HomeMy WebLinkAboutTHUNDERBIRD HEIGHTS BLK 1 LT 1Thunderbird
Heights
Block 1
Lot 1
#051-711-02
C,
Municipality of Anchorage Page of
' - DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 9 Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
7o 03da yaI PID Number: OS/-
Permit Number:
Name:
Wastewater System: lid New ❑ Upgrade
L
/Jk II
Address:
ABSORPTION FIELD
1 o uA.t+c'r2 d„Co OR/e< GHLrb,A/(
Phone No. of Bedrooms:2L
Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound O Other
SSS -c c SS
Still Rating'. total Depth from original grade'.
LEGAL DESCRIPTION
Iia GPD/SQ, FI S>'>
Lor Block: Subdivision:
Oeplh to pipe bottom from original grade.
Gravel depth beneath pipe
I TAHM.4<v A.,4 He,.rA1,!
,r Ft.
FI .
TownshipI Rangesection.
Fill added above original grade'.
/
Gravel length:
3 Ft.
A) / n.r
FI.
Gravel width:
wnlines'.
Number of lines: Dnlanubelx
WELL: 6/ p✓Nrew ❑ Upgrade
SFt.
/✓/.F Ft.
n
Classification (Private. A.S.C)Total Deptn: ed To:
Total absorption area:
Pipe material:
</j/� 7c?"' [ 24 4L'
FI. Fl.
r 773 SO. Ft.
Driller:
Date Drilled. Slang Water Level:
Installer:
Dale Installed:
Yield
Pump Set at.
Casing Height Above Ground.
TANK
GPM
FI
Ft.
SEPARATION
DISTANCES
QL.Septic ❑Holding XS.T.E.P.
To
Septic
Absaphon
till
Holding
Pnla
•ubl-d.a
Manufacturer:
/fn r0<
GBpaeily In gallons:
From
Tenk
Fold
Slehon
Tank
Sewer Lines
w
Materiel:
Number of Compartments:
Well
S.ee/
3
SurfaceLIFT
f/✓!
STATION
Water
F/dJ�
>'/I/r
t/Ad'
Line
Sa' /
•3e /
.S -U'
30 /
Size In gallons: Manulacturer:
/2f a "A"<` 1^'
"Pump on” level at: "Pump off' level at: High water alarm at:
Foundation
6 '
S- /
L
O /
! 3 /
Pump Make 8 Model
Electrical Inspeclions performed by:
Curtain
OSi '03 •ie Nw
E<!! /�rf•e h'• e.
Drain
BENCH MARK
RemarkS: lel r /,J.e ,: Y
Location and Description:
% v' 0.�. 0 ,7c �'re1! <a/t</( o74 f/JP SW
Assumed Elevation: aV
Ahc...�..r /oL•
ENGN€F,7j'SSEAL
5i, 0�
Inspections performed by: E r le X e r i- Z-;' f- Dates:1 st 1 "I"lL.,
-5'/'!'J 'w/
2nd /%/.t7AJ mac:...••»
Louts A.Buterzi
pts a�
Department of Health and Human Services approval °.tie ce6736 a+'
f
®PRQrEsstl.�
Date: �?�S�c
Reviewed and approved by. ip.,sJa,
72.013 JR.,. 091) MOA 25
Permit No. SW030441
Page 2 of 2
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: LOT 1 BLK. 1. THUNDERBIRD HIEGHTS PID No.: 051-711-02
`b.
/ R-20.0'
N t``G�'at`Y 11,ys
JO•
SCALE 1"-50'
v�
OV4 , ^ a
ABANDONED O
FIE1D NO ' O
A b o
1O. W
VaSTING pPo ALT C
HOUSE 1 w W
HDPE C
OQ 1-1/4' HOPE Q W- FZ'
J, •A1FR VALK
NEyI FSEPTICTITANK
q. �("y+J• W/LIT STAON
D
P�
STANG TIES
C 45.4' 70.7
D 91.7 ?211 1
11/22/03
ENGINEER'S SEAL
0oo�00p
ELEVATIONS REM DEO( OF HOUSE c .. OF .!.....I
(NOT TO SCALE) ASSUHEO ELEv - 100.00' Op5��0
9.!' /UFT STA71ON 10ZO' OV/: ,1 Q7� �oo
,I , TEST o 4 �I' `� =L• !r D
HOLEQ .............................. ..D
7' wsuunON"'
.....................
1 (/ iLOUIS A. 13UTERA�
93.1' TALK Yzd 9.9' ~99.9' NOCAOQ��S'' CE -6736 AcJ- �pv
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93.9'ESSX'
e4.o'
EDS ELECTRIC INC
October 27, 2003
907 272 4590 10/27/03 05t25pm P. 001
ED'S ELECTRIC INC.
P.O. BOX 210767
ANCHORAGE, AK 99521
Eagle River Engineering
10421 VFW Road, Suite 201
Eagle River, AK 99577
ANCHORAGE
(907) 272-4591
Fax: (907) 272-4590
Attn: Lou
Subj: Septic lift station 25240, Thunderbird Heights, Lot #1 Block #1
Ed's Electric, Inc. Installed electrical on subject project meeting all code
requirements of the National Electrical Code and the Municipality of
Anchorage.
Thank you,
Dwayne R. Bruns
Ed's Electric, Inc.
10�22�03 / � 2wSOF�,
MUNICIPALITY OFANCHORAGE
Development Services Department :00p,
vN
On -Site Water& Wastewater Program
4700 South Bragaw Street ^ y,
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 16, 2003
Expiration Date: Oct 15, 2004
Permit Number: SW030441 Parcel ID: 051-711-02
Legal Description: THUNDERBIRD HEIGHTS BILK TM1 LT1 :'
Design Engineer: 0848 Eagle River Engineering Services Site Address: 025240 THUNDERBIRD DR
Owner Name: THOMAS S. & KATHRYN T. HALL Lot Size: 24426 SO. FT.
Owner Address: 25240 THUNDERBIRD DRIVE Total Bedrooms: 3 Permit Bedrooms: 3
CHUGIAK , AK 99567 -
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy
All construction must be in accordance with:
1. The attached approved design.
❑ Private Well ❑ Water Storage
2. All requirements specked In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date:
Date: 10 /6 O5
Oct -14-03 12:57P Permit Counter
907 343 8250
Municipality of Anchorage
Development Services Department
Budding Safety Division
On -Site Water and wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us
(907)349-7904
ON-SITE SEWERNVEil PERMIT APPLICATin. N
FOR A SINGLE FAMILY DWELLING
P.Ol
Parcel I.D. 05I 77711 - OQ, Permit Number SWO30441
Fv� rk - &98 -04-95
Property owner(sEkM a- Day phone Ulf - "7'17-3roS��
Mailing address (1
Mailing address
Legal description (Lot, Block & Sub'd.)
Legal description (Section, Township & Range)
Lot Size OLq ut a(o Acres6P
THIS APPLICATION IS FOR:
Zip Code -qL?S 6--7:7
Number of Bedrooms %:3
Sewer Only
(,
Well Only
❑
Sewer and Well
❑
Water Storage
❑
Sewer Upgrade
❑
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi
❑
Swimming Pool
❑
Water Softening Unit
❑
Therapy Pool
❑
certify that the above information Is correct. I further certify that this application is being made for a
Single Famlly Dw�tlin and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees:
Waiver Fees:
Date of Payment: V b Date of Payment:
Receipt Number: Receipt Number:
(Rev. 12/00)
Eagle River Engineering Services
Louie Butera, P.C.
Christopher R. Wood, P.C.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
October 15, 2003
Jim Cross, P.E.
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Thunderbird Heights Lot 1 Block 1
Narrative & Permit Application
Dear Mr. Cross:
The proposed septic upgrade will have very limited impact on adjacent properties for the
following reasons:
1. The surrounding lots are all connected to city water, or are road right-of-ways,
allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance, and no private wells
within 200'.
3. This permit is for replacement of the septic tank and leachfield system.
4. Drainage will not be affected and is not a major consideration in our design.
The existing leachfield trench has failed. The end of the proposed leachfield trench is 25' from a
heavily vegetated 25% slope. Due to the fact that it is the end of the trench that is close to the
slope, and the fact that the failed existing trench has not daylighted effluent on the slope, we
believe there will be no potential concerns with daylighting effluent, in the unlikely event that the
new trench fail. Due to a 15' powerline easement, lot line setbacks, setback from other slopes,
separation distance to failed system, and constructability limitations, no other area on the
property exists to construct the new septic system. We have maximized the separation distance
from the field to the slope as much as possible.
This work will not affect the reserve area on adjacent lots. If you have any questions please call
our office at 694-5195.
YopherSincerely
R. Wood, P.E.
Senior Engineer
\2003\03-049SEvncNARRATivE.Doc
/ wo.
/ R-20.00'
L-43.20'
30'
.f
yO / Q
b O
a
.........�.. A T o C
w
J
00.
1. REPLACE 1000' CAL SEPTIC TANK W/125O LIFTSTATION
2. NO SURFACE WATER AND NO KNOWN CURTAIN DRAINS
V&%t
"��ss AREA
—w— – WATER LINE
®
– TEST HOLE
•
– MONITOR TUBE
o
– SEWER CLEAN OUT
�-
– WELL
— —
– EASEMENT
— —
– PROPOSED LEACH FIELD
– EXISTING LEACH FIELD
tom–
DRIVEWAY
SEPTIC UPGRADE SITE PLAN
LEGAL: LOT 1, BLK. 1, THUNDERBIRD HEIGHTS SUB.
OWNER: TOM AND KATHRYN HALL
CONTRACTOR: N/A
JOB 03-049WS DATE: 9/30/03 SCALE 1" = 50'
EAGLE RIVER ENGINEERING SERVICES
P.O. Box 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297
Eagle River Engineering Services
Louie Butera, P.I;.
Christopher R. Wood, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM—MOA CERTIFIED INSTALLER
LEGAL: Thunderbird Heights Lot 1 Blk 1
October 14, 2003
A. GENERAL
1. The replacement septic plan is for a 3 bedroom single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of health and State Department
of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi -family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. Any remaining open test hole excavations shall be filled and monitor tube removed.
B. SEPTIC TANK WITH LIFT STATION
1. The septic tank shall be an Anchorage Tank 1,250 gallon septic tank with integral OSI lift station
pump model OSI -05-20-1111F.
2. A receipt from a licensed electrician shall be provided to the engineer verifying lift station wiring to all
applicable codes.
C. TRENCH
1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom.
2. The bottom of the trench shall be level, plus or minus 1.5", and shall be located at 10.5' below top of
original ground surface.
3. The trench gravel shall be covered with typar fabric material.
4. Natural soil shall be placed over the trench to a minimum depth of 4'.
5. The effluent line is to be a 1-1/4" PVC line with 1/8" holes drilled 7" OC within the leachficid, placed
face down, or face up with orifice shields placed over holes. Line from tank to field is to be 1-1/4"
HDPE.
6. The area over the trench is to be mounded to prevent ponding of surface water runoff. Care shall be
taken to ensure that the required fill depth is maintained over the entire trench.
7. The septic tank and leachrield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTI I = (NTE) 12' GRAVEL DEPTI I = 6' under pipe, 2" over pipe
TRENCH LENGTH = 31' TRENCH WIDTH = 3'
SOIL RATING = 1.2 GPD/ftp BEDROOM CAPACITY = 3
SEPTIC TANK = 1,250 Gal. S.T.E.P.
Twenty-four (24) hours notice required for all Inspections.
\2003\03.049Trench- spec.doc
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907)694-5195
ERES Project No.: 03-049
Calculated By: CW
Date: 10/13/2003
Legal: Thunderbird Heights, L1 B1
Single Family 3 Bedroom Dwelling
Deep Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom =
Percolation rate =
Wastewater application rate =
Required absorption area =
Trench width (W) =
Gravel depth (D) =
TEST HOLE I
450 gallons
1 minutes per Inch
1.2 gallons per day per square foot
375 square feet
3 feet
6 feel
Required length = Required absorption area / 2 / D
Required length = 375 / 2 / 6
Required length = 31 feet
Total Excavation Depth = 9.5 feet
03-049 Calc.xis 3:34 PM10/13/2003
EAGLE RIVER
ENGINEERING SERVICES
P. O. Box 773294
EAGLE RIVER, ALASKA 99577
Phone 694.5195
SHEET NO. OF ----z
CALCULATED BY �' DATE 'q/O
CHECKED BY ��;� DATE w ~ lif 'E33
1410
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r
e Y r Municipality of Anchorage
DEPARTMENT OF HEALTH d HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: _IOr31 L KAr HRY/V YA L- DATE
LEGAL DESCR
I
0R,cNtiL: TOPSOLL
Township, Range, Section: T-1
GO - 5AkbY (nQAV$G1(06ESE
8
Pct
10
'11
12
13
14
15
16
17
18
19
BR wd
Cj(Vj - 51 LT % S�N�� Co1R5E L
WAS GROUND WATER
U0WAJ ENCOUNTERED?
4041E (Vtgff ;
10 1211
IF YES, AT WHAT
DEPTH?
Mcg
Depth to Waer Aller �'
WWtorinti? MIA Oats: _L011310
20
PERCOLATION RATE� � 1 (minulevinch) pERC HOLE DIAMETER
TEST RUN BETWEEN FT AND ___(gFT
COMMENTS MATUTAL TC nc�6rt IESf NCLr r-4 -DVa r- Sr>7 G✓ 4� r r !S YNaR�
Z14,4A) .SI%_b Sppm�///VtJpp�_-- Ar �TA11 i{S
PERFORMED BY: W N G& IC t _ G H R L S IIILZ Q CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE:
72-008 (Rev. 4/85)
i
t.• '
Municipality of Anchorage _ Y
DEPARTMENT OF HEALTH 6 HUMAN SERVICES i. i1t1ST0 IE it
825 "L" Street, Anchorage, Alaska 99502-0650 %
SOILS LOG — PERCOLATION TEST :e
PERFORMED FOR: _ I00 J- 12-THRYAl Hlq [- DATE PER
LEGAL DESCRIPTION: -A-H tA fjbpjZ Iii r?b III S L I p, I Township, Range, Section: T 16 Al R I W S L -' c- 2
o—E P -T -Al SLOPE SITE PLAN
1 A
(FEET) ORAIV&b TOPSOLL I I I I
2 ,Q Gehl - SAubY (,2AI)a J(OwE
3-
4-
5-
6 4 5-
6 fi O 6
D�
7 (1 �
S ,
13
14
15
16
17
18
19
Pia]
SNj - STAT% .SA"I>Cw5E C
WAS GROUNDWATER
RkowiJ ENCOUNTERED?
60gc eo6ALt3
10 12 if
IF YES, AT WHAT
DEPTH?
A10
Depth to water After �� ��
Monitoring? ��A Gate 10/[3/0
urr
PERCOLATION RATE u (mmutes/inch)rPERC HOLE DIAMETER
TEST RUN BETWEEN FT AND _FT
COMMENTS MATUM TS InoSFt ZEST Nvr r r.1 /iA)/' TIf SAArr) inI LAYtR Q /n.,1
PERFORMED BY: D IV 136 IC I S-2-8IL 5 11/Ct,L> CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE A,
72-M
72-M (Rev. 4/85)
MUNICIPALITY OF ANCHORAGE
_ r'�:lth and Environmental Pr( -A `jction
Fourth Floor west
825 L Street
Anchorage, Alaska .99501
264-4720
INSPECTION REPORT ON-SITE SEWAGE D
ru,r,r.1—.L`t�J°"� -- w.ILlr:c nroREss 3�C_S--
LVCAIiOI1`•U�^"y^""'^""----LCG.�I.I•fSCItIPTION.L+�—
OSAL SYSTEM
PHONE a76- $$r/
SLFTIC TAIIK:
NUMBER Z
DI.T nNCI: COMPARTMENTS EfIT5
1Lill ER-�____—.__-t.".ATrit
CI:, I_. L-LCt:Gfll_ __- 1t_till`'.0 _IDTfI- LIQUID DEPTH LIQUID CAPACITYL�D GALLONS.
Tll_C DRAIN FIGLU: TOTAL LENGTH--�-s
Ul�li:!:i'l I li(� . \:CLL _. _.__._rOLt-JOATION-.- riCAREST Lot LINE _---OF LINE
y
of Linc _ DISTANCE fiCTYlEC"! LINES _-_—___._—TRENCH 1'/IDT/1=� IN. -TOTAL EFFECTIVE
„ s ----- -
SQ. rT. LENGTH Gr EACH LINE
I DEPTH or I ILTCER
Nr
,, n:n7LRInL FICATII TILE w_1 . ABOVE TILE erIN.
.,rvtli. 1GI D;TIL._ 101
SC%PAC.L PIT:
DI=t.:ETER _011 P/IDTH--, LINGTH—, DEPTH
Log Crib _Rings_ Crib Size: CI,,%.mLTCB__.-ULPTH_DISTANCCFROM: WELL
TOTAL CrrECTIVC
SUI L!.n!:• � t'U'.Ia O:."C 10'I _ . ,,,A,,L,T LOT LINE At SonPTION ARCA (Y/ALL AREA) SO. FT
Cc,, `
Class: d"_ Depth:
Well Distcltli:c TO: Lot Line _!
Bldg: Scacr L'nc: !
Wipe I1aterials:I
:r of Bedrooms:
[nstaller:Remarks
p I s IL
MLJN I C IF�FFL I TY OF ANGii �dF�F-iGE / / 070, L.
DEPARTMENT HEALTH AND ENVIRONMENTAL OTECTION 1"LJtci.
625 'L' STREET, ANCHORAGE, AK. 99501
264-4720
Otd—S I TE SEWER PERM I T A: d Pnl//��,,
PERMIT NO. C 771024
APPLICANT HARVELLE HARRISON DEV. 3201 C ST CALAIS OFFICE CENTER 276 555.1
_ LOCAT I ON THUh GERS7R6-G%79E �—�—
LEGAL L1 B1 THUNDERBIRD HTS SUB LOT SIZE 24426 SQUARE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH .
MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING CSQ FT/BR)= 100
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= 1O LENGTH= 34 C3F;Zn SEL DEPTH= o
THE LENGTH DIMENSION IS THE LENGTH (IF! 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 MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION CIN FEET).
FZE7CA LJ I REO SEPT I co TFFNF< S I cE= AL=ZoC+ GFtFLLOt+I=.
'-----=--- PF=iCFCFtGE PLAt.1T CFF�T I OtJ-------
A PACKAGE PLANT MAY BE INSTALLED AT THE PERMITTEE'S OPTION SUBJECT TO THE
FOLLOWING CONDITIONS:
1. EITHER A CLASS I OR II NSF APPROVED PLANT MAY BE INSTALLED.
2. A CONTINUOUS MAINTENANCE AGREEMENT IS REQUIRED. IF A MAINTENANCE
AGREEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL
ABSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO PROSECUTION.
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
--- TW u -s C 2 7 I NSPEfCT I OMS FiF-:E RECAU I REG ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERt'1 I T EXP I RES OECEME:EF Z 33r '..1517 r
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 THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUC'MORE THAN 4 BEDROOMS.
SI
APPLICANT
ISSUED BY--Ss�"--
HARRISON DEV. '
V3. 0
January 4, 1978
Harvelle Harrison Dev.
3201 C Street
Calais Office Center
Anchorage, Alaska 99503
Subjects Lot 1 Block 1 Thunderbird Heights Subdivision
Permit 4771024
Lot 8 Block 3 Thunderbird Heights Subdivision
Permit 1771025
Lot 3 Block 2 Thunderbird Heights Subdivision
Permit 4771028
A permit issued by this department for well and/or sewer
system has expired.
Permits are issued on a calendar year basis, as stated
on the permit, by authority of Municipal ordinance.
If you have drilled the well, a well log should be sent
to this department to document the installation date.
If there are any further questions, please contact this
office at 264-4720.
Sincerely,
Health and Environmental Protection
Sewer and Water Section
0
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LLouv1. alp �► Imo. �.I��d ��.ILis s1�n
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MUNICIPALITY ANCHORAGE
r,
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section ``
Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 051-711-02
1. GENERAL INFORMATION
Expiration Date:—,2-- ^2-oa V
Complete legal description Lot 1 , Bk 1 , Thunderbird )`weights Subd.
Location (site address) 25240 Thunderbird Drive, Chugiak, AK 99567
Current property owner(s)
Mailing address
Real estate agent
Coit & Athina Tennant
Dayphone (907) 795-5200
25240 Thunderbird Drive, Chugiak, AK 99567
Brooke Stiitner, RE/MAX DYDay phone ( 907) 244-6742
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER
DISPOSAL:
Private Well
❑
Private Septic
Water Storage
❑
Holding Tank
❑
Community Well
®
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for:
Distance:
Received by:
Date:
s
COSA to be released to the engineer, unless otherwise
requested by the engineer.
_.— CQSA Fee $ -950 7t__0
Waiver Fee S
Date of PaymentZ/ A?
Date of Payment
Receipt Number 27 2713 Ll
Receipt Number
COSA #_ 0 S G 2 I O 9
Waiver #
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. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm Pinard Engineering Phone ( 907) 232-1347
Address Po Box 871347 Wasilla, AK 99687
Engineer's Printed Name Paul E. Pinard Date
6. DSD SIGNATURE
System #1 Approved for- bedrooms
System #2 Approved for bedrooms
0
Disapproved
Conditional approval for
bedrooms, with the following stipu
1/
.�tllllltttll(((�.,
� C&
z i.
pROG�\AM co
Original Certificate Date: 2 —rz-- Z -Z
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 X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
Legal Description: Lot 1, Bk 1, Thunderbird Heights parcel ID: 051-711-02
If more than 1 septic system on lot: COSA Checklist # of Structure served by this system _
A. WELL DATA NA — Community Water
System
❑ Well log is filed with Onsite (or attached)
Well production at time of test
Date drilled
gpm
Water storage tank volume gallons
Total depth ft
Well disinfected for coliform test? ❑ Yes ❑ No
Cased to ft
❑ Coliform bacteria is Negative
❑ Sanitary seal is functioning correctly
Nitrate mg/L ❑ Nitrate less than MRL (ND)
❑ Wires are properly protected
Arsenic ug/L ❑ Arsenic less than MRL (ND)
Casing height (above ground) in.
Collected by
Date of flow test for COSA
Date of Sample
Static water level at beginning of test ft.
Comments
B. TANK DATA
Age of tank(s) 18 years
Tank type/material STEP/Steel
Measured operating fluid level in septic tank 4. 0
F] Standpipes/foundation cleanout per record drawing
Date of pumping 27 itanuary. 2022 (JRs )
C. LIFT STATION
E Required maintenance completed
Age of lift station 18 years
Lift station material Steel
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 10/22-23/03 Adequacy test date 1/25/22
® ALL standpipes present per record drawing Results [M Pass For 3 bedrooms
Total measured depth from grade 9.5 ft (max) Fluid depth prior to test 0.0 in
Measured depth to pipe invert from grade 3.5 ft (min) Water added 480 gal
❑ N/A — pressurized field
® Monitor tubes go to bottom of effective. If not, state New depth 0.6 in
depth into effective Elapsed time 120 min fot Test/1390 Recovery
Code -required sail cover over field Final fluid depth 0. 0 in
❑ System presoaked Absorption rate 450+gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) None Known
date of test)
Gallons introduced gallons If yes, enter date
Comments/Deficiencies:
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances
if less than required or if community well)
if No *5$
Septic Tank/Lift Station on Lot > 100'
Surface Water > 100' [3Yes if No ft
Property Line > 5'
Community Sewer Manhole/Cleanout > 100'
Q Yes
if No
ft
❑Yes
if No ft
Neighboring Tank > 100' ❑ Yes
if No
ft
Private Sewer/Septic Line > 25' ❑ Yes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No
ft
Holding Tank > 100' ❑ Yes
if No ft
Neighboring Absorption Fields > 100'
ft
If septic tank is under driveway comment below
Animal Containment > 50' ❑ Yes
if No ft
El Yes
if No
ft
Community Sewer Main > 75' ❑ Yes
if No
ft
Manure/Animal Excreta Storage > 100'
❑ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
® Yes
if No *5$
ft
Surface Water > 100' [3Yes if No ft
Property Line > 5'
E3 Yes
if No
fit
Wells on Adjacent Lots:
Absorption Field > 5'
[2 Yes
if No
ft
Private Wells > 100' Yes if No ft
Water Main > 10'
jX Yes
if No
ft
Community Wells > 200' UYes if No ft
Water Service Line > 10'
[3 Yes
if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
[3 Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
EgYes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
[:Yes
if No
ft
Private Wells > 100' Yes if No ft
Water Service Line > 10'
9Yes
if No
ft
Community Wells > 200' [3Yes if No ft
Surface Water> 100'
(Yes
if No
ft
F. ENGINEER'S COMMENTS
* Separation of Septic Tank from building foundation met the
rp-Q simens fat existed at the time that the tank was installed
inn 2 ._
MUNICIPALITY OF A111,&N-CPHORAGE
F)t vel l) dent Ser/ s D# pa m ni
On -Site A!..ate .,ir6: n y
!_ifs stat)
Mainten
wee
r Street
S tic
Tank:
Sludge level �
hes � required
inc Pumping:
Lift
-Pump basket cleaned��
QEffl€,rr:;rtt f
OCOrttrol floats cleaned � o -Proper f4
-Operation satisfactory r10
-Dedicated electrical alarm circuit �. �� no -AL
�, larrr� sYsterni operation 'tisf��>�ar�' =rot satisfac
Manhole Riser �v
'Ground eater intrusion at riser to tank connection
-Ground water intrusion around pipe penetrations
-Manhole lid: Functional A�es/ no insulated
Other
-AH aianufzacturer required inspections and mainten
��r�trrt�s.
Qualified Maintenance Provider:
cotlipany
signature
Phone: 907-343-79()4,
Fax: 907-34,3-72,07
;Purnp, Vault
ance Log
0: F
-Pumping completed es no
ilter cleaned no
dat settings confirmed
ible and visual ralann inside dwelling es.; no
�a Weep bole functional Coos✓ no
�c Properly Secured fis n a
corn.pleted, es' no 1
Date of maintenance_
_ Cate
a
0 10' UTILITY-. , L=15.42'
EASOMENT r R=70,00'
o CHAIN-LINK-, / CHWNE'Y
�p
FENCE •' i..'xt.2' CA1.T� L,.' !' a> !
DECKi' 2of C!?IiEyr?_ry
Lot 1
24,425 S.F.
f.'
SEPTIC Pk ES
CAN
> A
E:4SE r1ENIT
1
(SEE <�OTE 2)
Tract A o / �r # �~ •'a
NOTES:
c� 1) DUE TO SNOW & ICE COVER, THE
15' PO'N R L 1 N E - f/ / ASPHALT DRIVEWAY AND GROUND
EAS=�.9EIIITLot 2 LEVEL FEATURES ARE APPROXIMATE.
z 2) COMMON USE EASEMENT
(Doc. No. 1996-046553-0)
r % 3) THIS LOT IS SERVED BY A
r
Z COMMUNITY WATER SYSTEM.
,r
MORTGAGE SURVEY -K- SCALE _? W 40'_._GRID NW_1565 —.,Project No. ___22NO47 Al
Lan s S o c a e s 9 f n c. (150) Daryl Avenue, Anchorage, Alaska 39515 -3049
907 522-6376 Phone
(907) 522-4625 Fax
Professional Land Surveyors ken langsurvey.com nAL!!�>,
Jonothan0tongsurvey.com d�
I hereby certify that I have surveyed the following described property:
LOQ' 1, BLOCK 1, THUNDERBIRD HEIGHTS SUBDIVISION (PLAT No. 77-226) 49 � hh
Anchorage Recording District, Alaska, and that this Mortgage Location Survey Is a :....... y(�
representation of the conditions that were found on the date the survey was performed.
This survey does not constitute a boundary survey and Is subject to any inaccuracies..
that a subsequent boundary survey may disclose, The infatlon contained hereon sha11 �A
net be used to establish any fence, structure, or ether improvements.40
Gated this the
------- bay of P� L-c2O2.•
__- _ _ at Anchorage, Alaska, Q
C3FSS10PIA4 A��-�
It is the responsibility of the owner to determine the existence of any easements,
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
Municipality of Anchorage
On -Site Water & Wastewater Prog
(907)343-7904
.JAN 17 2014
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 051-711-02
1. GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owners)
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
Expiration Date: LI /2Zr LI
THUNDERBIRD HEIGHTS S/D BLOCK 1, LOT 1
25240 THUNDERBIRD DRIVE, CHUGIAK, AK, 99567
THOMAS & KATHRYN HALL Day phone
25240 THUNDERBIRD DRIVE CHUGIAK, AK, 99567
GEORGE STADNICKY W/ FIRST CHOICE REALTY Day phone
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY:
317-8336
244-5530
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
Public Sewer
❑
WaiverNariance request for:
Received by: ZA Date: /�'�
COSA to be released to the engineer. unless otherwise requested by the engineer.
COSA Fee $
Date of Payment
Receipt Number
COSA#
Waiver Fee $ _
Date of Paymen
Receipt Number
Waiver #
Distance: —
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. Phone
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LtD. 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 separafon
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 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 fest
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. 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
otherpeison orparty is not authorized, nor will it confer any legal right whatsoever.
6. DSDSIGNATURE
v System #1 Approved for bedrooms.
System #2 Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following
Date
337-6179
ittllltt(Utf(((ff
V\ OF
J ON-SITE
WATER AND
�Q WASTEWATER oz
By: Az t/ Original Certificate Date: 1-Z--2-�-
The Municipality or Anchor ge Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the represenatations 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. ATTCHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
IRca 111051
If more than t septic system is on the lot:
COSA Checklist # of
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: THUNDERBIRD HEIGHTS S/D; BLOCK 1, LOT 1 Parcel ID: 051-711-02
A. WELL DATA
Well type
Date completed
Total depth ft.
Date of test
Static water level
Well production
WATER SAMPLE
PUBLIC WATER
If A, B, or C provide PWSID# _ Well Log (Y/N)-
Wires properly protected
Casing height (abo , r'(
Sanitary seal (Y/N)—
Cased to ft.
FROM WELL LOG
AT
Coliform �� colonies/100 ml. Nitrate mg./L. Collected by:
Afs5e-nic: ug./L. Date of sample:
B. SEPTICIHOLDING TANK DATA
ft.
in.
Tank Type/Material S.T.E.P./STEEL Date installed 10/22-23/2003
Tank size 1250 gal. Number of Compartments E Cleanouts (Y/N) YES
Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (YIN) YES
Date of pumping 6/6/2013 Pumper JR'S PUMPING
C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE
Date installed 10/22-23/03 Soil rating .p.d./ r ft2/bdrm) 1_2 System type DEEP TRENCH
Length 31 ft. Width 4-5 ft. Gravel below pipe 6 ft.
Total depth *10.0 ft. Eff. absorption area 372 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test 1/10/2014 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added 680 gal. New depth 11 in.
Elapsed Time: 242 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
6
D. LIFT STATION *ESTIMATE. BASED UPON TETHER LENGTH AND CLAMP LOCATION.
Date installed 10/22-23/03 Size in gallons 1250 Manhole/Access (Y/N) YES
"Pump on" level at *45.5 in. "Pump off' level at*4.7.5 in. High water alarm level at 49 in.
Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? YES
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot On adjacent
Absorption field on lot
Public sewer main
Sewer /septic service
On adjacent lots
Holding tank
PUBLIC WATER
manhole/cleanout
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water
Water service line 10'+ Surface water 100'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
10'+
Driveway, parking/vehicle storage 10'+
1J() %5v—v— P L151 ,-RF- bVFJr [11 T)a�,
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. GARNESS
Date
(Rev. 11!05)
m
�
\
E§i)�
i MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES,
O Division of Environmental Services
On -Site Services Section .S
P.O. Box 196850 'Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
HAA
Parcel I.D.#fr#41
-1fa�15� �,L1
1. GENERAL INFORMATION '.' % 1:" ' � : �;': `. `• `.''i,
Complete legal description , 'SK 1 % +�UNDE2
Location (site address or directions) r h U l 14vidale Ail a i7{- e a d
Property owner n Day phone
Mailing address°
Lending agency Day phone
Mailing address A Q
Agentf �►^'► �k �t eL Day phone a77 s�
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 'lJ/
3. TYPE OF WATER SUPPLY: ;.
Individual well
i Community.well :i, r-- 1 ' 7 ,,.. �•; tia.,
Public water
NOTE: if community well system, provide written conflrmatton from State ADECattest-L
!ng to the legality and status of system � , +� - � •
4. TYPE OF WASTEWATER DISPOSAL: -
Individual on-site......,,_,y, +
Holding tank : r 'n
Community on-site
Public sewer
NOTE: if community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.'
a.M(F1w•+e1) r� Moen+
S. 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 furtherverity 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 systemis in compliance with all Municipal and State codes,
ordinances, arid' regulations in effect on the date of this inspection.
Name of Flan / obbt h ' ' Qe t:rk (�Q ` k e�-� 9 —3 9 / 6
•Phone
Address D 3` bii S ' �, ' ' � �a
Engineers signature�Ad ,,;4"; Date' g
6. DHHS SIGNATURE `;:•�y;,;'
_X_ Approved for bedrooms.
Disapproved.
Conditional approval fore' " bedrooms, with the following stipulations:
".:..Additional Comments' `SEE ftT7AC04ED SEPTIC- Sym Aows Ry j)p.7w 8 f?S
147
Date �-
The Municipality of Anchorage Department of Heaith and Human Services'(DHHS) issues Health Authority
Approval Certificates based only, upon the'representations'given In paragraph 5 above by an Independent
professional engineer registered In the State of Alaska. The DHHS does this as a courtesy to purchasers of homes
and their lending Institutions In oder 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.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
/ 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 3434744 to
Health Authority Approval Checklist
Legal Description: L11,/3K1. % k-umelerh)reC Parcel I.D.: 651-7//— tD 3
A. WELL DATA lbc.t7k4.4
Welttype�c If A. B. or C. attach ADEC letter. ADEC water system number
Log present (YIN)
Total depth
Sanitary seal (Y/N)
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Date completed
Cased to
FROM WELL LOG
Coliform Nitrate
9—
p.m-
Date of sample:. Collected by:
B. SEPTIC/HOLDING TANK DATA
Other bacteria
Date installed / 3 Tank size /;,yo Number of Compartments .2 Cleanouts (YRN)__�/
Foundation cleanout (YIN) \/ Depression (Y/N) High water alarm (Y/N) N
Date of Pumping Ne .14g y�Pumper K S
C. ABSORPTION FIELD DATA
Date installed (3 Soil rating (g.p.d./ft= or ft2/bdrm) �10:2_ System type 4't" ez
Length --.3LGWidth 3 Gravel thickness below pipe Total depth 2—
$Vl�if
Effective absorption area 40� Monitoring Tube prcsent(Y/N) Depression over field (YIN) rY
Date of adequacy test VIIII49 Results (Pass/Fail) �_ For _bedrooms
S e A 70 7t.o
Fluid depth in absorption field before lest (in.); % s< Immediately after 7e0gal. water added (in.): Stfi xr;
Fluid depth rMinutes later: / h (in.) Absorption rate = i &Cs-<� A.p.d.
Peroxide treatment (pasrl2 months) (Y/N) N If yes, give date Q
_ Casing height (above ground)
c
Wires properly protected (Y/N) M
AT INSPECTION R7
—'
:2
.--_
•a
Z5
O
yT
1'I1
eo
Cn
�jt
N
g.p.m.
Z
Date of sample:. Collected by:
B. SEPTIC/HOLDING TANK DATA
Other bacteria
Date installed / 3 Tank size /;,yo Number of Compartments .2 Cleanouts (YRN)__�/
Foundation cleanout (YIN) \/ Depression (Y/N) High water alarm (Y/N) N
Date of Pumping Ne .14g y�Pumper K S
C. ABSORPTION FIELD DATA
Date installed (3 Soil rating (g.p.d./ft= or ft2/bdrm) �10:2_ System type 4't" ez
Length --.3LGWidth 3 Gravel thickness below pipe Total depth 2—
$Vl�if
Effective absorption area 40� Monitoring Tube prcsent(Y/N) Depression over field (YIN) rY
Date of adequacy test VIIII49 Results (Pass/Fail) �_ For _bedrooms
S e A 70 7t.o
Fluid depth in absorption field before lest (in.); % s< Immediately after 7e0gal. water added (in.): Stfi xr;
Fluid depth rMinutes later: / h (in.) Absorption rate = i &Cs-<� A.p.d.
Peroxide treatment (pasrl2 months) (Y/N) N If yes, give date Q
D. LIFT STATION N1
Date installed
Manhole/Acccss (Y/N)
High water alarm level at* _
Cycles tested
E. SEPARATION DISTANCES
Size in gallons
"Pump on" level at" "Pump off' level at*
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot 6I -A ; On adjacent lots wle
Absorption field on lot 'IIA ; On adjacent lots
Public sewer main �l/k Public sewer manhole/cleanout N16,
Serccr /septic service line ! Sly Lift station N/Lti
SEPARATION DISTANCES FROM SEPTICtHOLDING TANK ON LOT TO:
Foundation q ( Property line '20+ Absorption field 210
Water main/service Iinc,>,2,r Surface water/drainage 1`4 /0 Wells on adjacent lots tq/A
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation Watcr main/scrvicc line
Surface water r7 Driveway, parking/vehicle storage area ,2
Curtain drain rt! c, Wells on adjacent lots WA
F. ENGINEER'S CERTIFICATION
L4 L, Ke ao +
that the above systems are
f
I certify that f have determined thru field inspections and review ofAfunicipal records
in conformance with AfOA IMA guidelines in effect on this date.
Signature I
Engineer's Name / 1 r>�b e 11
Date VII—[ R i
HAA Fee $ COO •6737 Waiver Fee S
Date of Payment
Receipt Number 67 1��4L
Rev. 8/95 OSS: haa.wk.doc
Date of Payment
Receipt Number
01.shs
MUNICIPALITY OF ANCHORAGE
M E M O R A N D U M
SEPTIC SYSTEM ADVISORY
Lo -r i , gW e TWAWAW Nrmrs
HEALTH AUTHORITY APPROVAL NO. NA9503y5
Prior to a recent adequacy test on the septic system for
this lot, -40 inches of standing water was observed in
the absorption field. This indicates that approximately
q:� $ of the absorption area is inundated. Although
this system passed the adequacy test, the remaining life
expectancy may be limited.
This advisory must be attached to all copies of the subject
Health Authority Approval.
203 WEST 15TH. AVENUE SUITE 203
ANCHORAGE, ALASKA 99502-3904
(907)279-3916
Fax (907)-276-6013
SEPTIC SYSTEM ADEQUACY TEST
LEGAL: Lot 1, Block 1, Thunderbird Heights
LOCATION: 25240 Thunderbird Drive, Chugiak
OWNER: John F. Lowrey, Jr.
RESIDENCE: Single Family Four Bedrooms
WELL: 211156 Eklutna Thunderbird Heights
SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: 4 Bedroom System
TANK:
Greer Tank 1250 Gal. 2 Compart.
ABSORPTION SYSTEM: Trench
ABSORPTION AREA: 420 Sq. Ft.
SOIL RATING: 100
INSTALLATION DATE: 1-31-78
WAIVERS GRANTED: None Required
DATE OF LAST PUMPING: JR November 1994
DATE OF TEST: August 11, 1995
TEST PROCEDURE: System was inspected and measured. Tank was found with four feet of
cover and with a liquid level of 48 inches. Trench clean out was found 3 feet deep with 1 inch of
liquid. Sump was 9 feet deep with 74 inches of heavy sludge.
760 gallons of clean water was added to the trench at a steady rate of 7 gpm. while the water level
in the tank and sump were monitored. The level in the tank did not change while the level in the
sump rose immediately 4.5 inches. At the end of the test the water level in the sump had risen an
additional 1.5 inches. Within 10 minutes the water level dropped 3.5 inches.
These observations indicate that the horizontal distribution pipe may have been installed with the
holes up and that the pipe at the end of the drainfield is a sump.
TEST RESULT: This system meets the code requirements of the Health and Social Services
Department of the Municipality of Anchorage.
NOTE The operational life of all septic systems depends on the local soil conditions, 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 this septic system. We can
therefore not give any estimate of how long this system will function satisfactory for current or
future occupants. All septic systems ultimately fail. Some systems last 15-20 years, others fail after
less than 5 years.
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DATE OF TEST: August 11, 1995
TEST PROCEDURE: System was inspected and measured. Tank was found with four feet of
cover and with a liquid level of 48 inches. Trench clean out was found 3 feet deep with 1 inch of
liquid. Sump was 9 feet deep with 74 inches of heavy sludge.
760 gallons of clean water was added to the trench at a steady rate of 7 gpm. while the water level
in the tank and sump were monitored. The level in the tank did not change while the level in the
sump rose immediately 4.5 inches. At the end of the test the water level in the sump had risen an
additional 1.5 inches. Within 10 minutes the water level dropped 3.5 inches.
These observations indicate that the horizontal distribution pipe may have been installed with the
holes up and that the pipe at the end of the drainfield is a sump.
TEST RESULT: This system meets the code requirements of the Health and Social Services
Department of the Municipality of Anchorage.
NOTE The operational life of all septic systems depends on the local soil conditions, 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 this septic system. We can
therefore not give any estimate of how long this system will function satisfactory for current or
future occupants. All septic systems ultimately fail. Some systems last 15-20 years, others fail after
less than 5 years.