HomeMy WebLinkAboutELMORE #2 BLK 9 LT 6Elmore #2
Lot 6
Block 9
#018-173-06
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 Page 1 of
On-Site Wastewater Disposal System and/or Well Inspection Report
Penmlt Number:. SW100022 PID Number: 018-175-06
"ama:LEE &: aETH NKEN Wastewater System: r-I New · Upgrade
Address:
4500 E. 145TH AVE. * ANCHORAGE, AK 99516 ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 250-1125 3 DDeep Trench nShallow Trench · Bed 1:3Mound rlOther
LEGAL DESCRIPTION 4.0 ~o/~.
9 6 ELMORE #2 SEE DWG.
- - - SEE DWC.
WELL: [3 New I-I Upgrade 5
~ .. 120 so. n. D 3034/ F-810
n. A+ HOME SERVIES 4/6/2010
~ ~ TANK
SEPARATION DISTANCES ~$opt~¢ ~Ho,~ng ~S.TZ.P. ~ho~
T:~'~.~TMrom ~"'~ Septlc, Absorption Lift Hold;rig ~ubr*c/Ps'bate Uam~Uat~ ' '
su,oco woto, z ~oo'+ - - - LIFT STATION
Lot Une ~ 10'+ - -
Curtain Droln NONE~ KNOW~
~emarks: *WAIVER CRANTED. BENCH MARK
THiS IS A DOCUMENTATION OF' A DRAINFIELD REBUILD. TOP OF MANHOLE
99.55
,nspections performed by: GE(:;, Ltd. Dates:lst 4/6/2010
2nd 4/6/2010 ~,~..9.['. ~. ~ .~:,~1~i~,
_
Development Services Department Approval
~ ........ I' '/~' ................
..... ...........
Conditional approval: Dote:. }^ '-.,~ tfl~ ~y ~.._C.d~ness.:
R~viewed and approved by: //~.-'~.---'~'~' ~' F'~Dote:~'~';z'/O
PE~..U,BE.: AS BUILT DRAWING
SW100022 - 018-173-06
EAST 145th AVENUE
ICOt 29.9 10.3 4~.9 ~I~NG WE~
lC02 ~0.3 34.3 57.7 ~
R~OIRCU~ON S.T.E.P. T~K j j
s I
% % /
PREPPED FOR IPHONE NU~B~R' J PAGE NUMBER' ~ ~/
AS-BUILT OF DRAINFIELD UPGRADE /~ /z ~
,c..~.u.,E.:AS BUILT DRAWING
SW100022 - 018-173-06
FIN&
Mf
[,'Of rOM Of
L [~2ffOM 0¢/¢~ r6~,'4¢
90.44 ( 136t' - 7119/99)
GARNESS ENGINEERING GROUP, Ltd.
LEE AIKEN 907-250-1125 I 3 OF 3 ~v~
ELMORE S/D fi2. BLOCK 9, LOT 6 ~ J.L.M.
Fy'el1 p~LIl~g Permit Number:
]e~----~l
P~mp I=sta~on Date:" '
?~p ~mke Depth BeLow Top ofWa~ Cas~g: //(- feet
PumpS~e .,,_- hp
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 WASTE~NATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Mar 25, 2010
Expiration Date: Mar 25, 2011
Permit Number: SW100022
Legal Description: ELMORE #2 BLK 9 LT 6
Design Engineer: 0855 GARNESS ENGINEERING GHOUl:
Owner Name: LEE & BETH AIKEN
Owner Address: 4500 E. 145TH AVE
ANCHORAGE, AK 99516-
Parcel ID: 018-173-06
Site Address: 004500 145TH AVE E
Lot Size: 0 SQ. FT.
Total Bedrooms: 0 Permit Bedrooms: 0
This permit is for the construction of:
[] Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
Waiver fl990038 allows the drainfield to be installed within 85 feet of the on-site private well.
Received By;. ~ '"'~'~ ....
Issued By: J~-'~ ,~'~-"~
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 ,b, PPLICflTION
FOR ~, SINGLE FAHILY DWELLING
Parcel I.D.
Property owner(s)
Mailing address
Site address
018-173-06
LEE & BETH AIKEN Day phone
4500 E. 145TH AVE * ANCHORAGE. AK * 99516
4~00 E. 145TH AVE * ANCHORAGE. AK Zip Code
Legal description (Sub'd, Block&Lot) ELMOR~ S/O ~2: BLOCK 9. LOT 6
Legal description (Township, Section & Range) N/A
Lot Size Sq. Ft. Number of Bedrooms
250-1125
99516
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.
CARNESS ENGINEERING CROUP, Ltd.
Permit/Rush Fees: -~ '5 0
Date ef Payment: 3 )1'-~ ! I 0
Receipt Number: c~, ~ ~) Cf ..~
Waiver Fees:
Date of Payment: ~
Receipt Number:
GARNESS ENGINEERING GROUP, Ltd.
CONSULTANTS & GENERAL CONTRACTORS !~ ,,: ..... . ....
March I 1,2010
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: Proposed Septic System Upgrade for Elmore Subdivislon #2; Block 9, Lot 6,
To whom it may concern:
The existing 3 bedroom house is served by a private well and a Reactex septic system. The
drainfield is in a state of failure and needs to be upgraded. We are proposing to rebuild the existing 23
foot by 5 foot trench. Comments regarding the design are summarized as follows:
I. SOILS: 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 ofthe proposed septic system.
4. TOPOGRAPllY: As can be seen on the attached design drawing, the average topography
surrounding the drainfield slopes at 20-25% running from northeast to southwest.
S. WAIVER TO WELL: An 85' waiver was issued at the time of installation from the well to the
drainfield. We are requesting that Ihe previous waiver be honored for the new installation.
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.
~~' r.~~..~p.E., M.S.
Presij't,~t v ,
NO~E~Attached is a site plan drawing, a design drawing, one soil log. }*hich 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.gamessengineering.com
I
I I LOT 12, BLOCK 8
LOT 8. BLOCK 7 LOT 7. BLOCK 7 I ~ El. MORE $/D
ELMOR~' $/O ELMORE S/O I I
/ \
E. 145 AVENUI:' L-- \ -
/ \
I \
-- ~'LMORE S/D
I \
-- ~ .....,. I.I /~ - I __\.
........... / .... ',- , /I :--------%:F
/ \ .... -} ~ / -
, , ,~?_,. - ,
i~~ I I / /
~ ~ LOT 8. BLOCK 9
~o \ E~O~[ S/D / I
E. 147 AVENUE _
trLMOR£ #2: BLOCK 9, LOT 6
GIG. Ltd. HA5 A 7
~'[ER)A~ LETTER ~HAT pERTAINS TO THIS DESIGN.
.u~BE. or BCO.OO~S: 3 TO O.~AI. ^ CO~
~ON5 PER DAY (GPD): 450 CO~A~ GEG. ~ pR~EEDINO FO~D
P[RCO~ON ~/S: (50 MIN/iN W~ ~IS INfO, ON. ~E ENGINEER.
~ONDmONS
CO~O ~D
MOA ~D RL~R ~D REBUI~ BOSOM / /
OF ~ENCH TO BE ~E ~E E~A~ON / /
OR HIGHER. · / / ~I~NG
EF~: 0.5 / / BEDR~M
GARNESS ENGINEERING G]~OUP, Ltd.
DESIGN OF PROPOSED SEPTIC UPGRADE
........... ~ .... ~.~---~--~ --~ ~ ~ ,~ ~--?--~ .....
........ ~" .... _~__.~--~ ..... ~-~, ~ ,~. ~---~--~ ....
~ ~ ,
.......
E AIKE
, ~ ~ -. - o~,. ,: ~o~/l.'~ ...'~, ~ 7
~[ OF WORK: ~
Municipality of Anchorage Poga 1 of 5
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number:. sw9g0158 PID Number:. 018--17,3--06
Nome:
JAMES MULLICAN Wastewater System: [] New · Upgrade
4500 E. 145th AVE. ANCHORAGE, AK 99516 ABSORPTION FIELD
Ph°"e:fg07~ 345-2,392 No. of
LEGAL DESCRIPTION ~ ,o~= 4 ~/.. ,, ~'"~ ~" '%~.1'~-'4.3
6 9 ELMORE ~' o,. 1.5 - 2.6 n 0.5
- -I - 1.7 - 2.9 ~t 24
WELL: [] New [] Upgrode ~ ~ ~5 ~. ~ ~1 ~'
c...~.~\~G~.,,''''''''''~ ..rLI 120 so, fL ASTM D-3034/F-810
L ~.. CONS'mUC~ON I ?/20?99 - ?/2~/99
SEPARATION DISTANCES ~'~.~u~ ~.o,,~
From Tenk Reid Station Tonk ~ ~ ~CHO~GE TANK 1500
Well 100'+ 85' 100'+ - 25'+ ~: ~EEL ~ ~ ~ 2
S.,~.W~t,r ~00'* ~00'+ ~00'* - - LI~ STATION
Une 5% 10' 5'+ - - 1500 ~CHO~GE TANK
I
Foundation 5'+ 10'+ 5'+ -- -- ~MER A~A~D ~MER A~A~ 46"
CuAoln 20 OSI 05 HHF
Dm~n NONE KNOWN M.O.A.
Remarks: * ~IS IS ~ INNOVA~ RECIRCU~NO SE~C BENCH MARK
T~K (W~ A TRICK~ RL~R) ~D UP.OW RL~R ~M TOP OF MANHOLE LID
(R~ ~).
· * 1.15' OF M,O~ ~PR~D ~D RL~R ~DED. ~ ~
100.45
Ins~ons pedo~ed by: AWWC, INC, Dates: 1st 7/20/99 ....... rz ................
3~ 7/22/99 ~,
O.p=.m.nt of ,.~t~,~.~..pprow~""- '~/"".. ~ ~ ~;,,. '... . :-'"~' ....... .... ,~'~ .'~ ~
R~ew~ and appmv~ by:~ Dote: ~ -~ ' ??
SW990138 - 018-173-06
/ / ~ \
/ / EAST 145th AVENUE \ \
\ \ /.¥ .0U~E "L,'~ ,r,°
c
' FILTER UNIT ~ I
co~ ~.~ ~.,
C03 33.4 49.9 N~ 1500 GALLON~ I
~ co~ ,o.~ ~o.~ SE~,C~
/
x 'o' ~ ~ ~ /
--
PHONE: (907) 337-6179/F~: (907) 3~-3246 .,
~[NORE SU~DIVIJlON, LOT 6, ~LOCK ~
AS-BUILT DRAWING OF SEPTIQ SYSTEM UPGRADE
JAMES MULECAN 545-2592/689-9626
~'~:~/~/~ I~w"", I~ I
A.C.~. ~ = ~0' 2 or
p£RUIT NUWBER: AS B~T~LT D~WING PARCEL ID NUUB~:
SW990138 ' 018-175-06
FL~ 94.78
ELMORE SUBDIVISION, LOT 6, BLOCK 9
545-2592/689-9626 vO~;4..' ~ :-7955 ....
N.T.S. 3 OF 3 ~Crofess~o~
gent By.' L H CO~T;~UCTXO~I;
· Pso~ M~f I~
5223892;
Ju~.-29-gO
2:35=Y;
Page 2/2
.MUNICIPALI~..OFy~O~GE _ BUILD~G
~ 6 9
~g OF j
Z"~O~#l: 529-1
DO[ NOI'R, ffMOFE TItIN NOTICE. ' ~. ..
JUL-28-S8 ~1:18 FROM~JD0 ID:80? E83 ?322 PAG~ 1/t
j,:
;'~-I I ' -'7- , ~,; t(-~:..':,- ~' ; ......
" Il _~';,'~ ~I" ;~.. _'"~. I -?-"~ ,,~' '. ~ · "' · · ' - ·'
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MUNICIPAUTY OF ANCHORAGE
· Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O~ Box 196650, Anchorage, AK 99519-6650
(90?) 343-4744
ON.SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Jun 15, 1999
Expiration Date: Jun 14, 2000
Permit Number:. SW990138 Parcel ID; 018-173-06
Legal Description: ELMORE #2 BLK 9 LT 6
Design Engineer:. 007~ I~ I.[_J. ~ L,-~, Site Address: 004500 145TH AVE E
Owner Name: James & Kity Mullican Lot Size: 34629 SQ. FT.
Owner ^ddross: 4500 E 145TH AVE Total Bedrooms: 3 Permit Bedrooms: 3
ANCHORAGE, AK 99516-4103
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 ^laska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-4744 ( 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:
Issued By: ~
Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2-B ~ Anchorage ~ Alaska 99504
Phone (907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
June23, 1999
Municipality of Anchorage
Department ofHcalth & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Attn: Dan Roth
Ref: Septic System Upgrade for Lot 6, Bk 9, Eimore S/D. Reactex System
Modification to Permit # 990138
Dear Mr. Roth:
GENERAL: A permit was issued by your department on 6/15/99 for the installation of a holding
tank. Due to the fact the buyers lending institution will not finance the property if the residence is
.served by a holding tank, the sellers have retained AWWC, Inc. to design an innovative septic
system that will meet your departments approval. Attached is two soils logs from test holes
excavated on 6/18/99. Based upon the percolation rates and the groundwater levels encountered,
it is our opinion that a Reactex system is the most viable option for this lot. Although
groundwater levels have not been monitored for 7 days, given the porosity of the soil, and the fact
that water levels are currently subsiding, it is reasonable to assume that water levels will not rise.
Water levels will be checked immediately prior to the instal!ation and the bottom of the drainfield
will be placed at an elevation that is at least 3 feet above the highest elevation encountered by
AWWC, Inc., or your department. The viability of this design is ultimately depends upon the final
outcome of the 7 day groundwater monitoring.
The intent is to excavate the contaminated drainrock from the existing trench and fill it with MOA
approved filter sand. The new draintleld for the Reactex system will be placed between the two
test holes, and only about 7 feet from the existing trench. The drainfield will he placed close to
the edge of a steep slope that drops down to a relatively flat area. The design calls for the
downhill side of the bed area to he lined with an impermeable barrier (vlsqueen) and the slope to
be fdled so as to create a 3:1 slope.
DESIGN CRITERIA:
SoiLs percolation rate: Less than 30 minutes per inch
Soils application rate for Reactex drain,field: 4 gallons per day per square foot
,,:ECEIVl:u
,ItlN 2,3 1999
· ,,'.,,~,~..'~.11 r OF A~C.~ORAGI~ ,,
· Number of bedrooms: 3
· Daily flow: 450 gallons
Required absorption area: 112.5 square feet
· Proposed drainfield size: 5 feet wide X 23 feet long -- 115 square feet
WAIVER: In order to fit the drainfleld in the only suitable site available it will be necessary to
encroach to within 85 feet of the well radius. Per MOA records, the existing septic tank and
trench are only 90 feet bom the well and has been at this location since 1982. The waiver was
approved by ADEC. Based upon recent water samples taken by K/gD Engineering (5/7/99) there
is no bacteria present in the water and nitrate levels are only .957 mg/i. In short, 17 years of
encroachment (90 feet well to trench) has not adversely impacted the aquifer. Attached is a copy
of the well logs for the following lots:
· Lot 6, Bk 9, Elmore #2
Lot 12, Bk 8, Elmore #2
Lot 7, Bk 7, Elmore #2
· Lot 12, Bk 10, Elmore#2
· Lot 8, Bk 9, Elmore #2
The static water levels varied from 46-70 feet BTC, and although the terminology on the logs
varies, it is clear that the geological profile is predominantly gravel, sand, and clay. The logs for
Lot 8, Bk 9, and Lot 7, Bk 7 indicate the presence of hardpan type soils, Regardless, based upon
recent water quality tests, and the effluent quality ofthe proposed Reactex system, it appears that
there is minimal risk in granting a separation distance of 85 feet between the well and drainfield on
the subject property.
SURFACE WATER: There are no surface waters within 100 feet of the proposed septic system
upgrade.
CLOSING: I am unaware of any negative impacts that this installation would impose on
adjacent wells, or septic systems. The sale of the house must close in the next several days,
othenvise, the buyers will lose the "lock" they have on interest points. In short, we are requesting
an expedited review and issuance of the revised sewer permit. In addition, we are requesting
reissuanee ofthe conditional HAA.
If you have any
~ ~_S' enn!~
uestions, please call me a 337-6179.
P.E., M.S.
i I
I
I
I
LOT 8, BLOCX 7 LOT 7, BLOCK 7 I I LOT 12, BLOCK 8
El. MORE $/D ELMORE S/D I El. MORE S/D
I
3 BEDROOU I
HOUSE--~
~. ~' ----~"'~.,. I
!
aa [ LOT I, BLOCK 10
_:~ LOT 5. BLOCK. ~ '- ·
.,.... TH, 2~
II
~. ........ ~. ~.J / ~ \
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........... ~ ._~.~. ~ J----~
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~. I I I
!
~ I I I /
LOT S. BLO~ ~ I I
do ~ELMORr S/O i
I ~ 12, 8~K I0
__ E. 147 A~NUE
I
..... t I
~AS~ WA~R ~ WAS~WA~R CONS~T~S, ~C.
ELMORE SUBDIVISION, LOT 6, BLOCK 9
SITE P~N FOR SSEPTIC UPGRAOE~~. ~ .......
JAMES UULLICAN
~e6/22/99- - K.D.W./A.C.G. 1 = 100' I
// EAST 145th AVENUE
/
\
~ . / (SEE O~ P~E 5 OF 5).
~ ~ .... ~- ~'
~ PROP~ UN~ ~ I00' ~D 85'
"~K 10. ~ORE ~EO ~ A REG~[O
x ,o' ~ ~
At.As~ WA~ A~ WAS~WA~ CONS~TA~S,
ELMORE SUBDIVISION. LOT 6, BLOCK 9
DESION OF SEPTIC SYSTEM UPGRADE AND WAIVER REQUESTED ....
I I I
~Ta6/22/99 *~WN ~:
A.C.G. 1 =
o ~ ",..~1' EL{' ~! '~ '
c,.,,,,,,,,,,..,., :. ~%~o l I~_ =_~_. ~,.,,,,.,,.
,V,~5
~, ,_,,,,,. , ( .. /I~ II,,,Rl%_,,.,.,,.,,,~,
~ ,,,"'"'~,0.,'~--"-'~ ..:__J ! kJk~ltl Itl
~ / o,~,/~m*..o~\ II IIIIIII I
~ A~R LIN~' 3' M~N]MUM~' AT 80Tr~U ~ ~.~OW~ _ II ~llllll I
B~m~ o~ .~ UN£ ~ FOR OR.NAGS..
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
ELMORE SUBDIVISION, LOT 6, BLOCK 9
PLAN AND PROFILE OF RECIRCULATING SEPTIC TANK ' "~
JAU£S UUU.,CAN (90?) ~4S-2~92/6Bg-962S ,O~J'.~.
°~'r'6/22/99 J.L.M./A.C.G. N.T.S. 5 OF 5 of',,¢o"~-~.~''~'~' '
/- 68 INCHES DIAME'W.R
/
LLJ i '~ : ?~:I]~OouTLET
~ INLET r=I ~ --
I 1/4'* HDP£
.,i
~: I'~ - ~'. :' :' '/;~-~,L~.
~ ,,,,,.. ..- -- ,.,'~ . ',': ..
~-'*-~'". '-~ ' '~' ~-"' ~;-' OUTLET
~ .~=.~. ~[l~tlll~llt~l~l~ll.l,~ll~
INLET
ALAS~ WATER & WAS~WA~R CONS~TA~S, INC.
ELMORE SUBDIVISION, LOT 6, BLOCK 9
P~N AND PROFILE OF UPFLOW FILTER
JAMES MULUCAN (907) 345-2392/689-9626 ~0~,."...~ ....."_~
~T'6/22/99 J.LM./A.C.O. N.T.S. 4 OF 5
PROFILE VIEW
~S~ WA~ ~ WAS~WA~ CONS~TA~S, ~C.
P~o~5 (907) 3aT-slT9/r~: (907)
[LUOR[ SUBDIVISION. LOT e, BLOCK 9
DETAIL OF P~N AND PROFILE OF DRAINFIELD BED~J~...:...~
PR~ FOR: PHONE NUMBER:
'~("....g. i~J..'
I I I
~Ta~/~/99 o~w~ ~: S~
A.C.G. N.T.5. 50~ 5 ofssslo
ALASKA WATER & WASTEWATER CONSLILTANTS~ INC. ,=, F
6901 DEBARR ROAD. SUITE: 2B * ANCHOR~E, AK. 99504 ·
P,O,E (907) ~7-6,79 · r~x (907) ~-~246 .~---.,= L.-..
D^TE PERFORMED.' 6/,8/99 '~t~:".:. t'E-~9~' ..",,¢
I I "' '"
TEST HOLE #1 ~h~,°-- ' ..........
~[~e~t~FILL'LOAM SOiL CLASSIFICATIONS / /
~,~.~., ~ --y / - \-\
· ,,-.~- GW :-----: ORG
SW NH \ ~,
~M/GM sMSP CHoN ~i \ \'~'" 'mi: / I'~''
_~_
DEPTH TO
3ROUNDWATER DATE
or co.~ucno. TSTE~N
11 DATE RE. lNG CLOCK NET TIHE WATER LEVEL NET DROP
TIHE (HINGES) RE. lNG (INCHES)
12 , 8/21/99 I 12:50 10'
2 12:57 7 O" I0'
15 " 5 12:57 ~ 10'
4 12:44 7 O' 10'
6 12:52 7 O' 1 O'
15
16
17
18
19 PERCO~TION ~TE <1 .(HIN./INCH) PERC. HOLE DIA.. 6 (INCHES)
20
~ /I//
PERFOMED BY A~S~ W~TER ~ WA~A~R '.IX~%'~--~A ~ ~ . CE~I~ T~T
THISDATE.W~DATE:PERFORM~ 't~oI~ACOORD~CE WffH ALL ST~f" ~' "C'PA~ aD'UN'S, 'N ~F~CT ON
J
PHONE (907) ~7-6179 * r~ (907) ~8-~246
LEGAL DESCRIP~ON: [LMORE SUBDMSION, LOT 6, BLOCK 9
PERFORMED FOR: amES UU~ ~: ~ :~ ...... I
DATE PERFORMED: 6/18/99
~~:ITEST HOLE
I~E~ -- "-
'~ FILL LOAM
4~ItIIL ~Gc ~OL , ~~ .l' i
7~:];JIL DEPTH TO DATE Jt ~, ,
~I~[Ig GROUNDWATER j II
' ' T '
~ OF CO~U~ON
1~ DATE RE~N~ CLOCK NET T~ME ~ATER LEVEL NET DROP
~ - T~E ~ES~ RE~ 0NCHEm
~ , ~ 1 ~:~g ~ 0 1 O'
15~ 6 12:57 9 0 10'
/
17~ I I
19~ PERCO~TION ~TE <1 (MIN./INCH) PERC. HO~ DIA. 6 (INCHES)
/
THIS W~ PERFORMtD '~ ACCORD~CE WITH ALL ~A~"UNICIPAL GUIDEUNES IN EFFECT ON THIS
DATE. DA~: ~/~/~' /
DEPTH TO
GROUNDWATE~ DATE
5.5 6/18/99
TO BE CHECK !D AT
OF CONSTRUCTION
I
Municipality of Anch°rage
PJck MysU'om, p.O. Box 196650 Anchorage. Alaska 99519'6650
. Notarize H~r~
S~ate. of ,~l/c~ic ~
I ~ _ vho iS pe~on~ly ~o~ ~o me
-- ' whose identity I pried on the basis of
' ~hose ideu~i~ I p~ad ou the o~t~/alfim~ion oi
, a c~edible witness
co be the signer of the above
t~ROPF2TY OWNER AGREEMENT
'~OR THE MAINTENANCE OF AN
· ON~qITE WASTEWATER DL~POSAL
Anchor~e- Depmn~ of He~l~ ~-~ Hun~ Sawid=..(DHl~) ~nd e= l~Opcr~ .. ·
Thh ~reem~t is ~ for the purpme of ~,;-"~"~ ~n.ou-she ~ dhpo~d.
~ m ~e Y--;cq~7 of Anchorage, on an ~ b~h, an ~ ~
o~e~on ~'~ imm · reghu=~ pro~io-.~ .~m. ~. Tb~ ~ a~ .
State of )~l~t~f A O~ tt~s .~.cl day o!
t /vho ts persoually known to me
--~ "' whose ~deut~.ty ~ proved ou tha hasLs of
~hose ~denClty I p=Ov~/d on the bath/atf~t~at~on ot
o/~h' a credible ~tUeBS
· ac~ledged that hm/sh~ ei~d ~t.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
June 14, 1999
Mr. Jim Cross, P.E.
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Elmore S/D, Block 9, Lot 6 - HAA
Dear Jim:
Base don conversations with your section the owners have elected to install a
holding tank at this time on the referenced property. Although this is not the most
desirable solution it appears to be the most expeditious one given the parameters of
the efforts to date. Attached are copies of the proposed design and the request for
permit
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
~I~I'q ~) Engineering
~s, P.E.
Cc:. Kitty & James Mulligan
file
WASTEWATER DISPrlSAL SYSTEM DETAILS
ELMDRE S/D, LOT 6, BLOCK 9
D
S
SFD
S,T,((
,)
--3000
15-20
G
G
i
TANK
PREPARED FOR,
JAMES MULLICAN
~500 ;'. 1457N AVE.
ANCHORAGE, AK 99516
(907)696-3260
FIELD 8OOK$
S~.O*"~ WAI. TK A
ST~X,.C: WALTKA
~seu~.~': WWALATKA
Ac~) rile; 99032.DWG
c~tcxto: KMD
3036
99032
Scare; 1'= 20'
~) ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
,(907)696-6111[FAX (907)696-8111
PAGE 2 DF 2
WELL
K
& WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAK
ELMDRE S/D, LDT 6, BLOCK 9
D LOT 8
LOT 7
LOT 1:~
LOT $
VACAN'T
LOT 8
DESIGN DETAILS
INSTALL :3000 (;AL. HOLDING TANK W/ALARM.
NOTES~
1. CONTRACTOR & ENGINEER TO ABANDDN EXISTING SYSTEM IN PLACE.
INSULATE TANK IF <4' COVER,
CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO HOLDING TANK.
~'.._~? ~ ~ ! .,A,~'s ,ULLICAN
~ ANCHORAGE, AK 99516
..... (9~7)696-3~6~
~ WALATNA ~*~: NM~
ST~ WALATKA ~co: KMD
~' ~: ~'~: 3036
~ n~[: 99032,DWG ~"": 99032
Scale, I'= 100'
PAGE 1 OF 2
] ~]~]_~ ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
MAILING ADDRESS
MUNICIPALITY OF ANCtlORAGE
DEPART,._NT OF IIEALTH & ENVIRONMENTAL PR(.,. ECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street. Anc~orafle, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
-..L~. ~_.~r' '_4~ ~..~ L _~_uPGRADE
LEGAL DESCRIPTION
LOCATION
NO. OFEEDROOMS
No. of DISTANCETO:lines IWell ~.~, Founclat~on. ·
Length of each hne ~ljnes
DISTANCE TO: Buildinh foundation Sewer line
OTHER
PIPE MATERIALS
SOl L TEST RATING
INSTALLER
Nearest lot hn~ PERMIT NO.
REMARKS
PERMIT NO.
U~stance to lot hne PERMIT NO.
( I
I
I
PERMIT NO.
I'11_11'-,! T I~.. T F'FIL 1' T"r" ~F' F-I 1'-.l'~3H 0 F-':,.FI6 E
[:,EPARTMEf~T~ HEALTH AND EN',,,'IRONHENTAL/='i;OTECTIOH
82,.., . ' STREET, ANCHORAGE,
264-4720
0 l'-,I--_"~-. I TE _'~.EI4ER F'ERI'-I I T
828658 )
APPLICANT
LOCATION
LEGAL
JRt.lES B ROBERTS /GOO[:,R~r~.i207 E 74TH 99502
:LO B_q. ELHORE LOT SIZE
~49-2526
SQUARE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH
MAXIf,IUF! NUMBER OF' BEDROOMS
SOIL RATING (SQ FT?BR>= &25
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= 9 LEI'-.I GTH = --'?--8 G R F-I ',,,' E L DEPTH=
THE LENGTH DIMENSION IS THE LENGTH <IN FEET> OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETHEEH THE SURFACE OF THE
GROUHD AND THE BOTTOM OF THE E;<CAVATION (IN FEET>.
THERE IS NO SET I,IIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEEN THE OUTFALL PIPE
AND THE BOTTOH OF THE EXCAVATION (IN FEET>.
REm>LI I RED --'SEPT I 6 TR I'-,~1--'. _'_'_'S. I ZE= :1.888 ,"~ RLLO I"-,1_'~.
PERMIT APPLICANT HAS THE RESPONSIBILITV TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY IdELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE HELL 14ILL SERVE.
TI.-IO ( 2 ) I f4SPEOT I Of-IS RRE REQ~J I RED
BACKFILLING OF ANY SYSTEM I4ITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTHENT HILL E,E SUBJECT TO PROSECUTION.
HINIMLIM DISTRHCE E:ETPIEEN R HELL Ri.ID ANY ON-SITE SEHAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE HELL OR 158 TO 2610 FEET FROI'I A PUBLIC HELL DEPEI'OIHG
UPON THE TYF'E OF PUBLIC 14ELL.
MINIMUM DISTANCE FROM A PRIVATE I,IELL TO A PRIVATE SEHER LINE IS 25 FEET AND
TO Ft COMMUNITY SEI4ER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICFiTIONS RHD CONSTRUCTION DIFiGRRMS ARE
AVFilLFiBLE TO INSURE PROPER IHSTALLRTION.
P EF;;:I-"! I T E×P I RES DECEME:ER 2-- 2_.,, :1.982
I CERTIFY THAT
i: I Flh! FFlHILIFlR HITH THE REQUIREHEHTS FOR ON-SITE SEPlERS FiND HELLS FlS SET
FORTH BV THE HUNICIPALITV OF FiNCHORRGE.
2: I HILL INSTALL THE SVSTEM IN ACCORDANCE HITH THE CODES.
-~: I UNDERSTAND THAT THE ON-SITE SEHER SYSTEM MAY REQUIRE ENLFlRGEHENT IF THE
RESIDENCE.._,,~,., REMOIS D~~_INCLUDE HOPE THAN g BEDROOMS.
S I GNE~
JAMES B ROBERTS /GOODRICH
V4. 0
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L. Street, Anchorage. Alaska 99501 264-4720
SOILS LOG -- PERCOLATION TEST
J~ SOILS LOG
I-I PERCOLATION
TEST
PERFORMED FOR:
DATE PERFORMED:~~
LEGAL DESCRIPTION:
2
3
5
6
7
8
.---'-9
SLOPE SITE PLAN
, 15~
10
11
13-
14-
15-
16
17-
18-
19-
20-
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLATION RATE
(minutes/inch)
TEST RUN BETWEEN FT AND FT
COMMENTS
PERFORMED BY:
72-O08 (6/79)
CERTIFIED B~"~DATE: ~/~/~
. ' ' · .- ' .... '-'~ '. ~.:~"':"~ DEPARTMENTOF
.. ..... ... . ' . D~visJon of.Goo ogica] .'"'
~:...: · ~ . .. · . , . . .~.: · . . ,. . ..
~C~TIO~ OF WELL . ' ' ' ' ' -'' - · ;. ': ', * ~ ': ' ' ' ~' -'.~ - *
; ;;.... .._..:.... ., ..,, ..-. . .. :. -_
.: ': ......
'.../ : .. - ........ ..:'. %' . .: ~ee~Belo, -'4 .... "'"" ' ' ":"
.... " ~"."~'~,~3 ....... L~v~L '" " ' ' '~- ...
~.~t. .,~'.,,: - , . · _
~: ":".' ~ -... '.~(.~. '. :,:. v. *' .
~ ',"c; ;~ ~' ',:'" ''
. ..'~ :..-',. ~ '' ' g*p*m. . ;~4 ','
,. ..... --*.- ~... ..t ,- :.., - -~ .'.
.:. - :., ~.': ,.,' ~.'.-
~"~,fATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological ~ GeophybicolSurvey$
AND DIRECTION FROM ROAD INTERSECTIONS S. OWNER OF
..~,..~ ~., .. ..... f2.~ -.
~ T, it Will
I~]~ ]~'~ "" '"" ~ ""- '"'"'0 : '.'.'
1~ PI~(~.' ~r~.~5-
' ' MUNItIPALITY OF ANCHORAGE __
~. Department ~, Health and Environmenta]'~otection
" 825 ~ Street, Anchorage, AK. ~501
'- 264-4720 .
, * * * HANDWRITTEN PERMIT * * *
Permit %~CD-%L%~ WELL A~,'J& O~4 L;75 S2;:[R'PERMIT
Location: ' 'Phone Number:
T!rpe of Soil Absorption System Is:
Trench: Drainfield: . , Seepage Bed: Holding Tank:
Ma.xiznurn Number of ·Bedrooms:. ~ Soil Rating (sq. ft/br)
The. Required Size of the Soil Absorption System Is:'
DEPTH ·LENGTH GRAVEL DEPTH WIDTH --
The length dimension is'the length(in-feet) of the trench or drainfield. The
depth'of a trench or-pit is the.distance between the surface of the ground and
the bottom 'of the excavation(in feet). There is no set width'for trenches. ~
The gravel depth is the-minim%un depth of gravel between the outfalt Pipe.and'
the bottom of the excavation(in feet).
* * REQUIRED. SEPTIC(HOLDING) TANK 'SIZE = GAELONS * *
Permit applicant:has-the responsibility to inform this department during the
installation 'inspections of any wells adjacent·to this-property and the nun%ber
of residences that the well will serve. . ~-
* * *. TWO(2)INSPECTIONS'ARE'REQUIRED * ** v
Backfilling of'any system~ithout .final inspectionand'approval'by this depart_men~
will be subject to prosecution.
F~tnimLun distance between a well and·any·on-site sewage disposal system is 100 fee'
for a private well or 150 to 200.'feet from a public well. depending upon the type
of public.well. · Minim%~n distance from a private well to a private'sewer line
is 25 feet and to a. con~nunity sewer line is 75 feet. ~ Well logs are required
and must be returned to this depart/nent within 30 days of the well completion.
Other requirements may apply. Specifications and'construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 5i, i 9 8 2 * * *
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the .Municipality of Anchorage.
(2) I will install the-system in accordance with'codes.
(3) ' I understand't~at the on-site sewer system may require enlargement if
· the residence, is remodeled to
Applicant ~
include'more that 3.bedrooms.
Date: ~
Tek EV/
(�
Municipality of Anchorage
Ar
On -Site Water and Wastewater Program
(907) 343-7904 '
S n F E T Y
Certificate of On -Site Systems Approval
Parcel I.D. 018-173-06
1. GENERAL INFORMATION:
Expiration Date
Complete legal description ELMORE #2; BLOCK 9, LOT6
Location (site address) 4500 East 14511 *Anchorage 99516
Current Property owner(s) Mike & Barbara Hendrix Day phone 244-8818
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
❑X Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual
X❑
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance request for:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Distance:
III
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems 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 time of installation.
Name of Firm: Garness Engineering Group Ltd (GEG) Phone: 907-33.7-6179
Address: 3701 East Tudor Road Suite 101- Anchorage Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: l 4r —
in conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the Vii-
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
110 1'
groundwater levels (that may fluctuate during the year), quality of construction (materials and w: -
workmanshi and the water usage of the Tamil utilizing the system/s. These conditions can Vary, and "
P). 9 Y 9 Y ry. fir,
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of ��,�-=��"• � �; rn
the well or septic system. GEG makes no representation whether an alternative well or septic system �/. '•Jc't'0- H'`�.Z�r^ s:
can be installed on the property in the event either of the current systems fail to perform adequately in (1(1,}'q C=-7953
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
perform the evaluation. Reliance upon the information provided in this report by any other person or t.� e
art (including subsequent property purchasers) is not authorized, nor will it confer an legal right C�rof`=ss'c��Go
party (� 9 q P P Y P )� Y 9 9 �,`��^Qo
whatsoever.
#AECC884
6. DSD SIGNATURE
_I/ System #1 Approved for .3 bedrooms
System #2 Approved for bedrooms `\````�\Y tOF«<r�l/
Disapproved `�` AQP' 'Spr��i
Conditional approval for bedrooms, with the folloAfflc tipul0&RITE m�
WATER AND
By: �i�/Original Certificate Date:116
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Other -range (-. O,dv � Sor� X
q4
ELK�{}RE#��' BLOCK 9, Legal Description: '
If more than I septic system on lot: COSA Checklist #
A. WELL DATA
AlWell log is filed with Onsite (or attached)
1211/82
Total
Tote|depth124 f
1
Cased to 1S
_-v^5 f
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above around) 18+ in.
Date offlow test forC(}SA 6/16/21
51.1
Stobnvvaterlevel etbeginning oftest ft.
Comments
B.TANK DATA
Age ofhsnk(s) 22 years
Tonktype/msheria| ~~~~~
Measured operating fluid level inseptic tank
[WStand pipes/fou ndationcleanout per record drawing
Date ofpumping SEE INSPECTION REPORT
D. ABSORPTION FIELD DATA
Which oyaham tested (date installed) 4/6/10
ALL standpipes present per record drawing
Total measured depth from grade 475 ft (max)
S
Measured depth to pipe inve�frono Qnade 3_^.=2 ft (min)
El NA\— pressurized field
FW Monitor tubes go to bottom of effective. If not, state
depth into effective_____
��Code-required soil cover over field
El System presoaked
(Required if vacant for greater than 38 days prior to
date oftest)
Gallons introduced N/A gallons
Comments/Defioioncies:~~moNOT CHECK __________
COSAChecklist yellow sheet
of
Parcel ID: O18'173'00
Structure served by this system
Well production attime oftest 4.8+ gpm
Water storage tank volume N/A gallons
Well disinfected for coliform test? El Yes Full No
FN Coliform bacteria is Negative
Nitrate 0.52U8 mg/L El Nitrate less than MRL (ND)
Araenicug/L VArsenic less 'than MRL (ND)
CollectedGEGby ' LTD.
Date 6/16/216/16/21ofE�mp|e
C. LIFT STATION
��Required maintenance completed
Age of|Uts�ti22on yuans
Lift station material
1`0 �
P-Vt/zT-. .
u�A�q.6- 0=/
9�4'/2o.0. ��E�
' J
Adequacy test date 6/16/21
Results [7lPass For 3 bedrooms
Fluid depth prior totest O in
Water added 018 gal
New depth U in
Elapsed time 0 min
Final fluid depth vin
Absorption450+nate gpU
Any rejuvenation treatment (past 12month s) NONE
N/A
If enter date _____
8
From Private Well on Lot to: (Please enter distances if less than required or if COMMUnity well)
Septic Tank/Lift Station onLot >107
121
Yes
Community Sewer Manhole/Cleanout >1OO'
ft
r,7(
Yes
ifNoft
E] Yes
ifNoft
Neighboring Tank >1OO'
MYes
if No
^^^ ft
Private Sewer/Septic Line >25'[7]Yes
ifNoft
Absorption Field onLot >1OO'
E]
Yes
if No
*85/ ft
Holding Tank >10O' F71 Yes
ifNoft
Neighboring Absorption Fields
> 100'
|fNoft
Animal Containment >5O' 0 Yes
ifNoft
F71
Yes
ifNoft
Manure/Animal Excreta Storage >1OO'
Community Sewer Main >75'
1771
Yes
ifNoft
Yea
ifNoft
From Septic/Holding Tank on
Lot to: (Please
enter distances if less than required)
Building Foundations >1O'
F71
Yes
ifNoft
Surface VVater>1UO' Yes
ifNoft
Property Line >6'
��Yen
ifNnft
Wells onAdjacent Lots:
Absorption Field >S'
El
Yes
ifNoft
Private Wells >1OO' Yes
ifNoft
Water Main >1U'
MV
Yes
ifNoft
Community Wells >2UU' F,71 Yes
ifNoft
Water Service Line >1O'
F/1
Yes
ifNoft
|fseptic tank iaunder driveway comment below
From Absorption Field onLot to: (Please enter distances if less than required)
Building Foundation >1O'
121
Yes
if No ^^
ft
|fabsorption field inunder driveway commentbelow
Property Line >10'
Fv�Yes
ifNoft
Wells onAdjacent Lots:
Water Main >10'
Yes
ifNoft
Private Wells >1OO' Yes ifNuft
Water Service Line >1U'
Yes
ifNoft
Community Wells >2OO' 0Yeo ifNoft
Surface Water >10O'
Yes
|fNoft
F.ENGINEER'S COMMENTS
***100'+ TO ALL SEPTIC PIPES LOCATED ON *NR#99OD3A**4'FROM[lR&|NF|E|FlTODECK STEPS
|NyOREA7 [7 NO SEPTIC
RECORDS AVAILABLE. E. Y uPPL-D,-J
G. ENGINEER'S CERTIFICATION
/certify that / have determined through field inspections and review
nfMunicipal records that the above systems are /nconformance with
MOA C()3A guidelines /n effect on this date.
C 5z-
COSaChecklist yellow sheet "
#Asou^u^ ~`reoous�~
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Septic Tank Advisory
Certificate of On‐Site Systems Approval # OSC211535
Subdivision: Elmore #2 Block:9, Lot: 6
The septic tank for this property is 22 years old. The average life for a steel septic
tank is 20 years.
This advisory must be attached to all copies of the subject Certificate of On‐Site
Systems Approval.
This is an example of what the metal of a 30 year old steel tank MAY look like.
T7A',,IRAfr,. - C,-�Mm '!!Merl n,_Tx,,r=t - CSitt Wntcrk.
(407 'i4,S 7W4 - r 9`+? • RID, Box 1966-50 :k: cVor'k�-_ AK �'45 19 h } "T,
Z Intermittent Dosing Sand Fitter
A
Maintenance Log
Street Address 11
FIhORe_]j,j. Q2
,O,g— Legal Derr-.-- PID,
ftpit �TanL k
A;Sludge �nvefl irches -Purnping, mquired Qnc, -Pumping completed (a nq
a.0jpg2n Fieid_
-Liquid lovel -Flushirg vaNres per approved design ves no
_A[l flushing vakees oper, __.d, distribuliron lines fkj,hed, and ftshing valvr_,- close Vfl—. no
Lift station:
-Pump basket cleaned -Biotube effluent 51W cleaned np.
i imer float set4nCj inches -High level ffoat settipo i,
_4�(, inches -Refef ence paint
on_seconds-Pump off 3 L minutes
-Cumulative lifetime 3 -Cumulalive run time hours
-Operation satisfactory x a f no
-Air purnp filter dean45r' yos ro Air pressure _pNsi
-Date of Latest install or fe,�,uild -Air system. Gpera"Jor. satisfactor rot satisfy for
-Dedicated electrical circuit -Audit k -,anti visual' alarm inside dwelling qes. no
-Float setting -Alarm system operation satjsfarfoj not satisfaqZZ(
Comments:
... ........ . ....... ............. ......
.......... .......... ...........
.............. ....... ....... __ ...................•-------• _I.......-_... ............
............ .............................
__I.z ... ...................... ___ ....................
Maintcnances Provider
Technician ,-
Company 'kkos
Signature
From: "sonia" <Sonja@garnessengineering.com>
To: "Beverly Blakeslee" <aplus@gci.net>
2
Date of maintenancefQ
D atO 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 V ' Day of of 20 22- , by and between
Annr riYU7 , 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 & �C- 5
located at (legal description)
q50 o F, l y5ih, A,
2, Maintenance Repairs and Alterations.
(Owner is required to read, understand and initial each section)
9CT5 Ko
T -M 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.
V -NA 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).
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.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainficld
replacement.
(rev. 0511$12018) Pagel of 3
9M Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider.
M Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
17,M Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
FAA Owner agrees that any sale or transfer of title oI'll le property will not occur without a new
Certificate of On -Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by file Municipality are the governing
guidelines for the construction, maintenance and repair of the Owner's AWWTS.
Y Owncr agrees to maintain remole 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
tate Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shal I be void.
G. 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. SeverahiGty. Any Previsions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/ 10018)
Page 2 of 3
OWNER:
By: _(signature) Date:
OXQS)nV}e j�vaY -t V�Q (print name)
STATE OF ALASKA
)ss.
THIRD JUDICIAL DISTRICT
The foregoing instrument was acknowledged before me this 5day of/01\111.\
20�k uIck
Nd)MtA'R'� iL:iIC FOR A
LA
My Commission expires:
MUNICIPALITY:
By: dwt�,
_(signature)
Re, e ee ez eA-4-ry ff (print name)
Date:
7ZbZW—P---fl
Title:
(rev. 05/18/2018) Page 3 of 3
Z7
Municipality of Anchorage
Services Department
Development
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street f~..~..~ ...~.....J'
P.O. Box 196650 "~ ~,~v/.~'~ /?.
Anchorage, AK 99519-6650 ~ ~'~ ~'~
www.muni.org/onsite ~ J~/'J /
(907) 343-7904
CERTIFICATE OF 0N-SITE SYSTEHS APPROVAL
FOE A SINGLE FAHILY DWELLING
Parcel I.D. 018-173-06
1. GENERAL INFORMATION
COSA# I (;00
Expiration Date:
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
ELMORE #2 BLOCK 9~ LOT 6
4500 E. 145TH AVENUE *ANCHORAGE~ AK 99516
LEE & BETH AIKEN Day phone
4500 E. 145TH AVENUE *ANCHORAGE~ AK 99516
Day phone
250-1125
CHRISTINA SWlRES W,/ REMAX Day phone
110 W. 38TH SUITE 100 .ANCHORAGE, AK 99503
338-8292
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBEROF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
Community On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems
Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a pedod of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown be/ow, I verify that my
investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supp/y and/or wastewater disposal system is (are) safe, functional and adequate
forthe number of bedrooms and type of structure indicated herein. I further vedfy 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 diaposal system is(are) In compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
NameofFirm GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD. SUFi'E 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Phone 337-6179
Date
Engineer's Comments:
In conducting this evaluation, GEG, LtD. affempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the lost, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate dudng the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee futura performance of the system, nor do they guarantee that
there ara no hidden defects or encroachments. GEG, LTD. can therofora not provide
any warranty or futura estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor wlll it confer any legal ~fght whatscever.
DSD SIGNATURE
J Approved for ~ bedrooms.
Disapproved.
Conditional approval for __
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Amenic AdvisoFj
Maintenance Agreements
Supplemental Engineer's Repot[
Other
Original Certificate Date:
Municipality of Anchorage
· Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bragaw Street
P,O. Box 196650
Anchorage, AK 99519-6650
w',vw.m uni,org/on site
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: £LblORE ,32 BLOCK 9 LOT 6 Parcel ID: 018-173-06
A. WELL DATA
Well type i PR~VA'r£
Date completed
Total depth 124
Date of test
Static water level
Bo
If A. B. or C provide PWSID# N/A Well Log (Y/N). YES
12/9/82 Sanitary s'eal (Y/N)'~ Wires properly protected (Y/N)
YES
ft. Cased to, 119.5 ft. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
12/9/82 2/19/10
49 .ff. 4-9 .ff.
Well pro~. uction 7 g.p.m. ' 5.8 g,p.m.
WATER SAMPLE RESULTS:
Coliform ' 0 colonies/100 mi. Nitrate 0.795mg./L. ; Other bacteria 0 colonies/lOO mi.
Arsenic: <5.0 ug./L. Date of sample: 2/19/10 Collected by: CEG Ltd.
SEPTIC/HOLDING TANK DATA
Tank Typ~/Material REACTEX/STEEL SEPTIC Date installed 7/20-22/99
Tank size' 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES
Date of pumping NOT REQD Pumper -
ABSORPTION FIELD DATA I.eELOW nNAL CRAD~'[
Date installed 4,/s/to Soil rating (g.p.d.lft2or(~--~'~ 4.0 System type BED
Length : 24 ft. Width 5 .ft. Gravel below pipe 0.5 ft.
Totaldepih *~r.§7 ft. Eff. absorption area 120 ft~ Monitodngtube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) PASS For - bedrooms
· Fluid depihin absorption field before test - In. Water added - gal. New depth - in.
· Elapsed Time: - rain. Final fluiddepth - In.. Abso~'ption rate>= 450+ ,g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date -
D. LIFT STATION
Date installed 7/20-22/99
"Pump on" lever at TIMER in.
Datum Be'FI'OM OF TANK
*INSPECTED BY A+ HOME SERVICES
Size in gallons 1500 Manhole/Access (Y/N) YES
"Pump off" level atTIMER in. High water alarm level at 46
Cycles tested * Meets alarm & circuit requirements?
.in.
YES
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot *.85'+
Public sewer main N/A
Sewer/septic service line 25'+
Animal containment areas, 50'+
100'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N,/A
Holding tank N/A
Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building' foundation 5'+ Property line 5'+ Absorption field
Water main N/A Water service line 10'+ Surface water.
5'+
100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
ProperS/line. 10'+
Water service line 10'+
Curtain drain NONE KNOWN
F. COMMENTS
**WAIVER GRANTED
Building foundation 10'+
Surface water *** 100'+
Wells on adjacent lots 100'+
Water main
***NO WATER IN ROAD DITCHES
Driveway, parking/vehicle storage
10'+
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date,
Engineer's Printed Name JEFFREY A. (;ARNESS
Date L-~134 (~ o
COSA Fee $ "~
Date of Payment
· Receipt Number
(Roy. 11ffi5)
Waiver Fee $
Date of Payment.
Receipt Number
,=-,..~, ~ E. 145th AVENUE I
I
PLOT P,~S ~ LOT ~R~
~ .~ ¢ ~ Robert E. Johns, r. &Assoc.
~~~, ~. ~ ~ Professlonol Land Sur~r,
II
,:,
mil
m ·
84/21/2818 89:49 8686778 APLUS PAGE
A+ Home Services, Inc.
I n,~n~.ction.~
Tank "l~pc: ................................................
81
Name: .......... .._J..__e ~-
Address:
Phone Number:
Inspection #
Timer Sctting ........
Air Flow_..
Elapsed Time
Event Counter
Date &. Time
ADVANCED WASTEWATER TREATMENT SYSTEM MAIN~TENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN MUNICIPALITY OF ANCHORAGE
Tills MEMORANDUM OF UNDERSTANDING made and entered into as of this
~olO
herein the 'OWNER." andre Municipality of Anchorage. herein thc
"MUNICIPALITY." In consideration ofthe mutual covenants contained herein, the
panics to this Memorandum of Understanding agree as follows:
I. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (A WWI'S), described as f~ ~o, C Jce'_-X /_~'[ ¢,l. l located
at ~1/9'90~,- _~t-ff,~ 69 ~- (o ,Anchorage, Alaska.
2. Definilions.
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 oblain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC-) 15.65.
B. CertlfieateofOn-SiteSystemsApproval. Anappros~al bythe
Municipality of existing water and waste~ater disposal systems given at
the time of property sale and lille transfer in accordance v, ith AMC 15.65.
These approvals certify that thc systems ar~ adequate for thc 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 ~ould inhibit
the system from performing as designed.
D. Maintenance and Repair. The scheduled and as needed replacement of
existing par~, components and pieces of an AWWTS that were included in
the original design which would allow the AWWTS to continue to
perform as designed.
E. Permit (Construction) An On-Site Wastewatcr Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating) An Advanced Wastcwater 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 Operating 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 fcc of O
($ ~'*~ .00), payable on or before the issuance oftbe operating permit and annually
thereafter. The annual fcc is due on or before the anniversary date of thc approval by the
Municipality of installed system.
4. Term. Thc term ofthis Memorandum of Understanding shall bc for the lite of the
AWWTS.
Thc tcrTn begins on thc date of approval by thc Municipality of thc installed system and
shall continue while thc AWWTS system is in use or operational or until thc property is
sold or title is transferred by owner and ancw certificate of On-Site approval is issued to
thc new ov,~cr or ~'ansfcree of the property.
5. AlferationsT Installation and Removal of Additional Equipment. (.~cr agrees
not to make any alterations, removal of parts or additions to thc AWWTS without a
Construction Pcrmit from thc Municipalit)'.
6. Maintenance and Repairs.
A. Throughout thc term of this Memorandum of Understanding. thc Owncr shall
maintain AWg~FS in good repair. In addition, it shall be thc responsibility of thc
Owner during thc tcrm of this Memorandum of Understanding, and any extensions or
renewals thereof, at the owner's sole expense, to pa)' for any and all: (I) repair(s), (2)
maintcnancc, (3) adjustment(s). (4) replacement costs, and (5) inspection costs.
Furthcr, Owncr agrees to comply v, ill all applicable ordinance, laws. regulations,
rules and orders for the AWWTS.
B. O~ncr agrees to provide the Municipality a written schcdulc of routine
maintenance and repairs which have been performcd on thc system pursuant to thc
terms and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon thc r~newal of the
permit. Thc schcdulc of maintcnancc and repair contained in thc Owner's AWWTS
Operating Permit is:
C. Owner acknowledges that thc fine schedule for failing to maintain and rcpalr an
AWWTS are codified in AMC 14.60.
D. Owner agrees that only maintenancc, repair personnel certified by the
Municipality will inspect and make any ncccssary maintenance, repairs or pcrmittcd
alterations to thc system.
E. Owner agrees to grant Ibc Municipality reasomablc access to test and inspect thc
AWWTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On-Site Systems Approval.
G. Owncr agrees that the relevant provisions of thc standard specification guidebook
for AWWTS is thc governing profcssional guidelines for the construction,
maintenancc and repair of thc Owner's AWWTS.
7. Nonwalver. Thc failure of cithcr party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waivcr of thc provisions,
nor in any bay effect the validity of the Memorandum of Understanding or any part
hereof, or thc right of such party thcreaftcr to cnforcc 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 thc partics, with thc same
formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
El. For the purposes of any amendment modification or change to Iht ktrms and
conditions of this contract, the only authorized representatives o£the parties art:
Anchorage: purchasing Of'ricer
C. Any attempt to amend, modify, or change this cona-act by ¢ithcr an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of l,aw. 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.
STATE OF ALASKA
TIIIRD JUDICIAL DISTRICT
MUNICIPAI,ITY:
By:
Title:
Date:
The foregoing instrument was ackno,w, ledged before mc this'~'~s ~lay of
NOTARY PUBLIC FOR ALASKA
My Commission expires:
M .ARISSA.BA. KER
State of Alaska'
Municipality of Anchorage
• '� Development Services Department
o*
Building Safety Division S. r .
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
CERTIFICATE OF HEALTH AUTHORITY APPROVAL '
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 018-173-06 HAA# 0 yUO �//
1. GENERAL INFORMATION Expiration Date: _5-%tLo y
Complete legal description ELMORE SUDBIVISION #2: LOT 6, BLOCK 9
Location (site address or directions) 4500 E. 145th AVE * ANCHORAGE AK * 99516
Current Property owner(s) DONALD & DAWN CROMBIE Day phone
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
C/0 AGENT
Day phone
ADRIAN JAIME W/ PRUDENTIAL JACK WHBEy phone 727-6989
3201 "C" STREET * ANCHORAGE, AK * 99503
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
0.
e
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Health Authority 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. 1 further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name
Engineer's Comments:
JEFFREY A. GARNESS, P.E.
In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of a// wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
4EU*1_31&i1Crj_.n1IlA
Approved for 2
Disapproved.
Conditional approval for
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
bedrooms.
Phone 337-6179
Date Z 25 Zeo
oo600p
c
/ �Op`
....... .... .......
ff y . rnes
� 4
a 795 : va
400�f'rofessior°oo d
lll�t(tf ((l(Uf�j��/ri
l� Y OF,q�
♦� •f
ON-SITE
bedrooms, with the flWATER
lowing stipulation AND m
WASTEWATER
PROGRAM
Vii. �nn. • .. �r_���
Manitenance Agreements
Supplemental Engineer's Reort
Other
By: Original Certificate Date:
(Rev. 121)
Municipality of Anchorage ,F
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
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ELMORE SUBDIVISION #2; LOT 6, BLOCK 9 Parcel ID: 018-173-06
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 12/1982 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 124 ft. Cased to 119.5 ft. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 12/1982 2/23/2004
Static water level 49 ft. 53 ft.
Well production 7.0 g.p.m. 5.3
g.p.m.
WATER SAMPLE RESULTS:
Coliform g colonies/100 ml. Nitrate j_911 mg./L. Other bacteria b colonies/100 ml.
Arsenic: N/A mg./L. Date of sample: 2/23/2004 Collected by: AKWWC, INC.
B. SEPTIC/HOLDING TANK DATA *THIS IS AN ADVANTEX SYSTEM
Tank Type/Material *STEEL Date installed 7/20/1999
Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES
Date of pumping 9/22/2003 Pumper A+ HOME SERVICES
C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE
Date installed 7/22/1999 Soil rating p.d./ft r ftZ/bdrm) 4.0 System type SHALLOW TRENCH
Length 24 ft. Width 5.0 ft. Gravel below pipe 0.5 ft.
Total depth 3.1-4.3 ft. Eff. absorption area 120 ftZ MonitoringYES
tube Depression over field NO
Date of adequacy test 2/24/2004 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test DRY in. Water added 782 gal. New depth DRY in.
Elapsed Time: N/A min. Final fluid depth DRY in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date —
D. LIFT STATION
Date installed 7/20/1999
"Pump on" level at TIMERin.
Datum BOTTOM OF TANK
E. SEPARATION DISTANCES
EJ
Size in gallons 1500 Manhole/Access (Y/N) YES
"Pump off" level at TIMER in. High water alarm level at 46 in.
Cycles tested TIMER Meets alarm & circuit requirements? YES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot
*85'
*WAIVER GRANTED. WAIVER NUMBER #99038
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer main N/A Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water
Wells on adjacent lots 100'+
100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION a ��
1 certify that 1 have determined through field inspections and �Q * 90
review of Municipal records that the above systems are in (1A'
conformance with MOA HAA guidelines in effect on this date. �. I. .
of A. Gar ss:'
Engineer's Printed Name JEFFREY A. GARNESS �p44�(/�'. E-7 3
�P � . • . • A�cOG
Datecl °rofession�oo
HAA Fee $'���/ Waiver Fee $
Date of Payment Date of Payment
Receipt Number ��T �Receipt Number
(Rev. 12/01)
FEB-~7-~004 06:~6A FROM:A+ HOME SERUICES, IN 907-B68-~770 TO:3383246 p:~x~
Residential System
Technician Responding:'
Maintenance Activity
l) Inspect Processing Tank
· Recommend pumping tank, if necessary
· Verify no leaks in the risers
Homeowner:"~ ~',~-'~ ~,v-~ ~, -~
Date of Site Visit: ~ ' ~' Z) ~7/
Activity Check-Off I Notes
2) Inspect Pumping System
,, Verify no leaks in the riser, inspec! th&'lid for damage
· Inspect splice box for moisture and secure any loose connections
· Verify neat wrap of cords
· Verify condition and location of all floats
· Pull pump{s) and clean intake screen if necessary
· Pull Biotube Filter and clean if necessary
· Visually inspect and comment on biomat growth
· Check amp draw while pumps are running
3) Inspect AdvanTex. Filter(s)
· Inspect for any datable to the lid
· Check for odors
· Assess character a~l;:l color of biology, check for even distribution
· Vedfy there are no clogged orifices
· Clean an~l flush manifold if necessary
4) Inspect the'Drainfield
· Inspect for standing water in the drainfield
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Envlmnmentel Se~lces
On-Site Se~ces Section
P.O. Box 196650 A~chorage, AJaska 99519-6650
· (9o7) 3434744
"'CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILLY DWELLING
Parcel I.D. # 018-173-06
GENERAl-INFORMATION
C0-mpl(~t~ legal description "LOT 6. 'BROCK O: £[MORE s~DM$10N ;~'~-.'
Location_____ · · _(slteaddress.ordirections) ~,5oo £. 145th AVENUE ANCHORAOF'.. AK. 99516
Property'oWne~ MARY BOND- :' ::~'Oay ~3hol~e CONTA~r A¢£NT
Mailing address 4500 £. 145th AVENUE'. ANCHORAGE AK."99516 '
Lending agency. Day phor~e '
Mailing address
Agent PAT~Y MARTIN
Day phone 273-7745/240-3412
Address
Unless o~herwise requested, HAA will be held for plckup.'
2. NUMBER OF BEDROOMS: 3 ·
3. TYPE OF WATER SUPPLY; . .
· Individual well ..... xx
.' Community well .... ,
..... Public water ':'. ............ ....
NOTE: If community well system, provide written confirmation from state ADEC'a~fost. ~.
lng to the legality end status of system. .
4. TYPE OF WASTEWATER DISPOSAL: -.
Individual on-site xx
Holding. Tank ..~ .! ~.
Community on-site
· Public sewer
NOTE: ff communib/ wastewater system, pmvfde writfen confirmation from State ADEC
lng to the legality and status of system.
72-025 (Rev. 1/91) Fn~t MOA ~21 Comp~er Vemlon
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my
Investigation of this Health Authority Approval application shows that the on-site water supply and/or
wastawater 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 inspe
disposal system Is In compliance ~ all Municipal
on the date of this Inspection.
Name of Firm ALASKA WATER"& W,~'~
,/
^ddress 6.0, OEB^RR R&D.
Engineer's Signakl_.ro (. ~//("'"
ALASKA WATER &: WASTEWATER
CONSULTANTS, INC. SHALL BE
-:' PAID,S550.00 AT, OR
PRIOR TO, CLOSING FOR .THE
ENGINEERING .SERVICES PROVIDED·
6. 'DHHS SIGNATURE
'r./' ^Pp%ed for 3
__ Disapproved'
,..C°nditi°nal approval for
.bedrooms
~on, the on-site water supply and/or wastewater
State codes, ordinances, and regulations In effect
(9071 337-6179
~ CONSULTANTS, INC, Phone
)RAGE. ALASKA 99504
,
bedroomsl with the following ~tipulafi0nS: ' ' ..
· Additionai'~omments
The Munlcipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority
Approval Certificates based only upon the representations given In paragraph 5 above by an Independent
professional engineer reglstared In the State of AJaska. The DHHS does this as a courtesy to purchasers of
homes and their lending Institutions In order to saUsfy certain federal and state requirements. Employees of
DHHS do not conduct Inspections or analyze data before a certificate Is Issued. The Municipality of
Anchorage Is not responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Bacic MOA ff21 Computer Version
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 q.' Slmet, Rm 502 Anchorage, Ataska 99501 (907) 343-4744
Health Authority Approval Checklist
Legal Description: ELMORE S/D; LOT 6, BLOCK 9
Parcel I.D.:
018-175-06
A. W ELLDATA
Well Type PRNATE
Log present (Y/N)
Total depth 124'
IfA, B, or C, effach ADEC letter. ADEC water ~ystam number N/A
YES Date completed 12/82
Cased to 119,~' Casing height (above ground) 12'-f-
San~aw sea (Y/N)
Wires pmpe~y protected (Y/N)YES
Date of tast
Static water level
FROM WELL LOG ' AT INSPECTION
12/82 4./12/99
Well preductlon
WATER ,~M~IPLE RF.~ULTS:
Coliform
Date of sample:
7.p g.p.m. 6.4+ g.p.m.
2/16/2000
Nllmta
0.859 mq/L Other bactarta 0
Collected by:. A.W.W.C. Inc.
B. SEPTIC/HOLDING TANK DATA
Date Installed ~Tank size 1500
Founclafion deanout (Y/N) YES Depression (Y/N) NO Hlgh water alarm (Y/N)
Data of Pumping NEW Pumper -
C. ABSORP'RON FIELD DATA
Data installed 7/20/99-7/22/99 Soil rafing (g.p.dJfl2 or.fl2/bdm~)
Number of Compartments 2 ¢leanouta (Y/N), YES
YES
4.0 Systam ~ SHALLOW TRENCH
Length 24' Width ,~' Gravel thlclcness below pipe 0.5' Total depth 1.5'-3.5'
EffeclNe abso~tlon ame 120
Data of adequacy test NEW
Fluid depth In absorption field before test (In.); ~
Absorption rata :,.
If yes, give data
Monitoring Tube present (Y/N) YES Oepmeslon over field (Y/N) NO
Results (Pass/Fall) For/ ~s
gal. water added (In.):
D. UFT STATION
Data installed
Manhole/A_ _,,'ess (Y/N)
High water alarm level et'
7/20/99 - 7/22/99 SIZe In gallons
YES 'Pump on" level at' TIMER
46'
NEW
1500
'Pump off' level at'
· Datum.BOTrOId OF lANK
TIMER
r: SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Sepfic/holdlng tank on lot 100'+
Absorption field on lot '85'
On adjacent lots
On adlacent lots
N/A
100'+
100'+
Public sewer main
Sewer/seplto aengns line 25'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 5'+ Property llne 10'+
Watar maln/sen4ce line 10'+ Surface watar/dmlnage 100'+
SEPARATION OISTANCES FROM ABSORPTION FIELD ON LOT TO:
Properly line 10'+ Bulleqng foundation 10'+
Surface watar 100'+
Curtain drain NONE KNOWN
Public sewer manhole/cleanout N/A
Lift station N/A
Absorption field
Wells on adjacent lets
5'+
100'+
Watar maln/eervlce line 10'+
Driveway, parldng/vehlc~e stamge area 10'+
Wells on adjacent lets 100'+
F. ENGINEER'S CER'T1FIGATI~ ~ ~.~
of Municipal ~co~d~/ ! ~/ ~e /iJlX~e systems am/n conformance
'... .......... ..
Data of Payment
Re(el. Number '"'"-'" ~"'-' /' '"" ~"'-~ - '
Waiver Fee $,
Date of Payment
Receipt Number
Parcel I.D. #
'DE~ART'MENT OF H~J~,LTH & HUMAN SERVICES '.' .
" Division of Environmental services '
- · On-Site Services Section ' ~ ' ' '
P.O. Box 196650 Anchorage, Alaska 99519-6650 RELEASE OF CONDITION· · 343-4744 · : ~ ,
: CERTIFICATE OF HEALTH AUTHORITY ?,
APPROVAL FOR A SINGLE FAMILY DWELLING
01R-17g-06
GENERAL INFORMATION
Complete'legal description
~t 6;~BloCk 9; Elmo~e Sub~'ivision
Location (site address or directions)
Property owner · .~r~m,,~ ~,11 ~ (-~n
!Mmlingaddress 4500 E.
;~Le. n. ding agency '
·Maiiing address '
Agen~. ' ' ' .': "'
Address
4500 E. 145th Avenue
Anchnrage, AK
~ Daypgone ~4~-2~92
145th-Ave.. Anchorage, AK. 99516
.·%
Day phone
.Day phone
Unless otherwise requested, tIAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual well
XX
Community well
Public water
e
NOTE:
, , i. ng t.o the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
If community well system, provide written confirmation from State ADEC attest-
XX
Individualon-site . .
Holding tank ·
...... ' ..Community on.site =;...
..... : :: Public sewer.' "'~ **' :~ ...........
NOTE: If communi~ ~Vast~'~vater system, pm'vide written confirmation from State ADEC - .
attesting tO the le~*ality and*status o*f 'S~s'tem. '
5. NTOF INSPECTION BY,ENGiNEER' '' : ""
Al ~:ertified by my seal affixed hereto and as of the vahdabo~ date shown below, I verify that my
nvestigation of this Health Authority Approval application shows that the On-site water supply
· a. nd/0r W.as. tewater disposal system s 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 ~isP°Sal Sy~tem is in C0mpli~nce with all MuniciPal and ~tate codes,
ordinances, and regulations in effect on the'date of this inspection.
Name Of Firm
Address .
Engineer's signature
Alaska Water &
Wastewater Consultants, Inc.
Anch~_, AK ~
Phone' '~3 7-(~/"/f
Date 7 .~'~//~
PLEASE ISSUE A NON-CONDITIONALHEALTH AUTHORITY APPROVAL.
SYSTEM HAS BEEN UPGRADED IN ACCORDANCE WITH MOA 'PERMI~
AWWC, I~C.
e
DHH$ SIGNATURE.Dr prior to, closing for the
Engineering Se.~'ices Provided.
/~ A.p. proved for . -;' bedrooms.
Disapproved. -
Alaska Water
..
Wastewater Consultan~
~11 be PAID $/0~='
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments ,,
conduct Inspectio.n$ or a~ai~e d~t;, b~fore"a'c~ti~i~e',i~' t.~d..Th~ Municipality of Anch~3~g~' is not
. ,r~.!ble for errors or of~is~i6~' n~th~ ~e~i~'n.~i ~n~ ~,s wnr~
Munlc!pal~ity. ¢~ A~;h~rage. ___ ~
DEPARTMENT OI~rHE[ALTH & HUMAN SERVI(~.~ (~ E J V F D
Environmental Services Division --""
825 L Street, Room 502 · Anchorage, Alaska 99501 · (90~.~)7t~9
WELL DATA
Well type PRNATE
tog present (Y/N)
Total depth 124'
M. Unlcipalily of Anchora
Health Authority Approval Checld~t Health - -- _ ge
LOT 6, BLOCK 9, El_MORE S/D Parcel I.D.: 018-175-06
ifA, B, or C, attach ADEC le~er. ADEC water system number
YES Date completed
Cased to 119.5'
YES
Date of test
Static water level 49'
Well production
WATER SAMPLE RESULTS:
Coliform 0 Nitrate
Date of ~ample: 5/7/99
B. $ E PTI C/H OLD I Ni]-T-ANK~ATA
Date installed 7/20-22/99 Tank size
Foundation cteanout (Y/N) YES
Date of Pumping NEW Pumper
C. ABSORPTION FIELD DATA
Date InsteJled 7/20-22/99 ' Soil rating
Length. 24 .Width 5
FROM WELL LOG :
12/82
7.0 g.p.m.
Fluid depth in abeoq:~xt tield before test (In.);
12/82
Casing height (above ground)
Wires pmbedy protected (Y/N)
AT INSPECTION
.4/12/99
0.957
Collected by:
12'+
YES
6.4+ g.p.m.
Other bacteda 0
KND ENG.
1500 Number of Compartments 2 Cleanoute (Y/N). YES
Depression (Y/N) NO High water alarm (Y/N) YES
(~or ft~odm~- 4.0
Gravel IN _cto~___ below pipe
120 MonltedngTubepmsent (Y/N) YES Depmsslonoverfleld(Y/N) __
NEW , Results (Pass/Fall) - For 3
- Irnme~ately after - gal, water added (in.):
Fluid depth - (ins) Minutes later.
Peroxide tmalmem (past 12 months) (Y/N)
72-e2~ (Rev. a~6)'
System type SI~I.LOW TRENCH
0.5 Total depth 1.5'-3.$' --
NO
D. UFT STATION
Date installed
Manh~e~Access (Y~N),
High water alanl~ level at'
Cycles tested NEW
7/20-22/99
Size in gallons
TIMER
'Pump on' level at*.
*Datum BOTi'OU OF TANK
1500
'Pump off level at* TIMER
E. ~PARATION DISTANCES
Septic/holding tank on lot
Absorption field on lot
Public sewer main N/A
SEPARATION DISTANCES FROM WELL ON LOT TO:
100'+
On adjacent lots
On adjacem lots
Publlo sewer manhole/cleanout
Lift station
100'+
100%
N/A
2~'+ 100'+
Sewer/septic sewice line
*WANER GRANTED
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation 5% Prol~erty line 10'+ Nosoq~on field 5'+
Water main/senace line 10'+ Surface water/drainage 100'+ Wells on adjacent tots 100'+
SEPARATION DISTANCE FROM ABSORPTION REID ON LOTTO:
Property line 10'+ Building foundation 10'+ Water maln/sen~tce line 10'+
Surface water 100% Df~eway, paddng/vehicle storage area 20%
NONE KNOWN 100'+
Curtain drain Wells on adjacent lots
F. ENGINEER'S CERTIfiCATION
HAA Fee $.
Waiver Fee $
Date of Paymem
Date of Payment
Receipt Number
Receipt Number
72.026 (Rev.
Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2-B ~ Anchorage ~ Alaska 99S04
Phone (907) 337-6179 ~ Fax (907) 338-3246
July 27, 1999
Municipality of Anchorage
Department oftIealth & Hunmn Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Elmore, Lot 6, Bk 9. 4500 East 145th Ave., As-built Documentation
To whom it may concern:
Attached is the as-built package for the subject septic system installation. The system was
installed as designed except that the old trench area was filled with clean native soiL, rather than
imported sand.
It was noted during the later part of the construction that there was water running in the ditch
which parallels the north lot line. I had looked at this ditch previously (during the test hole
excavation) and did not note any running water. In addition, based upon previously submitted
paperwork by KND Engineering, it is apparent that they did not note any surface water either.
Given the recent rains, it is probable that the running water is the result of runoff and not
continuous. Given the topography of the land and the location of the septic system, it is not
poss~le for overflowing effluent to flow directly towards the ditch.
Ifyou have any questions, or if we can be of further assistance, please contact us at 337-6179.
Thank you for your as ;tance and consideration in this matter.
President U
MUNICIPALI~'Y OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P,O, Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
018-173-06 HAA#
1. GENERAL INFORMATION
Complete legal description
Lot 6; Block 9; Elmore Subdivision
Locat. ion (site address or directions)
?roperty owner
~ Mailing address
'Lending agency
Mailin. g address
James Mullican
4500 E. 145th Ave.
4500 E. 145th Ave.
Anchorage. AK
. Dayp~one 345-2392
AnChOraqe, AK 99516
Day phone
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE:
XX
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
NOTE:
XX
Individual on-site
Holding tank
Community on-site
Public sewer
If community wastewater system, provide wdtten confirmation from State ADEC
attesting to the legality and status of system.
STATEMENT OF INSPECTION BY ENGINEER
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 application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I furtherverify that based on the information obtained from
the Municipality of Anc. horage 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 regu~aiions in effec.~.JaSlt~ I~l~l~e~is inspection.
Name of Firm ~ ¢~C011S~ j~, _' -47,
Address / ~=,~ , a/~ ~ ·
//
Alaska Water &
Wa tewater Consultan ts,
or prior to, closing for the
Engineeri .g Se, ices Provided.
DHHS SIGNATURE
Approved for .
Disapproved,
bedrooms.
~x~xx Conditional approval for _ 3 bedrooms, with the following stipulations:
Honey shall be put in escrow/ ~n the amount of 1.5 times the high bid of a
minimum of three (3) bids from excav'ators certified by this office for the
construction proposed
the amended design attached. Construction shall be
AdditionalComments J .... ~ until ~-~ o~
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional en g~neer registered m the State of Alaska. The DH HS does this as a courtesy to purchasers of homes
and their lending institutions ~n 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 eh'ors or omissions ~n the professional engineer's work.
Legal Description:
~--- klu.~=lpa.t~ of A.¢ho==e ~ E C E I V I: u
EPARTMENT OF HEALTH & HU_M. AN SERVICESjuN 2 ;~ 1999
Environmental Services Division ,.,.., ~ .~-~ceA~}E~
825 L Street, Room 502 · Anchorage, Alaska 99501 ·, 9~,~~
Health Authority Approval Checklist
~l..J~O0.,,~--. ) LG ~ ~ (:~ Pamel D. Ot ~ --I~-~-0(0
A. WELL DATA
Well type P ~/T':
Log present (Y/N)
Total depth I ~
Sanity seal (Y/N)
If A, B, or C, attach ADEC letter. ADEC water system number
Data completed l"4-/~ 7_
Cased to ~.~ o"~
Casing height (above ground)
Wires properly protected (Y/N) y
FROM WELL LOG AT INSPECTION
~-/8 ~- ,~/,~./~
Data of tast
Static water level ~. c~ / ~ 7..
-/
We, producaon '7 a.P.m. &, 4' +
WATER SAMPLE RESULTS:
Collfomm ~) Nitrate ' qc~7
Date of sample: ~"/"//"~ '~ Collected by:
Other bectada (~
If yes, give date
Peroxide treatment (past 12 months) (Y/N)
72-026 (Rev. 3/g6)' ( ~ (~..~v/~O (.,t/"~--~ 'J~
B. SEPI'IC/HOLDING~I'~KDATA "TZ) g,~--, t~.-P~-~-.~,~
Dateinstailed.. ~.~.~L~Tanksiz, /O/'10 NumberofCompaflments'~".?_-'_. Cleanouts(Y/N) Y
Founda~?-;~,out (y/N)®.~_~,',~)~ Depression (y/N)
Date~'~ping '2~/:~,/c/~ Pumper
Oata.ipstal!ed '7/8'Z Soilrattng (g~d"JfForft=/bdrm) %2,~" Systemtypo ~~'
Effecflveabs~)l~(~harea :~=/0 MonitoringTubeprasent(Y/N) y Deprassionoverflaid(y/N)
~ast Results (Pass/Fall) For .bedroor'~
Fluid depth in abe gal. water added (In.):
Fluid depth (Ins) Minutes later:..
Size in gallons
Manhole/Access (Y/N) 'Pump on~"~"~ 'Pump off' level at*
High water alarm level at* *Datum ~
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot (::to !
Absorption field on lot
Public sewer main kJ I,~
Sewer/septic service line
/
On adjacent lots
On adjacent lots I CO/4''
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ~'/'f' Property line --~' I ~ Absorption field ~' /'
Watermaln/servicellne ~'0~+ Sudacewater/dralnege /C30/+ Wells on adjacent lote ./~00
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line
Sudace water
Curtain drain
!
l0 ( + Building foundation ~ Water main/service line
/CC) I'~ Drtvewey, parking/vehicle storage area
N~;>~/~-'' ~u-'/~/ Wells on adjacent lots / O O/'~
HAA Fee $.
Date of Payment
Receipt Number
72-02S (Rev. 3/gti)o
Waiver Fee $
Date of Payment
Receipt Number
MUNICIPALITY d~ ,/,~CHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O, Box 196650 Anchorage, Alaska 99519-6650
343-4744'
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D.# (~\~- ~-~°('~V'3 HAA#
1. GENERAL INFORMATION
Complete'legal description
Elmom S/D, Block 9, Lot 6
Location (site .?dress or directi0n,.s) 4500 E. 145th Ave., Anchorage, AK 99516
Property own6F'
Mailing address
Lending agency
Mailin. g address.
James & Kitty Mullican Day ph~r~e'L''; ' 563-8844
4500 ~ '145th Ave._ Anchorage. AK 99~ i6
Day phone
Agent Pudential Vista Day phone
Address
e
Unless otherwise requested, HAA will be held for. PiCkUP..
NUMBER OF BEDROOMS: ... 3
TYPE OF WATER SUPPLY:"::: ::; ...................................
-~l'ndividual well .'.
Community well ....... [] . ..... ............
Public water ......... [] ......
NOTE: . If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYP~[ OI~WAsTEWATER DISPOSAl- "
Individual on-site ~
Holding tank [--I
C0 .m,rnu .n.i.ty on-sit~ ' ' []
· -'*,~.£.;..~.....:..-. · : .'., ~.;::.. ...... . , ...
Public sewer r--i
NOTE: If community wastewater'sySi~n, provide wri~ten confi)m~t[on"frOm state ADEC
attestirig't6'tfie'ldgality and status of system.. ..... · .....
...,~..: .... ..~.~
5. STATEMENT OF INSPECTION BY ENGINEER
AS certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
KND Engineerin~ 696-6t l.l
Name of Firm Phone
Address 20441 Ptarmigan_Blvd., Eagle River, AK 99577
6. DHHS SIGNATURE
A.p. proved for ~.
Disapproyed.
Conditional approval for
bedrooms.
.¸
Date 5/8/99
bedrooms, with th~ following stipulations:
Mone7 sha11 b~ ~t ia e~o~ tn ~he a~oua~ o£ 1:5 times the htSh bid o£ a a~ataua
o[ th~ee~3~ b*~ f~om e×cava~o~s ce~te~ ~v th~s of~ce ~o~ the construction
· ~o~ose~ ~u~suanC to ~e~ntC au~Se~ S~990138 a~Cached. Construction sha~ be
complete~ by "e !~*°~ ~" J"!y ~. ~oe~ ~-oy ~- o~ ~-~ -~* ~o ~d
until this o£ftce has ~tven £tnal approval.
Additional Comments
Date
/
The Municipality of Anchorage Department of Health and Human Services (DHH.S) issues Health ~uthority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DH HS 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.
Legal Descflpflon:
A. WELl. DATA
Well type Private
Y
Log present (Y/N)
Tote~ dep~ ] 24.'
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 * Anchorage, Alaska 99501 ° (907~--4~V [. j
Health Authority Approval Ch.ecklist
Elmom S/D Block 9, Lot 6 Pamel I.D.: .... MAY 12 1999
If A, B, or C, attach ADEC letten ADEC water system number
12/9/82
Date completed
Cased to 119.5'
Y
Casing height (above ground)
Wires pmporty protected (Y/N)
Y
Date of test
Start= water level
Well.production
WATER ~M~IPLE RESULTS:
0
Date of ~ample:
FROM WELL LOG AT INSPECTION
4/]2 99
49' TOC 52' TOC '~
7 6.4 .~
g.p.m, g.p.m.
0.957 0
~er t~terla
KND Engineering - KMD
Collected by:
B. SEPTIC/HOLDING TANK DATA
Date instal]ed 7/28/82 Tank
¥
3/31/99
Date of Pumping
1000 2
Number of Compartments __ Cleonoute (Y/N),~
N N/A
Depression (Y/N) High water almm (Y/N)
NorthJand
Y
C. ABSORPTION FIELD DATA
Date Installed 7/28/82
Length 39' Width
390
Effective abeorplion area
Dam of adequacy test 514/99
Rutd depth in al:~on l~eld before test (in.);
Ruld depttt. :30.25" (Ins) Minutes later.
Peroxide tream~nt (past 12 months) (Y/N)
8oll rating (g.p.dJfff or ftt/bd~n) 125S~m type
2.5' Gravel thickness below pipe 5' Total dep~
Deep Trench
t
Moniforlng Tube present (y/N) Y Depression over tleld (Y/N) N
P 3
Results (P~8~=aJl), For J:edmoms
32" 37"
Immediately after 4.50 gal. water added (in.): ......
1440 Absorption rate = 450+ g.p.d.
N
UFT S'rATION
Date installed
N/A
Size in gallons
Manhole/Access (Y/N)
High water alarm level at'
'Pump on' level at'
*Datum
'Pump off~. level at'
E. SEPARATION DIb'rANCE~
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absoq3fion field on lot
Public sewer main
Sewer/septic eewice line 25'+
On adjacent lots
On adjacent lots ]00'+
Public sewer manhole/cleanout
Lift station N/A
100'+
N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: .~. -. ·
Foundation 5'+ Property line ] 0'+ Absorption field 5'+
Water maln/sowtce line 25'+ Surface waterldralnage 100'+ Wells on adjacent I.ote , l
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:. "~'' L .;.."-, .".: [' :: '~ ". ' !' t --....
Pmpertyline I0'+ Buildtngfoundafion 6' Watermaln/sorvtcellne. 25%
Surface water lO0'+ D~,eway, pmtdng/vehlcle storage area.. 25'+..:~
Curtain drain No Known
Wells on adjacent lots
£ ENGINEER'S CERTIFICATION F. ~';':"'~"~"": ..... "'- ~
HAAFee $ ~;.,~"/"~' -"' WalverFee$
Date of Payment~ ~ Date of Payment
Receipt Number ~~~-- Receipt Number
Alasl~ Water & Wnstewater Consultants, Inc.
· 6~)1 DebtFr Ibrd, Suit, :bB ~ ~nchort~ ~ ~ ~
13.1~99
4500 F,. 145th A~nuc
We Invo it~cctcd Ou w-..ll and scp~ s~cn3 on the subJce~ l~Olx:fly. Our findlng3
L ~: ~ ~ ~ ofo~ ~ 011~ ~ ~ ~ ~1 ~ 52 ~ ~w ~ ~ of
~) ..... . ............
~F~ of~e ~o~.
· Cf:~,~ ~ crate for w~l test & oc~o ~ S400.00
rcl~te'b~ confra~ors. You should
· P~R 15 '99 ~8:.19~ ~EA ~ RIVER
pn~Two ·" n
Lot 6; Block 9; £~-nore Subdi~o
~S.S'
/
~I~Y E~ '99 ~7:5-7Pt~ MKA ~ RIV~ P.1/1
SAMI~S ~ MULLICAN
4500 ]~ 145TM A~enue
Anchorage AK 99516
May 19. 1999
Jim C~ss
ldunl~pal~ of Anchorage
Dear St~.
On April 9, 1999. I lisled my cun~nt ~idc, nce for ~e ~ a z~. ~ ~tor ~ ~t ~ ~ ~
~ter ~ ~c ~em t~ for ~e ~e ~ ~ ~ 12, 1999. I ~ ~ Wat~ &
~y ~ ~I~ h ~ ~ ~k I ~ my ~r ~ ~r ~ ~11~ '~on' = ~ I~ ~
~ ~ ~ ~d it ~ ~ - ~ ~ ~ ~ ~o~ ~ ~m a~ 5 ~m~ ~h a ~er on
for ~t ~ ~ ~ ~r 5 ~ut~ ~ ~ ~n for ~ ~t ~ ~. ~ ~ ~
of ~ ~ 1~ a~. ~ ~ ~ ~o~ ~, ~ ~ ~s
~ for ~ 1~ ~ of~wo~ ~ ~er t~ He i~ ~ ~ ~ ~ ~
~ l~ a ~nd ~ ~ ~ mY ~e's ~
~r ~d ~y ~l~s ~d ~ve ~ ~, ~, bm~, ~, ~S ~ ~ ~ ~ I~ of
~ ~ ~. ~e ~ D ~t~ ~ut ~ m~ t ~ to cl~ on ~ ~ ~ up ~ let
ENGINEERING
(907)696-6111/FAX (907)696-8111
May25,1999
Kitty & James Mulligan
4500 E. 145'~ Avenue
Anchorage, Alaska 99516
Subject: Elmore S/D, Block 9, Lot 6 - HAA
James & Kitty:
At your request, we conducted an adequacy test on the subject property and
submitted a Health Authority Approval in conjunction with the sale of your house.'
Due to concerns raised in their review of the approval certificate DHHS conducted
an investigation, which apparently you were involved with. I have been in contact
with Mr. Jim Cross, P.E., the On-Site Manager, and have been informed that until
the department's concerns are resolved they will not issue the HAA for your house.
These concerns apparently revolve around some repair work you may have
completed on your system. In order to resolve the department's concerns he has
indicated to me that you need to complete three steps to insure that your repair
work did not violate any regulations as follows:
1)
2)
3)
A test hole needs to be excavated at the well radius of the adjacent property
(approx. 5' from the end of your monitoring tube based on information from
DHHS) to verify that sewer rock was not placed into the well radius.
In the same hole it needs to be excavated to a level 4' below the existing
system to verify that your system is not encroaching into ground water. This
will involve excavating the testhole and placement of a perforated
monitoring tube.
A testhole needs to be excavated adjacent to the existing monitoring tube to
verify the depth of the gravel placed during the repair work.
The above work will need to be verified by a registered professional engineer and
submitted to DHHS for their approval. While normally testholes and excavations
are typically completed by using a backhoe or excavator, it would appear prudent to
consider drilling rather than excavating these exploratory holes to minimize
damaging the field and disturbance to the surrounding soils conditions.
Due to the concerns raised by DHHS I would also recommend that you consider
coordinating any investigation with them so that you can address any other
problems that may arise.
Since the above work falls outside our normal scope of services for adequacy tests if
you choose to retain our services for the above work we would be happy to assist
Subject:Elmore S/D, Block 9, Lot 6 - HAA
May 2.5, 1999
Page 2 of 2
you. However, due to the amount of unknown conditions that may be encountered
all work will have to be on a time and materials basis per the attached rate sheet.
If you have any questions, or we can be of any further service please contact me at
696-6111/FAX 696-8111.
Respectfully submitted,
II~I~l~) Engineering
Kenneth M. Duffus, P.E.
ccr Jim Cross, P.E., DHHS w/o attachments
file
· I(~xqD ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 995YY-SY36
(907)696-6111/FAX (907)696-8111
May 27, 1999
Mr. Jim Cross, P.E.
Municipality of Anchorage
Dept. of Health & Human Services
On-Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Elmore S/D, Block 9, Lot 6 - Exploratory Testholes
Dear Jim:
Per our discussion I sent a letter to the owners regarding the concerns that you
expressed to me the other day. In response to those concerns the owners hired an
excavator to excavate exploratory testholes to verify issues involving well radii
encroachments, ground water encroachments and depth of gravel placed during
their repair of the system.
At the request of the owners, at approximately 5:30 PM on May 26, 1999, I witnessed
the excavation of three exploratory testholes and the placement of one monitoring
tube. The first exploratory hole was placed at the end of, and paralleling, the trench
approximately 2' west of the existing trench. A John Deere 410B was utilized for the
excavation. Measurements were taken prior to excavation and were approximately
at the same elevation as found during the adequacy test (approx. 1' below the
lateral). The adjacent well radius was located by rag tape and spray painted on the
ground. During the excavation the monitoring tube/cleanout was exposed in
addition to the end of the trench. Sewer rock was found at the end of the trench
mixed with the native material. The testhole continued to a depth of 8' but was
stopped due to flooding of the hole by effluent from the trench. It was noted that
there was only 2.5' of cover over this end of the trench. There was no clean sewer
rock or gravel found during this exploratory testhole outside of the existing trench
area. We exposed approximately 3-4' a the end of the trench. Due to the amount of
effluent encountered in the trench it was not possible to identify any ground water.
The second exploratory testhole was excavated at the well radius at approximately 5'
from the existing monitoring tube (east side at the end of the trench). Significant
sewer rock mixed with native soil was encountered in the top 1.5 feet of the
excavation decreasing with depth. At 3' we encountered undisturbed soil which
continued down to 8.5' were we stopped due to limitations of the equipment. No
ground water or clean sewer rock was encountered in this exploratory testhole. A 10'
monitoring tube was installed on the east side of the testhole.
Subject:Elmore S/D, Block 9, Lot 6 - £xplorato~ Testholes
May 27, 1999
Page 2 of 2
In order to resolve concerns with extension of trench we excavated a third
exploratory hole south of and in line with the existing trench. This hole extended
for approximately 5' with no evidence of pipe, fabric or clean sewer rock. However,
there appeared to be extensive amounts of sewer rock mixed in with the native soil.
This material was soft and moist although there was no running effluent found
during this excavation. The hole was abandoned when sewer rock decreased.
As this work was conducted after normal work hours, in addition to visualizing the
explorations, several pictures were taken but have not been developed. If you have
any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
~I~I~ Engineering
~us, P.E.
Kitty & James Mulligan
file
Mazficipa]Jty of A_ncho a e
Department of H~2a~t. Lh' as~tHuman Services
Rick Mystrorn, P.O. Box 196650 Anchorage, Alaska 99519-6650
Mayor http:/Iwww.¢L anchorage.ak.us
343-4744
June 1,1999
James R. & Kathleen A. Mullican
4500 East 145th Avenue
Anchorage, Alaska 99516
Re: Certificate of Health Authority Approval Denial for Lot 6 Block 9 Elmore #2
Subdivision, HAA# HA990207, P.I.N. 018-173-06
Dear Mr. & Mrs. Mullican:
This letter is in response to your request at 10:14 a.m., June 1, 1999 to put in
writing the disapproval of the subject Health Authority Approval Certificate (HAA).
The disapproval of the subject HAA is based upon statements made by your
engineer, evidence gathered, and site visits made by this office.
If you have questions of the above, please contact me at 343-4744.
Sincerely,
Daniel J. Roth
Civil Engineer
On-Site Services Program
Municipality of Ancho.rage
RickMystrom, P.O. BOX 196650 Anchorage, Alaska 99519-6650
Mayor http:/Iwww.ci.anchorage.ak.us
343-4744
June 3,1999
James R. & Kathleen A. Mullican
4500 East 145t~ Avenue
Anchorage, Alaska 99516
Re: Certificate of Health Authority Approval Denial for Lot 6 Block 9 Elmore #2
Subdivision, HAA# HA990207, P.I.N. 018-173-06
Dear Mr. & Mrs. Mullican:
On May 12, 1999 this office received a Health Authority Approval (HAA) request
from your engineer Ken Duffus, PE, for the subject property. As part of the HAA
package there was a letter attached that was addressed to you from Alaska
Water & Wastewater Consultants, Inc. (AWWC) indicating that you hired them
prior to Ken Duff'us to evaluate the subject wastewater disposal system and
water well. This letter described that on April 12, 1999 the effluent level was
excessively high in the wastewater disposal system absorption field and it was
operating in a surcharged condition. In other words, the effluent level in the
absorption field was above the horizontal distribution pipe coming out of your
septic tank. On May 4, 1999 Ken Duffus performed an adequacy test on the
subject wastewater absorption field and he found the effluent levels during his
test to be entirely different from AWWC's.
As a result of the conflicting reports, on May 14, 1999, this office visited the
property in attempt to find an explanation why there was such a discrepancy
between two engineers. After arriving at the property it was apparent that a
relatively large excavation had taken place at the end of the absorption field
approximately 10 feet in diameter and extended south of the absorption field
approximately 40 feet. VVhen I, questioned you about this excavation, you
described that after AVWVC determined the septic system was failed that
someone else determined that the monitor tube in the absorption field was
"broken' and you, your cousin, and your father performed the repair to it on or
about April 27, 1999. You told me that the horizontal distribution pipe had
separated from the monitor tube. You also produced gravel truck receipt§ from
T & J Gravel Products in Wasilla for approximately 35 cubic yards of sewer rock
delivered to your property. This quantity of sewer rock is approximately two
times the amount that your existing wastewater disposal absorption field has in it.
Lot 6 Block 9 Elmore #2 Subdivision
Page 2
On May 25, 1999 Ken Duffus and Jim Cross, PE of this office agreed to two test
holes to be excavated on the subject property to attempt to determine the extent
of the excavation to repair the monitor tube in the existing absorption field and to
locate the extent of the roughly 35 cubic yards of sewer rock delivered to the site.
The two test holes agreed to were as follows:
A test hole needs to be excavated at the well radius of the adjacent
property (approximately 5 feet from the end of your monitoring tube
based on information from DHHS) to verify that sewer rock was not
placed into the well radius.
In the same hole it needs to be excavated to a level 4 feet below
the existing system to verify that your system is not encroaching
into ground water. This will involve excavating the testhole and
placement of a perforated monitoring tube.
A testhole needs to be excavated adjacent to the existing
monitoring tube to verify the depth of the gravel placed during the
repair work.
On May 27, 1999 Ken Duffus wrote a letter to this office describing what was
encountered during the above excavations. The first excavation next to the
existing absorption field revealed no additional sewer rock beyond what was in
the original absorption field. This test hole was discontinued because of effluent
running from the existing absorption field into the test hole causing it to flood. A
second excavation was dug just within the 100 feet radius of the water well on
the adjacent lot. Sewer rock was not encountered below 1.5 feet from ground
surface. Native soils were encountered and a monitor tube was placed to a total
depth of 10 feet from ground surface. This hole did not have water appear during
the excavation. In order to resolve concerns with extension of the of the trench a
third test hole was excavated to the south of the existing absorption field 5 feet
deep. No horizontal distribution pipe was found but, the engineer does state,
"However, there appeared to be extensive amounts of sewer rock mixed in with
native soil.'
On May 28, 1999 Donna Meats and myself drove to the property in question and
checked for water in the monitor tube installed by you and Ken Duffus. A water
level in this tube was found approximately at the same elevation as the effluent in
the absorption field. This indicates that either the water movement
characteristics have been changed from excavations performed by you around
the absorption field and effluent is migrating into this test hole monitor tube, or
the existing absorption field is being encroached by ground water. In either case
this is not acceptable. Also, the third test hole excavated at the south end of the
absorption field to a depth of 5 feet (which is 2.5 feet below the level of the
horizontal pipe in the absorption field) showed, "extensive amounts of sewer rock
mixed in with native soil." This indicates that water absorption characteristics in
Lot 6 Block 9 Elmore #2 Subdivision
Page 3
the absorption field will be significantly changed and does not comply with AMC
15.65.
From this information this office concludes that the modifications done to this
absorption field significantly changed its absorption characteristics and these
modifications extend into the adjoining 100' protective well radius. As such this
absorption field no longer conforms to Municipality of Anchorage codes and must
be abandoned.
To get a HAA certificate from this office a new wastewater disposal system must
be constructed. To accomplish this the following requirements should be
followed:
A soils test performed by a registered professional engineer in the
vicinity of the proposed wastewater disposal system should be
performed including 7 day ground water monitoring.
Your engineer should design an upgrade wastewater disposal
system and submit it to this office for a permit to construct.
V~th this permit, an approved excavator can construct the
wastewater system and be inspected by the engineer.
The engineer will submit an as-built inspection report to this office
and a Health Authority Approval Certificate may be issued at that
time.
Your engineer may request, after the permit to construct the wastewater disposal
system is issued by this office, a Conditional Health Authority Certificate if money
is put in escrow for the wastewater system upgrade. This will enable the sale of
the home to proceed prior to the actual construction of the proposed wastewater
disposal system.
If you have questions of the above, please contact me at 343-4744.
Sincerely,
Daniel J. Roth
Civil Engineer
On-Site Services Program
Mmficipali of Anchor, g o'c
Department of Health and Human Services
825 "L" Street
F.O, Box 196650 Anchorage. Alaska 99519-6650
June 29, 1999
SeffGamess PE '"
Alaska Water & Wastewater Consultants, Inc.
6901 De Bart Road, Suite 2B
Anchorage, Alaska 99504
Subject;
Waiver Request for Lot 6 Blokc 9 Elmore Subdivision #2
Waiver Request #WK990038
Parcel ID #018.173-06
HA990207, SW990138
Dear Mr Gamess:
Your request for a waiver of the required I00 feet horizontal separation from the
on-site wastewater disposal system to private well has been approved. The approved
separation distance is 85.0 feet.
This waiver approval applies to the existing on-site wastewater disposal system 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 furxher concerns or questions regarding this waiver, please call our office
at 343-4744.
Sincerely,
Daniel J'. Roth
Civil Engineer
On-Site Water Quality Program
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Wa'iver Review Worksheet
PID% 018-173-06 HA# Qf~Re~n~(%-% Permit % ~l , %~yj\v~
June 23, 1999
Legal Description: Lot 6 Block 9'Elmore Subd~vision
Engineer: Jeff Garness, PE, Alaska Water & Wastewater Consultants, ~nc.
6901 De Bart Road, Suite 2B, Anchora~e~ Alaska 9950&
James Mulltcan
Date Received:
Applicant:
Waiver Requested:
of 85 feet.
Private well to the on-s~te wamtewatmr d~pn~m]e ~y~-m (¢~,1M)
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal
Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: ~ Waiver is NOT Granted:
List Conditions or Reasons for above: ~ /~ ~Af~Z9
Name of Reviewer
Rec %: 05036/5851 Amount: $ 920.00 Date Paid: J~gn 23. 1999
I
t~1' I10 FGET, 19,flf C~l~ctO~$ t,~lrT~
4.2
2.4
/6.7
Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2-B ~ Anchorage ~ Alaska 99504
Phone (907) 337.-6179 ~ Fax (907) 338-3246
Consulting Engineers
June 23, 1999
Municipality of Anchorage
Depamment of Health & Human Services
Division of Enviroarnemal Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Attm Dan Roth
Reft Septic System Upgrade for Lot 6, Bk 9, Elmore~S~/D. Reactex System
Modification to Permit # 990138
Dear Mr. Roth:
GENERAL: A permit was issued by your department on 6/15/99 for the installation of a holding
tank. Due to the fact the buyers lending institution will not finance the property if the residence is
served by a holding tank, the sellers have retained AWWC, Inc. to design aa innovative septic
system that will meet your departments approval. Attached is two soils logs from test holes
excavated on 6/18/99. Based upon the percolation rates and the groundwater levels encountered,
it is our opinion that a Reactex system is the most viable option for this lot. Although
groundwater levels have not been monitored for 7 days, given the porosity of the soil, and the fact
that water levels are currently subsiding, it is reasonable to assume that water levels will not rise.
Water levels will be checked immediately prior to the installation and the bottom of the drainfield
will be placed at an elevation that is at least 3 feet above the highest elevation encountered by
AWWC, Inc., or your department. The viability of this design is ultimately depends upon the final
outcome of the 7 day groundwater monitoring.
The intent is to excavate the contaminated ch'ahxrock fi.om the existing trench and fill it with MOA
approved filter sand. The new drainfield for the Reactex system wifi be placed between the two
test holes, and only about 7 feet from the e.,dsting trench. The drainfield will be placed close to
the edge of a steep slope that drops down to a relatively flat area The design calls for the
downhill side of the bed area to be lined with an impermeabla barrier (vlsqueen) and the slope to
be filled so as to create a 3:1 slope.
DESIGN CRITERIA:
· Soils percolation rote: Less than 30 minutes per inch
· Soila application rote for Reactex draintield: 4 gallons per day per square foot
dUN 23 1999
-- 06'-
· Number of bedrooms: 3
· Daily flow: 450 gallons
· Required absorption area: 112.5 square feet
· Proposed drainfield size: 5 feet wide X 23 feet long = 115 square feet
WAIVER: In order to fit the dralngeld in the only suitable site available it will be necessary to
encroach to within 85 feet of the well mdius~ Per MOA records, the existing septic tank and
trench are only 90 feet fiom the well and has been at this location since 1982. The waiver was
approved by ADEC. Based upon recent water sarnples taken by ~ Engineering (5/7/99) there
is no bacteria present in the water and nitrate levels are only .957 mg/l. In short, 17 years of
encroachment (90 feet well to trench) has not adversely impacted the aquifer. Attached is a copy
of the well logs for the following lots: -
· Lot 6, Bk 9, Elmore #2
Lot 12, Bk g, Eimore #2
· Lot 7, Bk 7, Eimore #2
· Lot 12, Bk I0, Eimore #2
· Lot 8, Bk 9, Elmore #2
The static water levels varied fiom 46-70 feet BTC, and although the terminology on the logs
varies, it is clear that the geological profile is predominantly gravel, sand,/md clay. The logs for
Lot 8, Bk 9, and Lot 7, Bk 7 indicate the presence of hardpan type soils, Regardless, based upon
recent water quality tests, and the e~uent quality of the proposed Reactex system, it appears that
there is minimal risk in granting a separation distance of 85 feet between the well and dralr~eld
the subject property, on
SURFACE WATER: There are no surface waters within 100 feet of the proposed septic system
upgrade.
CLOSING: I am unaware of any negative impacts that this installation would impose on
adjacent wells, or septic systems. The sale of the house must close in the next several days,
otherwise, the buyers will lose the "lock" they have on interest points. In short, we are requesting
an expedited review and issuance of the revised sewer permit. In addition, we are requesting
reissuance of the conditional HAA.
If you have any
[uestions, please call me a 337-6179.
P.E., M.S.
R~A ~£
/0 $ 8 7
4551 4401 4461
~IVERTON AVE.
NATRONA AVE.
4600 464O 4700 ,
/ 2 $ ,
4350 7~ 4400 4450 4500
7
4351 4401 4~51 14450
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4 3~0 440O 445O 45OO
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MUNICIPALITY OF ANCHORAGE
DEPARTME.T OF.EALT. A.D E.V,RO.ME.TAL PROTECT,O.
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~ (~-- I ~'~='~(~
OF ON-S,TE SEWER ANO WATER FAC~L,TY
264-4720
Application Date
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Location (address
.' "~'.,'~ '-'E;-/~
(bi: A~piican~ Name
Applicant Addre~' '
(c). Applicant is (check,on?: Lending Ins~tution ~; Owner/builder~; Buyer ~; Other ~ (explain);
(d) Lending Institution .....
Address
(e) Real Estate Company and Agent
Address
Telephone
(fi Mail the HAA to the following address:
TYPE OF RESIDENCE
Single-Family ~ Multi-Family I'1
Number of Bedrooms ~ '
WATER SUPPLY
Individual Well ~['
Other
· Community I-I 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 corn reunify well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 z2-e2s ¢~,a~
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 4~'('~~
Address I~ (~ O t.f~/ ~ ."~.---"-"-"-"-"-~ ~[-.~.~. ""~'J~
Date ////~-/~ ·
Telephone
-NcP.
DHEP APPROVAL
Approved , ~r//,, ",, Disapproved
'Te, rms of Conditional Appro?al
bedrooms by ~
Conditional,
Date //-' 2 / - ~
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
MUNiCJPALI1Y Of ANCHORAGE
D~PT. OF HEAL11-1 &
E. NVI~TN. PROTECTION
NOV 20
RECEIVED
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4720
Legal Description: ("~ ~' ~
WELL DATA
Well Classification /~/'.~1J,//,/~/.~t L If A, B, C, D.E.C. Approved ~)
Well Log Present aN) Date Completed 1 2/~'/~-.- Yield
Total Depth 1 2 (-/ Cased to
Static Water Level L./~ /
Casing Height Above Ground
Electrical Wiring in Conduit (~N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
7 PAA
Depth of Grouting
Pump Set At
Sanita~ ~al on Casing
~pr~sion Around Wellhead (Y~
q(~) ' "~ ; On Adjoining Lots /Or') '7~'
TO Nearest Edge of Absorption Field on Lot %0 ';~' ; On Adjoining Lots I00 '
To Nearest Public Sewer Line ,/~'/~ To Nearest Public Sewer
CleanouVManhole ~'/~'- To Nearest Sewer Service Line on Lot
Water Sample Collected by %], ~AIT(HL~E/~ ;Date II
, /
Water Sample. ~.~st Results ~ A 'r'/,.~/~'/~ ~'~t~
Comments ~' ~.D, E, ~-. [,,//~///,~
SEPTIC/HOLDING TANK DATA
Datelnstal]ed -7/~'/~- Size (~'~(~"~ No. of Compartments
Standpipes (~)N) Air-tight Caps ~N)
Depression over Tank (Y(~
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well ¢:~{')
To Property Line ~ ~'~
To Water Main/service Line
Foundation Cleanout ~N)
Date Last Pumped
;,or
Temporary Holding Tank Permit (Y/N)
To Building Foundation ~' !
To Disposal Field ',,~'-' '~
To Stream, Pond, Lake, or Major Drainage
Comments ~ C,
Page I of 2
72-026{1t/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed '"7/2~ ~/~' Z.
Width of Field ~,,,~ /
Square Feet of Absorption Area
Depression over Field (Y,~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
12,5-
Type of System Design
Length of Field --~ ~'"
Depth of Field ~' /
Gravel Bed Thickness ~ /
Stand.i Print
Date of Last Adequacy Test
~ A ?'[.5 FlOc. 7'o,~ ,~'
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line /V'/F
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area. or Vehicle Storage Area
Comments .~ ~,.~).
To Property Line 2. 2. ·
To Existing or Abandoned System on
; On Adjoining Lols
To Cutbank (if present)
.5"0"
D. LIFT STATION
Date Installed Dimensions
Size in Gallons Manhole/Access (Y/N) /
High Water Alarm Level at /~ /
Tested for / V// / ~~;lle"~--du~Tes, Meets MOA
Electrical Codes (Y/N) / / '
Comments ~
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
*' Check Permitted Bedroom Rating Against HAA Request '*
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in etfect on the date of this ins ction
Signed q. ~ ~----~,~L.~ Date
Company I~ /~, MOA NO.
ALASKA ENVIRONMENTAL '(~
CONTROL SERVIC ~, INC.
1200 West 33rd Avenue: Suite B .
ANCHORAGE, ALASKA 99503
(907) 561.$040
r
'1
HUIqI¢IPALITY OF A,NCIt0KAGE
DIVISION OF ENVIP, O~'~ENTAL HEALTH
DEPARTI~,'G~ OF EF.,ALTIt AND ENVIR0h,'~I~N'I~AL PRO'II!iCTION
APPLICATION FOR HEALTIt AUTHOKITY APPROVAL CEKTITICATE
1. Ceneral Information Application Date
(a)
Lesal Description (include lot, block, subdivision, section, to.ship, range)
Location (address or directious)
Telephone - Home Business
(b) Applicants Name ~.a-/.~
,i.2.
(c) lPplican~ is (check one) LeMin~ Institution
(e) Re~l.~state Co..&'Agent
Address
Telephone
· (f) liail the EAA to the follo~rlng address:
TTpe of Residence
Single-Family ~ Hulti-Family ~
Other (describe)
Number of Bedrooms
Water Sup?l7 ''
Individual Well.~-~,.,. Community~ Public~
Note: If co'~unity ~11 system, must have written confirmation from the State
Department of Environmental Conservation attesting to the legality and status.
Sewage Disposal
0.site.~'~. Publ~c~ ~ommunityF--~ Holding TankF--~
Note: If community well system~ must have written confirmation from the State
Department of Environmental Conservation attesting to ~he legality and status.
[Page 1 of 2]
Engineerin~ Firm Providing Inspections~ Tests~ File Search~ Data and Information
As certified by my seal affixed hereto aM as of the validation date sho~n below,
verify that my investigation of this Health Authority Approval sho~ tha~ the o~si~e
wa~er supply aM/or ~s=ewater disposal sys=em is ~fe, f~c~lon~ aM ~eq~=e for.
the number of bedrooms aM ~pe of s=rucCure iMicit~ herein. I fur=her verify
based on the iMoma~ion ob~ain~ frou the ~nicipali~y of ~chorage fll~ e~ fr~
inves~i~a~ion ad inspec~ion, the o~si~e ~cer supply a~/or ~s~e~a~er
system Is in compliance ~h ~1 ~nicipal aM S~ate codes, ordinances, and re~ul~-
. ~ions in effect on ~he date of ~his inspec~ion.
Na.e of rl~ ~W ~ ~~-' ~ Telephone~'
(ENGI~ER S~)
Approved ,~~badroo. s By .~ ~
ApProved Dtsapprov ;tton~
Te~s of Co~tional Approval
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPART}iE~T OF HEALTH AND ENVIRONMI~NTAL PROTECTION
(DHEP) ISSI~S HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT-
ATXONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIOnaL ENGINEER REGISTERED
IN THE STATE OF ALASKA. TEE I~dEP DOES THIS AS A COURTESY TO pURCHASERS OF H0,~ES AND
THEIR LEh~ING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MZNTS. DIPLOYEES OF DEEP DO NOT COndUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE ~IOIPALITY OF ~NOHORAGE IS NOT RESPONSIBLE FOR ERRORS
OK OMISSIO~ IN THE PROFESSIONAL ENGINEER'S WORK.
(DHEP SEAL)
RR~/eJ/DI8
[Page 2 of 2]
7-19-84
MUI~CIPALITY (F PI'ICH0P. a,G~ (~OA)
~I~ - F~ 1984
Legal Description: ~r ~ ~/~ ~
Well Classifi~ati~u
Well LOG Plresent (Y/N) ~/ Dat~ Cc~,%~leted ?~ Yield~gV
Be
~"~~I~ TA~ I~TA
Date Installed ~ Size /mm~ ~=~/ No. c~ C~.~tments
Standpipes (Y/N) ~ Air-ti~t Caps (Y/N) ~ Foundation Cleanout (Y/N)
Depression ore= Tank (Y/N> ~/ Date ~-t Pumped .7~=-~=~ ~ i=~
Pumping/Mainte.~nce Contract on File (Y/N) _/~/~ fc~ /l///~ ~{~S'
Holding Tank High-Ware= Alarm (Y/N) A//~ Tempo=a=y Holding Tank Permit (Y/N)
Separation Distances from Septic/Holding Tank-'
To Wate~-6upply W~ll ~&~'4* ~ To ~uildinG FoundAtion
To Property Line /&~' To Disposal Field
To Water'Mair~Servfce Line ~/~ To Stream, Pond, I~ke, c~ Major DrainaGe
[Pao~ 1 of 2] 2-15-84
Depth of Field ~_~_~.~
Gravel Bed Thickness
De
LIFT STATION ~/~
Date Installed
Si~ in Gallo~
"Pure9 On" Level at
High Water Alarm Level at
Tested fo~
Electrical Codes(Y/N)
** (~eck Pe=mitted Bedroom Rating ;~ainst HAA Bequest **
I o~=tify that I have ~hscked, verified, c~ cc~fcemsd to all ~ ~]i~s in effe~
2-15-84
BIL! SIIEFFIEID, GOVERNOR
ANCHORAGE/WESTERN DISTRICT OFFICE
437 "E" STREET, SUITE 303
ANCHORAGE, ALASKA 99501
274-2533
January 15, 1985
Mr. James B. Roberts, P.E., R.L.S.
360 West Benson, Suite 207
Anchorage, Alaska 99503
SUBJECT: Waiver Horizontal Separation between Well and Leach
Field, Lot 6, Block g, Elmore Subdivision (8521-WA-091)
Dear Mr. Roberts:
The Department has reviewed the subject waiver request and hereby-waiv--e%
the horizontal separation between the well and leach field ~o 90 feet
on the subject property for a 3 bedroom single family restde"nc~-~6~iy.
Sincerely,
Brq~E. Ertckson
District Engineer
BEE/dd
