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THUNDERBIRD HEIGHTS #1 BLK 6 LT 22
Thund rbird H ights Block 6 Lot 22 #051-582-07 Municipality of Anchorage Page I of Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street P,O, Box 196650 Anchorage, AK 99519-6650 www.d,anchorage.ak.us (007) ~4~-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW010279 PID Number: 051-582-07 MM&M ContractinR WastewaterSystem: New P.O. Box 670495 Chugiak, AK 99567 ABSORPTION FIELD 688-1236 Three (3) Shallow Bed LEGAL DESCRIPTION .4 c.~ 5 6 22 Thunderbird Hts. No. 1 4.5 F,. .5 1.5 F,. 76 ~,. Well: Community Water System c~,,~: 16 r~. A r,. ~,.1,216 .' ASTM D3034 PVC ,,. MM&M Contractin~ 6/20-22/02 *~": c.~ ].~,s..:,,. ]c.m,,~,,,~r,,~.:., TANK SEPARATION DISTANCES Septic Tank Field Station Tank s~,~ur~ Anchorage Tank 1,000 w, >200' >200' N/A N/A >25' Steel Two (2) ~,u~'~w"* >100'>5, >100'>10, N/AN/A N/AN/A ~ ~. ~ .~,.~.,:LIFT STATION ~.~ >5' >10' N/A N/A .~,o~.~.~.,. -~,~-~,~.,: c~,~,,~None Noted ~"""'**"~" .,~.r.: BENCH MARK Lxtst~ng bepttc lank Was Removecl From the Site ~..~. ..... ,.. n= ..... .~ Patio Door Threshhold. 100.0 Engineer's Stamp Inspections performed by: Tim KJmbrough Dates: 1" 6/20/02 ="~...~.'.'~ 2~ 6/22/02 Department of Health and Human Services approval "~;+}.:., ,o. c~-,,,, ./~" ,..,., ....,...- · , ~. Page2of3 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK 99519-6650 - 343-7904 On-Site Wastewater Disposal System or Well Inspection Report Permit Number SW010279 PID No. 051-582-07 A B C Sl 23.3 30.7 S2 27.2 32.7 M1 31.6 36.5 C3 44.5 48.5 C4 44.9 67.5 M2 39.3 58.7 Three Bedroom Home MALLARD COURT PLAN AS-BUILT SCALE 1" = 30' Municipality of Anchorage Page 3 of 3 DEVELOPMENT SERVICES DEPARTMENT 4700 South Bragaw SLreet Anchorage, AK 99519-6650 343-7904 On-Site Wastewater Disposal System or Well Inspection Repo~l Permit Number:. SW010279 Parcel ID#.051-582-07 Door Threshold) 100.00--~ ///~8.65 '--92.48 98.65 ~e ?_._4o b,"~c ........... Id Rock 91.73j .76' PROFILE AS-BUILT Sco/e: 1= m 10' 97.51 49th MUNICIPALITY OF ANCHORAGE Development Sen/ices Deparlment On-Site Water& Wastewater Program 4700 South Bmgaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 31, 2001 Expiration Date: Jul 31, 2002 Permit Number: SW010279 Legal Description: THUNDERBIRD HEIGHTS #1 BLK 6 LT 22 Design Engineer: 0003 S & S Engineering Owner Name: Al Bowler Owner Address: PO BOX 772828 EAGLE RIVER, AK 99577-2828 Parcel ID: 051-582-07 Site Address: 027627 MALLARD CT Lot Size: 21396 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Silo Water and Wastewaler Program 4700 South Bragaw St. P.O. Box 190650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 x--t - g,l 3--07 Permit Number SW O I O g ?~. Day phone Property owner(s)/~/__ Ma, ng ddres (1) PO Ua, ng eddress Legaldescription (Lot, Block & Sub'd.) ~.-~ 22: glO~:k~; I--h~g/?Jg'/'b;r'~ ~-J~;~/f'JL~ ''~/ Legal description (Section, Township & Range) Lot Size THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade TI-IlS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Number of Bedrooms Well Only [~] Water Storage Water Softening Unit I cerliIy that the above information Is correct. I further certify Ihat this application ts being made for a Slngle Family Dw~lltng and Is in accordance with applicable Municipal Codes. 17034 Eagle River Loop Road No. 204 kagla River, AlasKa ~577 (Signature o1' properly owner or authorized agenl) Permil Fees: ~> bO. eD Waiver Fees: Date of Payment: '")/~,.. O / o ! Date of Payment: Receipt Number: O 0 "/~ ~,,,r"/~ Receipt Number: (Rev. t2/00) ~R &WATER ROBERT C. COWAN, P.E. July 12, 2001 CIVIL ENGINEERS; (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 22, Block 6, Thunderbird Heights Subdivision It is requested that you issue a permit to upgrade a septic system to serve the existing three bedroom dwelling on the referenced property. A test hole was excavated and a percolation test performed on 10/8/92. The approximate location of the test hole is located on the attached site plan. Ground water was monitored and after seven days water was found at 12 feet as shown on the attached soils logs. Please note the existing field will be abandoned so as to be used in the future. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC& Enclosure 17034 NORTH EAGLE RlVER LOOP * SUITE 204 · EAGLE RNER, A/.A~ KA 99577 B.J.J. JHM ' R.C.C. ~ring DESIG ~ ,d~R ~RI SOILS = 0.4 GPO SO.FT. 450/0.4 = 1125 REQ'D. fait (g07)694-1211 THUNDERBIRD tlEIGHTS 7-27-01 1 OF 1 ~.LD CRITERIA: )' DEEP EFFECTIVE qDE ~,~c~ LOT 2 LOT 1 ,5' CONTRACTOR IS R£OUIR£D OBTAIN UTILITY PRIOR TO ANY WORK. LOT 5 LOT 23 PROPERTY SERVED BY PUBUC LOT 6 LOT _SEPTIC~ 7 l LOT 24 / I I COURT / LOT 21 LOT 8 Municipality of Anchorage Page 1 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 a Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW930269 PID Number: 05158207 Name: Property Owner: Al Bowler wastewater System: ❑ New [9 Upgrade ® Address: FIELD ABSORPTION P.O. Box 772828; Eagle River, AK Phone: 694-7300 No. of edrooms: t fee ❑ Deep Trench ❑ Shallow Trench CX Bed ❑ Mound ❑ Other �9 LEGAL DESCRIPTIO Soil Rating: o.4 1"0 Total Depth from GPD/Sq. Ft. Lot: Block: Subdivision: tv1 Depth to pipe bottom from original grade: Gravel depth beneath pipe 22 6 Thunderbird Hts 5.Oft MT Ft 0.5ft FL Township: T16N Range: R1W Section: 36 Fill added above original grade: Gravel length: 1.5ft Ft. 52ft Ft. WELL: NA ❑ New 11 Upgrade Gravel width: 22ft Numbefoflines: 4 DistancebetweenFL ---Ft. Ft. Classification (Private, A,B,C): Total Depth: ed To: Total absorption area: Pipe material: Ft. Ft. 1144 SQ. Ft. PVC Driller: ate Drilled: Static Water Level: Installer: Date installed: Ft. Al Rasmussem Yield:Pump Set at: I Casing Height Above Ground: TA NK GPM Ft. Ft. SEPARATION ISTA CES WSeptic existirpg Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: unknown Capacilyjp.Aallons: iSLLJJ UU From Tank Field Station Tank Sewer Lines Material: Number of Compartments: Well ' ~ - Steel one Surface 100+ 100+ NA NA 100+ LIFT STATION Water None Lot 10+ 10 NA NA 10+ Size in gallons: Manufacturer: Line "Pump on" level at: oflevel at: High water alarm at: Foundation 10+ 10+ NA NA NA Curtain Pump Make & Model Electrical Inspections performed by: Drain BENCHAR Remarks: Location and Description: bottom of siding near corner of house Assumed 00Elevation: .00 ENGINEER'S SEAL Inspections performed by: A Giddings Dates: 1stA1111919� 8/12-13/93 2nd 9 a9a 4C_ a' � t MIrhaa! R. °v.rdrrun t�h4°e CE -6252 m° Department ®f Health and Human Services approval G Reviewed and approved by: p Date: 2�4 72-013 (Rev. 9/91) MOA 25 Permit No. S")g34?7— Page I--. of _— Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 a Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: ,L'E.�oE'-tom P£�4-tNt►'�tG7--' EXtst�� G kKl% PID NO.: n-' ! S820R - =N l« 81/ m s21 SWlt4b-7iEe;. �sr, S-r(p- M -1w = 4(. 51'x- M -rd) = 5e � ,t,t-t-®= 444 sem-'ifug)_ 53 s �T-TCS l�z SrC�- MrQy ►s � srd Ar, s� t� srm - Act -g) tip- ¢ sr© .- /Kic) t2.6 E! G,JJ IEER S SEAL �z �'"« Y•c ,��aa as o ® e5 ..o m � C'r• CE -6252 Permit No. t Page of _ !, Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 e Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LZZ' / $6 T 014JW'blfc #*$ POND.. Det Record Drawing Profile 52ftx22ft Seepage Bed Clean-out (TYP) Monitor Pipe (TYP) Elev.99,5ft Booming & End of Distribution Pipes Eft cover Original Grade Elev, 98,0ft ! Elev�gaeft Sam Elevation '}' rf 1 1 r f 1 6ft ac, 55ft Over pipe 1ft Rock Depth Elev.925ft 6' Linder pipe Monitor Tube Invert `i.5ft to Water Table Same Elevation Taft 7Sft 8awt Bottom of Testhole #1 85.5ft Bottom of Testhole #3 8aeft ,t Excavated through old drainfield abandoned in place. Ali Gravel plus 611 min. of each sidewall excavated and backfilled with GP/SP soil compacted in lft increments. ENRIt, R;tS,$EAL 0 A� � o® .. 0 �. �',� m Mictusal PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930269 DATE ISSUED: 8/04/93 DESIGN ENGINEER:ERDMAN & ASSOCIATES CONSULTING EXPIRATION DATE: 8/04/94 OWNER NAME:BOWLER ALLEN 0 JR & BRENDA E OWNER ADDRESS:12812 OLD GLEN HIGHWAY CHUGIAK, AK 99567 PARCEL ID:05158207 LEGAL DESCRIPTION: THUNDERBIRD HEIGHTS #1 BLK 6 LT 22 LOT SIZE: 21936 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM 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 DHHS AT,LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 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 PPnvTCTnWq— RECEIVED F ISSUED BY: DATE: /Lqs DATE: PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920376 DESIGN ENGINEER:ERDMAN & ASSOCIATES CONSULTING OWNER NAME:BOWLER ALLEN O JR & OWNER ADDRESS:12812 OLD GLENN HWY EAGLE RIVER AK 99577 PARCEL ID:05158207 LEGAL DESCRIPTION: THUNDERBIRD HEIGHTS #1 BLK 6 LT 22 LOT SIZE: 21396 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: ,3 on il-)a-°1Q DATE ISSUED:11/04/92 EXPIRATION DATE:11/04/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS BEFORE EACH INSPECTION. RECEIVED BY: DATE:. li A4vz— ISSUED BY: '('fzq csol mT DATE : - �92. M ERDMAN & ASSOCIATU CONSULTING ENGINEERS November 2, 1992 I Municipality of Anchorage NOV 2 1992 Dept. of Health and Human Services tviu"Ct Environmental Services Division Cippt, Health & of MtZn Sgr g P.O. Box 196650 Human 3arvice$ Anchorage,' -AK 99519-6650 Subject: L22/B6 Thunderbird Heights- Drainfield Upgrade Permit Project #92201. Dear Sirs: The following is a narrative description of probable impacts to adjacent properties: 1) The subject property is served by a community water system. There are no adjacent wells which may be impacted by the proposed drainfield upgrade. 2) The proposed drainfield mpgrade has a minimum setback from the property line of loft, therefore it does not impact adjacent lots for the use of other on-stie wastewater systems. 3) The subject property has additonal reserved space for further upgrades of the wastewater system. 4) The subject property generally drains to the (surface drainage). 1\1or Sincerely, Archie G ddings r' oa e :9 owe- -0 q i Q Michael R. Er man o° 0-6252 49 454 East Herning Avenue Wasilla, Alaska 99687 907-376-698 Permit No. Page 1 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 I Pnal Description: Lot 22, Block 6, Thunderbird Heights 2ft intervals ' �? downhill Proposed SAS 501+ to adjacent WWDS's 1001+ to adjacent structure\11 2001+ to drainage courses o surfaces PID No.: Proposed Drainfield Upgrade Site Plan: 1"=30' Served by community water system No adjqcent wells which may impact SAS Boa C�PCL oma~ �I 3 Bedroom Dwelling of k�_*' 70 5 Proposed ® Drainfield T.H.1 Area 2-Cleanouts between ST & SAS loft min. lot line setback - 253 No impact on ad'acent lots ENCC1'N�EER'S SEAL ��� q�O GfArJOt7�yGC1 v% rN cpm Q A i DD Eq.'.i6C 8 V Michael . Erc mwl °` 4E' CE -6252 ,.° �__455 4 r for WWDS's i Property has Nreserve space for further upgrades. I The property generally provides surface drainage to the north ENCC1'N�EER'S SEAL ��� q�O GfArJOt7�yGC1 v% rN cpm Q A i DD Eq.'.i6C 8 V Michael . Erc mwl °` 4E' CE -6252 ,.° �__455 4 [Il Permit No, Page 2 of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 9 Telephone: 343-4744 On -Site Wastewater Disposal System end/or Well Inspection Report Leaal Description: Lot 22, Block 6, Thunderbird Heights Proposed drainfield Upgrade Cross Section: n.t.s. SZ 1',2ZSeepage Bed Slopes as required by by safety regulations. outs at each end � _monitor pipe 4Fk cover mi f 1" perf O.C. Oft min. to water table 6ft min. to impermeable layer Notes: 1) Proposed SAS located through existing SAS(trench). Trench to be excavated to clean ground and buried adjacent to proposed SAS. Grade to be rebuilt with existing on-site SP soils if needed. j �titP�-cG'7�Gt i vi 2" over pipe 6" under pipe ?2�'� i i 6cl 710 outs at each end � _monitor pipe 4Fk cover mi f 1" perf O.C. Oft min. to water table 6ft min. to impermeable layer Notes: 1) Proposed SAS located through existing SAS(trench). Trench to be excavated to clean ground and buried adjacent to proposed SAS. Grade to be rebuilt with existing on-site SP soils if needed. j �titP�-cG'7�Gt i vi Permit No. Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 ®n -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Lot 22, Block 6, Thunderbird Heights PID No.: Proposed drainfield Upgrade t. S. 501x20' Seepage -Bed Slopes as required by by safety regulations. 3/4" - 15" ro 2" over pipe 6" under pipe Cleanouts at each end monitor pipe 4H cover mi 4" erf i e�, Iter f abric 5f t o.c.Ce 4= r f 47 763 ENGINEERaS SEAL r N, O 8 p F^ { e /. .3o F eP� Q"o CE -6252 ^ jr Oft min. to water table 6f t min, to impermeable layer Notes: 1) Proposed SAS located through existing SAS(trench). f,•°"' Trench to be excavated to clean ground and buried adjacent to proposed SAS. Grade to be rebuilt with existing on—site SP soils if needed. r f 47 763 ENGINEERaS SEAL r N, O 8 p F^ { e /. .3o F eP� Q"o CE -6252 PERFORMED FOR LEGAL DESCRIPTION DEPTH (FEET) _ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST S'" e✓` Loi ZZ (3LK4, Thu;nd-,,rblyd 1 `r -S°'/ 2 3l SP —# 4 5 7 8- 9 p CID o n,, s,' 59 o !704 s, oG � 4 ray fi >eD © a Michael R. Erdman a div® '].°°°° CE.6252 0 DATE PERFORMED: T!nw'4— . © Township, Range, Section: T (,t-1 Plei Sec, -5(p SLOPE SITE PLAN 10 WAS GROUND WATER f0 ENCOUNTERED? 11 S IF YES, AT WHAT L I O 12 ,/I^ovt�-�Jt�se� Inl � E 13 Depth to Water After /Z{F t0 IQ 9� Monitoring) Date: 14- 15- 16- 17 4151617 18 19 Reading Date Gross Time Net Time Depth to Water Net Drop '3 -mss t qt x'30 6" In ! 30 3,fo la Zt D03>0 Mph (� 2� 3-(o In 30 MIV\ 1, 2 (o' 2', so Ll ti 20 �� c PERCOLATION RATE � (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 4 FT AND J FT COMMENTS PERFORMED BY: A`y (JA,y�` I ` . CERTIFY THAT /THIS TEST WAS PERFORMED IN ACCORDANCE V"ETH ALL SATE ANC'�IPAL GUIDELINES IN EFFECT ON THIS DATE. DATE ___-iD���4ITL. .P- , % , Municipality of Anchorage ip Do°oo°oo 0 0 Mo "0 ,g ® DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 3 o Q o AAllchael R. Erdman SOILS LOG — PERCOLATION TEST 4���r�F °c CE -6252 �`' PERFORMED FOR: i I �0�.-���1� DATE PERFORMED: LEGAL DESCRIPTION: LDT ZZ- LIL% Township, Range, Section: TbI� jZl ec-, 3 (o DEPTH SLOPE SITE PLAN (FEET) 1 op'sol j I I 1 1:] 1 1 1 1 1 1 1 2 3 4- 5 5 6 7 8 9 (1A 10 11 12 13 14 15 16 17 81920 18- 19- 20 COMMENTS T:5-1 YOLK.�'2 WAS GROUND WATER r ENCOUNTERED? l4i S L O P E IF YES, AT WHAT DEPTH? _ ;nito� 1`4�ft g%0L;4"e4 loh-- Depth to Water After Monitoring? ) ZA Date: If no ®®mm • p Water.. Q If PERCOLATION RATE —! (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 6 FT AND 7 FT PERFORMED BY: A 1 A y CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10,(14aq ® Municipality of Anchorage 4 DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: bpT ZZ 901 - DEPTH -5 Uo'de'r d NQ S FEET) 1 4VA, 2 3 4 Cr AA i i 5 i 7 8 9 10 WAS GROUND WATER �/ c ENCOUNTERED? 11' s IF YES, AT WHAT L f DEPTH? IZ p 12 �� 2 cnGb cJrti 2lc� E Depth to Water After 13 / l Monitoring? (� Date: g 14- 15- 16- 17 4151617 18- 19- Reading 819 (ENGINEER'S SEAL) DATE PERFORMED: vL� Township, Range, Section: -r1b t4 01-4) SLOPE SITE PLAN Reading Date Gross Time Net Time Depth to Water Net Drop �r so Pero q;oo - l -ccs W a .tee ire ho . c ` 3fl�,ti 4. 1•6t' 0" 4 �q 20 PERCOLATION RATE —''(minutes/inch) PERC HOLE DIAMETER �'I TEST RUN BETWEEN s FT AND (to FT COMMENTS PERFORMED BY: \ ' 6t ,AA ► G- s I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GU!DFLINES IN EFFECT ON THIS DATE. DATE: er MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME O l PHONE �J NEW ❑ UPGRADE MAILING ADDRESS 46041-0 D ri LEGAL DESCRIPTION 12 2 7� LOCATION CovI;,a �"� hderbi d Dr- N0. OF BEDROOMS -4 U Y DISTANCE TO: Well /� Absorption area A Dwelling ® /0 PERMIT NO. W30 7 176 a. ZQ wF Manufacturer rG %" Material , e No. of compart nts U) Liq. ca acity in gallons 11 IF HOMEMADE: Inside length Width - Liquid depth Y J0Z DISTANCE TO: Well Dwelling PERMIT NO. O Z < Manufacturer Material Liquid capacity in gallons W = DISTANCE TO:/V Well 1A Foundati n, Nearest lot lire PERMIT NOO. 1 LL z z w No. of lines Length of each line ' Total length of lines Trench width �— Oir inches Distance be�w/een IIi' es /W /`i p Top of tile to finish grade/ /i -)-Q Material beneath tile i� 4- V inches Total effective absorption area 5_20 5 -F w C7 Length Width Depth PERMIT NO. a H Lu Type of crib Crib diameter Crib depth Total effective absorption area W DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS , SOI L TEST RATING d INSTALLER Bilks Balc",ue /✓ —2 ID Ci a -T i s REMARKS APPROVED DATE LEGAL ®Gru L -i z -TMH 4j I 72-013 (Rev. 3/78) m/ /c- AT- � P1 u r_j I I::-_ I k`'��l-T-"-e f_-lF= DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, HK. 99501 264-4720 ED r -J l -r F= �EF.GE L -J E: F:;;' F" E: I -F PERMIT NO. ( 780975 ) APPLICANT DICK YOVES 3951 APOLLO DR ]-7,] 8682 LOCATION THUNDERBIRD DR LEGAL L 22 B 6 THUNDERBIRD HEIGHTS LOT SIZE ]0000 SQUARE FEET TYPE OF SOIL AB58RBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ����4 IM -IF ieF. 2: ����E-:-- L_ C -v E--- F"-F�= � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H 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 (IN FEET). �F::;'���I E--ff FE F=' -r I C� -r F=a " K �1 =�E:_-= L C-3 Fl L_ L_ CR PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE, NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. F_�' F::"rA U I F;?- LE: CA BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL/ OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ���M I -IF E7= X F:` I FZ RE�� ����Irl ��� =-c A _. �_._ le=-- I CERTIFY THAT 1: I HM 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 INCLUDE MORE THAN 4 BEDROOMS. / � SIGNED:_�6 __-L_�a________________--- ____ DICK YOYES ISSUED BY/\ �t�_ ______DHTE �L___ Y].2 7-7- -"----------���--- --/ / ' IN { ®�� -101-F & ASSOCIATES, INC. "IEngineering - Planning- Surveying 1020 Nest International Airport Road Anchorage, Alaska 99502 Teleplione(907) 279.5522 LOCATION • , BORING N0. I STATION b LL' -"P 0 I L 2 3 4- 5- 6- a. 56a. 0 7 ... 8- 9- 10 - BORING 910 X 0 I 2 BORING STATION NO, _ 3 _ 4- 5- 567891011 6- 7- 8- 9- 10- 11- 2 3 4 BORING NO. STAT I 0 N 8 9 10 Ii .�, I., 4 L- 5 6 a 0 7 8 9 10 11 BORING NO. STAT I 0 N lax;glaways • airports • drainage • planning • shopping centers • subdivisions • streets • water • sewage, SIEVE ANALYSIS No. )ROJECT: DATE SAMPLE No. 30RING No. WEIGHT WEIGHT AFTER WASHING ORIGINAL 2L PREWASHING LOSS :'REWASHED* YES NO SAMPLE U. S. SIEVE + WEIGHT PASSING SIEVE SIEVE OPENING STANDARD SIEVE SAMPLE RETAINED SIEVE SIZE WEIGHT WEIGHT ON SIEVE WEIGHT PERCENT t %) INCHES MILLIMETERS OR NUMBER 3.00 3 -in. 2.00 2- in. 1.50 1 -1/2 -in. 1.00 25.4 in. 0.750 19.1 5/4 -In. 0.500 12.7 1/2 -in. :7 cn, C", 0.375 9.52 3/8 -In. cp w.(0 0.2506.35 No. 3 '7 0.187 4.76 No. 4 PAN 0.132 3.36 No.6 -------------- 0.094 2.38 No.8 "c') 0.079 2.00 No. 10 G.047 1.19 No. 16 0.033 0.84 No. 20 0.023 0.59 NO -30 40 Fj 0.0165 0.42 No. O.Oil-7 0.297 No. 50 F-1—.00 0 8 3 0.210 No. 70 5 9 0.149 No. 100 A, 0.0041 0.105 No. 140 0 0029 0.074 No. 200 PAN TOTAL WEIGHT in groms FE --R ROR (Original wt- — total wt. of fractions grams DESCRIPTION OF SAMPLE fF 100 PERCENT ERROR Original ht (9m.) REMARKS: P, . CWHOFF Sl ASSOCIATES INC. TECHNICIAN ENGINEERING PLANNING - SURVEYING ANCHORAGE ALASKA CHECKED By P) CIO CO 0 71 0 21 tii rn N0 z 0 0 0 0 0 0 0 o Cl) 200 m 100 60 of 60 — — — — — — J. 50 0 73 U) 50 20 1 1 FFI FO- > in to rri P—T 11 4 t a CA Z-=io IT= I (i '�— cl lu m 6 J z .5 y .31�� �� ��� I I i � ( i�ill'411� _4 08 .05 .04 .03 i —i t I I I I it �I = C — — — — — — — -- .02 .02 o I .01 .... — -- — — — — -- — .008 I—I—.007 ?v- in .006 C) r-, .Oor, .004 .003 .002 - - .001 cn cn 0 0 0 CD rl x C, C, C> 0 r, I> 4 Di C, — > P Z ;u . 01 C, -< rn N0 z 0 0 0 0 0 0 0 o Cl) 200 m 100 60 of 60 — — — — — — J. 50 0 73 U) 50 20 1 1 FFI FO- > in to rri P—T 11 4 t a CA Z-=io IT= I (i '�— cl lu m 6 J z .5 y .31�� �� ��� I I i � ( i�ill'411� _4 08 .05 .04 .03 i —i t I I I I it �I = C — — — — — — — -- .02 .02 o I .01 .... — -- — — — — -- — .008 I—I—.007 ?v- in .006 C) r-, .Oor, .004 .003 .002 - - .001 cn cn 0 0 0 CD rl x to C: P (n > 4 Di C, — > P Z ;u . 01 C, -< cn: rn N0 z 0 0 0 0 0 0 0 o Cl) 200 m 100 60 of 60 — — — — — — J. 50 0 73 U) 50 20 1 1 FFI FO- > in to rri P—T 11 4 t a CA Z-=io IT= I (i '�— cl lu m 6 J z .5 y .31�� �� ��� I I i � ( i�ill'411� _4 08 .05 .04 .03 i —i t I I I I it �I = C — — — — — — — -- .02 .02 o I .01 .... — -- — — — — -- — .008 I—I—.007 ?v- in .006 C) r-, .Oor, .004 .003 .002 - - .001 cn cn 0 0 0 CD Municipality of Anchorage ~~' Development Services Department Building Safely Division On-Site Water and Wastewater Program . 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage,ak,us (9O7) 343-79O4 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 05t-582-07 1. GENERAL INFORMATION Complete legal description HAA# HR O P-, O /6.~-. Expiration Date: ~ -- l','~- '" ~ -~ Lot 22, Block 6. Thunderbird Hei.qhts No. '1 Location (site address or directions) 27627 Mallard Court Current Properly owner(s) Al Bowler Day phone 6947300 Mailing address Lending agency P.O. Box 772828 EaRle River, AK 99577 Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Three (3) 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class _A Well Public Water System [] [] [] 0 TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-sile [] Public Sewer 0 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given 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. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 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(ars) 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 Anderson Engineering Address P.O. Box 240773 Anchoraqe, AK 99524 Engineer's Printed Name Michael E. Anderson. P.E. DSD SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. Phone 522-7T'/3 Date 7111/2002 ~.~'k." "...'4.~ A ,~. ENGels ~ ~, . bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory WASTE'eVA?ER : : PROGRAM .' c X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safeb/Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.el.anchorage:ak.us (9O7) 343-7g04 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 22, BI0ck6~Thunderblrd Heights Subdivision No. t WELL DATA Well type A Date completed Total depth fi. If A, B, or C provide PWSlD # __ Casad to lt. FROM VVELL LOG Parcel ID: 05t.582-07 Date of-test Static water level Well production WATER SAMPLE RESULTS: Well Log (Y/N) w~es properh/prot~ted (Y/N) Casing height (above ground) AT INSPECTION g.p.m. g.p.m. C~lfo~n colonies/19o mi. Date of sample: B. S~G/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size ~j000 gal. Foundation eleanaut (Y/N) Y Date of pumping ¢. ABSORPTION FIELD DATA Date installed 6/22J2gO2 Length .Te' Total depth 5_ ft. Date of adequacy test Nitrate mg./I. Collected by: Number of Compartments _2 Depression ova' tank (Y/N) N_ Pumper New Constru~on Date instafled 6/20/2002 Cleanouts (Y/N) Y High water alarm (Y/N) N Soil rating (g.p.d./it~ or It2/tidrm) .4 GPD/SF System type Shallow Bed fi. Width 16 fi. Gravel below pipe .$ Eft. absorption area 1,216 It2 Monitoring tube Y Depression over field N Results (Pass/Fail) Fluid depth in absorption field before test i~. Water added gal. Elapsed Time: min. Final fluid depth __ in. Absorption rate >= Any rejuvenatk~n treatment (past 12 mo.) (Y/N & type) N If yes, give date in. celonies/100 mi. New depth in. g.p.d. D. MFT STATION Date instelled 'Pump on' level at Datum E, in. SEPARATION DISTANCES Size in gallons 'Pump off' level at in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line ManholeJAccess (Y/N) High water alarm level al Meets alam~ & c~::~lt requirements? Property line >10' Water SenY~ce line >t0' Curtain drain None Noted F. COMMENTS On adjacent lots On adjacent lots Public sewer manhele/ctaanout Holding tank Abserption field Surface water >t00' Water main >10' Dflveway, paddng/vehide storage >10' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO*. Building foundation >5' Property line >5' Water main N/A Water service line >10' Walls on adjacent lots >200' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation >10' Surface water >100. Wells on adjacent lots >200' Waiver Fee $ Date of Payment Receipt Number HAA Fee $ Date of Payment Recelpl Number (R~. 12mo) G. ENGINEER'S CERTIFICATION I cerlify that l have determlned thmugh field inspecgons and ~v~... At, TH renew of Munic' I recoils that the above s ms ' ~ ~ ~ .... .' -- A '.-- · q~a . . . yste am. ~ conformance wffh MOA HAA gttidelices ~n effect on thts date. ~ .... ~ '- _ Engineer s Printed Name Michael E. Anderson, P.E Date 7111/02 Municipality of Anchorage ,.� Development Services Department Building Safety Division On -Site Water and Wastewater Program s A E T Y 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-582-07 HAA # ZZg62 Z Expiration Date: (,/ — / 'r— - a _?_ 1. GENERAL INFORMATION Complete legal description Lot 22, Block 6, Thunderbird Heights Subdivision No. 1 Locajion (site address or directions) 27627 Mallard Court Current Property owner(s) Al Bowl Mailing address Lending agency Mailing address Real Estate Agent Mailing Address P.O. Box 772828 Eagle River, AK 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Three 3 3. TYPE OF WATER SUPPLY: Individual Well ❑ individual Water Storage ❑ Community Class A Well Public Water System ❑ Day phone 694-7300 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given 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. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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 Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson P.E. Date 4122202 OF q ,` C , GINE AMP 5. DSD SIGNATURE ,'° c = Approved for bedrooms. Disapproved. E SS�a;�' YX Conditional approval for 3 bedrooms, with the following stipulations: Money to be put in escrow for the amount of 1.5 times the high hid from minimum of 3 cdrtified contractors to perform the work pursuant to the attarhpa - No. SW010279 Money in escrow shall not pp=i be released until this nffit-e bas gin final approval. The work shall be completed no later than June 15, 2002 Additional Comments „ lt�`t ;�tr'`rrfr • y'j��i `` .�Cj ' o � O p•° WATER AND rn WASTEWATER ° Attachments HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: Zl-� r Original Certificate Date: (Rev. 12100) Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water & Wastewater Program s A E T Y 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 22, Block 6, Thunderbird Heights Subdivision No.1 Parcel ID: 051-582-07 A. WELL DATA Well type A 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. Well production 9.p -m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate mg./I. Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping _ Pumper C. ABSORPTION FIELD DATA Other bacteria ft. 9- P.m- colonies/100 ml. Date installed 611512002 Cleanouts (Y/N) Y High water alarm (Y/N) N Date installed 611512002 Soil rating (g.p.d./ft2 or ft2/bdrm) .4 GPDISF System type Shallow Bed Length 75 ft. Width 15 ft. Gravel below pipe .5 ft. Total depth 5 ft. Eff. absorption area 1,125 ft2 Monitoring tube Y Depression over field N Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Elapsed Time: min. Final fluid depth in Any rejuvenation treatment (past 12 mo.) (Y/N & type) N Water added gal. New depth in. Absorption rate >= g.p.d. If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons in. "Pump off' level at in. Cycles tested 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 service line Manhole/Access (Y/N) High water alarm level at Meets alarm & 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 >5' Property line >5' Absorption field >5' Water main N/A 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 main >10' Water Service line >10' Surface water >100' Driveway, parking/vehicle storage >10' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS Uporaded Septic Svstem Assumed to Be Installed 6/15/2002. This Certification for Conditional Approval Only. Information to be Updated and Certified Once System is Constructed. - G. ENGINEER'S CERTIFICATION I certify that l have determined through field inspections and —' review of Municipal records that the above systems are in f" ° conformance with MOA HAA guidelines in effect on this date ,••°^ ^^ ^°°°� wiiYE S'°; °°''; Engineer's Printed Name Michael E. Anderson, P.E. '�?_�r�°.° ` ' , Date 412512002 HAA Fee $ L 7 5 Waiver Fee $ Date of PaymentflZ Date of Payment Receipt Number t g �`� Receipt Number (Rev. 12/00) in. ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) April5,2002 Municipality of Anchorage Building Safety Division On-Site Water and Wastewater Program 4700 S, Bragaw Street Anchorage, AK 99507 Attention: Jeff Poet Subject: Lot 22, Block 6, Thunderbird Heights Subdivision No.1 Conditional Cedificate of Health Authority Approval Jeff: The owner of Lot 22, Block 6, Thunderbird Heights Subdivision No. I has sold his house and must complete the certification of his septic system prior to the closing on the property. The system, however, is in a state of failure and must be upgraded prior to certification. A permit to upgrade the system was issued July 31, 2001 (SW010279). The work was not completed last year for several reasons. At this point it is impossible to complete the upgrade prior to closing on the property. We are therefore applying for a conditional Health Authority Approval to allow the transfer of the property to be completed. The upgrade of the septic system will be completed once conditions are more conducive to onsite construction. The load limits governing the transport of aggregate materials are currently in place limiting the amount of material that can be moved at one time. In addition, the ground surface in the area of the upgrade is soft and yielding and will not support the equipment required to complete the work. Funds have been escrowed to cover the cost of the system upgrade and will be released once the certification on the septic system is completed. The Health Authority Approval Checklist has been completed to reflect the system once the upgrade is complete. Modifications will be made to the list if the final as-built status of the septic system is different than anticipated. Also included is a copy of the septic system upgrade permit and the system design. Please review this information and advise if additional documentation is required pdor to issuance of a conditional Certificate of Health Authority Approval. Sincerely, Michael E. Anderson, P.E. Attachments MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Dat 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name —Telephone: Home Applicant Address Businesse, (c) Applicant is (check one): Lending Institution 13 ; Owner/builder 0 ; Buyer El ; Other,.(explain); (d) Lending Institution Address (e) Real Estate Company and Agent Address z2e . Telephone J6 �z _5_5_1�lj 6, (f) /W41Lie HAA to the following address: - "5f , Telephone t�z 2. TYPE OF RESIDENCE Single -Family Yr Multi -Family Other Number of Bedrooms 3. WATER SUPPLY Individual Well El Community Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public El Community El Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 r2 -G2 L- (11184) 5. ENGINEERING FIRM PROVIDI�. INSPECTIONS, TESTS, FILE SEARCH, DA.A AND INFORMATION � � ^ As certified by my sea] affixed hereto and as of the validation date shown below, I verify that my Heafth Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, fu,n-_tooa _andsd�-eqaate for the number of bedrooms and type of structure indicated herein. I further verify that based on, m_tzajne6 from the Municipality of Anchorage h|eu and from my investigation and inspeoAon, the waex sup;:�ye�rldicr wastewater disposal system is in compliance with all Municipal and State codes, ordinances. an:, etleo_uos the date of this inspection. Name cdFirm Telephone Address Ath -155' Approved for It 16- bednm Approved Dina| ` Terms ofConditional Approval ^ ' � CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issuss He: tin A2sBhonty Approval certificates based solely upon the representations given in paragraph 5 above by ar. indeperten! piatessional i indheS��oof/Uuo�a m TA*DM���oea�knoaoou�s eaycopurcn�seom��mms��m�am��mssding - institutions in order tosatisfy certain federal and state requirements. Employees of DHEP do in 0, or ' ana| - d � boforeaom�ificataiaiaaued.Thay�unioipaUtyofAnuhoragainnotvesponsib|e�rec��rsm��ms��er������ . , ' engineer's work. —.---- `Page 2 of 2 � 72-02p1/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 125 �� Type of System Design Date Installed l»- lP - `7 E Length of Field Width of Field 'ala Deoth of Field Gravel Bed Thickness 40 - Square - Square Feet of Absorption Area S-Z_fl--p Standpipes Present (PN) Depression over Field (YAP Date of Last Adequacy Test Results of Last Adequacy Test " t— Separation Distance from Absorption Field: To Water -Supply Well To Property Line 1 0 4 - To To Building Foundation CC,� To Existing or Abandoned System on 3 Lot `'A ; On Adjoining Lots �� �'� To Water Main/Service Line L i� To Cutbank (if present) A To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons Dimensions Manhole/Access (Y/N) "Pump On" Level at "Pump Off' Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. +14E `sal C Signed'Dated _�_�� �4,5 Company.r,1�ll AiStL. "�F MOAN � �Uu 3 -q.�~AX1�y 4 �f Receipt No. ?5F�7 Date of Payment -4 -�j�,� qw • �� �Q°�, p0 Y'if • $ � Amount: $ aae Page 2 of 2 72-026 (11/84) Rmb�rt A. 5huhr e 4 No. 1457-E MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1a General Information Application DatePi. V' (a) Legal Description (include lot, block, su)Ddivision, section, township, range) Location (address or directions) (b) Applicants Nam- /'A Applicants Address ` -Jl4e'4,f,J �CY_ Z (c) Applicant is (check one) Lending Institut Buyer ,io Owner/builder Other f:E�j (explain); (d) Lending Institution Te le phone Address (e) Feal Estate Co. & Agent Y - Address Te le phone Jrs 2. Type of Residence Single-Family,E!'- J Multi -Family Other (describe) Number of Bedroom 3. Water SuMLY Individual Well Community Public 5� Note: If community cell system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Is the well adequate for the number of bed--ocms specified in this HAA NL 4. Sewage Disposal Onsite, Public Community Holding Tank Is the wastewater disposal system adequate for the rimiber of bedrocms (YIN) [Page 1 of 2] 2-15-84 5. Engineering Firm Providinq Ins2,2ctions, Tests, Data and Information I certify that-I-hachecked, verified, or conformed to all NUA HAA Guidelines in effect on hb` date bf inspection. Signed Date Narre of -Firm, Telephone 1 0 'a Address f t"V.' Signed by - - --- ------ vt, L Date 6.DREP Approval Approveed CK:� (ENGINEER SEAL) bedroom BY Date �Z /,Py - Disapproved Conditional Ten'tis of Conditional Approval The Municipality of Anchorage Dapartnent of Health and Envirorffmntal Protection does not guarantee the continued satisfactory performance of the water supply and/or, the wastewater disposal system. This approval indicates that, as of the validation date shown above, based on the data and information furnished by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and func- tional for the number of bedrooms and type of structure indicated. (DHEP SEAL) 7® Mail the HAA to the following address® KB2/d5/s [Page 2 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 75 d� ,,2 Type of System Design �x ieg Date Installed Jo=1 % Length of Field �- I Width of Field 1.4 /(e# < Depth of Field Gravel Bed Thickness N A Square Feet of Absorption Area Z,,�-) 4' Standpipes Present Depression over Field (Y,' Date of Last Adequacy Test Results of Last Adequacy 'lest Separation Distance from Absorption Field: To Water -Supply Wr11 To Property Line r To Building Fo/v p ation %� To Existing or Abandoned System on Lot fi On Adjoining Lots To Water Main/Service Line PL)` 3 L j'c_ To Cutba (if present) 11Y1A To Stream/Pond/Lake/or Major. Drainage Course Al' A To Driveway, Parking Area, or Vehicle Storage Area t Comments CJ, inn IC -c>, �.` r F'�?—r�nf J D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Pumping Dimensions /Access (YIN) Off" Level at Vent (YM) during Adequacy Test. Lets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify tha on the date A S igned C Rany' KB1/d5/s3,9 rPage 2 of 21 checked, verified, or, conformed to all MOA HAA Guidelines in effect ion. j Date �r sr's.t i":;Egf MOA No. m-4,_ peeni eey e,v a r rd� No. i $ °°°e 607 y ° • r, s; �Q� � °nom "'•�` �f�`�^ 2-15--84 a 5. LEG// L DESCRIPTION MUNICIPALITY O ANCHORAGE MUNICIPALITY O ANCHORAGE E U' O? DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOr�PEPT. C i 1 =•''• • 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL P .v f ECTION OC 2!� Ilaod ENVIRONMENTAL ENGINEERING DIVISION JUL 6. TYPE OF RESIDENCE Telephone 264-4720 DIREQUEST FOR APPROVAL OF INDIVIDUAL NU ❑ One Four ❑ Other WATER AND SEAUAO DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROP TY O NER Three ❑ Six PHONE ❑ INDIVIDUAL" ATTACH WELL LOG. A well log is required for all wells drilled MAILI GADDRESS since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) PROPERTY RESIDENT (If different from above) PHONE —T El PUBLIC UTILITY If system is over two (2) years old an adequacy test is required 2. BUYER J / PHONE MAILING ADDR��E��SS a C/ 3. LENDI G INSTITUTI N ! PHONE MAILING ADDRESS � .oas a S1 4. ALTOR/AGENT !G J/�'L L�� .l-f•Li+r.�%GG'l,lJ�%, ,a�il�'/jvl��?�C/ / ' •Ll.�=--� PHONE ' MAILINGADDRESS 70 _ a 5. LEG// L DESCRIPTION STR ET LOCATION OC 2!� Ilaod C 9 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS SINGLE FAMILY ❑ One Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL" ATTACH WELL LOG. A well log is required for all wells drilled COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** *° If individual/on-site, give installation date Oc_ 6he( El PUBLIC UTILITY If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MUNICIPALITY O; ANCHORAGE ENVIRONMENTAL PROTECTION JUL U 6 N9 RECEIVED THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED e TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or F-1HoldingTank Size: f x 0? If Tank is homemade give dimensions: SOILS RATING %' TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS 4 --APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany c tifi ate) ❑ DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78)