HomeMy WebLinkAboutTHUNDERBIRD HEIGHTS BLK 2 LT 5AOJ 0 amItIler7ZI1712; Heights 11111 Jill Lot 5 c q 5 i✓ cz V I /I- f-- D U /4- (.,:1- vl /Z G Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page I of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231014 PID Number: 051-721-09 Dwelling: MR Single Family (SF) R with ADU R Duplex (D) R Two Single Family Project: EJ New 5011 Upgrade Name MARION & KENDRA LEE C/O ARM SERVICES A RPTION FIELD Tr r�Eol DeTrench 171 Wide Trench EJ B:ed ;;ound Site Address 24928 THUNDERBIRD DRIVE, CHUGIAK, AK 99567 Other Phone Number of Bedrooms Sail Rating depth fLpKoriginal grade 907-688-9433 4 SF :�5 JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert fr Je-41IGravel depth beneath pipe Ft. Subdivision Block Lot THUNDERBIRD HEIGHTS 2 5 Fill added above original gr '11� Ft. Gr I length I Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dist between lines Ft, SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total gKorption area Number of trenches Dist. between From Tank Field Tank Line Ft2 Well PUBLIC PUBLIC PUBLIC N/A TANK 9 Septic A S.T.E.P. 0 Holding [:1 Other Manufacturer INFILTRATOR SYSTEMS Capacity 1530 Gal, Surface Water 100'+ EXIST. 100'+ Material Number of compartments Lot Line 5'+ EXIST. 5'+ NA PLASTIC 2 Foundation 10'+ EXIST. 10'+ LIFT STATION Manufacturer Capacity Remarks INFILTRATOR SYSTEMS 1530 Gal. Alarm location INDOOR Electrical installed by Installer PIPE MATERIAL House to lank D3034 Tank to 1785 drainfield ARM SERVICES Drainfield EXIST. C01MT EXIST. Inspector GEG CONSULTANT, DAVID GARNESS BENCH MARK (Assumed elevation) 100.00 ft Inspectetion is, 5/23/23 Location and description das: �d 2 31d - 4111 BOTTOM OF TRIM AT POINT "A" ON -SITE WATER AND WASTEWATER SECTION APPROVAL —F—Engineer's stamp Conditional Approval: Date 0 ...... . ................... Septic System Approved Date kt. J "r\ey A. Garness.-' 7 5� p0 �Pr�ap V Note: this does approval not include well permit requiremenis. #AECC884N"fess'0` I_ tNev =uziio) 11 PERMIT NUMBER: OSP231014 A B FCO 3.5 23.3 MH1 24.3 21.2 MH2 31.7 21.8 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. EXISTING 1997 NEW IM-1530INFILTRATOR STEP TANK WITH TWO (2) DISTRIBUTION LINES. INSTALLED BALL VALVES IN MANHOLE TO CONTROL FLOW TO DRAINFIELDS — NOTE: THE OLD STEP TANK WAS DECOMMISSIONED PER UPC PER THE CONTRACTOR i NOTE: THE CONTRACTOR HAD THE 200-FOOT RADIUS FLAGGED FROM THE WELL CASING LOCATED ON THUNDERBIRD HEIGHTS; TRACT C BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. RECORD DRAWING i INSTALLED NEW 1.25" SCH. 40 PVC r PRESSURIZED LINES FROM STEP TANK TO / I DRAINFIELDS PER THE CONTRACTOR r EXISTING 2002 DRAINFIELD Ir PARCEL ID NUMBER: 051-721-09 K , .,. . • APPROX. WATER SERVICE LINE �. • =.' . LOCATION PER LOUIS A BUTERA, / P.E. 2002 RECORD DRAWING / hr SHED � TARP EXISTING 6' CASING. THIS IS \ NOT A PUBLIC WATER SOURCE \ PER ADEC AND THE WELL IS BELIEVED TO BE FILLED IN PER ADEC AND AWWU. / I \ � r I 1p0, �(pD%US i ' r I l Lu \ I r co \ ' I\ N \ \ i SCALE: 1"=40' I / ,OwS ENGINEERING SALES CONSULTING „. _u._...._ 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, ALASKA - PHONE (907) 337.6179' WEBSITE: www.gameswngineorMg.00m PREPARED FOR: PHONE NUMBER: PAGE NUMBER: C/O ARM SERVICES 907-688-9433 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: THUNDERBIRD HEIGHTS; BLOCK 2, LOT 5 J.L.M. TYPE OF WORK: DATE: RECORD DRAWING OF STEP TANK UPGRADE 6/9/2023 1l I 41, LICENSE �� tiriSi** * #AECC884 PERMIT NUMBER: PARCEL ID NUMBER: OSP231014 RECORD DRAWING 051-721-09 UL LISTED INTERIOR ALARM —UL LISTED DEMAND DOSE CONTROL PANEL FINAL GRADE = 99.30-99.31 --- I —TOP OF MH2 = 99.54 TOP OF MH1 = 99.52 TOP OF TANK AT INLET = 95.43— INVERT OF PIPE OF INLET PIPE = 94.82— IM-1530 GALLON TWO COMPARTMENT INFILTRATOR TANK- 2" OF INSULATION GOULDS PE51M INSTALLED BALL VALVES (X2) TO CONTROL FLOW TO 1997 DRAINFIELDS AND 2002 DRAINFIELD PER THE CONTRACTOR. TOP OF TANK AT OUTLET = 95.41 PER THE CONTRACTOR, INSTALLED TWO (2) DISTRIBUTION LINES. ONE TO 1997 DRAINFIELDS AND THE OTHER TO THE 2002 DRAINFIELD . WEEP HOLE —HIGH WATER FLOAT START FLOAT FLOAT PROPOSED PUMP TANK FLOAT SETTINGS INFILTRATOR TANK MODEL IM-1530 TOTAL CAPACITY 1787 GALLONS WORKING CAPACITY 1638 GALLONS INLET INVERT 47' HIGH WATER FLOAT 33" -41" START FLOAT 32" "40" STOP FLOAT 32" '40" FLOAT LEVELS ARE FROM BOTTOM OF PUMP (-MEASUREMENT FROM BOTTOM OF TANK), NOTE: MEASUREMENTS ARE WHERE THE FLOAT WIRE ATTACHES TO PIPING WITH A 3.51NCH TETHER FROM PIPING TO FLOAT (PROVIDES 3' OPERATING RANGE). ALL FLOATS MUST BE NARROW ANGLE FLOATS. ENGINEERING � SALES- CONSULTING -ma,. 3701E TUDOR ROAD. SUITE 101 'ANCHORAGE. ALASKA ' PHONE 1,907) 337-6179 ' WEBSITE. www.gamc=rg neerhg cam PREPARED FOR: PHONE NUMBER: PAGE NUMBER: C/O ARM SERVICES 907-688-9433 3 OF 3 PROJECTILEGAL DESCRIPTION: DRAWN BY: THUNDERBIRD HEIGHTS; BLOCK 2, LOT 5 J.L.M. TYPE OF WORK: DATE; DETAIL OF IM-1530 INFILTRATOR STEP TANK 6/9/2023 F A P'\� ....I :.Y .......... , . . .......... t ........... io ffr yA:-. ame s..�w �1 'J,': E779 3 .� LICENSE �+� slESS(e�++ ~ #AECC884 RKr' Rising Son Electric Services LLC. 10007 Lee St. Eagle River, AK 99577 (907) 622-6777 October 13, 2023 Re: 24928 Thunderbird Dr. Chugiak, AK 99567 To whom it may concern: The lift station at the above referenced address has been wired in accordance with NEC and State/Local codes. Thank you for your business. Sincerely, Dakota Keller, Owner Administrator License Number 2o65 Specialty Contractor license Number 38497 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231014 Work Type: SepticTank Upgrade Tax Code Number: 05172109000 Site Legal Address: THUNDERBIRD HEIGHTS BLK 2 LT 5 G:1865 Site Mailing Address: 24928 THUNDERBIRD DR, Chugiak Owner: LEE MARION & KENDRA Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: n lleir�rtment 2/23/2023 2/23/2024 26614 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Reeeived- : Issued By: fit/ Date: Date: 2/-Z 3�2 3 4 MUNICIPALITY -OF Development Services Department _ On -Site Water & Wastewater Section Parcel I.D. 051-721-09 ANCHORAGE ON-SITE SEPTIC/WELL PERMIT APPLICATION Phone: 907-343-7904 Fax: 907-343-7997 Property owner(s) MARION & KENDR LEE C/O ARM SERVICES Day phone 907-688-9433 Mailing address 24928 THUNDERBIRD DRIVE, CHUGIAK, AK Site address 24928 THUNDERBIRD DRIVE, CHUGIAK, AK Legal description (Sub'd., Block & Lot) THUNDERBIRD HEIGHTS; BLOCK 2, LOT 5 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) Absorption Field ❑ Initial ❑ Septic Tank Z Upgrade 0 Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: TYPE OF DWELLING: Single Family (SF) El (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: o_ ` Waiver Fees: Date of Payment:a II f o2oa 3 Date of Payment: Receipt Number: 4«6_3C Receipt Number: Permit No. OS h 310 Waiver No. ! GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application,doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231014, Deb Wockenfuss, 02/22/23 Jody Maus From: Pletnikoff, Chris C (DEC) <chris.pletnikoff@alaska.gov> Sent: Friday, February 10, 2023 2:02 PM To: Jody Maus Cc: Jeff Garness Subject: RE: Thunderbird well??? Hello Jody, It could be this: 88 118 aLaa k:., -)v . I found that using WELTS online map, which has a old well shown at that approximate location. The log shows the correct tract and block number. I found a reference to MOA Thunderbird Heights public water system in our data base with a PWSID# 211156, with samples at late as 1995, and the owner listed at the MOA with a Birchwood address. It's likely that AWWU's record drawings 19069, 5751, or 20955 (numbers on the grid maps refer to record drawings) might show the well on their drawings. When I used to do research on their files, I would also check adjacent drawing numbers (19068, 67, or 70, 71, for example). It's likely the drawings might note whether the well has been properly decommissioned — and it's likely the City or AWWU might have that record on file. What is sounds like to me, from limited research, is that this was a well that was used for a PWS in the past, and is not active. 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Box 196650 Anchorage, AK 99519-6650 Page 1 of 2 www ci anchorage ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW020203 PID Number: 051-721-09 Name MICHAEL RISCHOFF Wastewater System: [] New [] Upgrade 24928 THUNDERBIRD HEIGHTS. LOT 5. BLOCK 2 ABSORPTION FIELD LEGAL DESCRIPTION 1.2 o,o~,' 3.6' 2 5 THUNDERBIRD HEIGHTS 1.6' ,,. 2' T10N R~W SEC. 25 2' ,, 5:2' Wetl: [] New [] Upgrade c...e..,~ .,,.~. .* ,,.. NO WELLS ~,.I ~*520 ~' ASTM 3034~ SCH 40 PVC F, MIDNIGHT SUN EXCAV. 713102 ""c*~ I"""~ s"'' ,,. Ic'~'~"'~'~'' ~'~''= ,, TANK SEPARATION DISTANCES r-I septic r"l Holding [] S.T.E.P. [] Other: T~ TO Septic AOsoq3tion lift Holding 3ubliCJPnvate, M~a,:t~- Tank Field Station Tank Sewer Line EXISTING ~, NIA N/A N/A N/A +100' +100' NIA NIA ~ / LIFT STATION ~,. N/A +10' NIA NIA V ~"'EXiSTiNG ~ NIA +10' N/A N/A/'~ *...oo.',~. ....-~ ~..., c,.'~ ~,.,- N/A +100' NIA N/A / FIELD AND FLOW LINES INSULATED WITH 2" DOW BLUEBOARD BENCH MARK FIELD EXTENDED TO 52', 118" ORFICE HOLES IN 1.25' PVC NW BOTTOM OF HOUSE SIDING. EFFLUENT LATERAL @ 1.2' SPACING. EXISTING LEACHFIELD FROM 1982 WAS EXCAVATED OUT AND 2' OF SAND PLACED IN 100.00' Inspections performed by: E.R.E.S, Dates: 1" 71312002 ~,~~o 2"~ 7~3~2002 ~).~ ~ ~u)~ ~.e~n :.~. Development Services Departrrj.ent ~pproval - '~:"g>*'"e .. CE~73~ ..' .ev,ewed and pproved Date: ? q-O Permit No. SW020203 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: 345-4744 On-Site Wastewoter Disposal System and/or Well Inspection Report Legal Description: THUNDERBIRD HTS, LOT 5, BLOCK 2 PID No.: 051-721-O9 89.03' S 89'51'11' W c~ ,q. 33 PRESSURE PIPE CLEANI3UT SW1NG 'DES A-C - 43.9' B-C - 18.0' A-D - 74.1' B-O - 32.6' A-E m 44,6' B-E - 56.4' B-G - 41.0' F-G - 25.0' sa - TEST HOLE · - MONITOR TUBE o - SEWER CLEANOUT ~ - KEYBOX EASEMENT ~ - LEACHFIELD ELEVATIONS (NOT TO SCALE) 91.1' Scale 1"=50' 7/8/02 [N~N~ER'S SC^L / , N 89'5~.'L1":"£ 145.39' ~ ~.-~-~m~cs ,.~?. / ~/ ..'" .. ' I_%1 ~ I I~ 89.03' ' s 89'5~'~r' ~v ~ ~:.... ASBUILT SURVEY LEGAL: THUNDERBIRD HEIGHTS LOT 5, BLK 2 OWNER: BAKER , CONTRACTOR: N[A , JOB~ 97-010AB/DATE: 03/18,/9~ SCALE 1" : 40' EAGLE ~VER ENGINEERING SERVICES EAGLE RIVER, A~ (907) 694-5195 FAX: (907,) 694-3297 MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 02, 2002 Expiration Date: Jul 02, 2003 Permit Number: SW020203 Legal Description: THUNDERBIRD HEIGHTS BLK 2 LT 5 Design Engineer: 0024 Eagle River Engineering Services Owner Name: Michael Bischoff Owner Address: 24928 THUNDERBIRD DRIVE ANCHORAGE, AK 99567-5133 Parcel ID: 051-721-09 Site Address: 024928 THUNDERBIRD DR Lot Size: 26614 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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 ceiling (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. EXCAVATOR SHALL REMOVED ALL SEWER ROCK FROM THE ABSORPTION FIELD CONSTRUCTED IN 1982 AND REPLACE WITH A PIT RUN SAND WITHIN 10 FEET OF THE PROPOSED WASTEWATER SYSTEM. Received By: ~~ Issued By: ~ Date:. ,,,~- -~ --~'~*.- Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 1~665D Anchorage, AK 99519-6650 www. ci. anchorage.ak.us (g07) 343-7904 ON-SITE SEWERJ~VELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D.. (~ 5"/- 7 e.3,,' - o ? Permit Number .SWO Z O Z O~, Prope~y owner(s) Mailing ad~ress (1) Mailing address (2) Legal description (Lot, BI,ock & Sub'd.) Legal description (Section, Township & Range) Lot Size J - / -~-~'-~ ~q~"/S~.Ft.~ THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pocl Therapy Pool [] Day phone Zip Code Number of Bedrooms Well Only [] Water Storage [] Jacuzzi Water Softening Unit I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is,.,~'r/~tordance with applicable Municipal Codes. 'S~ n tur f ~ ,, ~e ~.,' own erC ~,)~ed ag -nt) PermitFees: ~ 0 0 '4' I..C"' O I~,~ J\ Wa~er Fees: Date cf Payme.-.t: ~ - .,2. ~ -- 0 ~ O~,te of Payment: Rece!ptNum~'er: .~ ~ O ") "") (R.~'I. IZ'C0) Receipt Number. Eagle River Engineering Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax June 27, 2002 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 995 ! 9 Re: Lot 5, Block 2, Thunderbird tleights Narrative & upgrade Permit Application Dear Mr. Cross: The proposed septic system upgrade will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance. 3. Reserve space is adequate, due to soil absorption capacity, this is an upgrade and the lot has public water supply. 4. Drainage will not be affected by this upgrade and is not a major consideration in our design. This is an upgrade of an existing system with no increase in total bedroom amount where the ieachfield has partially failed. The existing leachfield passed for a total of 355 gallons calculated per day based on adequacy testing where the liquid level started at 20.5" in a 24" gravel depth field. We will be utilizing the septic tank/lift station installed in 1997 and providing a leachfield in the area shown on the site plan. Due to the tank being installed in 1997 we are not inspecting the tank integrity. The leachfield is being located in the best available area which is along the North lot line and parallel to the lot line. This will require a ~vaiver of lot line setback to 2' distance. This area is the only practical location for the leachfield on the lot as the old 1982 leachfield is located in the area between the driveway and lot line as sho~vn on the plot plan. We are closer than 10' to this leachfield but this leachfield has not been in use for 5 years and excavation into the leachfield has sho~vn that it is dry and has no biomatting. Area to the south of the house is fairly wet. Water table was monitored in a new test hole at 8.5 feet which corresponds to our previous monitoring effort which showed a seasonal high after several months monitoring at 8' depth in the nearby 1997 test hole. We are therefore designing at the 4' total depth level. This upgrade will not affect the adjacent lots reserve area or ability to upgrade. If you have any.. questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. ~2002\02-021 N~.DOC ,:. LOT 4 LOT 5 ~ ~ ~ ~33 I ~ ~ - TEST HOLE ' · - MONITOR TUBE o - S~[R CLaN O~ S 89'51'11' W S~ + - K~BOX NO WELLS PUBLIC WATER SUPPLY ..... ~EMENT = .... PROPOSED L~CH FIELD NO SURFACE WATER ~- EXISTING L~CH FIELD NO KNOWN CURTAIN DRAINS ~- DR~WAY S E PTI C U P G RA D E S IT E P LA N LEGAL: THUNDERBIRD HTS, LOTS, BLOCK 2 OWNER: BISCHOFF ~w..- _ A ".y~ A EAGLE RIVER ENGINEERING SERVICES ~¢ '.LOUISA. BUKRA. EAGLE RIVER, AK. 99577 ,t~ __ (907) 694-5195 FAX: (907) 694-829~ Eagle River Engineering Services Louis Butera, 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 UPGRADE LEGAL: Lot 5 BLK 2, THUNDERBIRD HTS July 1, 2002 A. GENERAL I. The septic system upgrade plan is for a 4 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 tlealth 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 Ibe 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 Envirunmental 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 I. Existing septic tank/lift station to be utilized. Effluent line is to be 1.25" pvc sch.40 pipe tied in to the existing effluent line and run to the upgrade leachfield. Orifice holes to be I/8" diameter drilled at 1.2' spacing to match existing system installed face down with orifice shields. C. TRENCtl I. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The botxom oftbe trench shall be level, plus or minus 1.5" and located at 4' below top of 10' ground water monitor tube (with extension tube removed). 3. The total depth ofthe trench excavation is not to exceed 4' at any point. 4. The existing leachfield installed in 1982 is to be located, all old leachgravel is to be excavated out and a pit run sand is to be placed in the excavation in all areas where the old leachfield is within 10' &the new leachfield excavation. 5. The trench gravel is to be covered with typar fabric material. 6. A combination of 2' soil and 2" extruded board insulation to an equivalent soil depth of+3' is to be , placed over the leachfield. 7. The area over the trench is to be finish graded to prevent ponding ofsurface water runoff. 8. The septic tank and leachfield 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 DEPTtl -- 4' GRAVEL DEPTlt = 2' under pipe, 2" over pipe TRENCH LENGTH = 35' TRENCll WIDTll = 5' SOIL RATING = 1.2 GPD/ft: BEDROOM CAPACITY = 4 total (2 equivalent this upgrade) Twenty-four (24) hours notice required for all inspections. \~res~locs\WPDOCS~.002\02-02 ITrcnch- spec.doc EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 02-021 Calculated By: LB Date: 6/25/2002 Legal: Thunderbird Hts Single Family 2 Bedroom Dwelling TEST HOLE 1 Shallow Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 300 gallons Percolation rate = 3 minutes per inch Wastewater application rate = 1.2 gallons per day persquare foot Required absorption area = 250 square feet Trench width (W) = 5 feet Gravel depth (D) = 2 feet Required length -- Shallow trench factor" Required absorption area/W Shallow trench factor = (VV + 2) / ON + 1 +2 D) Shallow trench factor = 0.70 TotalExcavation Depth = 4.0 feet Required length = 35 feet 02-021cal trench 2br,xls 4:10 PM6/25/2002 Municipality of Anchorage Development Services Depar~ent Budding $afe~/Division On-Site Water and W~ter P~ 4~ ~ 8mg~ SC P.O. Box 19~ ~o=ge, ~ 9951~650 Soils Log - Percolation Test 2. 8- ri *t 9- 7, 10- 11- 12- 13- 15- 17- 18- 19- 20- CCMMENTS I - / / / Reading Date Gross T~rae Net Ta'~.e ~ Depth to Water Net Drop I , l:~Z.l~ y'3v 2 " t:~.~ ~0~;n ~'~" ~ ~ ' ~:5~.~ ~'5'/ ~ ~ ,O:d~.O0 ~" pc. RCCLATtON RAT~. _3, tme.~a,~c~) PERC HOLE ObXME'r~R PE~FCRME'OEY: Fa ~° ~, ~,' t ~~"'"~--'"' CERTIF't'THATTHISTESTWAS PERFC~MED IN ACCCR"~ANCE ','%qTH ALt. STATE AND MUNICIPAL GUI~EUNES tN E.=FECT ON THIS BATE. DATE; To Whom It May Concern: I am the owner of lot 4 block 2 Thunderbird lleights and have no objection to the location of the neighboring leach field proposed for Mike Bisehoff, Lot 5 provided that the following observations are understood and accepted within the design parameters of the project. The water table described at eight feet at your test well is about 8 inches underneath the soil level of my crawl space. Above that point there are two drain systems that I found necessary to install in about 1995, a Finn drain that completely surrounds the outside perimeter ofthe foundation wall and a French drain that runs the length ofthe crawl space. The combination of these two systems are gravity fed to the down slope NW comer of my lot and have removed the i2-16 inches ofstanding water that occurred at one time in the crawl space. It is my be~x[ guess that any additional water added to the existing water table would be negligible however for the purpose of making responsible and informed design choices I thought that it should be mentioned at this point. Beyond the possibility of impacting this system I have no objection and am willing to take the risk of such as long as it is understood that if there are resulting surprises related to this that parties other than myselfwould correct them. Sincerely J. Fo ~/' ~on~Jr. .Municipality of Anchorage Development Services Department Building S~d'c~y Division On-Site Wa~' ~nd Wa~ewme~' Pmgnun 4700 Brngaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorag¢.nk.us (9o7) 343.79o4 Waiver Review Worksheet VVR/t: 020035 PID~. 051-721-09 HA~: Permit~. Date Received: 0129/02 Legal Desc~ption: Th~Joclerblrd Helahts Block 2 Lot $ Engineer:. Eeale River Enalneeflna Services Applicant: Michael Blschoff Waiver Requested: 2 feet from absomtlon field to north ProPertY line Criteria: Geo~ngy A. Water Table B. Soll Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Points: Total: Waiver le Granted: ~X/ Waiver Is not Granted: Ust Conditions or Reasons for above: ~ ff E FA/(,.I~EI~ '.T ,,~T/'/a~'A/ E D L L= ff E E 0 ~. Name of Reviewer Rec~: 22027 Amount: t50.00 Date Paid: 71112002 Municipality of Anchorage George P. 1Vuerch. Mayor Building So/cry Division P.O. Box 1~}C,50 · 21700 $. Bragaw $trcct ~'mchoragc, Alaska 99519-66.50 * (907) 3-~3-8301 h t t p://www.cl.anchoragc.ak.us 7/222002 Lou Butem P.E. Eagle River Engineering Services PO Box 773294 Eagle River AK 99577 Subject: Waiver Request for Thunderbird Heights Block 2 Lot 5 Waiver Request #WR020035 Parcel ID t/05 !-721-09 Dear Mr. Butera: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 2.0 feet. This waiver approval applies to the existing absorption field to property line 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 uny further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Daniel J. Roth Civil Engineer On-Site Water & Wastewater Program Municipality of Anchorage Page I of ~' 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 Permit Number: ~/'¢/~ ~¢~3~' PID Number: O.¢-I-- ~ J --~ Name: ~,'~ E,.~.// ~.. ~.~.&,.~<~ Wastewater System: D New ~Upgrade A~,..: ~ ~x E/ ~1~-~,/~z, ?~ ABSORPTION FIELD LEGAL DESCRIPTION so, R...=:/. ~ ~.D~sq ~, IT°'"'='"'""°' o.=,..,=.~.:  3epth to p,~ ~ffom ~om ~ginll graOe: IG~vel depth ~e~aath Lot: ~ Bl~k: ~ Su~ivision: A ~ WELL: ~-~ ~r~Upgrade Oravel~:~;~T~l~ r~ ~ ~ ,, N~'~r°'m'"": OnUen ~~ ~St~t"c Wa~er L~em:~t. mn~tamle~ Date in~ammed:?_l~ -~ / SEPARATION DISTANCES a Se~ti~ m.o~a S.T.E... Well ~ ~ M~ Number of Compa~ments: su,.C.w.t.~ ~ +/-~' +~' / '~' LIFT STATION Line ~ ~ J O / Size in gallons: Manufactuten Drain ~ ~A ~ o~ ~,~ ~/~?~/~ BENCH MARK Remarks: ~c~ ~/,'F /~T~ ENGI~'~ SEAL /~;~/_~ . ~?e-~- ~< ~,~-~ /~ W*~ /'~ ~, .~ OF AL'2tt. Inspections pe~ormed by: ~RE3 Dates: 1st ~-/2-~? Oep.,men, o, Se.,c. Reviewed and approved bT:~ Date: Permit No. SW970036 Page ~-. of -~- Municipolity of Anchoroge DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchoroge, Alosko 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Thunderbird Heights Lot 5 BIk 2 PID No.: 051-721-09 N 89°51'1l" E 145.39' / il 89.03' ~9°~1'11'' W ~33' 5WING TIE5 A-C - 43.9' B-C - le.0' A-D - 74.1' B-O - 32.6' A-,E - 44.6' B-e - 56.4' ~ -- TEST HOLE · - MONITOR TUBE o - SEWER CLEANOUT + -- K~OX EASEMENT ~ PROPOSED I..F..AC H FIELD m- EXISTING LEACHFIELD $cole 1"=50' 5/19/97 ENGINEER'S SEAL .. DEPARTMENT OF HEALTH AND HUMJ~N SERVICES . ON-SITE WASTEWATER DISPOSAL SYSTEM (UPG~DE) PE~IT PERMIT NUMBER:SW970036 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:BAKER O JOHN & JOYCE F OWNER ADDRESS:24928 THUNDERBIRD DR EAGLE RI%ER, ALASKA 99567 DATE ISSUED: 3/18/97 EXPIRATION DATE: 3/18/98 PARCEL ID:05172109 LEGAL DESCRIPTION: THUNDERBIRD HEIGHTS BLK 2 LT LOT SIZE: 26614 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FoR THE CONSTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION }g3ST 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 (i8AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS:  HIS-PROPOSED~WASTEWATE~--SYSTEM~MAY'NOT~BE-CONSTRUCTED~AS! ESIG~ D~Ih GRO~ATER MONITORING IS F~RFO~4~ED THROUGH ~Y 15, 1997 ..... ; .......................... ~ ........... %IF CONSTRUCTION-BEG~ffS--~-I~-~-~MAY 15, 1997, ~AXIM~M TOTAL DEPTH OF THE DRAINFIELD SHALL BE 4 FEET,~ ~4E EXISTING sEPTIC TANK INTEGRITY ~L.L BE VERIFIED DURIN9, L ........ .--f ;_/'7 RECEIVED BY: DATE.' ISSUED BY: DATE: Eagle River Engineering Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax March 12, 1997 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Thunderbird Heights Lot 5, Block 2 Narrative & Permit Application Dear Mr. Cross: At this time we are requesting a conditional Health Authority Approval on the above referenced property, to allow house closing, based on the approval of the attached application for septic system upgrade. Construction will occur in the spring of 1997 when thawing ofpresently frozen ground allow excavation. Funds from the house closing will be escrowed to cover upgrade construction expenses. The proposed septic upgrade will have very limited impact on adjacent properties for the following reasons: 2. 3. 4. The surrounding lots are large, allowing sufficient room for septic sites. Immediate neighboring septic systems are all +30' distance. Reserve space is adequate, due to absorption capacity and public water supply. Drainage will not be affected and is not a major consideration in our design. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \ 199%97-010A-n^ R.DOC ~ LOT 4 1 UNBEVELOPEO LANO LOT 5 33' I TRACT C ~ - ~ HO~ NO D~V[LBPN~NT · -- MON~OR ~BE CLASS A V[LL O -- S~ER C~O~ PUBMC WATER SUPPLY ASAND~NED + -- K~OX NO SURFACE WATER NO KNOWN CURTAIN D~NS PROPOS[D ~CHRELD ~- EXI~NG ~CHRELD SEPTIC UPGRADE PLAN LEGAL: THUNDERBIRD HEIGHTS LOT 5, BLK 2 OWNER: BAKER CONTRACTOR: NIA A EAGLE RIVER ENGINEERING SERWCES P.O. Boz 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 To: ~_ng!neeQn9 ~ervices R.O. BOX 773294 Eagle iRiver,I Alaska 99577 )ate: I Re: 694-5195 IF'AX 594-3297 : i i I i Total n~ be~' o pages ~ including this cover sheet' If you hLve I . ' apy. questions or if you ore missing any! pages please c~ll us[ at 694--5195, / ~5-15-1c~97 0?: l~C'M FROM E.R. ~gtneertng ~cs. TO IEAGLE RIVER ENGINEERING SERVICES iP.O. Bdx 773294 ~GLE RIVER, AK 99577 I (907) 694-5195 .! | ; l I I I ~ P, O2 TOT~ P. 02 Eagle River Engineering Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SYSTEM LEGAL: Thunderbird lleights Lot $, Block 2 03110/97 A. General 10. B. 1. C. I. 2. The septic plan is for a single family residence only. The drawing and/or site plan shall be a part of this specification. All materials and workmanship shall meet the Anchorage Deparlment of Ileahh (DHHS) requirements. All soil tests are advisory to the design and are to verified or modified in the field by the Engineer. All excavations and depths are advisory and are to be verified in the field by the Contractor to meet MOA-DHHS requirements. It is the responsibility of the Owner to obtain all necessary permits or easements and to locate any adjacent muhi-family wells. It is the responsibility of the Contractor to secure all utility locates prior to construction. The excavation is to be exactly in the area shown on the site plan, any deviation requires Engineer approval. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. Any remaining open test hole excavations shall be filled and graded. Septic Tank The existing septic tank shall be retained, in place, undisturbed. Leach The bottom of the leach shall be level, plus or minus I.$". The total depth of the leach excavation is not to exceed 6' depth in relation to ground surface at test hole. The sewer line is to replace the existing sewer line that leads to the existing leaching system, or be tied in with a diversion valve to allow leachfield switching. The effluent line in the trench shall be laid level within 0.0Y. The leach gravel is to be covered with typar fabric material. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. The area over the trench is to be finish graded to prevent ponding &surface water runoff. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200' to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH = 6' GRAVEL DEPTII -- 2' under pipe, 2" over pipe LEACH LENGTH = 70' LEACtl WIDTH = 5' SOIL RATING = 1.2 gpd/sf BEDROOM CAPACITY = 4 Twenty-four (24) hours notice required for all inspections \1997~97-010a-spc.doc PERFORMED FOR: LEGAL OEECRIPTION:, Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST OATE FERFORMED= '~~~.../~/,J,,y~.. //7'.~ Z~--~.2 Township. Range, Section: I 2, 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- . 17- 18- 19- 20- COMMENTS ELOPE StTE PLAN IIIIIII1 ,11 I WAE GROUND WATER ENCOUNTERED? S DEPTH?IF YEE. AT WHAT II,..l" / I~G.: P £ PERCOLATION RATE ~'* ~ (m,nuter~mc~) PE~C HOLE DIAMETER TEST RUN BETWEEN ~-- FT AND ~ FT PERFORMED BY: I ~___~. ~a~'"-'~ ' CERTIFY THAT THIS TEST WAS PERFORMED ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~"/o~. -- ~'~ DEPARTMENT OF HEALTH & HUMAN SERVICES 8~ "L" Strut, Anchorage, Al~ka ~502~6~ SOILS LOG ' PERCO~TION ~ST ~ERFORMEO FOR: ~ ~ 4- 5- 6- 7- 8- 9- I0- 11 '.:.~ 14 - · :' 15- 16- · 17- SLOPE SITE PLAN 18- · COMMENTS /HAT I PERCOLATION RATE ~.° ~" Immutls,'mctl) PE,c~C HOLE DIAMETER TEST RUN BETWEEN ~ FT AND ~FT PERFORMEO EY: ~"/~ ~J"' ! ~'~- CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATF- DATE. O & E ENL.,NEERING & DEVELC, 'MENT CO. Box 90. Davis St.. Eagle River. Alaska 99577 694-2774 or 688-2280 Ruuell Oyster ..... . . ,, . · · ,* ~.. , '. ~,,~ ~-,'-~ "t ", ','. " ' '~ \ ". ' ' 688-2280 694-2774 .~, ..'.' ,.,, : ,.' '~ ~ , SOIl;LOG ;' ,, EarlEIlls Performedfor: Name' .~..~.--~ ~,,,.,:.-~,/ ~-. ~/z',,.3~',,~,%, ~--~"f',' ,'"~,-,~"~- · Tel. No. Mailing Address: , · Legal Description: L~:)--r- :~'., (~z-OE./c_ ~ "-/---,-,-,-,-,-,-~-~.~'xJ~-~c",g,~/~p . ,~.r',~, ,, Depth (feel) Soil Characteristics 2 --..~ ~-;4 5 6 7 8 9 10 PLOT PLAN 11 12 13 14 15 16 Ground Water Encountered: Proposed Installation: Comments: Yes /,-""No If yes, what depth ~ Seepage Pit Drain Field ~ ' PERC. TEST Performed by: ~======~--~ Date; ~'--~'- ,¢~L-.f'. EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 97-010 Calculated By: LB Date: 3117./97 Legal: THUNDERBIRD HTS. LOT 5 BLK 2 Single Family 4 Bedroom Dwelling TEST HOLE Shallow Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 600 gallons Percolation rate = 2.25 minutes per inch Wastewaterapplicationrate= 1.2 gallons per day per square foot Required absorption area = 500 square feet Trench width 0N)= 5 feet Gravel depth (D)= 2 feet Required length = Shallow trench factor * .Required absorption area / W Shallow trench factor = (W + 2) I (W + 1 +2 D) Shallow trench factor = 0.70 Total Excavation Depth = 6.0 feet Required length = 70 feet SINGLE FAMILY ON-SITE WORKSHEET ERRS PROJECT NUMBER: 97.010 CALCULATED BY; LEGAL DESCRIPTION: THUNDERBIRD HTS. LOT 5 BLK 2 NUMBER OF BEDROOMS: 4 WATER USE PER BEDROOM: 150 PERCOLATION RATE: 2.25 DEPTH TO GROUNDWATER: 11 DEPTH TO IMPERMEABLE LAYER: ~2.5 ANTICIPATED DEPTH OF COVER; 4 MOUND OR BED SYSTEM WASTEWATER APPLICATION RATE: ABSORPTION AREA REQUIREMENT: MINIMUM BED LENGTH 12 FEET WIDE BED 15 FEET WIDE BED TRENCH SYSTEM WASTEWATER APPLICATION RATE: ABSORPTION AREA REQUIREMENT: SHALLOW TRENCH OPTIONS 5 FEET WIDE TRENCH LB GALLONS MINUTES PER INCH FEET FEET USABLE SOIL STRATA FEET TOTAL USABLE DEPTH: USABLE SOIL STRATA DEPTH: 0.8 GAL/SQ.FT 75O SQ.FT 63 FEET 50 FEET 6,5 2.5 f.2 GAUSQ.FT 500 SQFT DEEP TRENCH OPTIONS 3FEETWIDE TRENCH EFFECTIVE REQUIRED TRENCH EFFECTIVE REQUIRED TRENCH DEPTH (FT) ENGTH (FT) DEPTH (FT) ENGTH (FT) 1 88 4 NA 2 70 4.5 NA 2.5 64 5 NA 3 NA 5.5 NA 3.5 NA 6 NA 4 NA 7 NA 8 NA 9 NA DESIGN SPECIFICS FIELD SYSTEM; GRAVEL DEPTH: · TRENCH OR BED WIDTH: LENGTH: TOTAL EXCAVATION DEPTH: S (B=BED, S=SHALLOWTRENCH & D=DEEP TRENCH) 2 FEET 5 FEET 7O FEET 6.0 FEET ~"--~ MUNICIPALITY OF ANCHORAGE I ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL DESCRIPTION LOCATION ~~ DISTANCE 3 ~ ~ O Ahsorptron a Manufacturer DISTANCE IF HOMEMADE: Inside length~ Well Dwelling IPHONE I [~NEW r~ UPGRADE NO. OF BEDF Dwelling ~_~.~. /, PERMIT NO. No. of compartments Width ~ Liquid.depth_ PERMIT NO. DISTANCE TO: Well No. of lines Top of t~le to finish grade Well )ISTANCE TO: DISTANCE TO: Depth toundetlon OTHER PIPE MAT ERIA L~(~ ,..~ SOl L TEST RATING Materiat beneath tde Depth foundation Driller Sewer I~ne Nearest lot h , Trench width PERMIT NO. line D~stance to lot hne PEr'MIT Septic tank Absorption area(s) tlon area 72-013 (Rev. 3/78) r-IUN I C I¢"',RL I T'~' iZ~F DEPRRTMEMT '~ HERLTH Rf.lO ENVIRONMENTRL . ROTECTION 825 'L~ STREET, RMCHORRGE, RK. ~9581 ~ 264-472~ Of'.l--5 I TE SEI4EF: PERr"I I T ~RR BOX 6ie5 L5 B2 THUNDERBIRD ~%. LOT PERMIT RPPLICRNT LOCRTION LEGRL 22000 SQURRE FEET TYF'E OF SOIL RE:SORPTIOM SYSTEM IS: DRRIMFIELD MR,?.IMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT?BR)= 8.5 THE REQUIRED SIZE OF THE SOIL ABSORPTION S~r'STEM IS: DEF'TH= 4 L E !'4 ¢-.~ TH = 6E~ ORR',.,' EL DEPTH= -1 THE LENGTH DIMENSIOH IS THE LENGTH (IN FEET) OF THE TREMCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRHCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRYRTION (IN FEET). THE TRENCH IqTDTH IS 5. EIEIEi FEET. THE ORRVEL DEPTH IS THE MIHIMUM DEPTH OF GRRVEL BETHEEH THE OUTFRLL PIPE RMD THE BOTTOM OF THE EXCRVRT!ON (IN FEET). F'EL-~-LI I REIS', _C;EF'T I C TRI'-II--~- c.. I -~'E -1256'~ GRLLOt-ic--· PERMIT RF'PLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEF'RRTMENT DUF:ING THE INSTRLLRTION INLS, PECTIONS OF RMY HELLS RDJRCENT TO THIS PROPERTY RND THE NUME:ER OF RESIDENCES THRT THE HELL HILL SERYE. TI.-I6~ < 2 -", I I'-.ISPEC:T I Or-.IS lIRE REQ. I_I I RED BRCKFILLING OF RMY SYSTEM HITHOUT FINRL IHSPECTION RND RPPRO',/RL BY THIS DEPRRTHENT HILL BE SUBJECT TO PROSECUTION. MIHIMUM DISTRNCE BETHEEN R HELL RND RNY OM-SITE SEWRGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVRTE HELL OR :Z50 TO 200 FEET FROM R PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC HELL MINIMUM DISTRNCE FROM R PRIVRTE HELL TO R PRIVRTE SEHER LINE IS 25 FEET RND TO R COMMUNITY SEHER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIOMS RMD CO[~STRUCTION DIRGRRM5 RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. PERr-1 I T E,'--~ P I RE'c;. DECEr,IBER--'----"1-- -1982 I CERTIFY THRT 1: I RM FRMILIRR HITH THE REQUIREMENTS FOR OH-SITE SEHERS RHD HELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I HILL INSTRLL THE SYSTEM IH RCCORDRNCE HITH THE CODES. -?..: I UNDERSTRMD THRT THE ON-SITE SEHER SYSTEM MRY REQUIRE EMLRRGEMENT IF THE RESIDEHCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. RF'PL I~RNT GS}.. CONST Dele .~.e~ Date Inspector Inspector Inspector Comments Conditional Approval Date Sewer Installed Permit No. Septic Tank Size ~ ~ ~'~ Soils Rating Well TO Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER H. ALF ONLY Property Owner G. So [o Coast;ruction ) Phone MalllngAddress SM Box 6105-A3, Palaer, Ak 99645 7/*5-2.553 Buyer John & Joy'ce Baker Address 1820 Beaver PI., Anchorase, A~. Lendtng lnstttutlon Alaska Pacif:[c Bank Phone Address 10l W. Beneon Blvd., Auchoragn, Air. 99.503 276-3110 Realty co. & Agent Totem ~.ealt:y, lnc./~'illiam J'. Schlegel Phone Address 724 K. 15t:h Avenue, Anchorage, AK 99§01 272-0.~71 Loga~Deecrlptlon . Lot: ~,, Blk 2, Thunderbird Street Location ThunderB:l. rd Drive Type of Residence ~ Single Family r-t Multiple Family No. of Bedrooms [3 Other Water Supply F'I Individual A'I'~'ACH WELL LOG. A well log Is required for all wells drilled since June :Y~ community 1975. For wells drilled prior to that date, give well depth (attach log If ~ Public Utilit)~ available.) Sewage Disposal I ~] Indl¥idusl Year Individual Instal~: L3 Public Utility When Connected to Public Utll.lty: C] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ' ~ ' O & E EN~;NEERING & DEVELC?MENT CO. Ruuell Oyster 694-2774 Performed for:. Legal Description: Box 90, Davis St., Eagle River. Alaska 99577 694-2774 or 688-2280 Deplh (fe~t) SOIL LOG Earl Ellis 688-2280 Tel. No, ~-~'t¢"~/ '7 '~ ~'~-7 Soil Characterlstlcs ' ~--;4 5__ 6__ 7~ 8 9 10 11__ PLOT PLAN 12 13__ 14__ 15 16 Ground Water Encountered: Proposed Installation: Seepage Pit Comments: PERC. TEST If yes, what depth -.' ~;, Performed by: ~ ~{'~<~-( • • *G C.. e0i •1 c Municipality of Anchorage On-Site Water and Wastewater Program ' 6.v'i (907) 343-7904 SA ETV Certificate of On-Site Systems Approval Parcel I.D. 051-721-09 Expiration Date: 47. aC `I. 1. GENERAL INFORMATION Complete legal description Thunderbird Heights Block 2 Lot 5 Location (site address) 24928 Thunderbird Current Property owner(s) Michael and Kathleen Donley Day phone Mailing address Real Estate Agent D 19 7 77 X4 ' . ;,' 41,12. TYPE OF DWELLING: r\:')/\' ��'� ❑ Single Family (w/wo ADU) a ,..,-,,l 0 _ ",: 3 ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) �c hcu 5 3. NUMBER OF BEDROOMS: 4 ` 016819 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System 0 Public Sewer ❑ WaiverNariance request for: none Distance: Received by: Date:" /�/( COSA to be release. to the engineer,unless otherwise requested by the engineer. COSA Fee $ cif Waiver Fee $ Date of Payment tv Wig Date of Payment Receipt Number U qd J5pd Receipt Number COSA# O JC./7/P1 Ulo 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. Name of Firm C&M Engineering Phone 854-5558 Address 20182 Tulwar Engineer's Printed Name Charles Balzarini Date 5/24/18 ��°F A�..s�k Alirk� • �CV.• TH 4..--'••••57 10 6. DSD SIGNATURE r�•*• 4 •• _ 1` • •'l� �0 System #1 Approved for bedrooms • • 0 System #2 Approved for bedrooms CHARLES G BALZARIN(� r$ ci'''.. CE-13854 ....1/4 .e.'" Disapproved °i e.,�• ,/•ar•,F•� *. Conditional approval for bedrooms, with the followings r..;RAE $S10 6-1*- - : .�S S .2 tc ,►�c 1S at (yea VS CL. .ti— ve� y( cl/A,i) .���Oc AivCjy�k9 e'e 3 �P ���P�E v; •o `NPS OOkr. c R cNi ,c- • • nl�44Ci,rr cfo .. L —E1 Original Certificate Date: 6i - (O -I 0 � �. 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. a 7. ATTACHMENTS: . . . COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other • •_• - COSA blue sheet_t- . . If more than 1 septic system is on the lot: COSA Checklist# 1 of1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: THUNDERBIRD HEIGHTS B2 L5 Parcel ID:051-702-09 A. WELL DATA Well type PUBLIC If A, B, or C provide PWSID# -- Well Log (Y/N) -- Date completed -- Sanitary seal (Y/N) -- Wires properly protected (Y/N)-- Total depth -- ft. Cased to -- ft. Casing height(above ground) -- in. FROM WELL LOG AT INSPECTION Date of test -- -- Static water level -- ft. -- ft. Well production -- g.p.m. -- g.p.m. WATER SAMPLE RESULTS: Coliform -- colonies/100 mL Nitrate -- mg/L Arsenic -- ug/L Date of sample: -- Collected by: -- B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEP / STEEL Date installed 1997 Tank size 1500 _ gal. Number of Compartments 3 Cleanouts (Y/N) yes Foundation cleanout(Y/N) yes Depression over tank(Y/N) no High water alarm (Y/N) yes Date of pumping 9/26/17 PumperJRs C. ABSORPTION FIELD DATA Date installed 97/02 Soil rating or ft2/bdrm) 1.2 System type drainfield Length 25,51,52 ft. Width 5 ft. Gravel below pipe 2 ft. Total depth 4 ft. Eff. absorption area 885 ft2 Monitoring tube yes Depression over field no Date of adequacy test 4/6/18 Results (Pass/Fail)pass For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 6 in. Elapsed Time: 1440 min. Final fluid depth 0 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) none known If yes, give date na D. LIFT STATION Date installed 1997 Size in gallons 250 Manhole/Access (Y/N) yes "Pump on" level at 42 in. "Pump off" level at 40 in. High water alarm level at 46 in. Datum bottom Cycles tested 3 Meets alarm&circuit requirements?yes E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot -- On adjacent lots -- Absorption field on lot -- On adjacent lots -- Public sewer main-- Public sewer manhole/cleanout -- Sewer/septic service line -- Holding tank -- Animal containment areas -- Manure/animal excrete storage areas -- SEPTIC/HOLDING TANK ON LOT TO: Building foundation +5 Property line +5 Absorption field +5 Water main +10 Water service line +10 Surface water +100 Wells on adjacent lots+200 ABSORPTION FIELD ON LOT TO: Property line 2' Building foundation +10 Water main +10 Water Service line+10 Surface water +100 Driveway, parking/vehicle storage +5 Curtain drain +50 Wells on adjacent lots +200 F. COMMENTS Tank Is 21 years old and nearing end of useful life, but appears to be in good shape. Minor repairs made to FCO and lift station lid G. ENGINEER'S CERTIFICATION Q,F 141..,,7k I certify that I have determined through field inspections and kw,Q • �. .•4 4 review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. ,* •� TH• ••• * �� Engineer's Printed Name Charles Balzarini • • • • • • • • • • • • Date 5/24/18 /00 • • • •/- • RLES G BALZARINI F,• • CE-1385 .001 `k FD PROF ESS�O\ COSA canary sheet_2-6-15.doc MUNICIPALITY OF ANCHORAGE e)4 i M, Development Services Department - � Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Lift Station/Pump Vault Maintenance Log Owner k-16- r-/* Street Address P- 5 T t{v/v0 iZ ' /I;l�l> Septic Tank: •Sludge level 0 inches -Pumping: required es ig, •Pumping completed es no Lift station: •Pump basket cleaned a no •Effluent filter cleaned a no my •Control floats cleaned Y no •Proper float settings co irme s no •Operation satisfactory e no Alarm System: •Dedicated electrical alarm circuit A .s no •Audible and visual alarm inside dwelling yes,► no •Alarm system operation -s t acto / not satisfacto Manhole Riser •Ground water intrusion at riser to tank connection es o •Ground water intrusion around pipe penetrations es ' 0 •Weep hole functional e. no •Manhole lid: Functional no Insulated es no Properly Secured es no Other -All manufacturer required inspections and maintenance completed(yes '// no Comments: r/AN-I-OL-E 'FA$1£4./4P_S -12-ePt-AC&›. /l/O sv b C bR 7(9G i 1) S y n/ Vl ''1_ X51" 1,k/S(15 (fi2 L, cc:I A ( Q-1 7 ?.. Ac-,4 1 .i5 -tAv�12r' c vzS--r Lc yFr2e2vY1 2rsa' E < <; P4 E-( . 5 ©v I.1 iv a-_. Qualified Maintenance Provider: Technician C (i 5 Date of maintenance 7 /7// Company C�(/`'l C/✓ & -n/t.R N& - Signature 7 Date 4 /-7/ L Mailing Address: P. O. Box 196650*Anchorage,Alaska 99519-6650*www.muni.org Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and 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 SING~.E FAMILY DWELLING' Parcel I.D. 1. GENERAL INFORMATION Complete legal description T/, ~ ~o/e Location (site address or directions) Expiration Date:... Current Property owner(s) T~un~/e r~,; r~/ Dr;w 7-q-o 3 Dayphone o/~'~- ~'~20 Mailing address Lending agency ,5 -re ~,,=· ¢- -r, ,~/e -- ,4', ,.'-,,,Day phone Mailing address Real Estate Agent Mailing Address Unless otherwise requested. HAA will be held by DSD for pickup. Day phone p"5"'.¢- 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well [] [] [] TYPE OF WASTEWATER DISPOSAL: Individual On-site J~ Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations 9ivan in paragraph 5 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 sample results less than 30 days old. (Certifi~tes may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one ye3r for properties served by C:ass A or B wells or a public water system. The Municipalib/ of Anchcrage 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 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 .a~d type of structure indicated herein. I further verify that based on the information obtained from the Municipati~y;of Anchorage files and from my investigation and inspection, the on-site water supply and/or waste~.a,{~'.,disposal system is(are) in compliance with all applicable Municipal and State c~de~_; .d!dinances, .an...~,e~.~g.~lat ons in effect at the time of installation. , ' ~ · .'. ~ , " ~'~.~F-ne of Firm ]~al~le River ]~n~_ ineerln~ ~erv~ce~ Phone '~ P.O. Bo~ Address Engineer's Printed Name 5. DSD SIGNATURE Approved for ~ Disapproved. Conditional approval for bedrooms. Date bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: '7- c7- ~'~-'- (Re'*'. 12/~0) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastawatar Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 vaaw.ci.anchomga.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST LegalDasoripflon: ~_,.~/' f aS,,,./,~, ~. ~".4,,,.,,,~,-,¢,~-,' ~/7~' ParcellD: ~5'-/-- A. WELL DATA Well type Data c~mpletad Total depth Data of tast Static watar level Well production / g.p.m. WATER Col~.,~,/~ coionias/100 mi. NIImte Oele of sample: Collected by: If ~ B, or C p~e PWSID ~ W~ ~n~ s~l ~) W~ p~e~d ~) fl. ~s~ ~ ~fl. ~g h~ht (~e ground) ~OM ~LL L~~ AT INSPECTION g.p.m. In. mg./I. Other bacteria __ colonies/100 mi. B. SEPTIC/HOLDING TANK DATA Tank Type/Material .qx~e / Tank size / f ~-' gal. Foundation cleanout (Y/N) Date of pumping Number of Compartments Depression over tank (Y/N) Pumper Data installed /P~ V C~eanouts (Y/N) ,~ High water alarm (Y/N) C. ABSORPTION FIELD DATA Date installed ,/~ ~ ~..~.z. Soil rating ~r fl~lbdrm) Length,G~ 5'¥_, $'~,. ft. Width ~'- ff. · ],.~ _ Total depth ¥ ft. Eft. absorption area ~ Monitoring tube __ Date of adequacy test O~'- / '~ -~A. Results (Pass/Fail) Fluid depth in absorption field before test Elapsed Time://¥ min. Final fluid depth ~3 Any rejuvenation tr~tmant (past 12 mo.) (YiN & type) Water added/~'o gal. __ in. Absorption rate >: /./ System type ~,-~,-,:' ~".,.~' Gravel below pipe 'Q, / ft. ,V Depression over field ,a./ For :~ bedrooms New depth 3 ¥ in. "~ 5'.r' g.p.d. If yes. give date D. LIFT STATION Date installed /5,i~ ? 'Pump on" level at ~'",,~ in. Datum ~ ~.,.-, E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic se~ice line Size in gallons /~-~ ~ 'Pump off" level at ~'~ in. Cycles tested ,~ Manhole/Access (Y/N) High water alarm level at '~'/~ in. Meets alan'n & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 7 / Property line -~' / Water main ~'/~'" Water service line ~'/~" Wells on adjacent lots -v- ,,la ~ ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line ~ / ~ Buiiding foundation / 7 Water Service line /~' / Surface water Igg ' Curtain drain. /V/~ Wells on adjacent lots ~' "'.~ ' F. COMMENTS Absorption field Surface water Water main /o / Driveway, parking/vehicle storage Waiver Fee $ Date of Payment Receipt Number o. E.O,.EE. S C....C^TIO. I ced~ that I ha~ dete~i~ th~h fle~ ins~ a~ * ~ rev~w of Municipal .~s that the a~ s.te~ am in ~--~"' ~ . ,,,,"~'~MUNICIPALITY OF ANCHORAGE ~.' ..... /~. * :*-. ~ BEPARTMENT 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.# ¢.5""/ - ~,,~.1- O ~ ;., HAA #/-,/,~ '~ "~O~! 'GENER"'A .... ~ .... "'":'" 1 L INFORMATION <- ~:.'~;~".-~ ;:f:'- .",,, ;? ,. ,'.~ ...... ~ .... . · complete legal description ~ -,,,-~=-~,,-~ /,',.;5~-¢-~' ., ~,,/".¢- ,d'/,4- ~ Location (slte address Or directions) ' F;. p'erty owner /~/,'~< .. · 'L~n~ling age~(~y' .:. ~',-~. :Maili?g address ent": .... : ' Ag " Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 4. TYPE OFWASTEWATER DISPOSAL:' NOTE: If community well system, provide written confirmation from State ADEC attest- Individual---"-on-=;~= · - ,. .._.. , Holding tank ~ '" ..... Community on-site -'.. ' r '~' .~' ' Public sewer ' ' ' NOTE: ' If commun.ity wastewa, te. r ~ystem, Provide written confirmation from S~a~e ADEC : attesting to the legality and status of system. · . lng'to the legality an~ Status o'f Syst'em. ".' STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixe~l heret° and as'(~i t~e ~/alidaii0n dat~'.~hown 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 ar{d/or wastewater disposal system is in compliance with ell Municipal and State codes. ordinances, and regulations in effect On the date of this inspeCtion. · , Name of Firm '~..,~1.. 'ID:.,,,, ~..,~:.~,,,,,;...,,~. ~o,.,,;,.,~.~ Phone Address P.O. Bo~ 773:L~4, E.~* Elam', ,A~ 995'Z7-32(~ .... ,., Engineefssignature ~~ Date 5'- -! f - ~' ~ DHHS SIGNATURE X Approved for ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments , ,. · · By:, Date ~..? ~, -..,~..~ . ,".The Munic~pahty of .A, nchorage Department of Health and Human Services (DHHS) issues Health Authority ~;'Approval C~"rtificate's'.~)a,~l only upon the representations given' In Paragraph 5 above by an independent p. rofesslonal en g ~,n,, ,eer ,rag ~st e red in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes a~d'~heir i~gndin~ t~flt~tions in order to satisfy certain fed~ra and state requ reme~ts. Employees of DHHS do not conduct 'inspections o[ a.~a!yze data before a certifiCate is issued. The Municipality of. Anchorage is not re~P0nsibl~'f(~r 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) 343-4744 Health Authority Approval Checklist A. WELL DATA Well type ~~ &/' = Log present (Y/N) Total depth Sanitary seal (Y/N) If A, S, or C, attach ADEC letter. ADEC water system num/I;~ ' Date completed J to Cas~ight (above ground) Cased ARiras properly protected (Y/N) FROM WIELL LOG~ AT INSPECTION ~ g.p.m. Date of test Static water level Well production Dete~ple: Nitrate _ Other bacteria Collected by: g.p.m. B. SEPTIC/HOLDING TANK DATA Datelnstallad /~?? ~,,,?/2Tanksize /J'~"~,~/ Number of Compartmente -~ Cleanoute(Y/N) Foundation cleanout (Y/N) ~' Depression (Y/N) ~ High water alarm (Y/N) Date of Pumping ~'~'~ Pumper C. ABSORPTION FIELD DATA Date instelled Length ?~' ' Width Effective absorption area ~':¢~ ~7/~' ~ Monitoring Tube present (Y/N) /v Depmasion over field (Y/N) __ Date of adequacy test ~' ~4- Results (Pass/Fall) For Fluid depth in absorption field before test (in.); Immediately efter ~gal. water added (in.): Fluid depth ~- (ins) Minutes later:. Absorption rote = g.p.d. Peroxide trestment (past 12 months) (Y/N) '*/,~ If yes, give date Soil rating (g.p.dJft~ or fff/bdrm) ~/~ =~vstem tyl:)e ~' '~,,~z~ Gravel thickness below plpe~teJ depth /"/ 72-026 (Rev. 3/96)* bedroorns D. UFT STATION Date installed 5'-/'~ - Manhole/Access (Y/N) High water alarm level at* Cycles tested SEPARATION DISTANCES SEPARATION DISTANCES FROM W~LL ON LOT TO: Septic/holding tank on lot Absomfion field on lot ~ '~,./,~ Public sewer main /v/4, Sewer/septic sswice line ,4,/,,~ Size in gallons 'Pump on" level *Datum Z~ On adjacent lots On edjacent lots Public sewer manhole/cleanout Uff station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: 'Pump off" level at' Foundation 5' · Property line ~'/,~ / Water main/sen/ice line ~*/~, ' .Surface water/drainage ,'/-,~ · SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line /~ / Building foundation ~-- ~ / Absorption field. ! :~, Wells on adjacent lots Water main/service line "/~' · Surface water ~',',,~ · Driveway, paddng~vehicle storage area Curtain drain '~' ~ Wells on adjacent lots /'-~-'~ ~ HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Sen/ices Section P.O, Box 196650 Anchorage, Alasl~a 99519-6650 343-4744. cERTIFICATE OF HEALTH AUTHORITY . APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. #: '051'72i-09 1. GENERAL iNFORMATION Complete legal description ~, J-" ;'"';-... Thunderbird Heights Lot 5, Block 2 Location (site address or directions) · '". ~ ":'~ .'Thunderbird Drive Property owner "- O..John & Joyce Baker .~ailing address..'SP,2 13ox 209, Chuqiak, L'endin, g.. agency· Mailing address 99567 Address Day phone 688-9694 Day phone 99510 976-6300 P.O. Box 100720, Anchorage, AK Agent Vista P.E. - L~$ Riley Day phone 689-6464 Unless otherwise requested, HAA will be held fpr p!ckup. 4 2. .NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: ...... , ---.-.- :~- Individual well ; , . . . ,~ ~+,,,,,ommun,,x well. .... . -. .,.~ . - .. -, .. :'.'~ - - Public water XX ,~ .~ ' '" · ' .~... ~ '. NOTEi~. If community well system, pro~ide written confirmation from State ADEC attest- lng to the legality and status of system. - ;. ~ .. -, . -7.5--..., '.,: "'"" ".' 4. TYPE OF WASTEWATER DISPOSAL: ' .'""" . . Individual on-site, xx .... Holdin ..- --: .~, ';;.~ . ity '"· .? Commun on-site Public sewer .... ' ' ' " ' ';';?~.; i ~.. NOTE: If comm ur~ity wasteWater-system, pro~ide Written confirm'ation from S~'~o ADEC attesting to the I~gali~,"~3'n~ ~a't-us of ~Ystem: ...... " Eagle River Engineering Services Address P,O, Box 773294. Eagle Riv~-. AK · 'Engineer,s Signature' "~~'~ STATEMENT:bF INSPECTION BY, ENGINEER ;..~ .... . .: Al certified by my seal affixed here~0.an(~ as of tl';e ~alidafi°n date shown below, I verify that my' investigatiOn Of {his Health Author!b/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 Ancho?age files and from my investigation and inspection, the on-site water supply and/or wastewater disposal sys!em is in 'Compliance with all Municipal and State codes, o~ldinances, and regulations in effect on the date of this inspection. *Th/s /s a Conditional ealth,Authority Approval'request 'subject to the approval & installation .of N~]*~]tei~c71' upgrade, :. . . . . phOne 694 -5195 99577 6. DHHS SIGNATURE Approved for bedrooms, Disapproved. ' '" ~ Conditional approval for. z~ bedrooms, with the.f011ow!ng stipulations: -. ~The Munic~ali~ of A~homge De~ent of Health and Human Se~ic~ (DHHS] i~ues Health Authori~ *., 'Approva ~A f ~tes :ba~ on 7 upon the repr~n~bons gwen In ~mgmph 5 above by an inde~ndent ~ ~r~fe~io hal engine} ~iste~ in the State of Alaska. T~ DH H S d~ this as~ cou A~y to pu rcha~m of homes and the r end ng Inst tut OhS n order to ~fis~ ce~ n f~em and s~te r~u remen~. Emp oy~ of DHHS do not c~n~'~t ins~tl~ns or Anal~e da~ ~fore a ceAifi~te ~s i~u~, The Munici~li~ of Anchorage Is not Municipality of Anchorage .,.,., _ _ ~ DEPARTMENT OF HEALTH & HUMAN SERVICES ~ '] 2 1997 ~ Environmental Services Division ' ' ECEIYE 825'/.' Street, Room 502 · Anchorage, Alaska g9501· (907) . A. WI~J. DATA Health Authority Approval Checklist WeU t3~ ~ If A, B, or C, atta~ ADEC i~. ADEC wa~r ~ m!mhgr Date completed Cascdto AT INSPECTION g.p.m. Da~ ~fte~ S~mic wa~= le~l Well pt'od~on Coliform Nitral~ Oth~' ~ SEPTI~G TANK DATA Fluid depth in absorption field b~ore test (i~); r~~ (m.): __ D. LIFt STATION Da~ inmlled lVt'nnh~ic~A_ _~e~__ (Y/N) High water alarm lc. vel a~* "Pump off" level al'" E. SEPARATION DISTANCES SI~ARATION DISTANCES FROM V/~ i. ON LOT TO: Septic;l~ldin~ ~.v on lot Absorption fidd on lot .,~.~'~]iC ~ m~nhflla/claanout ~ SEPARATIONDISTANCEFROMABSORPTIONi~,~,n ONLOTTO: ~',4~2~C;"~g~ ~_a~4~ Wdls on a~;~:cnt lots Dam of Pa~t