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Home My WebLink AboutMANN BLK 4 LT 3ABlock 4 Lot #020-04! - ! 0 ° Municipality of Anchorage ,... Development Services Department Building Safety Division On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 '~ www.ci.anchorage.ak.us (907) 343-7904 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Numbec SW010341 PID Number:. O20--041--10 MARQUIS HOMES Wastewater System: · New I-1 Upgrade 14919 [V~REREEN StaLEr * ANCHOP, AEE, AK 99516 ABSORPTION FIELD (907) 868-1710 3 rlDeep Trench r'lShollow Trench abed nMound MOther LEGAL DESCRIPTION ~ ~ 2.0 ~,~/~. ,. *** 2.24-3.42 3A 4 MANN (+)0.19 TO (-)0.99 - - - SEE DWG. WELL: · New [] Upgrade 18 r~ 8 PRIVATE 127 r~ *'15 r~ 360 ae.~. D .3054/SCH 40 PVC ALPINE DRILLING 9/11/2001 21 n. CATS EYE EXC. 10/1-25/2001 7 ~, UNKNOWN ,. 2 ,. TANK SEPARATION DISTANCES =s.,uc =,~di.g mS.T.C,. To SeptJo Ab~r~flon Uti. Holding ~u~.~.c. From Tank ri,Id Staten Tank .~,.~/"'~ ANCHORAGE TANK 1250 wet] 100'+ 100'+ 100'+ - 25'+ STEEL 2 s.,oo. Wot.r ~00'+ 100'+ ~00'+ - - LIFT STATION Lot Un, 5'+ 10'+ 5'+ -- - 1250IANCHORAGE TANK/ORENCO SYSTEMS Foundation 5°+ 10°+ 5'+ -- i' ' - TIMER TIMER 45' Curtain DroWn N~N£ KNOW ~1 t~20 OSI 05 HHF M.O.A. Remarks: *THIS IS AN BoTrOMLESS INTERMIII£NT BENCH MARK SAND FILTER SYSTEM BO'I'rOM Of SIDING ~ POINT "B" · *CASED TO BEDROCK · **TO Bo'FroM OF SAND 100.71 Dates: 1st 10/1/2001 -'" "' "' "?/- Inspections performed by: AWWC, INC. 2nd 10/24/2001 l..'~}~.u.~.~,.....:'...~.*.'. 3rd 10/24/2001 . / ,"7 10/25/200,, Department of Healt~ an~.~Human/Se~lces approval / / ~>.l ";I] ~;~2~g~ ...' $~:~' Reviewed and approved by. Date. -- AS BUILT DRAWING SWO10341 i 020-041-10 A B X 5 I m 47.~7 k k ~ ~ 37,58 38,61 ~ ~ / . x./ / I / ~ /~ / ~.s~ / I / ~AY / I I I ~ ', ~R U~ /~ ' D~CH S~K / ''. / / / ................ J.LM. . CONSULT~TS. INC. 1" = 40' ..... MARQUIS HOMES 868-1710 2 OF .; ~ ~CRI~,: VO~I'...~ ~--795~ .."~ ~,~ ': ~ .. ~.~ MANN SUBDIVISION; LOT lA, BLOCK 4, AS-BUILT DRAWING OF N~ WE~ LO:ATION AND SEPTI: SYSTEU A B 53'1 46.71 19.31 5"'1'2 47.97 23.58 MH 48.84 25.07 MT1 43.66 ,32.93 MT2 37.58 38.61 liT3 53.82 54.22 IvlT4 59.86 50.94 ~.u~.~: AS BUILT DRAWING .~.~,o .u~.~ SWO 10341 ~ 020-041-10 TOP OF TANK AT INLET - 96.19.~ ~ ~~P OF T~K ~~ ~ 0~- 96.19 AT O~ ~NO V~ Om~ O~E ~ /- gg.gT-l~.01 / ~.u~. ~ONSULTANTS, INO. PAUL HANSEN (907) 868-1710 MANN SUBDIVISION; LOT ~A, BLOCK 4 PROFILE AS-BUILT OF SEPTIC SYSTEM UPGRADE (BO~OULESS ISF) 12/09/2001 07:34 FAX ~02 FPS ]40. : ~7 345 ~2W2 M_un!cipality of Anchorage oepartmem of Health and Human Services ~ My~ro~ P.O. Box 1966.50 Ax~O~'dge, Alaska 9951~,M50 ~Permit N. mben ,S~t~_r ted: 9--f0-01//SW ~034f Da2 Completed: Date o_r lsaue: ~.'/~-01 ~-27-0f l'a~eel Mentifigati.0n Nnmben~ 1. we]] locat~ at approved permit lecad~? ~ Owner Name & .Addre~: Paul G. Hanson 16301 Elizabeth 81 Anchorage, Ak 99516 B~mbole Data: ' ' l)e ' -" ' ' J So,-I Ty~e, Tl~c~ss & W.t= Sa~a rr--P~ ~2 I Method of Drllnng I~ mr m~y I"l cabte t~ol I I I c=ma=.?: I ~ Stick-up 0 2 ~1 Wa~ '~: ,O. 25 iz~,~cs I organic & ,//t 2 7 ~am~t~:_~ iacba~ :]:~ ~3 ~ gravelly silt 7 13 bedrock 13 ~127 D~er:. ~-~_~ ]3eptb:, ~eet R~ov~ ~: Z ~ Well ~ O~ning T~: S~f~ We~ Db~ Upon Comp~n? ~ Y~ ~ No Meth~ ordain: ~6ne T~M Well D~a~ ~l~ D~l~g & En~ PO~x~ " AnYone AK 995~ ~ Thc well driller <hah provide a weU log to th* property ov, n~r within 30 &~ ofcon~l.~on and the ~ 1111/02 7:04 PAGE 24134 RightFAX "'~ ~ ~ = 1NSPE CTI ON REPOR 1' MUNICIPALITY OF ANCHORAGE - BUH,1HNG SAFETY DMSION 4700 SOUTH BRAGAW ST~'~T, ANCHORAG~ ALASKA : I.~PECTIONS: Volvo: (907)343-8300 Fwc: (907)249-??77 INFORMATION: (907)$45..~211 COld,lENTS ~'PE OF #I.~ #2; t~.. I.N~PECTION: Electrical Fiml N-"I No ncn-.,~.ptmm~ o~,m-~t I-1 ~,r~Es (sto~w.,ar) ~-m /.//..Zoa-z. CORRECTIONS ARE MADE, PLEASE C. J tr FOR INSPECTION DO NOTREMO~ TI~I$.NOTICE. MANN S LOT 3A 44, BUILDING DETAIL SCALE: 1"--20' RNAL STRUCI'URE AS-BUI AS-BU I L T i HEREI~ C'r.~,,F7~ PROPERT't' DEPiCi r..u GASTALDI LM~D SURVE'flNG JEFF A. ~ALDI, R.LS. 4.726 ~ 88'rH AVENUE ANCHORAGE, ALASKA 99502 PHONE 248-5454- GRID DATE 3238 12/4/2001 F.B. ,JOB NO. 01-15 MS3A4 ENCROACHMENTS EXI'. IT IS 'I'HE RESPONSIB DLi~=.t,(i~IINE 'I'HE EXIS~ COVENANTS OR Rbsl' APPEAR ON 'I'HE REC UNDER NO ClRCUMS"I HEREON BE USED ESTABESHING BOUND ANCHORAGE RECOI NOTE: NO CORi~ -125 IBDIVISION BLOCK 4 61 S.F. ~oo.oo' ~ (sn, ~i~) WEST .300.00' I LOT 3A 1 "--40' r I HAVE SURVEYED THE .c~ o~ ~ ~, ~S WHICH ~ N~ )lNG ~1~, ~ ;RS SET ~IS DATE. MUNICIPALITY OF ANCHORAGE Development Services Deparlment On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 · ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Aug 27, 2001 Expiration Date: Aug 27, 2002 Permit Number: SW010341 ~Legal Description: MANN BLK 4 LT 3A Design Engineer: 0041 AK Water & Wastawater Consultant Owner Name: PAUL G. HANSEN Owner Address: 16301 ELIZABETH STREET Total Bedrooms: 3 ANCHORAGE, AK 99516- Parcel ID: 020-041-10 Site Address: 016301 ELIZABETH ST Lot Size: 44961 SQ. ET. Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] SepticTank [] 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 Wastawatar 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: ~d~c~ Date: (~/(;:~ ~:'/~) ~' Date: ~ - Z 7--~/ Municipality of Anchorage Development Servi~s Department Building Safety Dlvlsk)n On-Site Water & Wastewater Program 470O South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-8650 www.cL anchorage.ak.us (0O7~ ~-7~04 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number ~'t~ 010341 Property owner(s) MAROUIS HOMES Dayphone 860-1710 Maillng address (1) 14919 EVERGREEN STREET * ANCHORAGE. AK 'Ma;;;,,aaddress(2)/'~0! E[ I P' I~ BETI. I ~ T. ~pCode 9951§ Legal description (Lot, Block & Sub'd.) MANN SUBDMSION: LOT 3A. BLOCK 4. · Legal description (Section, Township & Range) Lot Size~L~[~~ Acm~ THIS APPUCATION IS FOR: Sewer Only ~[~ Sewer and Well Sewer Upgrade [] Number of Bedrooms Well Only Water Storage THIS PROPERTY COHTAIN$: Hot Tub Swimming Pool Tbempy 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 &: WASTE'WATER CONSULTANTSr INC. Permit Fees: ~ Receipt Number. Waiver Fees: Date of Payment: Receipt Number. ALASKA WATER & WASTEWATER CONSULTANTS, INC. August 14, 2001 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Well and Septic System design package for Lot 3A, Block 4, Mann Subdivision (Bottomless Intermittent Sand Filter - ISF) To whom it may concern: The proposed 3 bedroom house will be served by a private well and septic system. We are proposing that a 1250 gallon S.T.E.P. tank and a bottomless Intermittent Sand Filter (ISF) system be installed. Comments regarding the proposed design are summarized as follows: I. GENERAL:. Two test holes were excavated on the property to determine an area suitable for the septic systems. Given the limited area around the test hole and the setbacks from surface waters, and well radii, it is our opinion that a Bottomless ISF system is the most viable option. 2. SOILS: Attached are logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, a application rate of 2.0 gallons/day/112 should be used.. 3. DRAINFIELD DESIGN: Bottomless Intermittent Sand Filter (ISF) a. Pemolation Rate: 3.0, 17.1 & 4.4 minutes/inch b. Allowable Application Rate for ISF effluent: 2.0 gallons/day/fl2 c. NumberofBeclrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 225 1t2 f. Effective Depth below pressure pipes: 3 inches g. Width: 18 feet h. Length: 20 feet. i. Effective absorption area = 360 112 j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank". 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwe.eom k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank". 1. Sand Material: In accordance with M.O.A. latest standards m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and less than 1% passing the t/8 sieve. We are proposing to excavate down to a depth of 3.5 feet (maximum - remove all organics), place a minimum of 6 inches of sand, install the air supply line, and cover it with 1.5 feet of sand. On top ofthe sand, we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We will use a conventional lift station (Anchorage Tank), equipped with a programmable timer so that flow can be intermittently dosed to the ISF. 4. SURFACE WATERS: There is no surface water within a 100 foot of the proposed septic systems. 5. TOPOGRAPHY: As can be seen on the attached topography site plan the area for the proposed upgrade is generally flat with a slight slope (<10%) from southeast to northwest; in short, there are no slope concerns. 6. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the construction practices will comply with the M.O.A. "Intermittent Sand Filter Design, Installation & Maintenance Manual". The contractor should read this document prior to construction. Copies are available at the Municipal Onsite Services office (4700 South Bragaw). 7. CLOSING: I am open to any suggestions from your department, which would be an improvement to the proposed design. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179. Thank you for your assistance. NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, a 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 j EAST 162 AVENUE !~ I I ]1 I I > I I 33 I I MANN SUBOMSION; I'q MANN SUBDMS~0N; I I ~N ~BD~ION; ~ I I I I , I I ~ 18, B~K 3, ---- ~ ~ / ~N S~DMSION;~ I I ~ ON ~IOE I I OF ~P~ ~1 I .___. ,,, ~ ~' ' ~ ~ ~1 I ~ lB, B~K 4, l-/ . ~ % t ~NO ON/ "~ I ~, ~ / I It ~ ~ ~ /~ ,'~ . ~ ~ I i/ ~T~ B~K 4. ) ~,. .,/ ~.. ~-.._ ~%;~, ,, ' "L 0~ CONSULTANTS, INC, ~ MARQUIS HOMES 868-1710 1 OF 3 Gomes~ MANN SUBDIVISION; LOT SA. BLOCK 4, SITE P~N FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM I ~ / ~0~ S~O~ ~-- ,-.-- / ~/ I~ _ .-' -'X~ - I / .~s~ ~ /I ~ K 2~ 2 ./ ~N~ rOUN~O. 3) FOR ~N~U~ON O~N~/ I I ~ / % S.T.~P. T~K . I 2 ~' l~x xx "-.. ~) NOTE' THE CONT~CTOR S~L ~VE ALL SURFACE / WA~R SHOWING ~GGED BY A REGI~EED ~D / J SU~OR PRIOR TO CON~RU~ON. ~ I Al ASI~ 5~TER & 5%[STE~'I'ER MARQUIS HOMES 868-1710 2 OF MANN SUBDIVISION; LOT SA, BLOCK 4, DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM '~' -20' LONC ~ ~ ~ ~ ~HI~ V~ ~D ~URE M~RINO roBE ~ ~ ~M OF ~NR UNE ORIGI~ ~~ ~O~ORING ~BE ~ ~SI~ WATER & ~VASTE~VATER CONSULTANTS, INC." MARQUIS HOMES 868-1710 MANN SUBDIVISION= LOT 3A, BLOCK 4, ..'" PROFILE DRAWING OF PROPOSED SEPTIC SYSTEM ALASKA '~VATER & '~WASTE'~WATER £68:~"1111/. CONSULTANTS, INC.' ~/ ~, ~ ~' ........ ISOIL LOG - PERCO~TION TESTI ~.. ..... ~.....:... ~[~g"....~ _... J .... ITEST HOLE fflJ ~0RG1 2 =::- (PAGE 1 OF 2) x ;.~;.;.4 LOgY SM 4-- ';~. ' GC OL fOR S[~C X ~ ~/ l · ~,. SW NH %~.., SH OH ~' o~ ~ 100' ~[~ DEPTH TO ~ I ~ -~ 7 -- GROUNDWATER DATE / ~' (s~[P) ~/s/o~ 1I D~ J 7/13/01 i , 10-- I ' ~1-- DATE RE. lNG CLOCK NET TIHE WATER LEVEL NET DROP TINE (HINUTES) RE, lNG (INCHES) 12 ~ 7/10/2001 1 ~:57 - 6, - 2 4:07 50 4.25' 1.75' 13 ~ 3 4:07 - 6- _ 4 4:37 30 4.25" 1.75' 14~ 5 4:37 _ 6' - 6 5:07 30 4.25" 1.75" 15~ 16~ 17-- 18-- 19-- PERCO~TION ~TE 17.1 .(NIN./INCH) PERC. HOLE DIA. 6' (INCHES) 20-- TEST RUN BETWEEN 3.0 .~. ~D 3.5 COHHENTS: SOl~ WERE PRESO~ED FOR 4+ HOURS PRIOR TO ~ UMIT ~ OF BEDROOMS ~D IN~ HIGH ~CH SE~C ~si~M PERFORMED BY ~ WATER & W~T~ATER I, JEFFR~ A. G~NESS, CER~ T~T THIS W~ ~RFORMED IN ACCORD~CE W~ ~L ~ATE AND MUNICIPAL GUIDEUNES IN EFFECT ON ~IS DATE:. DEPTH TO GROUNDWATER DATE 7' (SEEP) 7/S/Ol DRY 7/13/01 ALASI(A ~VATER & '~VASTE~rATER ISOIL LOG - PERCO~TION TESTJ ~ , .~t:'~PF~:"~'":"'~ ~ DESCRIP~ON: ~N SUBDMSION; LOT ~ BLOCK 4 ~ ~ e~ey ~'...~ CUT~S~ ../.~ PERFORMED~FOR: PAUL ~SEN DA~: 7//8/2001 ~e ~ *"* ......... '"" ~Pr ~ ITEST HOLE ~lJ 1- (PAGE 2 OF 2) I i NNN ~_ '~J~'~ ~ GP ML 4-- ' GC ~ OL FORS~C X X ~/ ~ ' SM OH/1~. o~ 100' 7-- m DEPTH TO ~ t ~ GROUNDWATER DATE J '~, ~ /--~, [X , 1'-100 I 11-- ~ DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (HIN~ES) RE, lNG (INCHES) 12_ 0 7/10/2001 1 5:58 - 6- - ~ 2 3:48 10 3" 15-- ~ ~ 3:48 - 6- _ 14~ ~ 5 3:58 - 6- j ~ s 4:08 ~0 3 ~/2 2 ~/2 15~ 7 4:08 - 6- _ 16-- ~ 4:18 10 3 5/8 2 3/8 9 4:18 - 6- _ 17-- 10 4:28 10 3 3/4 2 1/4 11 4:28 - 6- - 18-- 12 4:38 10 3 3/4 2 1/4 19-- PERCO~TION ~TE 4.4 .(HIN./INCH) PERC. HOLE DIA. 6' (INCHES) TEST RUN BETWEEN 4.5 .FT. ~D 5.0 20--~ COHHENTS: SOl~ WERE PERSO~ED FOR 4+ HOURS PRIOR TO PERFORMED BY ~ WATER ~ W~ATER I. JEF~ A. G~NESS. CER~ T~T THISJW~/PERFORMED IN ACCORD~CE W~ ALL ~ATE AND MUNICIPAL GUIDEENES IN EF~CT ON ~IS DATE: ~ ~ ~ OF .ALASIr~ '¥¥A'I'ER & WASTE~VAI'ER CONSULTANTS. INC. ~..~ [SOIL LOG - PERCO~TION TESTI :~ ...:...~ ~ DESCR~P~ON: ~N SUBDMS~ON; LOT ~ BLOCK 4 ~ ~ I ~'1 (feet) :~ ORG ITEST HOLE ~2j 2--~::::: ~SOIL GwC~SSI~CATIONS~ ORG x~ , 4--','~'~. ' GC OL m~ s~ .~'~ .... SW MH . ~u ~- ~! ~ s~ OH / . ~ , 6-- "."*' I SC ~o~ m~ :~S DEPTH TO 7--.~;'~. GROUNDWATER DATE J ~ . ~ I ~/~,/o~ ' iJ 1'-100' J I 10__ 11-- DATE READING CLOCK NET TINE WATER LEVEL NET DROP TINE (HINGES) RE'lNG (INCHES) 7/10/2001 1 3:40 - 6- - 12-- 2 3:50 10 2 1/8' 3 7/8 13 -- 3 3:50 - 6' 4 4:00 10 2 1/4" 3 3/9 14-- 5 4:00 _ 6" - 6 4:10 10 2 3/8" 3 5/8 15-- 7 4:11 - 6" - 16-- 8 4:21 10 2 1/2' 3 1/2 9 4:21 - 6" - 17-- 10 4:31 10 2 5/8' 3 3/8 11 4:31 - 6" _ 18-- 12 4:41 10 ~ 5/8" 3 3/8 19-- PERCO~TION ~TE 3.0 (NIN./INCH) PERC. HOLE DIA. 6' (INCHES) TEST R~ BETWEEN 4.5 ~. ~D 5.0 COHHENTS: SOI~ WER~ PRESO~ED FOR 4+ HOURS PRIOR TO BEGINNING TE~ PERFORMED BY ~ WATER ~ W~T~ATER I, JEF~ A. ~NESS, CERTI~ T~T THIS ~ERFORMED IN ACCORD~CE WITH ~L ~ATE AND MUN1CIP~ GUIDEUNES IN EF~CT ON ~IS DATE: DEPTH TO GROUNDWATER DATE 7' 7/6/Ol D~Y 7/~3/Ol ent B,y: AlasKa Watmr and Wa$~ewazec Con; 907 336 3248: Aug.13-01 11:16; Page 2/3 PROPERTY OWNER MAINTENANCE AGREEMENT ON*SITE WASTEWATEI~ DISPOSAL SYSTEM This agre~'ment is m,~de for the purpose of malntaining an on-sit~ wastewater disposal system on ~e subject property. The property owuer(s) ag~c~ to the following: The p~ol~rt~ owner(s) will have an ar~u~! inspect/on of ~he sys,'m perfarmed by · teghtered professional engineer. This inspection shall veri~ that all effluent ~ air pumps, t/men. ~nd alarms arc/~,lnclioning as desired. Any d¢fi¢icnci~ shall be correctol ~nd the cnE/neer's statement that the system is flmctioning as designed shall be filed annually ,,vith the DHHS. opctty Owner Name (/ (Notarize Here) ~ ~:' NOT~Y ~ ~ %&.. 09/15/2001 07:02 FAX A[as~a Water an~ Wastewater Con; 907 33a 3246; Aug-13-01 11:18; 06/~2/200t [2:1l FA/ 8078666?70 &+ A* HOME SERVICES. 7501 i~-' 14otb ' Anchorage. aJaska ~516 (o07) 34S- 18~O. 'A+ Home ,~'r~i¢ce, Inc.. a~ree~ to i~pect ho~o~ will be rc~pone~le for eoy sdditi .oasI char~ett~ may o~aro mu~b ms repels. par~ a~d labor. proper co,roi seiii~. Li~d below are our se~c~ ~c~ to be billed end p~id upon cornpb~on of'each s&ed~led maintenance. Page ~o02 ~$.00 ~45.00 S95.00 Your Septic Systcm. Holding T~tk, Dtainltne Cleaning Professional Service Company ' ~ ' '" De~'~i~)Pm' ' ~' '=;' Waternta sen/ice& ,,,~ ,~,;,;, ~-,-, - u.. D~PE~m~=~.;~.. ip lity .... . . ,Building Safe~ Division .......... 4700 So~ Bragaw SL ......... . * .. ~ P.O. Box 196650~chorage. AK99519~650 ~ -- , ,- . ., . ,: (907)~3-79~ '. CERTIFICATE OF HEALTH AUTHORITY'AP~R~E~, '1. GENE~L'INFORMATION :' . ' ' ~p~mbon Date? Pl egg ; ;n."~- q BC ' ' ''" Corn et I al~.scdpti. ~N-suBD~ION; LOT.3 ock ~'? ~.. Lo~tion (siteaddr~sso~di~e~i~ns) ' 16301 ELI~B~ ~RE~ * 'ANCHO~GE~AK~',. Current Prop.e,n~ .,owner(s) Mailing address Lending agen0/ Mailing address MARQUIS HOMES .... -' ,' Dayphone;868~1710,.',;-,t~.,.',<.?~ .... 14919 EVERGREEN STREET *...--..-...--ANE:H(3RA~F~ · ' ' '-'' ~' · ' AK.99516 ..... ~ ........ .~ - -. Day Phone " ...... ~ ~ ........" Real Estate Agent Mailing address Un/ess othenMse requeste, d, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF.WATER SUPPLY; Dayphone ' ' ' . ,. .". TYPE OF WASTEWATER DISPOSAL: Individual Well [] Individual On-site [] Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System [] Fu~lic Sewer [] The Mumc~pahty of Anchorage Development Services Department (DSD) Issues Cedificates of Health'Authority ~, ;~;.:;' ',.: :-. Approval (HAA) based only upon the representations given in paragraph 4 by an Independent professional Civil :.. engineer registered in the State of Alaska. Cedificates of Health Author ty Approva are requ red 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 ~lso issues HAAs upon request to homeowners. Cedificates of Health Auth(Jfity': ' Approval are valid for 90 days from the date of issue for propedies served by a private or Class C well and may .. be reissued with new water samples. (Certificates may be reissued for a period of up to on~ y~a'~ith water samples.) Cedificates are v:~lid 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 professi(~nal engineer's work. · Note: Alaska Water and Wastewater. Consultants, lnc. shall be paid $875.00 at, or pdor.. I '.? ';~:":',' '.- foclo~ir~g'fo~'th~'bn'gine&dngse~i~s~ovided.~, . ~ ' ' : .... ;~'L: ".~. ".'~' ';:,' :~',1 ~ ¥~'~, '~".'~'.' oF BY ENGINEER ' ,4.' STATEMENT, INSPECTION .................. ' .......... , ............ '- * -,'-',~'.;,' As ce~b'fied by my se'~l affixed hereto and as of the validation date shown below, I vedfy that my. investigation, b'ased on prrece~res ~)u~lined in the Health Authority Approval Guidelines for,this appfication, ~ ' shows th'at th'e O~;site wat~'so~ply'an~/o) ~a~tew'ate~ di~pos~l'sysiere is(are) safe f~b~a~ and ~d~qu~to }' ~ ' ~'. ~. `f~r~the~number~f~bedr~msandt~ip~structure~ndi~t~d`he~em~.~furfher~e~fyth~at~ase~n~he~q:~`~ ~,,. ' in~n:n'ation ~btai'nedfror~ th& M~lnicipalit~/ofAnchorage files and from my investigati'on and in§~e'cfion, the ' · ' ,.on-'sit~"w'ate'rs~pl)~a~d/~t:.~v'a'~te~ate~:dis~Os~lsystemls~are) in complian~e'~'th alie~)~li~'~'ble ~i'eipal. ,.' · i;,:" · . and State codes,,ordinances, and reoulations in effecl at the time of lnstallabon.-,: , :.~ ~ ',," '..' .........". ', c ..... " ': NameofFrm, ;ALASKA~WATER:t&:'~.WAs'I'£WA?ER;CONSULTANTS," NC.;.; -'::,.'ph'ar~-F.-337-~6179~;'i ~/,c;. ' ' Address. 6901.:DEBARR~'~ROAD, SUITE 2B-* ANCHORA(~E. AK 99504 '~ ' . ." i, i,/ " · · · Engineers Printed Name- JEFFREY~A.. GAENESS, P.E ...... Date ....· .' ~ ~ , , , . ·. ~ Engineer's Comments. . . . ........ . ............ . .... In conducting thi~ e'valEali(~n~'Awwc, Inc. attempted to provide e thorough, "' .. ' '~ ~ ' ~_c:,'~_~ ~.'%.%~,.~ :.,, ;~ ," ' . ' "' c~ns~iofitidus 'e~in~'efih~ ~n~t~is of th~ system in accordance ~4th ADEC and MOA ' : .... ~='~=~ ' ' ~ '" ' ' ' DSD Guidelines & Regulations. The reported results descfibed the pedon~nance of the _ ~.. ~'~ ~ ~ i'di~tabceC measuJ'ed tO'~adily ide'~tifiable featu~e~.'The operational life of all Wells a~d , '"' ' septic systems depend on the Ioca! soils condition, gmundwater levets that may These conditions are outside the control of the evaluator of the system. Satisfactory test eny warranty or futum eslimate 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 ~,~ e~ pr- · _~o~O\ the sole bene§t of the owner listed above. Any reliance upon or use of this report by any -%~,~ ~; ~es~ other person or party is ncr authcfized, nor will it confer any legal fight whatsoever. DSD SIGNATURE Y Approved for ~ Disapproved. Conditional approval for __ bedrooms, with the fllowing stipulations: ~A~ach ents '" -, .' HAA Checklist,, Septic.S~tem Advisory (Rev. 12~ ) Manitenance Agreements .... ', ,. Supplemental Engineer's Reort Other Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 ~oulh Bragaw SL P.O. Box 196650 Anchorage, AK g9519-6650 www.ct.anctmmge.ak.us (9O7) 343-79O4 Legal Descflption: A. WELL DATA HEALTH AUTHORITY APPROVAL CHECKLIST MANN SUBDMSION; LOT 3At BLOCK 4. Parcel ID: 020-041-10 Date of test Static water level Well production WATER SAMPLE RESULTS: Well type PlaVAlg If A, B, or C provide PWSID~ N/A Date completed 9/11/2001 Sanltep/seal (Y/N) YES Total depth 127 fl. Cased to 13 ff. FROM WELL LOG 9/11/2OOl 21 It, 7 g.p.m. Coliform ~2 colonies/100 mi. Amenic: ,OD~ mgJL. B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tanksize 1250 gal. Number of Compaff~nente 2 Foundation cleanout (Y/N) ~ Deprasslon over tank (Y/N) NO Date of pumping NEW Pumper C. ABSORPTION FIELD DATA well Log (Y/N) YEs VVlraS propen'y protected (Y/N) YES Casing height (above ground) 24+ AT INSPECTION Nii~a[e O-9~ mgJL. Otherbacteda <3 colonles/100ml. Date of sample: 1/15/2002 Collected by: AWWC, INC. Date installed 10/1-25/2001 Cleanoute (y/N). YES High water alarm (Y/N) N/A BELOW RNAL GRADE 2.0 ~-m~.m OF M.O~. APPROVED SAND FILTER BELOW TOTAL DEPTH. Date installed lo/1-2~/200~ Soil raUng I~orft~3drm) 2.0 Length 20 ft. Width 18 ff. Total depth · 4+/- ft. Eft. absorption area 360 fl' Monitoring tube YES Date of adequacy test NEW Results (Pass/Fell) - Fluid depth in absorption field before test - in. Water added - gal. Elapsed Time: - min. FInal fluid depth - in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) System type BOTrOMLESS ISF Gravel below pipe 0.43 ft. Oepresston over flstd NO For 3 bedrooms New depth - in. Absorption rate >= - g.p.d. N/A If yes, give date - D. LIFT STATION Date installed ~1 Size ~ gallons "Pump on' level at TIMERin. Datum BO1TOM OF TANK E. SEPARATION DISTANCES 1250 'Pump off' level atTiMERIn. Cycles tested NEW SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic sewlce line 25'+ Manhole/Access (Y/N) YES High water alarm level at 45 .in. Meets alarm & circuit requlmmente? YES On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/deanout Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water sewice 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 Building foundation 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Absorption field Surface water. 5'+ 100'+ Water main N/A Driveway, parldng/vehicie storage 3'+ G. ENGINEER'S CERTIRCATION I certify that I have determined through field inspections and review of Munldpal records that the above systems are in conformance wff;h MOA HAA guidelines in effecf on this date. Engineers Pd~l~Jame Date I .//~,/¢~ Z Ju-~EY A. GARNESS HAA Fee $ Data of Payment Receipt Number (;~v. 1~o~) Waiver Fee $ Date of Payment Receipt Number J,~-IT-02 02:21PU FROi,I-CT&E ENVIRONI, ENTAL ~TK CT&E Environmental Services Inc. 9075615001 T-TOO P.02/03 F-928 CT&F. Ref.# Client Name Proje~t Name/# Client Sample ID Matrix Ordered By PWSID 1020282001 AK Water & Wastewater Consultants Inc. Mann S/D [.3A, 134 Mann S/D L3A, B4 Drinking Water Sample Remarks: Client POg Printed Date/Time 01/I 7/2002 13:03 Collected Date/l'lme 01115/2002 14:50 Received Date/Tin,e 01115/2002 15:30 EP300 - Ni~ate result for sample 1020282001 is non-detect. Spike recovery in LIMS used non-detect result in thc calculation ofspike recuv¢~y. Actual recovery is 82.1% not '77.9%. Aflowablc Pr:p ,Analysis P~rarr~ Res.lL~ PQL Unit~ Mc~hod L,mits Date Date Init Arsenic 0.00200 U 0.00200 mglL EPA 200.9 ('~ 0.05) 01117102 JMP Ni~m~-N 0.200 U 0.200 mg/L EPA 300.0 (< 10) 01115/02 IDT M~crobiology Laboratory To~l Coliform col/100mL SMI8 9222D 01115/02 KAP