HomeMy WebLinkAboutELMORE #2 BLK 7 LT 5Elmore #2
Block 7
Lot 5
#018-172=w32
GARNESS ENGINEERING GROUP Ltd.,
— ENGINEERING o SALES - CONSULTING
February 15, 2023
Municipality of Anchorage
Development Service Department
On -Site Water & Wastewater Progi
4700 Elmore Rd. P.O. Box 196650
Anchorage, AK 99519-6650
(907) 343-7904
Ref: Elmore #2; Block 7, Lot 5 (44502.
Memo concerning converting CAT III
To whom it may concern:
Quanics
Absk !,��Uwdz.62aler
f C� ����v e,
21
C/
n Ave., Anc rage, AK)
VTS to 9AT II -WWTS septic
The permitted septic system was installed on the referenced property in 2009 and was started
up shortly after the installation. ARM Septic Services LLC has checked the monitoring tubes in
the drainfield in June of 2022 and found them to be dry In order to simplify the operation and
maintenance of the system, we are proposing that this unit be permanently configured as a
CAT II system. Our justifications are as follows:
The receiving soil has a percolation rate of 1.66 minutes per inch. A 4.0 gpd/sq.ft. application
rate is required for a Cat II system. The residence on this property has a total of 4 -bedrooms,
so 150 sq./ft. of absorption area is required for CAT II effluent (600 gpd / 4.0). The existing
2009 drainfield has 150 sq./ft. of absorption area. In short, the drainfield meets the sizing
requirements for 4 -bedrooms. The Inspection Report shows a 4.0 gpd/sq.ft., so it does not need
to be amended.
At this time. we request that your department
in open position) to be used at the referenced
will place a Cat II sticker on the control panel.
approve a CAT II configuration Dandy valve left
property. Upon approval, ARM Septic Services
3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259
Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com
Municipality of Anchorage
Development Services Department �_=..
Building Safety Division I `
On -Site Water & Wastewater Program, 4700 Bragaw St
P.O. Box 196650 Anchorage, AK 99519-6650
www.cLanchorage.ak.us (907) 343-7904 Page 1 of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: $WO80227 PID Number: 018-172-32
Nome: Wastewater System: ❑ New ■ Upgrade
DOUG GOENTZEO
Address:
4450 RIVERTON AVE • ANCHORAGE, AK . 99516
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 345-7289 4
0Deep Trench a Shallow Trench 0 Bed OMound E3 Other
Soil A.": TWO Depth lawn «lona aloe.:
LEGAL DESCRIPTION
4.0 cm/sq. rL SEE DWG. ft•
Block: lot: Subdivision:
Myth to p« eott«n Nem -dgl�l plots:
Corel depth b..th pipe:
0.5
7 5 ELMORE
SEE DWG. rL
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`"GREYS CONSTRUCTION
Date X7/29-30/2009
stale west« t.r«:
TANK
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SEPARATION
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OUANICS
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NONE KNOWN
p_TE-30—PLUS
M.O.A.
BENCH MARK
Remarks: *WAIVER GRANTED PRIOR TO CONSTRUCTION.
OLD TANK WAS COMPLETELY ABANDONED PER UPC.
t«awn and p.eenpuon:
BOTTOM OF VERTICAL TRIM AT N.E. CORNER.
OF HOUSE.
A..wn.a Ele.oU«: 100.00
•
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EMOMEERE
Inspections performed by: GEG, Ltd. Dates: 1st 7/29/2009
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2nd 7/29/2009
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3rd 7/30/2009
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Development Services Department Approval
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PERMIT NUMBER: T 111 �G PARCEL018INUMBER:
AS -BUILT DRAWING 018-11 72-32
RE MOO
RIVERTON AVENUE CTHEODT ST HOLEE P.E.
GARNESS ENGINEERING GROUP, Ltd.
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DOUG GOENTIZEO 345-7289 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
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GARNESS ENGINEERING GROUP, Ltd.
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PREPARED FOR: PHONE NUMBER: PACE NUMBER:
DOUG GOENTIZEO 345-7289 2 OF 3
LEGAL DESCRIPTION: DRAWN BY:
ELMORE SUBDIVISION, LOT 5, BLOCK 7 AJG
DATE:
TYPE OF WORK: 8/2G�1GI
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LEGAL _ _ ! -� Q {r y q, ar ess.
ELMORE SUBDIVISION, BLOCK 7, LOT 5 #2 "'
TYPE OF WORK: _GARNESS �L''I�ILGINLL'R>TANTS& GENERAL co G GROUP Ltd. Qo � cE-79 3
AS -BUILT OF QUANICS AEROCELL SYSTEM .r.,c+w.+way.rtm...,,na..a.r�«w+wcK.nanmw�nn...l..nanau•.�o....::....�..�, 40t�°^e •�'�2�
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PREPARED FOR. PHONE NUMBER: PACE: �-r°leesi° �00�040�Ooc
DOUG GOENTZEO 345-7289 3 OF 3
Wasnug 20 2003 3:23PM
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HP LASERJET FAX
Rising Son j=-1e'
ciric, Inc.
14916 v(/oodland Drive
Cogle River,.AK 09577
•���� (907) 622-6777
'4
August 20, 2009
Gamess Engineering Group
Attn: Andrew
3701 E. Tudor Road, Suite #101
Anchorage, AK 99507
Re: 4450 Riverton Avenue - Anchorage, AK 99516
Dear Andrew:
P.1
The lift station at the above referenced property has been wired in accordance with NEC
and State/Local codes.
Thank you.
Sincerely,
Kevin S. Hombuckle, Owner
Administrator Lioense Number 1284
Specialty Contractor License Number 27285
cc: file
MUNICIPALITY OF ANCHORAGE
Development Services Department
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 PERMIT
Upgrade
Date Issued: Oct 15, 2008
Expiration Date: Oct 15, 2009
Permit Number: SW080227 Parcel ID: 018-172-32
Legal Description: ELMORE #2 BLK 7 LT 5
Design Engineer: 0855 GARNESS ENGINEERING GROUF Site Address: 004450 RIVERTON AVE
Owner Name: DOUG GOENTZEL Lot Size: 40325 SQ. FT.
Owner Address: 4450 RIVERTON AVE Total Bedrooms: 4 Permit Bedrooms: 4
ANCHORAGE , AK 99516-
This permit is for the construction of:
✓� Disposal Field H✓l Septic Tank H Holding Tank Privy [ 1 Private Well LJ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 )and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
FILL NOT TO ENCROACH ON NEIGHBORS PROPERTY.
Received By: C7K /Y-4"' Date: 01/7
Issued By: Date: //2 g/c
, Municipality of Anchorage J,n""` ,S<
P.O. Box 196650 • 4700 Elmore Road
_f% Anchoraqe, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 Department
http://www.muni.orq/Onsite
Development Services Department
On-Site Water and Wastewater Program
**** VARIANCE/WAIVER REVIEW ****
WR#: 080071 - Revised HA#; Permit#: 080227
PID#: 018-172-32
Legal Description: Elmore#2. Block 7 Lot 5
Engineer: Garness Engineering Group
Applicant: Doug Goentzeo
Your request for a waiver of the required 10 feet horizontal separation from the absorption field
to the property line has been approved. The approved separation distance is 6.0 feet. In
addition, a separation distance of 3' from the bottom of the drainfield to seasonal high
groundwater is approve.
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: 7/28/09 Approved by: V t /L"'C--
ame of Revie
Rec#: 77520 Amount: $175.00 Date Paid: 10/15/08
**** VARIANCE/WAIVER REVIEW ****
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water&Wastewater Program
4700 Bragaw St.
P.O. Box 196650
Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 1 - 172. 32
Property owner(s) DOUG GOENTZEO Day phone 345-7289
Mailing address 4450 RIVERTON AVE * ANCHORAGE. AK
Site address Zip Code 99516
IX 2.
Legal description (Sub'd, Block & Lot ) ELMORE SUBDIVISION. LOT 5. BLOCK 7
Legal description (Township, Section & Range) N/A
Lot Size 'id , 32.5 Sq,Ft. Number of Bedrooms 4
THIS APPLICATION IS FOR ( all that apply): THIS APPLICATION IS AN:
Absorption Field ® Initial ❑
Septic Tank ® Upgrade
Holding Tank ❑ Renewal ❑
Privy ❑
Private Well ❑
Water Storage ❑
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.
GARNESS ENGINEERING GROUP, Ltd.
Permit/Rush Fees: i60 Waiver Fees: /7.5-
Date
7.5Date of Payment: /0/670‘ Date of Payment: /0;4--)
Receipt Number: 7 7 2-0 Receipt Number:
(Rev. 11/05)
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS&GENERAL CONTRACTORS
July 27,2009
Municipality of Anchorage
Development Service Department
On-Site Water&Wastewater Program
4700 Bragaw Street
P.O. Box 196650,
Anchorage,Ak 99519-6650
(907)343-7904
Ref: Elmore #2 Subdivision; Lot 5,Block 7,#SW 080227 Revised Drawing. Clarification Regarding
Lot Line Waiver& Request for Variance to Seasonal High Groundwater,
To whom it may concern:
A clarification is needed for the request to the amendment of the lot line waiver on the revised design.We
are requesting that the proposed drainfield will need a 6-foot lot line waiver from the east property line to
the proposed drainfield. Still, with the change in separation, there is no septic system on the adjacent lot
within 10 feet of the of the property line.
We are also requesting a variance of 3' from the bottom of the drainfield to seasonal high groundwater.
Justification for this reduced separation distance is summarized as follows:
• The effluent being discharged to the drainfield is from a Quanics treatment system, which has
CBOD and TSS levels that are expected to be less than 10 mg/L. Fecal coliform numbers are
expected to be less than 5%of standard septic tank effluent.
• It is reasonable to assume that by the time the effluent passes through 2 feet of imported sand and
then 1 foot of the insitu 1.66 minute per inch soil that the,BOD,TSS,and fecal coliform numbers
will be essentially zero(0).
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.
Sin,erelyy
J�
Jeffre i . P.E.,M.S.
Presi s f-nt
3701 E.Tudor Road,Suite 101 *Anchorage,AK 99507-1259
Ph: (907)337-6179*Fax:(907)338-3246*Website:www.garnessengineering.com
GARNESS ENGINEERING GROUP, Ltd .
CONSULTANTS & GENERAL CONTRACTORS
REVISED SW#080227
July 21,2009
Municipality of Anchorage
Development Service Department
On-Site Water& Wastewater Program
4700 Bragaw Street
P.O. Box 196650,
Anchorage,Ak 99519-6650
(907)343-7904
Ref: Proposed Septic System Upgrade for Elmore Subdivision; Lot 5, Block 7,
To whom it may concern:
There was a previous sewer permit issued for this property on 10/15/08. Prior to the installation of the system a
confirmation test hole was required. Upon excavation it was determined that groundwater was at five feet below
grade, and that the existing bed (that was proposed to be re-built) was encroaching on groundwater. Per the
homeowners request we are installing an advanced treatment system so as to minimize the square footage of the
drainfield and minimize impact on the driveway. We are proposing to install a 1500 gallon S.T.E.P. tank with
Quanics controls/floats, a 650 Aerocell unit and a bed type drainfield. Two test holes were excavated on the
property. The drainfield will be designed around the 30 foot radius of test hole#1. Comments regarding the design
are summarized as follows:
1. SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the percolation
test results. We are rebuilding over the existing drainfield site.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system.
4. LOT LINE WAIVER: We request that your department issue a 1-foot lot line waiver from the east property
line to the proposed drainfield. There is no septic system within 10 feet of the of the property line. In short arc are
unaware of any adverse impacts this waiver would have on adjacent wells or septic systems.
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.
• cer• y,
' ey. 4,1 -ss,P.:., M.S.
Presid T
NOTE:Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for
this septic system. (Contact G.E.G. Ltd.for 7 page construction specification letter.)
3701 E. Tudor Road,Suite 101 * Anchorage,AK 99507-1259
Ph:(907)337-6179 * Fax:(907)338-3246* Website: www.garnessengineering.com
•
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
October 10, 2008
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Elmore S/D #2, Block 7, Lot 5. Waiver for separation distance between drainfields &
waiver for absorption fields width,
1. All appropriate forms have been corrected to represent the correct number of bedrooms (4).
2. We are requesting a waiver for the required 10' separation distance needed between a
proposed and existing drainfield. Per our design we are proposing to rebuild all of the existing
bed, thus it will have a zero foot separation distance to the old bed. All of the contaminated soil
will be removed and replaced with MOA filter sand. In short, once the contaminated material is
removed it will be the equivalent of constructing a system on insitu soil. We have successfully
rebuilt numerous drainfields over the last 18 years. We are requesting that you grant a 0'
separation from the existing and proposed drainfields.
3. A percolation test and 7 day water monitoring will be conducted prior to the construction.
Please state this as a condition of construction on the permit.
4. There is a shallow (estimated 2' deep) ditch located at the road but there is no slope setback
concerns.
If • have / • - -tions, please contact us at 337-6179. Thank you for your assistance.
Sincere y,
- : •r'`, . ! arness, P. ., M.S.
Presid nt
3701 E.Tudor Road,Suite 101 *Anchorage,AK 99507-1259
Ph:(907)337-6179 * Fax:(907)338-3246 * Website: www.garnessengineering.com
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
October 1,2008
Municipality of Anchorage
Development Service Department
On-Site Water&Wastewater Program
4700 Bragaw Street
P.O. Box 196650,
Anchorage,Ak 99519-6650
(907)343-7904
Ref: Proposed Septic System Upgrade for Elmore Subdivision; Lot 5, Block 7,
To whom it may concern:
The existing 4 bedroom house is served by a private well and septic system. The septic system is in a state of failure
and needs to be upgraded. We are proposing to install a 1250 gallon septic tank and rebuild the existing bed. One
test hole was excavated on the property by Theodore Moore P.E. The drainfield will be designed around the 30 foot
radius of this test hole.Comments regarding the design are summarized as follows:
1. SOILS: See the attached logs which show the soil classifications,groundwater monitoring, and the percolation
test results. We are rebuilding over the existing drainfield site.
2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications.
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system.
4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography within 50 feet of the
drainfield is relatively flat.
5. LOT LINE WAIVER: We request that your department issue a 1-foot lot line waiver from the north property
line to the proposed alternate drainfield.There is no septic system within 10 feet of the of the property line. In short
we see no concerns in granting this waiver. We are unaware of any adverse impacts this waiver would have on
adjacent wells or septic systems.
6. BED WIDTH WAIVER: We a requesting that your department allow the bed width to be 20 feet wide because
of the area that we are restricted to. A large excavator will be used and at no time will the excavator will be allowed
to get in to the bed. In short we see no concerns in granting this waiver. We are unaware of any adverse impacts this
waiver would have on adjacent wells or septic systems.
We are unaware of. adverse impacts this installation would have on adjacent wells or septic systems. If you have
any questions,pl•a,- t o ntact us at 337-6179. Thank you for your assistance.
ccr� y,
e reyi • s,P.E.,i .S.
President
NOTE Att.. hed is a site plan drawing,a design drawing, one soil log, which are all part of the design package for
this septic system. (Contact G.E.G. Ltd.for 7 page construction specification letter.)
3701 E. Tudor Road,Suite 101 *Anchorage,AK 99507-1259
Ph:(907)337-6179* Fax: (907)338-3246 * Website: www.garnessengineering.com
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3701 E.TUDOR ROAD,SUITE 101 •ANCHORAGE,AK 99507 • PHONE(907)337-6179 • FAX (907)338-3246•WEBSITE: www.9ameeeengineerInq.com .0, .•1VA
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: / •••• 1■ Q
DOUG GOENTZEO 907-345-7289 1 OF 2 OA .'•J f -,►. • ess.= i
LEGAL DESCRIPTION: DRAWN BY: OO s -795 •�c�0�
ELMORE SUBDIVISION; LOT 5, BLOCK 7 A.J.G. 04� a ''1 J./1O � c•°GY
TYPE OF WORK: DATE: ppaPrOfesslot`ogc'
SITE PLAN 9/30/2008 ��O000��
(Rev.01/O5)
1 1
_ ,SIGN ('RITFRIA: GET, Ltd. HAS A 7 PAGE SPECIFICATION
LETTER THAT PERTAINS TO THIS DESIGN. REVISED SW080227
NUMBER OF BEDROOMS: 4
TO OBTAIN A COPY OF THE LETTER
GALLONS PER DAY (GPD): 600 CONTACT GEG. BY PROCEEDING FORWARD
PERCOLATION RATE/S: 1.66 MIN./INCH WITH THIS INSTALLATION, THE ENGINEER,
PROPOSED APPLICATION RATE 4 DRILLER,WELL
TOR AND
p OPERTY OW ER AGREE THAT THEY
MINIMUM DRAINFIELD SO.FT,: 150 HAVE READ THESE SPECIFICATIONS AND
QRAINFIELD DESIGN: AGREE TO ACCEPT THE TERMS AND
CONDITIONS OUTLINED.
MAXIMUM DEPTH: 3 FEET
WIDTH: 10 FEET _ _ _ _ _
'" LENGTH: 15 FEET
M.O.A. APPROVED SAND FILTER: 2 FEET EXISTING BED TO BE
EFFECTIVE: 0.50 FEET COMPLETELY ABANDONED
REDUCTION FACTOR: N/A RIVERTON AVENUE,( THEODORE MOORE P.E.
ACTUAL SQ.FT.; 150 TEST HOLE
` PROPOSED 1500 GALLON • /_� 662
S.T.E.P. TANK WITH OUANICS ,, t 6
l FLOATS/CONTROLS , —
l ----;1 GEG TH#1
4 INCHES OF � ,,'...
INSULATION 4 FEET WIDE i; t PROPOSED
...., ��, 15' x 10'
enau�e .
EXISTING 1000 GALLON SEPTIC �•ai',i' �+ BED
TANK TO BE COMPLETELY !,.% �
ABANDONED PER UPC !• r.• c.�//.!Y''
a /.49Gd� INSTALL JANDY
f $ -0...0.- '`•.-.4: •' r 1 fl1 VALVE
4 '�� '. . • j Q / PROPOSED 650
Q s 4 AEROCELL UNIT
/ YYY / :. .».. GEG TH#2
EXISTING a .
/ 4 BEDROOM a• /� ��
N HOUSE / ;.. .f:. , :,,c • a 6)2
. • •• A1 7VRNATE-SITS'•'' /
•.
_ �� i DRIVE WAY AREA IS TOS
BE ABANDED WITH THE • y� � •,: •
INSTALLATION OF THE .a
NEW DRAINF1ELD • ' '
NOTE: THE CONTRACTOR
SHALL HAVE THE NORTH &
N EAST LOT LINES, AND ALL
WELL RADII FLAGGED BY A
REGISTERED LAND SURVEYOR
S ALE: PRIOR TO CONSTRUCTION.
I 1" ��
\
t. -4\ �.'• l i •�l Ail
oY
GARNESS ENGINEERING GROUP, Ltd. .: 4 TH ;i\ ...-74
CONSULTANTS& GENERAL CONTRACTORS t�
3701 E. TUDOR ROAD, SUITE
101 •ANCHORAGE.PR 0507 • PHONE (007)337-0179•PAX (907)330-334•WEBSRE:www.gornwwwwyinIng.com D
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: s1//�.� rA. c ss, A
DOUG GOENTZEO 345-7289 2 OF 3 n y
•
LEGAL DESCRIPTION:
DRAWN BY: Oi• 1. E-7153 ,• ., ppb
ELMORE SUBDIVISION, BLOCK 7, LOT 5 K.D.M. 44 ea, •.7'2! ,0..9'' ,�o
TYPE OF WORK: DATE: lk4dprofessj0,_.
PROPOSED SEPTIC SYSTEM DESIGN UPGRADE 7/21/2009 D0pooQ��
(Rev.01/05)
0
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK. 99507 • PHONE (907)337-6179 - FAX: (907)338-3246 • WEBSITE: garnessengineerir
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: ELMORE #2, BLOCK 7, LOT 5
PERFORMED FOR: DOUG GOENTZEL DATE: 6/2/2009
DEPTH.- -
(feet) ORGANICS TEST HOLE #11
1
H,
2
3-
4 �I
5
I
7
8
I :.I
9
10
I
12�
13 B.O.H.
14
15
16
17
18
PEAT/LOAM
HEAVY SEEPS
5'
SOIL
CLASSIFICATIONS
6/2/2009
ORG
ML
CL
OL
MH
CH
OH
GW
GP
GM
GC
SW
SP
SM
SCc
GEG TH#1
1
/77
e i e'''
€-wea<°e*ee
O ' I
6"
–
I
2
1:57
GEG T #2
0"
GP TO GM
DEPTH TO
GROUNDWATER
DATE
SEEPS AT 5'
6/2/2009
7'
6/10/2009
GEG TH#1
1
1:51
–
�� RIVERTON AVENUE_
THEODORE MOORE P.E.
TEST HOLE
READING
{
NET TIME
(MINUTES)
WATER LEVEL
READING
I>
0 j
GEG TH#1
1
1:51
–
6"
–
2
1:57
GEG T #2
0"
6"
3
1:57
–
6"
–
4
EXISTING
4 BEDROOM
--HOUSE l
------------------- ----- C
-- -----
0"
-----------------------------------
` SCALE.
1" = 100'
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET "DROP
(INCHES)
6/2/2009
1
1:51
–
6"
–
2
1:57
6
0"
6"
3
1:57
–
6"
–
4
2:04
7
0"
6"
5
2:04
–
6"
–
6
2:13
9
0"
6"
7
2:13
–
6"
–
8
2:23
10
0"
6"
9
2:23
–
6"
–
10
2:33
10
0"
6"
11
2:33
–
6"1
–
12
2:43
10
0"
6"
19 PERCOLATION RATE 1.66 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 3 FT. AND 4 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ® NO
SOILS LOGGED BY: KYLE MAUS PERCOLATION TEST PERFORMED BY: KYLE MAUS
( OMMFNTC•
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PRF RMED IN ACCORDANCE
WITH- ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 7 o
i
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS
3701 E. TUDOR ROAD, SUITE 101 " ANCHORAGE, AK. 99507 • PHONE: (907)337-6179 • FAX: (907)336-3246 • WEBSITE: garnessengineerir
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: ELMORE #2, BLOCK 7, LOT 5
PERFORMED FOR: DOUG GOENTZEL DATE: 6/2/2009
DEPTH ORGANICS
(feet) n I TEST HOLE #2
2 i
�i
3 cs
I
5 �)
7 ,III
B.O.H.
8
9
10
11
12
13
14
15
16
17
18
19
PEAT/LOAM
SOIL
CLASSIFICATIONS
6/2/2009
7'
GW
GEG TH#1
ORG
GP
ML
/
(�^I':I'
/
IllI I! i
GM
CL
GP TO GM
`
GC
SW
OL
MH
i I I
IIIII111
HEAVY SEEPS
SP
If
CH
HOUSE
SM
-----------------------
- P
\vO
SC
-------------
SCALE:
DEPTH TO
GROUNDWATER
DATE
SEEPS AT 5'
6/2/2009
7'
6/10/2009
GEG TH#1
__ RIV_ERTON_ AVENUE_ _
THEODORF MOORE P.E.
TEST HOLE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
o j
GEG TH#1
r /
GEG TH#2
/
9 /
a 1
/
O�
771
00
EXISTING
4 BEDROOM
HOUSE
-----------------------
- P
\vO
--=---------------------------------
-------------
SCALE:
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
O�
- P
\vO
PERCOLATION RATE — (MIN./INCH) PERC. HOLE DIA. — (INCHES)
TEST RUN BETWEEN — FT. AND r — FT.
20 I I A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO
SOILS LOGGED BY: KYLE MAUS PERCOLATION TEST PERFORMED BY: —
1
COMMENTS:
PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THISWAS fp FORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: o
Jul .21 . 2009 2 :03PM Garness Engineering Group , Ltd . No .6737 P. 3
•
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF AN( ORAGE
AND paw (Tcen_f2c !
THIS MEMORANDUM 01' UNDERSTANDING made and entered into as of this
d,. I Day of U t of 2009, by and between rahAzji 6 Oe►'7iz c.
herein the "OWNER,"and the Municipality of Anchorage,herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein,the
parties to this Memorandum of Understanding agree as follows:
1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWWTS),described as 3UGtriics AtrOCGillocated
at IG rr cry ) 6 7 L S __.—,Anchorage,Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an AWWTS that
Includes the installation or removal of any parts,components or pieces not
included in the original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65.
B. Certificate of On-Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at •
the time of property sale and titic.transfer in accordance with AMC 15.65.
Jul .21 . 2009 2 : 03PM Garness Engineering Grout) , Ltd . No .6737 P. 4
These approvals certify that the systems are adequate fbr the homes that
they support and meet the codes that were in place at the time of system
construction.
C. Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
D. Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included in
the original design which would allow the AWWTS to continue to
perform as designed.
F. Permit(Construction) An On-Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit(Operating) An Advanced Wastewater"Treatment System
Operating Permit. An annual permit. issued by the Municipality,that
allows the Owner to operate an AWWTS, upon meeting all the
requirements of this agreement, the conditions of Grating Permit, the
requirements of the On-Site Wastewater System Construction Permit and
all relevant provisions of AMC 15.65
3. Fee. Owner shall pay to Municipality an annual fee of C)
($ 0 .00), payable on or before the issuance of the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date of the approval by the
Municipality of installed system.
4. .1 erm. The term of this Memorandum of Understanding shall be for the life of the
AWWTS.
Jul .21 . 2009 2 :04PM Garness Engineering Group , Ltd . No.6737 P . 5
The term begins on the date of approval by the Municipality of the installed system and
shall continue while the AWWTS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of On-Site approval is issued to
the new owner or transferee of the property.
5. Alterations,Installation and Removal of Additional . Owner agrees
not to make any alterations, removal of parts or additions to the AWWTS without a
Construction Permit from the Municipality.
6. Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding,the Owner shall
maintain AW'WTS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding,and any extensions or
renewals thereof,at the owner's sole expense, to pay I1 r any and all: (1)repair(s), (2)
maintenance,(3) adjustment(s), (4)replacement costs, and (5) inspection costs.
Further, Owner agrees to comply will all applicable ordinance, laws, regulations,
rules and orders for the AWWTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenanceandrepair contained in the Owner's AWWTS
Operating Permit is: I (Ail C L3e a r _--
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60_
Jul .21 . 2009 2 :04PM Garness Engineering Grow) . Ltd . No.6737 P . 6
U. Owner agrees that only maintenance,repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer er cif title o f the property will not occur
without a new Certificate of On-Site Systems Approval.
G. Owner agrees that the relevant provisions of the standard specification guidebook
for AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7. Nonwaiver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver cif the provisions,
nor in any way effect the validity of the Memorandum of Understanding or any part
hereof, or the right of such party thereafter to enforce each and every provision
hereof.
8.Amendment.
A. This Memorandum of Understanding shall only be amended,modified or changed
by a writing, executed by authorized representatives of the parties,with the same
formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
11 For the purposes of any amendment modification or change to the terms and
conditions of this contract,the only authorized representatives of the parties are:
Jul .21 . 2009 2 : 04PM Garness Engineering Group , Ltd . No .6737 P. 7
Owner:, 3
OwnC 1'7rTe, I
Anchorage: Purchasing Officer
C. Any attempt to amend, modify,or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction; Choice of Law. Any civil action arising from this Memorandum of
Understanding 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 Memorandum of Understanding.
10. Severability. Any provisions of this Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
OWNER: j'IUNICIPAI,ITY:
By: -�' , �� �I�1 // By: --
Title:
Date: 07 -54/y g Date:
STATE OF ALASKA
) ss.
THIRD JUDICIAL DISTRICT )
The fore Toin instrument,yep.s acknowledged before me thisD a day of L ,
200`7,by njct
��\\1111tIIIIINI//�j///
NOTARYPUBL'C FOR ALASKA
My Commission expires:jt cr?e. 2 f' D of 3 * r NOTARY 1
IS PUBLIC ?Q,
//�/0111111141111\\�\
,Pri MUNICIPALITY OF ANCHORAGE e�
DL RTMENT OF HEALTH AND HUMAN SEF 'ES
Environmental Health Division
' 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION
REPORT
Name
T m All ill Prime Pro erF
DISTANCES
fAOM TO
TANK PTIC
ABSFIELDION
WELL
A°0fe9
f9YOO /iar�fzel/ Rd
WELL
1 Z q E
13491
Phones)
3 N9 5�y/
Permit No.
8 00 IS
No. of FSedrOdma
3
LOT LINE
30'
1 SF
IS' 11
LEGAL DESCRIPTION
Lot
S 1
B,mk
%
Subdivision
FOUNDATION
Zia
ypa
Township. Range. Section
T 12 �'L A/ 1p O w S' 3
l •.7
AS-BUILT DIAGRAM (Show i"ll of Pi
drneway. water bodies, etc)
septic system. property lines. foundation.
TANKS
ICK SEPTIC ❑ HOLDING
Manufacturer
Greer
Capacity in gallons
1000
R
V
s
1
I�
Material
!;4-eel
No. of compartments
_
_ —tsER'
YA
D
9l A6
ETC1�
TYPE OF SYSTEM
,
an
❑ TRENCH X BED ❑ W. DRAIII ❑ OTHER
3b
Depth to pipe bottom from
argmal gracey
..s FT
Total depth from original grace
rs.0 FT
, I
.`L.
C
3
Fin adced above original grade
0•S FT
Gravel Depth beneath pipe
O.,S' FT
Gravenengrn
3 i FT
Graves width
17 FT
Tote, absorption area
15-rd-rd 578 SO FT
Distance between lines
15; S' FT
uJ
P
_I
AiT
Number o, ones
3
Sal rating
12s SO FT
Npe mdtprral
SO r �f scA Yo D-Zert
ms a I I��
a MIXWELLS
Date mvaaec r
<R PRIVATE ❑ OTHER (Identilv)
CIaS5rtiC2tibr1 I0.fi.Cl Iotas Depth Cased to
FT FT
installer Date lnsuned.
REMARKS:
Ca (der cbV fin%E On S ITc laleiSit-Oitf/f/
(C rn /o iP InlU(er/tp(w. 2�1/Kwr Scale:
Tan d' 1 P ImcllR fi'specttonsPerformedbY.
/S
C' fiuFirj. TKlinrmL.Cr
t Data I/2S /£rd
Certify that this Inspection was performed according to all
Municipal and Stale guidelines in effect on this gate:
Health DepaAmenl Approval; C� '��'�� Date.
wtA b�
.e`� .••••.,,q
i 07 491H�K
....................
P . TR:ODORE F. MOORE: � LI
CQa ��•CE - 350,• ^ti
Pry ••.......... •Pe8
72-013 (3/851
• MIJN I C I AL I TY Of= ANCI IORAGC
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET} ANCHORAGE, AK 99501
264-4720
ON—c3 I TE SEWEFT In' WELL PEFTM I T
PERMIT NO:
DATE ISSUED:
APPLICANT:
ADDRESS:
CONTACT PHONE:
LEGAL DESCRIP:
LOT SIZE:
MAX 'BEDROOMS:
560015
O1/17/S6
PRIME PROPERTY INV.
8400 HARTZELL ROAD
ANCHORAGE, AK 99507
349-5641
SUBDIVISION:
SECTION: 34
40144 (SQ.FT
3
1A,"wT IH�TTi(� b�.2 QP-5j(K
00 aw+wL Kx L
VW6I CC. y/'1'w.t> �N� Wlif �k"R SG✓L
C.L� f{O�1'leiGV fn LnLfo<�� ,.'ft Pl«n. �n�3e+.✓a
ELMORE. LOT: 5 BLOCK: 7
TOWNSHIP: 12N RANGE: 3W
. OR ACRES)
Listed below are the options available to you in designing your septic
.system. Choose the option that best fits your site,
W _YOM
FR e,::1 N
1,
** DEPTH TO PIPE BOTTOM < 3.5 FT. REQUIRES INSULATION
**'DEPTH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A LIFT STATION
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
I certify that:
1. I am familiar with the requirements for on-site sewers and wells as set
forth by the Municipality of Anchorage (MDA) and the State of Alaska.
2. I will install the system in -accordance with all MOA codes and regulations,
and in compliance with the design criteria of.this permit.
3. I will adhere to all MOA and State of Alaska requirements for the set back
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. I understand that this permit is valid for a maximum of 3 bedrooms and
any'enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED: (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT 'AN.ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL WORE: 1ST BE DONE BY/j LICENSED ELECTRICIAN.
SIGNED DATE:/
- t' �P
APPLICANT: PR .E PROPERTY INV.
ISSUED DY-- 4: �4 DATE: /—/� 8-e,--- �----------------------------- --------------
TFC N H
DEPTH TO PIPE BOTTOM (FT.)
**
GRAVEL DEPTH (FT.)
TOTAL DEPTH (FT.)
GRAVEL WIDTH (FT.)
2 5
GRAVEL LENGTH (FT.)
47
GRAVEL VOLUME (CU.YDS.)
1 .
TANK SIZE (GALS)
1,00). **
SOIL RATING (SQ.FT./BR)
125
W _YOM
FR e,::1 N
1,
** DEPTH TO PIPE BOTTOM < 3.5 FT. REQUIRES INSULATION
**'DEPTH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A LIFT STATION
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
I certify that:
1. I am familiar with the requirements for on-site sewers and wells as set
forth by the Municipality of Anchorage (MDA) and the State of Alaska.
2. I will install the system in -accordance with all MOA codes and regulations,
and in compliance with the design criteria of.this permit.
3. I will adhere to all MOA and State of Alaska requirements for the set back
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. I understand that this permit is valid for a maximum of 3 bedrooms and
any'enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED: (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT 'AN.ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL WORE: 1ST BE DONE BY/j LICENSED ELECTRICIAN.
SIGNED DATE:/
- t' �P
APPLICANT: PR .E PROPERTY INV.
ISSUED DY-- 4: �4 DATE: /—/� 8-e,--- �----------------------------- --------------
MUNICIPALITVnANCHORAGE
MEMORANDUM
To:
From: SM
Re:
Date I— / 19 8`
E/..., c,�e-
C#ro...L�l,��f.,� -6'-- l -L-"
wro....•M•�-gyp live/
was c�J..sf-��
"%, excc�//??wn,.{- S�y�so..�.+�
L•�
wnt+1 •atAblle- at
Rt,a.t¢ 6 T`o (/
-toe
/Q��l.cnwf has.
oOf/-sv, of *k
Y
Gi-aar WCf �) •�f �Li e
Lr�-R
/(
Wa.w'/"$ �� / n S 7� I I 0. �G PQ��L P-`✓'tet+/07 / O K
I
sysfp«• .
V/1
S. /(-i o r✓1 S
91-015 (Rev. 1/81)
J
h
f 1 5d SOILS LOG
MUNICIPALITY OF ANCHORAGE
l DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 0 PERCOLATION
TEST
825 L. Street, Anchorage, Alaska 99501 2644720
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: _I sr7 AI14o7 DATE PERFORMED: I l f0/ Or
LEGAL DESCRIPTION: if vf-so Vack 7 I_ IMOrt SID
rDEPTHI SLOPE SITE PLAN
1 j (FEET)
GM (pfvc Pit etotFer-eal
2 ]::=Pt
3 Gn
4
Fs -1 0R {
JI G P (r ZS o
vrsuof Ref; y
e ftan}/ Cobbler 7Arkwt
M
10
Sae sryrvfU•renlary srfe pfao
i l WAS GROUND WATER v S S
ENCOUNTERED? _ ILLO
12 P
IF YES, AT WHATE
13
-- H&O DEPTH? 12'-811
8. N.
14-
is -
4 _
\
1s o P�( OF. At., 44,
16 art.;/49TH*
P...: ..............
18
19
20
.................:...�
THEODORE F. MOORE=
CE -3589 ✓• ��
Pte'••......•• �I
� Ilk a��•
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
MOR
'RENEUMAN
MENEEMEN
NOMMENEENN
■E■■M■■■MI■
MIMMEINIMONE
NEMINMMEMIN
SMI■■
IMEMMIN
Sae sryrvfU•renlary srfe pfao
i l WAS GROUND WATER v S S
ENCOUNTERED? _ ILLO
12 P
IF YES, AT WHATE
13
-- H&O DEPTH? 12'-811
8. N.
14-
is -
4 _
\
1s o P�( OF. At., 44,
16 art.;/49TH*
P...: ..............
18
19
20
.................:...�
THEODORE F. MOORE=
CE -3589 ✓• ��
Pte'••......•• �I
� Ilk a��•
Reading
Date
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Time
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14530 Echo Street
Anchorage, Alaska 99516
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;FLATTOP TECHNICAL SERVJCES' �
CIVIL & ENMONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS
THEODORE F. MOORE, P.E. January 30, 1986
PH: (907) 345-1355
M.O.A. Dept. of Health and Human Services
P.O. Box 6-650
Anchorage, AK 99502
Attn: John Kennedy
Re: Lot 5, Block 7, Elmore S/D
Dear Mr. Kennedy:
14530 ECHO ST.
ANCHORAGE, ALASKA 99516
M1V R0`Zpr.
fOF gNd1p
NT.gI R � �7/p G�
The following information is provided per your request
regarding the roadside ditch in the vicinity of the recently
installed septic system on the subject property.
There is no water flowing in the ditch at the present time,
as is confirmed by the fact that the builder has temporarily
filled the ditch to gain winter access to his construction site,
and there has been no water backed up. Visual observation of the
exposed portion of the ditch side at the time of my soils test on
January 10 indicated a clean gravelly material without silt and
debris which would typically accumulate from major seasonal
flows. While the ditch is 2 to 3 feet deep and 4 to 5 feet wide
at this location, it does not extend beyond the immediate block
as a major ditch. Thus it was, and is, my opinion that this
ditch carries at most only relatively minor intermittent flows.
The soils test revealed poorly graded gravel to a depth
greater than 13 feet, and a stable water table at this time of
year at 12.7 feet below ground level. From this information it
would appear that any water flowing in the ditch would tend to
percolate into the underlying ground.
The absorption bed is located approximately 30 feet south of
the ditch, with the absorption pipes laid approximately 2 feet
lower than the bottom of the ditch. The surface topography slopes
gently to the south away from the ditch. It is difficult for me
to conceive of a situation in which effluent in these pipes could
make it's way into that ditch.
I trust this information will answer your questions.
Sincerely,
Ted Moore, P.E.
LOCATION OF WELL (Please complete either la. Ib or Ic.)
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological 9 Geophysical Surveys
Drilling Permit No.
A.D.L. No.
la. Borough subdivision Lot Block Ib. 1/44tre. Section No. TownshipN❑ Range E❑ Merldlon
Ankh. 71^)are 5 7 .er_4f—er_
B❑ W
Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS
S. OWNER OF WELL VrI cr Lllictaon
Address: o IJO it rtzoll ^.d.
f nch. y Alae 99507
Street Address and Area of Weil Location
2. WELL LOG Feet Bal°•
Surface
Material Type Top Bottom
4. WELL DEPTH: (final)
ft.
S. DATE OF COMPLETION.
2 — lU _ bb
Till' f7ray and hz.rd with lclrre 0 4-0
6. Coble tool ❑Rotary ❑Driven ❑Dug
❑Auger ❑Jetted ❑Bored ❑Other:
boulders.
A.1 ZI1Y4.!7- rrnv nolo- rnr?jn,m h0 ill
T. USE:❑ Domestic C] Public Supply ❑Industry
❑ Irrigation ❑ Recharge ❑ commerical
❑ Tool Well ❑Other:
h$rdncn;r.
Till.: r rEy and h^rd. 50 66
c^nd: bro•ii Trith Tintrr• 6 irli'7.i� r7
B. CASING: ❑Threaded G] Welded
diom. E in. to 70 ft. Depth Weight 17 lbs./n.
di°m. In. to ft. Depth Stickup 2 ft.
B. FINISH OF WELL: Op£:: C33 (:e
Dlame
Type: Nr
Slot/Meeh Slse: Length:
Set between It. and fl.
Backfilling Grovel pock
10. STATIC WATER LEVEL: Cr) ft. 7 1 n r1
❑ Above or Below land surface Date
Equipment used: >;::%'4 line
Clip Ajs--
( 1H
It. PUMPING LEVEL below land surface and YIELD
63 It. after 2 firs, pumping u 2 -P.M.
fl. offer _hre. pumping_g.p.m.
risk
12.GROUTING Well Grouted: ❑ Yes ❑ No
LU
Material: ❑Neat Cement 00th.,nLt3=rLll
IS. PUMP: (If available) His
Length of Drop Pipe ft. capacity g. P.M.
/
❑ Subm. ❑ Jet ❑ Centrincal ❑ Other
14.111EMARKS:
16. WATER WELL CONTRACTORS CERTIFICATION:
IS. Water Temperature ❑ F ❑ C
This well was dri tied under my Jurisdiction and Inis report Is true to the beet
o1 my knowledge and belief;
Focr L`rillnr
Reglaleved Business Nome Contract License Number
133b Ir.;;rr,
Signed: .( T'i )iii 1 / ?` .I/ y-/.� i
-�
Dale.
Aul norm° Representative
/
Por- 02-WWR (11/8I) COPY Distribution: WHITE -Stale DGGS. PINK -Driller, CANARY -Customer
r
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
ApplicationObale —95 lO / S6
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
of t) -_o Bloc jr 7. EfmorG 5 /b
Location (address or directions)
Rover/nn Aloe 1McAef p'e
(b) Applicant Name .%'m Allr.corr Telephone: Home Business
Applicant Address 61(00 //a04ze(t go( Ancf1oroge 96-07
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder U; Buyer ❑ ;Other ❑ (explain);
(d) Lending Institution
Telephone
Address
(e) Real Estate Company and Agent :rime pro 4er T, &w). en A,
Address _ 6'100 / • Fz . /I R et
Telephone 35i -56Y/
(f) Mail the HAA to the following address:
ltsla .4;e oftk UP
r.2::.',TYPE OF RESIDENCE
Single -Family ® Mulli-Family ❑ Other
Number of Bedrooms 3
3.':+ WATER SUPPLY
Individual Well R1 Community ❑ Public ❑
i.':. 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
`
Onsiteg) 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 r2-025(1,,84)
n n
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, l 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. l 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 Stale codes, ordinances, and regulations in effect on
the date of this Inspection.
Name of Firm- F(dxt&e T-CcAa.c.r/ Sev.w Telephone 3Y —r36's
Address / K 6-30 EcA0 SA- An cAc7� /9-k
Date ' 6/AU / Si
OF A01%
.........................
........I.... M
THEODORE F. MOORE : s En sneer's Seal
CE - 9589 _ : -,4 Ar 9
P�o/cniuM�
HAA is t11e, HAA
,e.+ -woe. 5-/17/0 �. �e -��k�e 1-7 �nttK r<eKKe�y.
6. DHEP APPROVAL
Approved for 'fit"^e-c� bedrooms by Date 6 —t/— $
Approved A__� Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an Independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct Inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work. r
Page 2 of 2
72
r'1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date .. ar /9 "'qK
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
"t s- Bleck 7 lmere S/D
Location (address or directions)
Ricer%n A/C. Anchar!��
(b) Applicant Name TfA" /f 11u0.1 Telephone: Home Business 'SG%
Applicant Address -ByCO dc4f-hf11 na. AncAq'!;4 a 99307
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder 17; Buyer ❑ ; Other ❑ (explain);
(d) Lending Institution Telephone
Address
(e) Real Estate Company and Agent
Address
Telephone
(1) Mail the HAA to the following address:
2. TYPE OF RESIDENCE
Single -Family (0 Multi -Family ❑ Other
Number of Bedrooms 3
3. 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.
4. SEWAGE DISPOSAL
Onsite 0i 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 (11,84)
rl
r)
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 verity 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.
NameofFirmF!- Tect'"ca( ScrvHc„r Telephone 3'�S-I3SS
Address HS -70 Echo Sl Ancho r, /}!r 99� iC
Date T, 196
.. [N, ......••-co TH*
.yS,l e
sA,Q'r•.
.......................... Engineer's Seal
. THEODORE F. MOORED A
1,•'.� CE - 3509�
6. DHEP APPROVA
Approved for bedrooms by Av4 to l� v
Approved Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Muncipatity of Anchorage Department of Health and Environmental Protection (DHEP) Issues Health Authority
Approval certificates based solely upon the representations given In paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
Institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct Inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
n
*MLf40PALnY OF A"0
DEPT. OF HEALTH &
ENVIRONMENTAL PROTEC 04
MAY 19 1986
A. YVELEDAW " ED
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
Legal Description: 44jFT- Stac-k 7
Sto
Well Classificatiori rr r v. Rt If A. B. C, D.E.C. Approved (Y/N) N.
Well Log Present (Y/N) �_ Date Completed 2 /11 /84r Yield d Aim
Total Depth 7o - Cased to 710 Depth of Grouting N.A.
Static Water Level 59, Pump Set At unle
Casing Height Above Ground 3e"' Sanitary Seal on Casing (Y/N) Y
Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot 12,11 ; On Adjoining Lots �0 loo r "
To Nearest Edge of Absorption Field on Lot 138 ; On Adjoining Lots 7 loo r
To Nearest Public Sewer Line &A. To Nearest Public Sewer
Cleanout/Manhole 11. A • To Nearest Sewer Service Line on Lot
Water Sample Collected by TP 11 ; Date S1 13 /69
Water Sample Test Results __ c= y — no eohkr�" or oAer boeierik
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed 1 IZ., IM Size 1000 No. of Compartments 2
Standpipes (Y/N) )' Air -tight Caps (Y/N) 1' Foundation Cleanout (Y/N) Y
Depression over Tank (Y/N) - N Date Last Pumped J.A. t n•w crnd•�
Pumping/Maintenance Contract on File (Y/N) N A • ; for N•A -
Holding Tank High -Water Alarm (Y/N) NSA. Temporary Holding Tank Permit (Y/N) 14.4.
Separation Distances from Septic/Holding Tank:
To Water -Supply Well 1 vis To Building Foundation i1
To Property Line .301
To Disposal Field 1a 1
To Water Main/Service Line 1I. A. To Stream, Pond, Lake, or Major Drainage
Course ? 100' iSeatdnof etrarnage eliAcl Aacce r Yo' (form of axbv A;FL-,
Comments
Page 1 of 2
72-026(11,84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata f 2Sy'/8dr� Type of System Design Be
Date Installed Length of Field 3 y r
Width of Field ��� I
Depth of Field H'S
Gravel Bed Thickness O.J.
Square Feet of Absorption Area SM Standpipes Present(Y/N) r
Depression over Field (Y/N) N Date of Last Adequacy Test N• , (n.cu MAXIJ
Results of Last Adequacy Test N.A. ( now Co. S.4.
Separation Distance from Absorption Field
To Water -Supply Well 13!9f To Property Line 15.'
To Building Foundation `�0� To Existing or Abandoned System on
Lot NSA. : On Adjoining Lots 7 30'
To Water Main/Service Line N"A • To Cuttbbank (if present) N,A
To Stream/Pond/Lake/or Major Drainage Course ? lm 6sewanal drar• 41f vtArg Sauer YO'awor,
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION N/A.
Date Installed
Size in Gallons
"Pump On" Level at —
High Water Alarm Level at
Tested for
Electrical Codes (Y/N) —
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
.• Check Permitted Bedroom Rating Against HAA Request .•
Vent(Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed r,4, - V OUwv.- Date 3/ N 1191!r'
Company MOA No. 19K"aXZ
Receipt No.
kN 10F•.Q4gs�'
Date of Payment
A' .
'••f ♦ Engineer's Seal
Amount: $
.49tH`....
;• 9*�i
...... ......... ...moi
Page 2 of 2
�} THEODORE F. MOORED:Ar
ca�•. CE -3589 ; p�
72026 (11,84)
........
(�11
n
FLATTOP TECHNICAL- SERYIC'mQ -
CnIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & A.NALYSis
THEODORE F. MOORE, P.E. 14530 ECHO ST.
PH: (907) 345-1355 May 22, 1986 ANCHORAGE, ALASKA 99516
M.O.A. Dept. of Health and Human Services
P.O. Box 6-650
Anchorage, AK 99502
Attn: Steve Morris
RE: Health Authority Approval — Lot 5, Block 7, Elmore S/D
Dear Mr. Morris:
I understand that some concern has been expressed regarding
the proximity of the septic system serving Lot 7, Block 5, Elmore
S/D to a drainage ditch located 40 feet to the north on the south
side of Riverton Ave. I believe that that concern is unwarrented
for the following reasons.
All indications are that this ditch is dry during the
majority of the year. Certainly this was the case at the time of
construction last January, at which time I discussed this same
topic with both you and John Kennedy.
To better understand the hydrology of what is happening in
this area please refer to the map preceding page 25 of the
Hillside Wastewater Management Plan (copy attached). To the east
of the subject lot is a large "known prolem area" characterized
by poorly drained soils with a high water table. Some of this
area is drained by a ditch which originates in the vicinity of
Buffalo and 145th Avenue and then flows north along Buffalo to
Riverton and thence west to the subject property. In the
vicinity of Teton Avenue the subsurface soils become markedly
better with a significant strata of poorly graded gravel (see
soil log) trending, I believe, northwest towards Rabbit Creek.
Once this area is reached, the surface flow in the drainage ditch
rapidly dwindles as the water percolates downwards. At the time
of my most recent observation on May 22, 1986, all surface flow
in this ditch ceased before reaching the boundary of the next lot
to the west. Thus, the ditch is losing rather than gaining water
in this area.
In siting the soil absorption system for this lot, I felt it
was best to utilize the excellent percolation characteristics of
the gravel soil near the north edge of the lot rather than to put
the system in the lower less desirable soils with a higher water
table found further to the south. These conditions can be
observed by a physical inspection of the lot.
t'1
n
As you will note from the as—built inspection report, the
perforated pipe is located 4.5 feet below original grade which
places the bed approximately 2 feet lower than the ditch bottom.
Should the system somehow fail and cause effluent to flow out
onto the surface of the ground, the southward sloping topography
would carry effluent away from the ditch rather than towards it.
It is my professional opinion that the combination of these
factors precludes any possibility of contamination of surface
water in that ditch from this septic system. At the time of
construction, it was not my interpretation of state regulations
that the ditch fronting this lot was one that would invoke
mandatory separation distances, however, if you feel otherwise,
please consider the foregoing as a formal request and support for
the required waiver.
Please call me if
additional information.
cc. Jim Allison
you have any questions,
Sincerely,
TZ -
or require
Ted Moore, P.E.
.�F...44.
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THEODORE F. MOORE /
t�••CE •3589 w��
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