HomeMy WebLinkAboutTONJESS ESTATES BLK 2 LT 21Tonjess
Estates
Block 2
Lot 21
#051-832-09
Municipality of Anchorage
e
icr- Development Services Department =; _:
Building Safety Division '
;• ""
On-Site Water & Wastewater Program, 4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1
On-Site Wastewater Disposal System and/or WeII Inspection Report
Permit Number. SW030272 PID Number 051-832-09
A
- '_
of 3
Name: STEVE WAKELAND
Wastewater System: ■ New 0 Upgrade
AddresP o. BOX 771822
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 830-9246 3
O Deep Trench ■ Shollow Trench O Bed O Mound OOther
LEGAL DESCRIPTION
Soli Rating:
1.0 GpDn,. n.
Total Depth from original grade:
8.0 MAX n.
Block: Lot Subdivision:
2 21 TONJESS ESTATES
Depth to pipe bottom from original grade:
3.89 n.
Crawl depth beneath pipe:
4.11 R
Township:Range: Section:
— —
Fil added above anginal grade:
SEE DWG. n.
Crawl length:
45+ n.
WELL: • New 0 Upgrade
Gravel width:
5 n.
Number of lines:
1
DMtance between Inn:
— n.
Classification (Private. A.B.C):
PRIVATE
Total Depth:
320 R
Cased To: (mown
22 n.
Total absorption area:
450+ so. n.
Pipe maGrfat:
D 3034/ F-810
DING.
SULLIVAN WATER WELLS
Date Dn .d:
8/4/2003
Static water Level:
132 R
installer REEN GENERAL
Dat. 8%14-15/2003
Tedd:
10 GPM
Pump Set At
UNKNOWN n.
Casing N. ght Above Ground:
2 n
TANK
SEPARATION DISTANCES
■Septic CIHolding OS.T.E.P. OOther
To
From
Septic
Tank
Absorption
Field
LIR
Station
Holding
Tonk
Pubic/Privat.
s.w.r tinea
ManN°cAN
ANCHORAGE TANK
Capacity In paeans`
1000
Well
100•+
100'+
—
—
25'+
Material:
STEEL
Number of comportments:
2
Surface water
100'+
100'+
—
—
-
LIFT STATION
Line
5'+
10•+
—
—
—
Sze n gallons:Manufacturer:Lot
Foundation
5•+
10'+
-
-
—
'Pomp on• Meal at'Pump
off ot:
Ho water abrin of
Curtain Drain
"p Make •
Electrical Inspections performed hr
V
NONE KNOW
Remarks:
BENCH MARK
Location and D.ecrtplion:
TOP OF FOUNDATION SLAB ® POINT "B"
Assumed 98.75 R
p
QQOoo�/�
ENGINEER'S
; •
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�p
4d
�OOOoo�a
C
safe...
SEAL.
A. ,
...oma
S •
00
s ` ��
O
a
Inspections performed by: AKWWC, INC. Dates: 1st 8/14/2003
2nd 8/15/2003
15/2003
Development S ices Department Apprd roval
P pp
Reviewed
Reviewed and approved by: Date
(R «.
PERMIT NUMBER:
SW030272
AS --BUILT DRAWING
PARCEL ID NUMBER:
051-832-09
•
:::.1•4:••••••
-41
r.,-•
....:J::.�.
•.•:n •-:.:• •.i • ••!'moi._•
NEW
WELL
NEW DRAINFTELD
ALTERNATE SITE
"'Co
Oz
B
9.87
15.29
19.02
20.08
14.42
12.74
45.20
41.97
NEW 1000 GALLON
SEPTIC TANK
DBL1
DBL2
7
C
19.63
22.32
63.16
59.06
•
ALASKA WATER & WASTEWATER
CONSULTANTS. INC.
3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)537.6179 • FAX (907)338.32.6
DATE:
9/3/2003
DRAWN BY:
C.J.G.
SCALE:
1"=40'
PREPARED FOR: PHONE NUMBER:
STEVE WAKELAND (907) 830-9246
PAGE NUMBER:
2 OF 3
LEGAL DESCRIPTION:
TONJESS ESTATES SUBDIVISION; LOT 21, BLOCK 2,
TYPE OF WORK:
AS -BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM
9i
•
D
ffi ='I!• Gess.
C s 795 " •'o4/
fess10' '
OO000d�
PERMIT NUMBER:
SW030272
AS -BUILT DRAWING
PARCEL ID NUMBER:
051-832-09
INSULATION
FINAL GRADE
99.18 (AVC.)
ST1 512
TOP OF TANK AT TOP OF TANK AT
INLET .• 95.73 1 OUTLET - 95.75
INVERT OF BUNG
AT INLET I. 95.23
INVERT OF BUNG AT
OUTLET I. 94.96
FILTER FABRIC
FINAL GRADE 4.
97.86-98.21
ORIGINAL GRADE -
98.42 0 HIGH POINT
-414--RELATIVE ELEVATION OF BOTTOM OF TEST
HOLE •• 82.42 (TEST HOLE DRY)
ALASKA WATER & WASTEWATER
CONSULTANTS, INC., ---•--
3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338.3246
PREPARED FOR:
PHONE NUMBER:
STEVE WAKELAND (907) 830-9246
INVERT OF PIPE
u. 94.53 (AVG.)
BOTTOM OF
TRENCH -
90.42 (AVC.)
DATE:
9/3/2003
DRAWN BY:
C.J.G.
SCALE:
N.T.S.
PAGE NUMBER:
3 OF 3
LEGAL DESCRIPTION:
TONJESS ESTATES SUBDIVISION; LOT 21, BLOCK 2,
TYPE OF WORK:
PROFILE AS -BUILT DRAWING OF SEPTIC SYSTEM
•:y*VDOD
y • am -•� �
7953 , • e%;50G
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0 ess1011°o0
40000�'a
09/01/2003 17:29 9076965534
ecl't))
EAGLE UENTURES
Qtertitieb J'= ritttng1Lo...,
DOC ab,
SULLIVAN WATER WELLS.
P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 688-2750
STEJa tv14ei : G.4...14
OWNER OF LAND: go 6 e#c ic-AfPf.-.JIG BORE HOLE DATA
ADDRESS*
LEGAL DESCRIPTION- TOG.t fc %
DATE f/ y/ O3
PERMIT NUMBER' n .2 701 Date of Issue. -2
TAX IDENTIFICATION NUMBER: to 5-1 - (? a1 - 0 7
Is well located at approved permit location? 4'Yes 0 No
Method of Drilling: r rotary i cable tool
Depth of welt* 3 d O
Casing Type ST `c Wall Thickness 05":1• inches
Diameter // inches, depth r? a1 feet
Liner Type'
. Casing Stickup Above Ground' •
Static Water Level: j 302
Recover Rate•_L.Si_gpm
Method, of Testing: .414
Well Intake Opening Type: 0 open end n hole
feet
feet
J Screened: Start
J Perforations Start
Grout Type. r 4.4 ,T C'
Depth: from
feet Stopped
feet SteRAed
feet
feet
Volume TO NQS
feet to feet
•Well Disinfected Upon Completion? 0 No
Method of Disinfection- 4414 c clot r ti u S'O rPiyf .
Comments:
:I
DEPTH
From To •
oZ•
a•
4
4
a,
da
,4
Fb
°t!
9
1
ia
aWb
d 13
. 3or
3s;
3i
PAGE 01
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Drillers Maine " l�.t.� •
ATTENTION: It is the.responslbiiity of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.
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 / WATER SUPPLY PERMIT
Initial
Permit Number: SW030272
Legal Description; Tonjess Estates Block 2 Lot 21.,
Design Engineer: 0041 AK Water & Wastewater Consultan'
Owner Name: Steve Wakefield
Owner Address: P. O. Box 771822
Eagle River , A 99577 -
Date Issued: Jul 25, 2003
Expiration Date: Jul 24, 2004
Parcel ID: 051-832-09
Site Address: Homestead Road
Lot Size: 74346 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.
Issued By:
Date:
7.25.03
Date: %cab --03
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
fUSHON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
1
413)(aie
Parcel I.D. n .S !— 3 2- 0 9 Permit Number 0 3 0.2-72_
Property owner(s) STEVE WAKEFIELD Day phone 830-9246
Mailing address (1) P.O. BOX 771822 * EAGLE RIVER. AK
Mailing address (2) Zip Code 99577
Legal description (Lot, Block & Sub'd.) LOT 21. BLOCK 2: TONJESS ESTATES SUBDIVISION
Legal description (Section, Township & Range) N/A
Lot Size 7¥ 3 (e" Acres/Sq.Ft.
Number of Bedrooms 3
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only
Sewer and Well Water Storage
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub 0 Jacuzzi
Swimming Pool ❑ Water Softening Unit
Therapy Pool 0
0
certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal codes.
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
Permit Fees` 5O •
(
Date of Payment: 1 •2i •c•3
Receipt Number: 3
0
Waiver Fees:
Date of Payment:
eceipt Number:
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
....__0N-SITESEWERMIELL PERMIT APPLICATION_ ..
FOR A SINGLE FAMILY DWELLING
Parcel I.D. O S -Sr2- ~ 0 dA
Permit Number SW 0 302 7z
Property owner(s) frr V -k T 1 g' Day phone 5(6' 1
Mailing address (1) F'p` 1t7)( Li -1144S C 4t 4I r\I) 7A
Mailing address (2) Zip Code ( S 1=7.-
Legal
=7.Legal description (Lot, Block & Sub'd.) Vp'r 2IA7L142 "MIA 1/41-t 9 Es -or -es
Legal description (Section, Township & Range)
>LotSize "14/ Acres/:q.Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
❑ Well Only
Water Storage
Jacuzzi
Water Softening Unit
0
certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature .f property owner or authorized
_—
Permit Fees: V
Date of Payment:
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
ALASKA WATER & WASTEWATER
July 23, 2003
CONSULTANTS, INC, msmaaamaseremsewsuntarramormesessammea.
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Proposed Well and Septic System for Lot 21, Block 2; Tonjess Estates Subdivision
To whom it may concern:
The proposed 3 bedroom house will be served by a private well and septic system. Two test
holes were excavated on the property. The drainfield will be designed around the 30 foot radius
of these test holes. We are proposing that a 1000 gallon septic tank and a 5 -wide type drainfields
be installed. Comments regarding the design are summarized as follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring,
and the percolation test results. It is our opinion that the insitu sandy soils should act as a sand
filter and that an application rate of 1.0 gallons/day/ft2 should be used.
2. TRENCH DESIGN:
a. Percolation Rate: <1 minutes/inch
b. Proposed Application Rate: 1.0 gallons/day/ft2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 450 ft2
f. Total Depth: 9 feet (max.)
g. Effective Depth: 4
h. Width: 5 feet
i. Reduction Factor: 0.50
j. Minimum Length: 45 feet long
k Effective absorption area = 450 ft2
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic
system.
4. TOPOGRAPHY: The area for the proposed drainfields is a 15-25 percent slope running
approximately east/southeast to west/northwest. In short, there are no slope concems.
We are unaware of any adverse impacts this installation would have on adjacent wells or septic
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
.E., M.S.
NOTE: A site plan drawing, a design drawing, two soils logs, and a 7 page construction
specification letter which are all part of the design package for this septic system.
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
•
LOT 16, BLOCK 3;
TONJESS ESTATES
LOT 18, BLOCK 3;
TONJESS ESTATES
LOT 19. BLOCK 3; \
\ TONJESS ESTATES \`
\• --. VJ
VPc#, it
\\ N.N.
a/
N.
N. \N. �/
N. N. I
\\
N. _�
\\\ \\\
LOT 20, BLOCK 3; \\ \
TONJESS ESTATES \
\ I
SERVED BY A PRNATE
WELL & SEPTIC SYSTEM '
NO ENCROACHMENT CONCERNS /
LOT 21. BLOCK 3;
TONJESS ESTATES
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
N.
LOT 22, BLOCK 2;
TONJESS ESTATES ` ��
P4'"
-
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.•
3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246
PREPARED FOR PHONE NUMBER:
STEVE WAKEFIELD 830-9246
LEGAL DESCRIPTION:
LOT 21, BLOCK 2; TONJESS ESTATES SUBDIVISION
DATE:
7/23/2003
DRAWN BY:
C.J.G./J.L.M.
SCALE:
1" = 100'
PAGE NUMBER:
1 OF 2
1
I
1
/
i
/
PROPOSED
3 BEDROOM
HOUSE
TRACT B
PARK RESERVE
PROPOSED SEPTIC SYSTEM
(SEE DESIGN PAGE 2 OF 2)
ALTERNATE SITE
TYPE OF WORK:
SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM
PROPOSED
WELL
INSTALL FOUNDATION
CLENOUT
PROPOSED 1000 GALLON
SEPTIC TANK
INSTALL DOUBLE
CLEANOUTS
PROPOSED DRAINF1ELD. EXCAVATE A TRENCH
THAT IS 9 FEET DEEP MAXIMUM BY 5 FEET
WIDE BY 45 FEET LONG. ADD 4 FEET OF
CLEAN. WASHED SEWER DRAINROCK. INSTALL
TRENCH PARALLEL TO SLOPE CONTOURS.
NOTE: THE CONTRACTOR SHALL
HAVE THE SOUTH LOT UNE FLAGGED
BY A REGISTERED LAND SURVEYOR
PRIOR TO CONSTRUCTION
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-6179 • FAX (9071338.321.6
PREPARED FOR:
PHONE NUMBER:
STEVE WAKEFIELD 830-9246
LEGAL DESCRIPTION:
LOT 21, BLOCK 2; TONJESS ESTATES SUBDIVISION
.
DATE:
7/23/2003
DRAWN BY:
C.J.G.
SCALE:
1"=40'
PAGE NUMBER:
2 OF 2
TYPE OF WORK:
DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
5701 E. TUDOR ROW, SURE 101 • ANCHORAGE. M. 99307 • PHONE: (607)337-6179 • FAX: (907)336-3246 • WEBSITE: akwe.
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: LOT 21, BLOCK 2, TONJESS ESTATES SUBDIVISION
PERFORMED FOR: STEVE WAKEFIELD DATE: 7/15/2003
(feet
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
B.O.H
GM/SM
w/ LARGE
COBBLES &
BOULDERS
(LOOSE)
TEST HOLE #1
SOIL CLASSIFICATIONS
•
O.. a.
090_0
RAM
illtiiii
GW
GP
GM
GC
SW
SP
SM
SC
JJ?)
ORG
ML
CL
OL
MH
CH
OH
DEPTH TO
GROUNDWATER
DATE
DRY
7/15/2003
DRY
7/23/2003
7/16/2003
1
—
—
gslp�0
VA
A. 'ess. 1
7953 e�O
q
fes s10np 7
sx•1000"
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
7/16/2003
1
—
—
6"
—
2
—
3
0"
6"
3
—
—
6"
—
4
—
3
0"
6"
5
-
-
6"
—
6
—
3
0"
6"
PERCOLATION RATE
<1 (MIN./INCH)
TEST RUN BETWEEN 6.0 FT. AND
PERC. HOLE DIA. 6 (INCHES)
7.0 FT.
A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NI NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL
COMMENTS' THE INSITIJ SANDY SOILS WILL ACT AS A SAND FILTER
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THISAS ERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ?(ZZ 03
ALASKA WATER & WASTEWATER
CONSULTANTS. INC.
3701 E. 11AORl1OAD, SURE 101 • ANCHORAGE, M. 99507 • PHONE (907)337-6179 • FAX: (907)336-3246 • WEBSRE ok.wc.wrr
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOT 21, BLOCK 2, TONJESS ESTATES SUBDIVISION
PERFORMED FOR: STEVE WAKEFIELD DATE: 7/15/2003
(feet)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
SOILS LOGGED BY:
COMMENTS'
r
•
0.1
•
I
•
•
GM/SM
w/ LARGE
COBBLES &
BOULDERS
(LOOSE)
TEST HOLE #2
SOIL CLASSIFICATIONS
EIZE
1131191
Bea
maw
GW ORG
GP
GM
GC
SW
SP
SM
SC
ML
CL
OL
MH
CH
OH
DEPTH TO
GROUNDWATER
DATE
DRY
7/15/2003
DRY
7/23/2003
•�� i,>I�I o
D
eff l A Gar ess. gOt
•,01
C — ,CPOp
cow
OQe�o°•d
�00400�00
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
7/16/2003
1
—
—
6"
—
2
—
3
0"
6"
3
—
—
6"
—
4
—
3
0"
6"
5
—
—
6"
—
6
—
3
0"
6"
PERCOLATION RATE <1 (MIN./INCH)
TEST RUN BETWEEN 6.0 FT. AND
PERC. HOLE DIA. 6 (INCHES)
7.0 FT.
A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES al NO
JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL
THE INSITU SANDY SOILS WILL ACT AS A SAND FILTER.
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS AS ERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: '?/23 03
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Q3'0 L°4
Parcel I.D. 051-832-09 HAA#
Expiration Date: 3- / /
8 -0 Li.
1. GENERAL INFORMATION
Complete legal description TONJESSSESTATES SUBDIVISION; LOT 21, BLOCK 2
Location (site address or directions) . 5 �+UMESTEAD DRIVE * CHUGIAK, AK 99567
Current Property owner(s) STEVE WAKELAND Day phone 830-9246
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
P.O. BOX 771822 * CHUGIAK, AK 99567
Day phone
Day phone
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
❑ Individual Holding tank
O 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 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid
water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water
system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's
work.
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 al! applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSO Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report Is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will it confer any legal right whatsoever.
Phone 337-6179
Date
1Z/.�/o3
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5. DSD SIGNATURE
Approved for 3 bedrooms.
Disapproved.
Conditional approval for bedrooms, with the fllowing stipulations:
Note: The well for this property meets existing State and Municipal
Codes. There
are nitrates present. It is suggested
insure the wells continued
suitability.
EPA maximum concentration
from the On—Site Services
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
By: t,
(Rev. 12/01)
that periodic testing be performed to
Current nitrate concentration is 5.1 mg/1.
is 10.0 mg/1. More information on
Program, at 343-7904.
1l
nitrates is available
Manitenance Agreements
Supplemental Engineer's Reort
Other
Original Certificate Date: 102 1 8 — 03
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: TONJESS ESTATES SUBDIVISION; LOT 21, BLOCK 2 Parcel ID: 051-832-09
A. WELL DATA *CASED TO BEDROCK
Well type PRIVATE If A, B, or C provide PWSID# N/A, Well Log (Y/N) YES
Date completed 8/4/2003 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
Total depth 320 Cased to *22 ft Casing height (above ground) 24+ in
I•
FROM WELL LOG AT INSPECTION
Date of test 8/4/2003
Static water level 132 ftNES ��\-\- ft
Well production 10 g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 ml. Nitrate 5-•1 mg./L. Other bacteria. C .colonies/100 ml.
Arsenic: N/A mg./L. Date of sample: 12/8/2003 Collected by: AKWWC, INC.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEEL Date installed 8/15/2003
Tank siiie 1000 gal. . Number of,Compartments 2 Cleanouts (Y/N) YES
I
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (YIN) N/A
Date of pumping NEW Pumper -
i
C. ABSORPTION FIELD DATA
Date installed 8/14-15/2003 Soil rating.p.d./f r ft2/bdrm) 1.0 System type SHALLOW TRENCH
Length 45+ ft. Width 5 ft Gravel below pipe 4.11 ft
Total depth "7•e ft. Eff. absorption area 450+ ft2 Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fail) - For 3 bedrooms
i
Fluid depth in absorption field before test — in. Water added - gal. New depth - in
Elapsed Time: - min. Final fluid depth - in ' Absorption rate >= - g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) - If yes, give date -
"BELOW FINAL GRADE
D. LIFT STATION
Date installed Size in gallons Manhole/Ac
"Pump on" level at in. "Pump off' - - in High water alarm level at in.
Datu Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent Tots
Absorption field on lot 100'+ On adjacent Tots 100'+
Public sewer main N/A Public sewer manhole/cleanout _ - N/A
Sewer /septic service line 25'+ Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent Tots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line *10'+ Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
100'+
Curtain drain NONE KNOWN
F. COMMENTS
Wells on adjacent Tots 100'+
'"PHYSICALLY VERIFIED
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name _ JEFFREY A. GARNESS
Date /Z/i5/O;
HAA Fee $ _ 335.'
Date of Payment (2 -ifs -107
Receipt Number q51./S5-01-11
(Rev. 12/01) U
Waiver Fee $
Date of Payment
Receipt Number
12-11-03 03:41PI FROM-CT&E ESI, SGS ENV SERVICES 9075615301 T-819 P.02/03 F-586
SGS ReI.#/
Client Name
Project Name/#
Client Sample ID
Matrix
1037801001
AK Water & Wastewater Consultants Inc.
Tonjess Est S/D Lot 21, Bk 2
Tonjess Est S/D Lot 21, Bk 2
• Drinking Water
All Dates/Times are Alaska Standard Time
12/11/2003 12:43
12/08/2003 8:35
12/08/2003 12:20
Stepb p . Ede
Printed Date/Time
Collected Date/Time
Received Date/Time
Technical Director
Released �y
Sample Remarks:
Parameter
Results PQL
Waters Department
Nitrate -N
Microbiology Laboratory
Total Coliform
5.10 0.100
0
Units
Allowable Prep Analysis
Method Container ID limits Pate Date lnit
mg/L EPA 300.0
13 (<=10) 12/08/03 MB
co1/100mL SM18 922213 A (<=1)
12/08/03 DKC
LOT 22
1
1
1
PLOT PLAN _ ASBUILT ...X__ SCALE I. ' 5°' GRID NN` 1462 Project No 03-195
Lang & Associates, inc. 11500 Daryl Avenue, Anchorage, Alaska 99515
—6476
Registered Land Surveyors (907) 522-4625 Fax
I hereby csrflfy that I have surveyed the following described property:
LOT 21. BLOCK 2. TONJESS SUBDIVISION (PLAT 82-59)
Anchorage Recording District. Alaska. and that the Improvements situated
thereon are within the properly lines and do not encroach onto the property
adjacent thereto. that no improvements on the property lying adjacent thereto
encroach on the surveyed premises and that there are no roadwaayyss, transmission
lines or other visible easements on said property except as Indicated hereon.
Dated this the 2¢th Day of 4c'4s bFo— � . at Anchorage. Alaska
R Is the responsibility of the owner to determine the existence of any easements.
covenants. or restrictions which do not appear on the recorded subdivision plat.