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Home My WebLink AboutTONJESS ESTATES BLK 3 LT 12Onsite File Tonjess Estates Block 3 Lot 12 #051-532-04 Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 171364 PID Number: 051 532 04 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑t Upgrade Name Williamson ABSORPTION FIELD ❑ Deep Trench ❑■ Wide Trench ❑ Bed ❑ Mound Site Address 21531 Tony Cir ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 6 GPD/SFJ 5.9 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.8 Ft. Gravel depth beneath pipe 2.1 Ft. Subdivision Block Lot Tonjess Estates B3 L12 Fill added above original grade 0.2+/- Ft. Gravel length 2O Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines - Distance between lines - Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 143 Ft2 1 -Ft. Well +50 .+.50 - _ +25 TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑■ Other Manufacturer Orenco Capacity 1500 Gal. Surface Water +50 +50 - _ Material Number of compartments Lot Line +10 2 - - NA fiberglass 2 Foundation +10 +10- _ _ LIFT STATION Manufacturer Capacity Remarks old tank demolished per code na na Gal. advantex system Alarm location na Electrical installed by na Installer PIPE MATERIAL House to tank 30034 Tankto 3034 Guaranteed Services Drainfield 3034 CO/MT3034 Inspector CHARLES BALZARINI BENCH MARK (Assumed elevation) 94.23 ft Inspdection 1st 12/14/17 2n 12/18/17 Location and description 3`" 4th advantex lid ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp �� a`�tS, Conditional Approval: Date Awl low HARLES Septic System Approved G BALZARIC. % �`��sT cE-13854 Date j Jr •.��,�� PROFES510NP�SSO Note: this approval does not include well permit requirements. �>> tnev uoivu_ia) 2/17/19 CHARLES G BALZARINI CE-13854R E G ISTEREDPROFE S S I O N A LENGINEER8/8/18 MUNICIPALITY OF ANCHORAGE raenr iN On-Site Water&Wastewater Program 1p S;; i Z'18 t� PO Box 196650 4700 Elmore Road '... • Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 esOM http:/Iwww.muni.orglonsite Dcpartnl nt On-Site Wastewater Disposal System Permit Permit Number: OSP171364 Effective Date: 12/13/2017 Work Type: Septic Upgrade Expiration Date: 12/13/2018 Tax Code Number: 05153204000 Site Legal Address: TONJESS ESTATES BLK 3 LT 12 G:1462 Site Mailing Address: 21531 TONY CIR, Chugiak Owner: WILLIAMSON JOHN P & KATHRYN A Lot Size in Sq Ft: 47753 Design Engineer: Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field Q Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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 Receiv-. By: Date: ( )`4,7/ / � y l 7 Issued By: n L� � Date: /7i � punt Municipality of Anchorage I tpartment P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.rnuni.orq/Onsite Development Services Division On-Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV171153 COSA#: Permit#: OSP171364 PID#: 051-632-04 Legal Description: Tonless Estates B3 L12 Engineer: CM Engineering Applicant: John Williamson The following waivers have been approved: • Proposed absorption field to property line -2 feet • Proposed absorption field to neighbors well - 90 feet • Proposed tank to well on property - 96 feet • Proposed field to existing field - 10 feet • Existing field to neighbors field - 12 feet Future upgrades to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ® The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ® Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: /2-7/V7/7 Approved by: kkif-- -)0-r � Name of Review- **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE tv., Community Development Department r,9r Phoned-907-343-7904 Development Services Division Fa`x: 90 997 On-Site Water &Wastewater Program �i Dl ON-SITE SEWER/ ELL PERMIT APPLICATION /c,Parcel I.D. ) 3 Z _c�y `� 5 c3 yn Property owner(s) -301-Cir+ )c4 Tf)Y W-TGL K11 SO4'' Day phone 5.2.6 ^ to( ,3 Mailing address PO c ?c 6 7f q°71 Site address 0) S 3 I --1-04/1 (}t Legal description (Sub'd., Block & Lot) 70A/.7E s5 E 5 T 3 Legal description (Township, Range & Section) Lot Size 47r 75. ) Sq. Ft. Number of Bedrooms vl APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field Initial ❑ Single Family (SF) Al (w/iaet AD U) Septic Tank Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: LvaL To 55P7 C1 SES 144PM- Tl vL Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (S natu - a property owner or authorized agent) Permit/Rush Fees: Waiver Fees: 215 cr 13 Date of Payment: aJ(o I i' Date of Payment: 127/i/7I Z/)V/7 Receipt Number: 00.33a1D Receipt Number: 01034D 0371 P Permit No. OSP1713L4 Waiver No. 05V 17/f 5 , Permit App_9-1-12.doc C&M ENGINEERING SERVICES Ph:907-8545558 Municipality of Anchorage Onsite Water&Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Tonjess Estates Block 3 Lot 12 Dear Reviewer, We are requesting approval to install a new 4 bedroom septic system at the above referenced property. The property is currently developed, and the existing tank has failed and the leachfield is surcharged. Due to the local well configuration, steep slopes, and available space, we are requesting approval to install an Advantex system and new leachfield on the lot. The proposed system will require the approval of waivers. Waiver#1.We are requesting a lot line waiver to the leachfield. The requested waiver distance is 2'. We believe the waiver is justified due to the limited space of the lot and lack of available options. The impact to the neighboring lot is minimal. The neighboring lot has sufficient space to for a replacement system 10' or more from the proposed system. Waiver#2.We are requesting a leachfield to neighboring well waiver of 90'. We believe the use of an advantex system mitigates concerns of contaminating the neighboring well. The required maintenance agreement with remote monitoring reduces the risk of effluent contaminating the well. Waiver#3.We are requesting a septic tank to well waiver of 96' between the new tank and the existing well on this property. We believe the waiver will not excessively impact this or the neighboring property. The resilience of the advantex tanks and the required maintenance contract, including remote monitoring, reduce the risk of contamination to the well. Waiver#4. A waiver may be necessary between the new proposed leachfield, and the existing deep trench. The existing system was reportedly installed as a deep trench with an effective depth of 7' so the required separation is 14'. During inspection, it was noted that the deep trench system measures only 3' effective in the sump, but it may be plugged. We are requesting that the separation distance be waived to cp 10'. This waiver is justified due to the free draining nature of the soils and the use of AWTS. i81�AZ'J2ou, vgyr TilE 6KJVJ- j& CLt7 7e ,/cW (�H30l�r;vC� F��-i t) 5EP4fzAi j — wtP,45c..gfs IZ � 6 r�i= RE ca vee x,✓to 4 w 2-vE R t-o,ZT-H.4S e� .ti Installation of the proposed system will not negatively impact this or adjacent lots, due to the relatively large lot size, and the fact that the advantex system produces relatively clean effluent. Included with this letter is a permit application, plans, specifications, and calculations. A testhole was excavated on this lot and shows relatively free draining soils and no impermeable layers or groundwater to a depth greater than 12'. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini(a)gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE .sf.l EXISTING /4'.4C:.' �• ' " •9 6 LOT 13 WELL TM �� *�� ( 90' RADIUS •• ••••• •••• FOR REFERENCE 0 ••• 100' NEIGHBORING rj HARLES G BALZARII WELL RADIUS I FF,••. CE-13854, �,A/ NEW 5'x20' DRAINFIELD �ll�FgFo•1-13 ��AMY \ — 2' EFFECTIVE l�\ROFES``P ~ / \ o v\ \ \9 / /$i?7 / v�tiM NEIGHBORING EXISTING TESTHOLE 2' Gc air SEPTIC AREA �0 5' DEEP, UN-USED �C. L TOE OF � •� �' °�9 , STEEP \ OPTIONAL TH_1 j SLOPE TONY x DIVERTER TO CONNECT • EXISTING DRAINFIELD CIRCLE TO EXIST TRENCH `�" �; 'c TO BE RESERVE SITE. o I/�4' -1,_,�s� ONLY 3' EFFECTIVE \ _ �� ® `! ° MEASURED IN SUMP. ` 0\ \ 10 2' NEW 1500 GAL 96' MIN ADVANTEX TANK IN/ AX- , [J POD \`S� CRUSH AND PROPERLY 3 BR DISPOSE OF EXISTING HOME TANK v‘10DRIVEWAY 100' �6) NOTE: SYSTEM WELL RADIUS SIZED FOR 4 NBEDROOMS i ' XISTING �OELL \ ,i,, sy ° J,,s9 / / LOT 12 \_, II APPROX / EXISTING / WELL / / LEGEND NOTES: o CLEANOUT — —. �/ 1. THE PROPOSED SEPTIC SYSTEM IS GREATER THAN: • MONITOR TUBE 100' FROM ANY PRIVATE WELLS( EXCEPT FOR WAIVER) 200' FROM ANY PUBLIC WELLS ® TEST HOLE 100' FROM ANY SURFACE WATER 50' FROM ANY STEEP SLOPES 0.5%\ SLOPE INDICATOR 10' TO ANY PROPERTY LINE OR FOUNDATION( EXCEPT FOR WAIVER) / 5' TO ANY TEST HOLES SCALE: 1" = 30' LEGAL DESCRIPTION: TONJESS ESTATES BLOCK 3 LOT 12 C&M ENGINEERING SERVICES OWNER: JOHN AND KATHY DATE:11/30/17 REV:O DRAWN: CB REF: 907-854-5558 WILLIAMSON SITE PLAN CBM ENGINEERING SERVICES 907-854-5558 Septic Design Calculations Residence: TONJESS EST B3 L 12 RESIDENCE/LOT INFO number of bedrooms 4 br Water usage/bedroom 150 gpd/br Water Usage 600 gpd TANK Tank Size 1500 gal, min Filter Pod (1)AX-20 DRAINFIELD system type: advantex type: shallow trench Application Rate 6 gpd/sqft required absorption area 100 sqft trench width (W) 5 ft gravel depth (D) ,3''a ft below distribution pipe Shallow trench factor 5080.1 (W+2)/(W+1+2D) ogee (12.11%)11) (Shallow trench factor* Required Min Required Length: H ft absorption area 1W) Total Depth: 6 ft Cover: 2 ft min Insulation: 2" blueboard Use Length: 20 ft ok Effluent Pipe: 4"ASTM 3034. perfrorated 41S F \1 A:rkP�.••. •*'•''0 a • �I A' ••� +l i*:• 4912 1" *�0 .& 'wrrHEW P.BALZARIN: j /�+,'� •. No.CE118893. � C&M ENGINEERING SERVICES 907-854-5558 Septic Design Calculations Residence: TONJESS EST B3 L 12 RESIDENCE/LOT INFO number of bedrooms 4 br Water usage/bedroom 150 gpd/br Water Usage 600 gpd TANK Tank Size 1500 gal, min Filter Pod (1)AX-20 RESERVE DRAIN FIELD system type: advantex type: existing deep trench Application Rate 6 gpd/sqft required absorption area 100 sqft trench width (W) 3 ft gravel depth (D) 3 ft verified below distribution pipe Min Required Length: 11.1111111 ft (Shallow trench factor * Required absorption area/W) Cover: 3 ft plus The existing trench is 27' long, with a measured effective depth of 3' in the sump. Existing trench is suitable for a alternate/reserve site. (`✓ A .; T!; A .''� . 9 /.....`%..+ �?. ♦ ( Jf/ eit C&M ENGINEERING SERVICES 3tgm %\ '9 rr, 907-854-5558 elf ��" 0 TESTHOLE #1 �F,.ARLES %13854 -1 8�LZARiw j Soils Log - Percolation Test +liF,pii.vaQo,?,, ,; WILLIAMSON ll� ROFESS� 1•� Performed For: ��- Legal Description: TONJESS ESTATES BLOCK 3 LOT 12 Date Performed: 11/26/17 Depth (Feet) 1- TOPSOIL 2- .1...., 3- -. .. 4- See Site Plan 5- GM For Testhole Location • DENSE SANDY 6- GRAVEL W/ 7FREQUENT - COBBLES 8- WAS GROUND WATER 9- `' ,• ENCOUNTERED? NO 10- IF YES,AT WHAT DEPTH? NONE Depth to Water After 11- . Monitoring? NONE 12- -` '- Date:12/03/17 13- 14- Reading Date Gross Time Net Time Depth to Water Net Drop 15- 1 11/29/17 1:08 0 6-0/16 0 16- 2 1:18 10 8-2/16 2-2/16 17- 3 1:19 0 6-0/16 0 18- 4 1:29 10 8-1/16 2-1/16 19- 5 1:30 0 6-0/16 0 20- 6 1:40 10 8-0/16 2-0/16 PERCOLATION RATE 5.0 (minutesfinch) PERC HOLE DIAMETER 6" TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS PERC HOLE PRE-SOAKED PRIOR TO TEST.MONITOR TUBE INSTALLED. C, 4 5T 3h 2-6I4RtvA 5.H0t,✓4 - 7C5" R A4, 7--i,g, 6,7 . ;bwi-e c l b AZ.4-1 .P•1,4s PERFORMED BY: CHARLES BALZARINI I CHARLES BALZARINI CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE.DATE: 11/29/17 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND John P. Williamson THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this 11th Day of December of 20 17 , by and between John P. Williamson herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as ADVANTEX located at(legal description). TONJESS ESTATES BLOCK 3 LOT 12 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On-Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On-Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations, Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense,to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. I. Owner agrees to provide and maintain a telephone connection to the AWWTS as required by the AWWTS approval. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: John P. Williamson b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: /l, By: (signature) Date: 11 Dec 2017 John P. Williamson (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) /� � The foregoing ,/� -st ment ackne , ledged before me this 1/ day of 'nceol/J , 20/7-, by e,.7 c. c _� . �" SCHFF,I '► PI NOTARY PUBLIC -tea R ALASKA :�e.�;:' ;9cp ',,i My Commission/pires: 7ci t 3. Zo2c2 ."Z; to*ARY : s i to..'-ie = E i •E. PUB1-‘G �: Ai 1 4%' ';e of..� • �_= ililt e`on E`p`;0:.-' MUNICIPALITY: By: ,� , / iff .�. ,1 (signature) Date: 1Z//3/17 (print name) Title: (' '~ 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 LEGAL DESCRIPTION LOCATION D,STANCETO, ~OZ~ ~ DISTANCE TO: Iwe' ~lling Length Width ~ ~ T~pe of ~rib Crib diameter Crib depth m Well Building f~n~tion ~ DISTANCE TO: ~ Class / ~epth ~ Driller ~ DISTANCE TO: NO. OF BEDROOM~.~ Ma~_~_. No. of compartments 2~ Liquid deptL PERMIT NO. Liquid capacity in gallons Distance between To,., PERMIT NO. Total etlective absorption Nearest lot line Distance to lot line I PERMIT NO. Septic tank I Absorption area(s) OTHER PIPE MATERIALS / REMARKS MUN I C~ I P~J~IL I T¥ OI=- i=tNC:HClI=~I=IGE DEPARTMENT 0 ~EALTH AND ENVIRONMENTAL ! ~TECTION 825 L°STREET, ANCHORAGE, AK ~9501 264-4?20 ON--SITE $£WER & ~ELL PERMIT PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: 'CONTACT PHONE: 840383 05/24/84 KIMPTON BUILDERS ~ SiS ENGINEERING EAGLE RIVER, AK 9~577 ~4-2~?~ LEGAL DESCRIP: SUBDIVISION: TONJESS EST. LOT: t2 BLOCK: ~' SECTION: 2 TOWNSHIP: iSN RANGE: IW LOT SIZE: 45553 (SQ. FT. OR ACRES) MAX BEDROOMS: 3 ~LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING VOUR SEPTIC i, SYSTEM. -CHOOSE THE OPTION THAT BEST FITS YOUR SITE. ,DEPTH TO ~IPE BOTTOM (FT.> 4.0 5 4.0 iORAVEL DEPTH (FT.) 6.0 d 0.5 10. O ITOTAL DEPTH 4FT.) ~GRAVEL WIDTH <FT.) ~ 2.5 >~ 17.0 TGRAVEL LENGTH (FT.) -~2.0 ~1' 34.0 ~GRRVEL VOLUME (CU. VDS.) i!TANK SIZE <GALS) ~,000.0 ~* ~,000.'~ '~SOIL RATING CSQ. FT./BR) 4.0 7.5 4:!.. 0 -- 30. 3 ~ _~*_TRNK _MU_ST HRV_E RT LEAST TWO COMPARTMENTS "I'CERTIFY THAT: .1. I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET .FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODESRND REGULATIONS, .AND IN COMPLIANCE WITH THE DESIGN-CRITERIA OF THIS PERMIT.' 3.' I WILL ADHERE TO ALL HOR AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FRON ANY EXISTING WELL, WRSTEWATER DISPOSAL SYSTEM OR PUBLIC .. SEWERAGE SYSTEH ON THIS OR ANY ADJACENT OR NEARBY LOT. · '4. I UNDERSTAND THAT THIS PERMIT .IS VALID FOR A HAXIHUH OF 3 BEDROOMS AND " ANY ENLRRGENENT WILL REQUIRE RN ADDITIONAL .PERMIT.. IF R LIFT STATION IS INSTALLED IH RN AR~A COVERED BV MOA BUILDING CODES, THEN (i) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTRINEDJ (2) RS-BUILTS WILL NOT.BE APPROVED WITHOUT RN ELECTRICAL INSPECTION REPORTJ AND (3) THE ELECTRICAL WORK MUST BE DONE BY R LICENSED ELECTRICIAN. DflTE: ....... ., , .RPPLICRNTi KIMP~O~ B~JILDERS / ' . MUNICIPALITY OF ANCHORAGE Q PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 1~25 L. Stfe~t, Anchorege, At.~t~a 99501 264~4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAl. DESCRIPTION: 3-: ...~ 4- 5-. 7- lo- q ,, .~'~ 11-~ · ' ~4. 15- 16- 17- 18- 19- 20- MUNICIPALITY QF ANCHOI~E DEPT. OF HEALTH & ENVII~ONMENTAL PROTECTION' MAY 3 g ~984 WASGROUNOWATER H b ENCOU.TE.ED~ OATEPE..ORMEO: RECEIVED, ..,,T,,,.AT · DEPTH? SITE PLAN P E Gross Net Depth to Reading Deta Time T~me Wate¢ b l/A COMMENTS .,--- P~RFORM[D Net Drop ** MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date Ju.~lg 2~ 1986 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 15; 8t. ock $; Tonje66 E6t~tte6 Location (address or directions) (b) Applicant Name K.~ptoll. Telephone: Home 68 J-5 ! 75 Business Applicant Address P.0. 8ox. 551, C/m.q~.ak, At.~z6k~. 99567 (c) Applicant is (check one): Lending Institution I'-I; Owner/builder ~; Buyer I'1; Other I-1 (explain); (d) Lending Institution Address ~[~6Z~-~, (e) Real Estate Company and Agent non~. Address Telephone (I) · hv,~he HAA to the Iollowing address: S ~ S SRB 196X Telephone 99571 TYPE OF RESIDENCE Single-Family~ Multi-Family[] Number of ~edrooms 5 Other WATER SUPPLY Individual Well [3: Community [] Public [] Note: It community well system, must have written conlirmation from Ihe State Department ol Environmental Consen. ation attesting to the legality and status. SEWAGE DISPOSAL Onsite I'~ Public [] Community [] Holding Tank r"l Note: Il community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72-o~1.,~) o ENGINEERING FIRM PROVIDING ~elSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health · Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type ol structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal end State codes, ordinances, and regulations in effect on the date of this inspection. S & $ ENGINEERING Telephone ~ ~>(-'~' "' ~- ':~ ~' ~ Name of Firm ~ B ~ 96X Address EAGLE-RIVER, AK 99577 ,.~ 6 IS Date DHEP APPROVAL '*~ . ~ Approved for "~t~'~- bedrooms bg~J~'~ Approved ,~ Disapproved Terms ol Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a coudesy to purchasers of homes and their lending Institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors.or omissions in the professional engineer's work. Page 2 of 2 DE'~',r OF MUNICIPALITY OF ANCHORAGE (MOA,~ HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: ./-- /Z. /~ -~ Well Classification If A, B, C, D.E.C. Approved (Y/N) Well Lo~ ~>~s~nt~,~.. - .. Cate Completed ~" ~ ~/' Yield -- -" U ,%..z · Total Depth ~ Cased t~ ',~* Depth of Grouting Static Water Level ~ ~---' Casing Height Above Ground ./4/ Electrical Wiring in Conduit ~ Separation Distances from Well: To Septic/Holding Tank on Lot /~,~-- r To Nearest Edge of Absorption Field on Lot //8 · To Nearest Public Sewer Line ~/~' Pump Set At Sanitary Seal On Casing~/N~ Depression Around Wellhead ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ~'""',~__,,_[ Water Sample Collected by ~'~ ~ ~'~ '~-~.'""/¢ Date Water Sample Test Results Comments "~ ~:~[l~r-o~lc. ,~n,¢ PROTFCTiON JU I 0 9 SEPTIC/HOLDING TANK DATA Date Installed ~'~'~/-'~/' Size To Nearest Sewer Service Line on Lot Standpipes ~d/N) Air-tight Caps Depression over Tank Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water-Meiw/Service Line Course Comments '~ ~h~t~'~' RECEIVED No. of Compartments Foundation Cleanout ~//~Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) ,'/~ ~ ! To Building Foundation ~ ' ,~"~ ' " To Disposal Field .5-- · Z.. ~" / ~' To Streaml Pond, Lake, or Major Drainage Page I of 2 72-026( 11/84 ) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed 7_z 4//~ ~' 5/' Width of Field .5'-o Square Feet of Absorption Area Depression over Field ~ Results of Last Adequacy Test Separation Distance from Absorption Field: Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Presen~lq~ Date of Last Adequacy Test To Water-Supply Well To Building Foundation Lot To Water I~m~/Sen/ice Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area. or Vehicle Storage Area Comments To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) '"'/~ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pu~p Off" Level at /,,~'/ Vent(Y/N) · /,,/~_ Pumping Cycles during Adequacy Test. Meets MOA Check Permitted Bedroom Rating Against HAA Request ** Compa~l~J~p.~~.__. MOA No. ~"J'---~:;~ '-~ Receipt No. ~ ,,~4:~ ~ ~ Date of Payment ~/~ Page 2 of 2 Location (address or directious) (b) Applicants Name ~?pT~A/ /~U/LDC'/~$ Telephone - Home Business Applicants Address (c) Applicant is (check oue) Lemting Institution ~-~; Owner/builder~. Buyer[----]; Other~-~(explalu); (d) Lending Institution Address (e) Real Estate C~. & Agent ~f~ Address (f) Mail the NAA to the following address: 2. Type of Residence Slngle-Family~ Number of Bedrooms Water Supply' Individual Well~ Multi-Family ~-~ Telephone Other (describe) Comm i -- Publioj--7 Note: If community well system, must have written confirmation from the State Department of Environmental Co.server[on attesti~g to the legality and status. Sewage Disposal Onsite,~ Public~--~ -Community[--~ Holding Tank[---~ Note: If community yell system, ~uet have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] Bn§lneering ~ttm ProvidinS Inspections, Tests, File Search, Data and Infor~atio~ Ag certified By my seal affixed hereto and as of the validetion date shorn belov, verify thaC my investiSation of this Eealth Authority Approval sho~ Chat the va[er supply and/or vas[eva[er disposal system is safe, functional and adequate for the number of bedrooms and ~ype of structure indicated herein. I further verify that, based on the information obtained fro~ the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wustewater disposal system is in compliance with all Municipal and State codes, ordinances, and re§ula- tions in effect on the date of this inspection. Name of Flr~ Telephone Address · . $~,~1 I~,~X . --,{ OF Te~s of ~lCtong Approval CA~ION T~ MUNICIPALITY OF ANCHORAGE I~PAR~HENT OF Ii~ALTH ~ND ENVIROh~I~NTAL PROTECTION (DEEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPEh~ENT PROFESSIONAL ENGIh~ER REGISTERED IN THE STATE.OF ALASKA. Tlfl~ IltEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITb~IONS IN ORDER TO SATISFY CERTAIN FEDERAL ~ND STATE REQUIRE- MI~NTS. DIPLOYEES OF D[tEP DO NOT CONDUCT INSPECTIO~ OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE HUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSION~ LN ~ PROFESSIONAL ENGINEER'S WORK. (DEEP SEAL) RR4/eJ/Ol8 [Page 2 of 2] 7-19-84 MUNICIPALITY (F ANCHO~ (MOA) HFALTH ~bn~ORITY APP~0VAL (HAA) CHECKLI~ - FEBRUARY 1984 Ao ~ELL MUNICJPAUTY OF ANCMORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED Total Depth ~ ~O I Cased to Static ~ater ~1 SF- / Casing He~.gh9 .Abo~ G=c~nd / 5~" ' Sepa=ation Distan(~s f~ Well: ! To Septic~Tank ~n Lot' /0~ ~ To Neaxest Edge of Abso=ption Field on Lot 'To Nearest Public Se~= Line /J /~ Sanita~my Seal on Casing ~ Del~ession A=ound Wellhead ,(~ : On Adjoining Lots MA~OPO //8 ! on d oining Lots TO Nea=est Public Se~r Cl~ancut/Manhole /-) //%' To Nearest Sewer Service Line on Lot Be SE~,'ICAk~9~NG TAS~ I1%TA De. Installed 7/~-~/~F Size /~ No. of Compartments Standpi~es~)N) ai~-tight Caps ~N) F~n~ti~ C~a~t ~) m~essi~ ~ Ta~ (Y~ ~ ~t~d Holdi~ Ta~ Hi~te= ~a~ (Y~)'~ ~ ~ldi~ Ta~ ~t {Y~) ~ati~ Dist~s ~ ~ptic~iah~ To Building Foundation '~ To Disposal Field .b~''',' To St~e~, Pond, Lake, c~ Major D=ainage Comments [Page 1 of 2] 2-15-84 C. ABSO~TIGN FIELD ~TA Soils ~ating in Ab~o=p~c~ S~rata Width of Field Square Feet of Abs.orptic~ Area ~e~i~ ~r Field (Y~ ~sul~ of ~st ~ · Length of Field ~ ! D~pth of Field /~ / ~a~l ~d ~i~ss ~/" ~ Sta~ims ~e~nt ~) 'To Building Fogndation To ~r ~i~rvi~ Lir~ ~/~ ' ~ ~(if ~nt) , To ~i~y, ~ki~ ~ea, ~ Vehic~ St~ ~a ~ ~ D. LI~T STATION Date Installed Dimensions Size in Gallo~ Mar~ole/A~cess (Y/N) "Pump On" Leal at "Pump Off" Level at High Water Alarm Level at / --/ Vent (Y/N) · Tested 'fo~ ~/~~ during Adequacy Test. Meets ..'~lect.trical Codes(Y/N) ** O~eck Permitted Bedroom Rating AGainst }{AA B~quest I ~s=tify that T have chsc~d, verified, c= con. f~d to all FIOA }{AA _(~_ 4~s in effect on the date of this_inspecticn. ~ O~ Signed .... ? SRB l~X · · ·, ~, ~<*'. ..... ·. [Page 2 of 2] 2-15-84 825 'L" Street R~k Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor http://www.ci.anchorage.ak.us March 15, 2000 Jeffrey Gamess Alaska Water 8: Wastewater Consultants, Inc. 6901 Debar Road, Suite 2-B Anchorage, AK 99503 Subject: Waiver Request for Tonjess Estates, Lot 12, Block 3 Waiver Request #WR000012 Parcel ID #051-532-04 HA000083 Dear Mr. Garness: Your request for a waiver of the required 10 feet horizontal separation from the on-site wastewater disposal system to property line has been approved. The approved separation distance is 4.0 feet. This waiver approval applies to the existing on-sitewastewaterdisposal system 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 any further concerns or questions regarding this waiver, please call our office at 3434744. Sincerely, Daniel J. Roth Civil Engineer On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health & Human Sewlces On-Site Services Waiver Review Worksheet WR# WRO00012 PID#: 051-§32-04 HAft: HA000083 Date Received: March 8, 2000 Legat Description: Tonjess Estates, Lot 12, Block 3 Engineer:. Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B, Anchorage, AK 99503 Permit~ Applicant: Richard & Rosanne Kimpton Waiver Requested: I foot lot line waiver. Criteria: 1. Geology Points: A. Water Table B. Soil Sorpfion C. Permeability D. Water Table Gradient E. Horizontal Separation 2. Special Conditions: Total: 3. Other:. Waiver is Gmntad: X, List Conditions or Reasons for above: ~ F- ,7 Waiver Is not Granted: Date: Rec/f: 05779 Amount: S115.00 By: P/~ ~,/ Name of Reviewer Date Paid: March 8, 2000 "' ~:'"" ' ....... HEALTH & HUMAN SERVICES Date ~, /~. ~ ..... ., .,,.,.,.~ ~,~ ~ .;. ~ ~ M~l~~mge ~enl of H~I~ ~nd Human ~ (DHHS) ~u~ Hea ~ ~od~;' ~.~ ..... . :. :: .~, :. ~ ,,~p~l ~fl~.~ on~ u~n ~e mp~n~flons g ven In ~mgmph 5 a~ve by an Inde~ndent ? ;'-r ~., ~, . - ...,., ~ ~ DHHS do not ~ndu~ Ins~o~ or anal~e da~ be~m a m~te ~ ~u~,~e Mun dna ~ of r;, '- ~ .g-'.~:..-' ' ,. :..:..: ~; :~ ~ge b .~ot ~lble ~r e~m or oml~lons In ~e pmfe~lonal enginee~s wo~.~, "t~ ~:..;'; ¥7' ;~"'~ ;, '."~ .':: F.:: Legal Description: A. WELL DATA Well Type PRNATE Log present (Y/N) Total depth 280' Sanlmy seal (Y/N) CEIVED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVI'b'~Oe ~000 Environmental Services Dlvleton Health Authority Approval Checklist TONJESS ESTATES S/D; LOT 12, BLOCK 3 PamelI.D.: FROM WFI I LOG Date of test 6/15/84 Static water level 52' Well production 0.4 g.p.m. WATER SAMPLE RESULTS: Date of sample: 2/29/2000 B. SEPTIC/HOLDING TANK DATA Date Installed 8/14/84 Tank size Foundation deanout (Y/N) YES Data of Pumping 8/19/1999 C. ABSORPTION FIELD DATA Data installed 8/14/84 Length ~ 27' Effective absorption area Date of adequacy test Ruld depth In absorption field before test (In.); Fluid depth 0' (ins) Minutes later. Peroxide treatment (past 12 months) (Y/N) 051-552-04 ~A,B, orC, attachADEClette~ADECwatarsystem number N/A YES Data competed 6/13/84 Cased~ ~6.~'~OBEDROC~ Caslnghe~bevegmund) 10" YES Wimspmperlypmtactad(Y/N) YES ATINSPEC~ON 2/22/2000 65' 0.6 g.p.m. · bq m~/L Other bacterle Co,,c d NC. 1000 Number of Compartments 2 Cluanouts (y/N). YES Depression (Y/N) NO High water alarm (Y/N) N/A Pumper JR'S PUMPING *SUMP HAS BEEN PARqlALLY FILLED WITH DIRT. 30 INCHES OF EFFECTIVE MEASURED IN FIELD Soil rating (g.p.d./lt2 or fl2/bdrm) 125 System bjpe TRENCH Width 4.2' Gravel thlclmese below pipe '7' Total depth * 10.5" 378 SQ.FT. MonlteflngTubepmsent(Y/N) YES Deprseslenoverfiald(y/N)' NO 2/22/2000 Results (Pass/Fall) PASS For 3 Bedrooms ,**0" Immedletaly alter 457 gal. water edded (In.): 20.5" 1411 Absorption rata = **450+ NONE KNOWN If yes, give date · *'1000 GALLON WATER HAUL ADDED PREVIOUS DAY D. UFT STATION 'Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: SepUc/holdlng tank on lot Absorption tteld on lot Public sewer main 8ewer/se~c so.ce line 100'+ On adjacent lots 100'+ 100'+ On adjacent lots 100'+ N/A Public sewer manhole/cleenout N/A 25'+ Lift stafion N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property Une 5'+ Water maln~son4ce line 10'+ Surface water/drainage 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property llne Surface water Curtain drain '1'+ Building foundation 1 oo'+ NONE KNOWN Absorption field 5'+ Wells on adjacent lots 100'+ *SEE WANER REQUEST L~.I le.R 10'+ Water maln/sondce Ilne 10'+ Driveway, parldng/vehlcle storage ama 50'+ Wells on adjacent lots 100'+ Waiver Fee $ Date of Payment Receipt Number ALASKA WATER & WASTEWATER CONSULTANTS, INC. February 25, 2000 Municipality of Anchorage Department of Health and Human Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Lot 12, Block 3, Tonjess Estates Subdivislon To whom it may concern: We request that your department issue a 1 foot lot line waiver from the noah property line to the existing drainfield. The encroachment is shown on the attached Registered Land Surveyor Robert Johnson's As-built survey dated June 2, 1986. I am unaware of an/y/~.dverse impacts this waiver would have on adjacent wells or septic systems. If you have anyq~e~ttions, please contact us at 337-6179. Th.ank you for your assistance. ,~/ 6901 Debarr Road, Suite 2B ~ Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246 " .~ .~,~. ..**..,*~. , !~.*.*-. .,. · .. .~ .,,.*** ,.. .. 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