744 ',' ' ; ::; ..... Legal Description; ~ A. WELL DATA Well Classification Well Log PresentqSZ:TN) "--/ Date Completed Total Depth--~"~,621 Cased to'C2z::~/- Depth of Grouting Static Water Level ~"2~5' ? Casing Height Above Ground Electrical Wiring in Conduit ~[:;;~N) If A, B, C, D.E.C. Approved (Y/N) -' ~ Yield \c:~, ~ ~:>~f,~ Pump Set At ~"~ \'7-~H"~ -" Sanitary Seal on CasingC(5~N) '"f Depression Around Wellhead (Y~j~ ; On Adjoining Lots ~. ; On Adjoining Lots To Netarest Public Sewer Cleanout/Manhole ~/~ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot [ ~ To Nearest Edge of Absorption FieldCn Lot To Nearest Public Sewer Line P'//~ To Nearest Sewer Service Line on Lot Water Sample Collected by ~-~ ~ ~ [ ~ ; Date Water Sample Test Results ~~_ ~,'~¢~-'~-~ --~ '~'~-'~, Comments ~~ f~ ~~ ~ ~ ~ No. of Compartments B. SEPTIC/HOLDING TANK DATA Date Installed ~"~./-'~-'~Size Standpipes {~N) "-/ Depression over Tank (Ye Foundation Cleanout (Y/~ , Date Last Pumpe;~ U~--- ; for "'-'-- Temporary Holding Tank Permit (Y/N) Air-tight Caps~)N) Pumping/Maintenance Contact on File (Y/.N)i Holding Tank High-Water Alarm (Y/N) 14//~'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well ~ ~;:~c~ I To Building Foundation ~ oC:) I.lc. To Property Line ~,c::, I -~ To Disposal Field \,=~ I To Water Main/Service Line ~ ~ ~--~ To Stream, Pond, Lake or Major Drainage Course Comments '~~ ~~ [J¢'"~ 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~--~---'~ '~ ~---~f" Width of Field Square Feet of Absortion Area Depression over Field (Y/d~P Results of Last Adequacy Test Type of System Design Length of Field ~----"~ Depth of Field Gravel Bed Thickness ~'~ ~--'~=,cd~'..- Statndpipes Present (~'~) Date of Last Adequacy Test ~ '~- - ~ ~ - ~'~ SEPARATION DISTANCE FROM AB/SORPTION FIELD: '--~- To Water-Supply Well To Property Line '~ ~ To Building Foundation ~c~1'~ To Existing or Abandoned System on Lot ~'~ ; On Adjoining Lots ~ 14' To Water Main/SerVice Line \ ~--~ J¢ To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~ ~-~~ \~-'~ i,~- To Cutback (if present) / c: / / D. LIFT STATION O~nstalled Size ' "Pump On" .Level Dimensions Manhole/Access (Y/N) "Pump Off" Level at High Water Alarm Level at ~. Vent (Y/N) Tested for ~"~'~.~es during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ~...~ **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of.thi.s inspection. Signed ~ & S F. NGINEERING 17034 Eagle River L~;,P ~,~,~ Company ~,.~,. o;,,,,r. Alaska 99577 Date ./'.//_'~ o/~-" .~ MOA No. Receipt No. ,.¢~--0 '~' 7 Date of Payment Amount: $ 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICE_~ DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL / OF ON-SITE SEWER AND WATER FACILITY z 264-4744 GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) · (b) Property Owner ~"~t-~ t--"l~ 'Telephone: Home Business Mailing Address (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent '~--~,/1'"'1 ,Z~ '"" Address Telephone (e) Mail the HAA to the followine address: or: Check her~ if hold for pick up. List contact person and day phone number below. S & S ENGINEERING Eagle River, AlesEa ")9577 TYPE OF RESIDENCE Single-Family/~ Number of Bedrooms WATER SUPPLY Individual Well,~r- Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite,~-- 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 ~'Rev 8/86~ Front leUO!l!puoo ,le~oJddv leUO!l!puoo ~o SLUJe/ pe^oJdd~s!-a ' ~'" / ,~- peAoJddv Aq SLUOOJpoq ~. JOi po^oJddv 'lVAOIddd~ SHHO '9 elea I~0~; 'ON puo~! cleo'! .mx!a elSU=J t, g0Lt sseJppv euoqdeleJ. ~)NiH~j~NjSi~ $ '~ S LU.q.-I ~o eLUeN · uo!loedsu! s!ql 1o elep eql uo loej. je u! sUO!l, eln6eJ pue 'seoueu!pJo 'sepoo re. elS pu'e I~d!o!unlAI lie H),.!M eoUe!ldLUOO u! s! ,,,els/,s lesodmp Jel'eMelSeM Jo/pu'~ Xlddns JeleM el!s-uo eLJJ 'uo!JDedsu! pue uo!le6!),seAu! /(LU LUOJ:J. pu'e Sel!J. eJ.~eJOqOU'~ J.o /~l!red!o!unlAI eql uJoJ~. PeUtelqo uo!leu. JJoj. u! eLI1 UO pes'eq leLI1/[J.!JeA JeqlJnJ I 'u!eJeLI pel'eo!pu! eJnionJl. S jo ed~l. pu'e suJooJpeq .J.o JeqLunu eLI), JOJ. e),~nbepe pu'e leUO!loun~. 'ej'es s! LUelSlS I'eSods!p Je.Jl~Me],.SI~M Jo/pue/~lddns Je),eM eJ.!$-uo el.J],. TBLJ), SMOI..JS Ie^oJdd¥ Xlpoqlnv HlleeH S!ql jo UO!le6!lSeAU! ,{LU leql ~J!JGA I 'MOleq UMOqS elep uo!lep!leA ell), ,(0 se pue oJeJeq pe×!~le lees ~LU Xq pe!l!lJeO sV NOIJ. VlAltlO.-INI aNY V-L~o 'HOtlV~I$ :Vll=l '$J.S~ '$NOIJ.:3~idSNI !DNIOIAOEId INI~I4 IDNIti~NI!DNa .g Well Classification Well Log Present, N) Total Depth ~'"'J c~ Static Water Level Casing Height Above Ground Electrical Wiring in Conduit([~) Separation Distances from Well: MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4744 Legal Description: ~ .'~. ~ ~/~'~_~ If A, B, C, D.E.C. Approved (Y/N) Date Completed ,~f---'Z-.'~ ~ ~,~ Yield Cased to Depth of Grouting - Pump Set At Sanitary Seal on Casing~l~N) Depression Around Wellhead (Y/~ / To Sepbc/ ......... g Tank on Lot ~, ~ ; On Adjoining Lots To Nearest Edge of Absorption Field~n~ot ~:r7 ; On Adjoining Lots To Nearest Public Sewer Line ~//"~' To Nearest Public Sewer Cleanout/Manhole Y,/~ To Nearest Sewer Service Line on Lot Water Sample Collected by ~ ~,, ~ ~ t~,~(--~ ; Date q ""~"' ~'7 Water Sample Test Results ~,~ ~'~>-~-.~r-~z.*,-~ -'-- ~'~"~ZM~ '~ B. SEPTIC/HOED;NC TANK DATA Date Installed Standpipes tI2~N) Air-tight Capstl~N) Depression over Tank (Y/~ Pumping/Maintenance Contract on File (Y/N) / Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/I,,le~me~-Tank: I To Water-Supply Well t. To Property Line \~:::~ To Water Main/Service Line Course ~ ~ Comments No. of Compartments Foundation Cleanout (Y/~ -- Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) To Building Foundation ~ ,_.c..c..c..c..c..c~/~__ To Disposal Field [ ~:~1 : To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026 fRev 8/86~ Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/~j~) Results of Last Adequacy Test Separation Distance from Absorption Fiel?: To Water-Supply Well t::~/ To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments''~ ~ ~ ~,~- C:::)'¢)~/~.l~f').~- Type of System Design Length of Field ~ / Depth of Field [ ! Gravel Bed Thickness Standpipes Present ~N) Date of Last Adequacy Test 1'7.- ~ I t~--- ~'? To Property Line '~ f'"~-' "J ~ ~ ~ To Existing or Abandoned System on · On Adjoining Lots ~ ~_?L.-- To Cutbank (if present) I · ,FTSTAT, O. Size in Gallons -'"'----. "Pump On" Level at ~"~~ High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ~ping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** -----.._.. Signed 170:!4 Ea~le Riva' Leap Reed Nt~at%O4 Company Eagle River, Alaska 99577 MOA No. Receipt No. c~ - (~ O /-- 00 O ~ Date of Payment /.2- -- ..1 2- --6 7 Amount: $ ? ~ ~:~ 3/./o ,° , I certify t ha~l~vJi!l~i~j~C~::~j/jJ~ied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Page 2 of 2 72-026 fRev 8/86~ Back Anchorage P.O. BC : 96650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 TON Y KNO WL ES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES December 29, 1987 Robert A. Shafer, P.E. S & S Engineering 17034 Eagle River Loop, Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 3 Block 4 Chugach Park Estates Waiver Number WR87-080 Dear Mr. Shafer: Your request for waiver of the required separation distance from a private well to absorption field for the subject lot has been approved. The required 100 foot separation has been waived to 87 feet. Because of the depth of the static water table the chance for bacteria contamination of the well water from the absorption field is unlikely. This is in agreement with the State of Alaska Department of Environmental Conservation waiver study guidelines. This waiver is good for the existing well to absorption field only. Any future upgrade to either will require all separation distances be met or another waiver 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 ROBERT A, SHAFER CIVIL ENGINEER 21, 1987 694-2979 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage Department of Health and Human Services 825 L Street Anchorage, Alaska 99501 REFERENCE: Lot 3; Block 4; Chugach Park Estates Request you issue a waiver for the horizontal separation distance of 87 fe~t b~tween the private w~l and the leachfi~ld located on the referenced property. A risk analysis has been performed and it appears that no bacterialogical pollution is possible from this source. Attached for your review are the following documents: A.. A plot plan showing r~lative distances between on-site wastewater disposal system and w~ll. B. A profile of the land and soil b~tween the w~l and the leachfi~ld. ¢. Risk analysis waiver worksheet.. D. Co~form and nitrate analysis of water taken from the well. E. A w~ll log for the referenced property. It is our opinion that the horizontal separation distance prescribed by 18AAC72.021 is not required in this case. If you~ additional information, please contact Roger/694-2979.~ 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 SCALE /' SCALE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH A~ND HUMAN SERVICES WAIVER REVIEW WORKSHEET ENGINEER: $ & & Ei, i6ii, iiiiiN6 17034 EKIle Ri~er L~ R~d ~. 2~ APPLICANT: WAIVER REQUESTED: CRITERIA: 1) Geology: me B. C. D. E. Water Table Soil Sorption Permeability Water Table Gradient Horizontal Separation 2) 3) Points: TOTAL: -~%'7,. ~ Special Conditions:_ ~e>~/..._~-__...~--~e=~p~fc:~Yr~ /:=~o~ ~e~. '~0 ~~ ~~' -/ WAIVER IS: granted, with conditions listed below: not granted for reasons listed below: DATE: BY: NAME 17034 Eagle Riv!r Loop Road ROBERTA. SHAFER CIVIL ENGINEER 694-2979 DATE OF TEST: LOCATION OF WELL {Legal Descri plion): __~r___~.. _~__~z~___~",~-~,~__ ~'~--r~%.__~ WELL DEPTH:_ ~ ~ FT. CASING: _..~ .... FT. SCREEN: CLOCK TIME Comments: ELAPSED TIME SINCE PUMPING ,STARTED/ STOPPED, MIN, 0 10 15 20 25 30 35 40 45 50 55 60 (1 hour) 90 120 (2 hours) 150 180 (3 hours) 210 240 (4 hours) RECOVERY 0 DEPTH TO WATER, FT. DRAWDOWNI RECOVERY ~ (swl) 0 PUMPING RATE, GPM 0 Start 5 10 15 20 25 30 35 REMARKS o MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL WEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date ~/~. (a) Legal Description (include lot, block, ~ubdivis~ion, section, township, range) Location (address or directions) (b) Applicants Name -~'7er~/// ,fl ~"z~] T~iephone - Home Business Applicants Address (c) Applicant is (check one), Lending Institution ~-~ ; Owner/builder ~-~ ; Buyer ~q ; Other ~ (explain); (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: 2. Type of Residence Single-Family~ Number of Bedrooms 3. Water Supply Individual Well? Multi-Family Other (describe) Community ~-~ Public ~-~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite ~--~ Public ~--~ Community ~--~ Holding Tank ~--~ 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] 5. Engineering Firm Providin8 Inspections, Tests, File Search~ Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wast,water disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm BUSH ENGINEERING P. O. BOX 4-~u4 Address ANI~fIORA~., AI~KA ~ DHEP Approval Approved for · Approved )~ bed rooms w~lephone ~. ~ . ~Tc OF A~ .~,~ w ....... .-~ ~ ~, .~-.~ ...... ~ .... ~:...~ (ENGI~ER SE~) ,~v ..... ~..~. .... ~ "~ ~ Robert D. Bush *,' ~ By ~ ('~~ Date /// f Disapproved Conditional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS 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 REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE I$ ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIOnaL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA) MUNICIPAtlTY OF ANCHORA0E DEPT. OF HEALTH & HEALTH AD'THO~ APPROVAL (BAA) ENVIRONMENTAL PRoTECTIoN CHECKLIST - FEBRUARY 1984 Well Classification Well Log Total Depth ©f7 o Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit Separation Distances frcm Well: / J To Septic/Holding Tank on Lot_ // To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line -- C leanout/Manhole ' Water Sample Collected By Water sample Test Results SEP 7 1984- RECEIVED If A, B, c~ C, D.E.C. Approved(Y/N) Date Ccmpleted Punp set at Depth of G~outing Sanitary seal on Casing (Y/N) Depression A~ound Wellhead (Y/N) ; On Adjoining Lots / / ~- ; On Adjoining Lots To Nearest Public sewer To Nearest Sewer Service Line on Lot Ccmrents SEPTIC/HOLDING TANK DATA Date Installed ~/~ Standpipes (~/N) Air-tight Caps ~/N) Depression over Tank (Y/N) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ~-~ ; fc~ Holding Tank High-Water Alarm (Y/N) Temporary Holding Tank Permit Separation Dis%ances f~Gn Septic/Holding Tank: t To Water-Supply Well //~-~'/ To Building Foundation To Property Line ~--D / To Disposal Field . /~ To Water Main/Service Line No. cf Ccmpa~tmsnts ~-. To Stream, Pond, Lake,' c~ Major D~ainage - Conments [Page 1 of 2] 2-].5-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption St~.ata Date Installed ~-/2 ~/~ ~ .idth of Fie~d 3, S-- Square Feet of Absorption A~ea Depression ove~ Field (Y/N) Results of Last Adequacy Test /~-~ ~ Type of System Design LenG~ of Field ~--~ ~/ Gravel Bed Thickness ~ Standpipes P~esent (y/N)..~ Date of Last Adequacy Test /~/~/~ Separation Distance from Absorption Field: //5-- To ~operty Line To Water-Supply Well To Building Foundation ~/~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Co~se To D~iveway, Parking A~ea, or Vehicle Sto~age A~ea To Existing or Abandoned System cn ; On Adjoinin~ Lots ~/~/~ - To Cutbank(if p~esent) ~ ~ Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm 5avel at Tested for Electrical Codes(Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles du~inG Adequacy Test. Meets MOA Cc~xnents ** ~heck Permitted Bedroom RatinG Against HAA ~quest ** -Y certify t~at I have checked, ' in effect on the date of this inspecticn.~ Company KB1/d5/s [Page 2 of 2] verified, c~ confc~m~d to all MOA HA~ G~_' _~s 2-15-84