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HomeMy WebLinkAboutNORTH WOODS BLK 4 LT 11 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES UO'~l['~Oo'~ )/~' ~l~~ ~ T0 SEPTIC ABSORPTION WELL ~d~ (FROM ~ TANK FIELD ~- ~I ~O~J ~ LOT LINE ~y' LEGAL DESCRIPTION Lot Subdivision Il 1~'°c~ ~ ~Or~O~ FOUNDATION j O' Township, Range, Section AS-BUILT DIAGRAM (Show location of well, septic system, properly lines, foundation, ~ I~ ~ ~t ~ ~ q driveway, water bodies, etc.) TANKS Manufacturer Capacily in gallons Material No. of Compadments TYPE OF SYSTEM g TRENCH ~ BED ~ W. DRAIN g OTHER Depth to pipe bottom from Total depth from original grade °'iginalgrade ~,5 FT q FT Fill added above original grade Gravel depth beneath pipe Il~ .. J-~ ET ~FT ~ _ Gravel length Gravel width ' I~ ~q0 ~T IA~13' 5g~P[~ FT "~ '~' ~ "'"'~ , J Total absorption area Distance between lines I Number of lines J Soil rating Pipe material ~ WELLS ' -' ~-.~. ~ ~ g PRIVATE ~ OTHER Ildenlitvl ~, j ~ FTJ FT J I REMARKS: O sc.~e: ~ ~'~ Eagle River Engineering Services P. O. Box 773294 ~0~ ~J J ~ ~. ~'~ ~ ~ / ~ Date: Eagle River, AK 99577 ~~- cedify that this inspe~i0n was ped0rmed according t0 all ;~,~ 72-013 (3/85) NORTHERN TESTING LABORATORIES, INC. 600 UNIVERSITY PLAZA WEST, SUITE A FAIRBANKS, ALASKA 99709 907~79-3115 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 907.277-8378 MAILI!IG ADDRESS CITY STATEi PHONE NUMBER PURCHASE ORDER NUM! Sample Loca- No. tion 3. 5. 6. 7. 8. 9. 10. S[~NATb'~E OF ~E ~ESENTA~IVE FOR LABORATORY USE ONLY CASH ] CHARGE TRaiNS MAIL / / | HOLD -_== .... 2 = _~_ _ _~_ ~_~u _sY-J _~_ _ --~fi"~Lr'~--~St- ~ -- ..... === DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION RECEIVED AT: AtICH: /~ Final Results COMMENTS: Numbers in parentheses are outside of EPA's acceptable limits (20, 60) for fecal coliform bacteria. Final results are calculated from direct counts. No. of Fecal Coliform Colonies per 100 mls I TO: MUNICIPALITY OF A NCHORA GE DEPARTMENT OF HEALTH & HUMAN SERVICES Or~-$ite Services' Transmittal Sheet The attached paperwork has been reviewed and is being returned for the following reason(s): Discrepancy in legal description. __ Discrepanqy in number of bedrooms. Calculation error. Water monitoring results missing or inadequate because Incomplete; needs Signature and/or stamp missing on Additional info needed /'~ ~ ./~.L4 ~1~ ~ ~-/~J Sewers/wells, curtain drains and streams within 200 feet not shown. Area soil/well information needed. Water sample unacceptable because Other Please supply ~he necessary information and re-submit your request. Your cooperation is appreciated. /aen203-rev9/89 Reviewer MUNICIPALITY OF ANCHORAGE COPY DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM ~,ND/OR WELL INSPECTION REPORT Name Address j Phone(s) PermJl No. ~ of Bedrooms - D LEGAL DESCRIPTION I!°' j.,ock Township, Range, Section TANKS [;~L~SEPTICI. 5~ ~c_.~,~. U,.~-~'~H/~OLDING Manulacturer Capacity in gallolqs Material NO. of Compartments · TYPE OF SYSTEM DISTANCES WELL LOT LINE FOUNDATION SEPTIC TANK -~2oo 10' ABSORPTION FIELD 10' WELL AS-BUILT DIAGRAM (Show location of well, septic system, proper~y lines, foundahon, driveway, wa~er bodies, etc,) [] TRENCH ~ BED [] W. DRAIN [] OTHER Depth to pipe bottom from original grade ~,~ FT Fill added above origma~ grade Gravel length l/.~ '..~ ~ 0 FT Total absorption area ""J[A SO FT Number o, lines Soil rating{~ Total depth from original grade z4 FT Gravel depth beneath pipe Gravel width Distance between lines Pipe materiat q 5Trr~ 30B~ Date ~nstaeed WELLS [] PRIVATE ~ OTHER ¢ldentifv) FT Classification (A,B,C) Total Depth Cased to Installer 4 Date Installed: ~:T REMARKS: L',,S l- +o..+ion to rr.d FT Scale: Inspections Pedormed by: Eagle River Engineering Services I~. 0. Box 773294 Date: Eagle River, AK 99577 ,.S-//?/,~. ~j 694'-5195 Municipal and State guidelines in effect on this date: .5'".,,~ ;/~P~ Health Deparlment Approval: cerlily that this inspection was periormed according to all COSY 72-013 (3/85) LOT J ] LOT 2 EAST 100.00' ~T 100.00' M~ANUE DRI~ E~EHENT NEW LEACH FIELD ~::::::: CLE~NDUT - SC~LE~ 1' = 40' SEPTIC SITE PLAN ]WNER~MR, WILLIAM McCLINTDCK ~14.~5 ~'~ ~AGLE RIVER ENGINEERING SERVICES =D BX 773294 EAGLE RIVER, AK, 99577 394-5195 Tom Fink, Mayor / unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 March 10, 1989 William McClintock P. O. Box 671089 Chugiak, AK. 99567 Subject: Lot 11, Block 4, North Woods Subdivision Dear Mr. McClintock: On May 2, 1988, sewage effluent was.observed flowing from your lot onto Lot 10. A sample of the effluent sh0wed fecal coliform bacteria in numbers too numerous to count. At that time you were made aware of the problem and the health risks involved. On October 20, 1988 your engineer obtained a permit for an upgrade of the absorption field, as your existing field was in a state of total failure. As this upgrade has not been completed we mjust reiterate the importance of getting the new absorption bed in place as soon as possible. You are currently in violation ~f AMC 15.65.020C.2 and .020C.6. Should you fail to comply with the terms set out in AMC 15.65 legal proceedings will be initiated as provided by law. Should you hve any f~r~her questions on this matter or any further requirements please contact my office at 343-4744. Sincere ly j? Daniel N. Belles On-Site Services cc: A1 Sundquist, P.E., Manager On-Site Services June 7, 1988 Mr. Dan Bolles Municipality of Anchorage Department of Health & Environmental Protection Anchorage, Alaska Dear Mr. Bolles: In regard to the June 6th meeting, at your office, with you, Mr, Bruce Corwin, and myself, I am writing this letter to register an official complaint. On May 2, 1988, your office inspected my property in regard to a curtain drain along my property line abutting Lot 11, Block 4, Northwoods Subdivision. At that time, you observed, tested and found contaminated water leaching onto my property (Lot 10) from Lot ll's leach field. Approximately ten days later, your office informed me that my curtain drain was illegal and had to be disrupted. I sent an excavator and engineer out to my property to take a soils test and prove that the septic tank was not connected to my curtain drain. You, personally, took the initiative to plate off my septic tank to the leach field. My neighbor on Lot ll has sewage water running onto my property. As of June 6th, your office has done nothing to enforce a correction of this situation. His system has not been plated off. As 'I have informed you, my tennants childred were playing.i~ this puddle..of sewage water. We both know the health hazard this creates, it has been over 30 days since your office has discovered this health hazard and no action has been done to correct the situation. P.O. Box 671282 Chugiak, Alaska 99567 KRB:hb cc:CS NtC~P^LtTY OF ANCHORAGE I~U ~'~ OF HEAL%H & . ,ECE VED 825 L. St.r'eet ~ P~nchcir'a~u.::.:,, Alaska 9'::'.:::J } 1 :343-.47;'2() .r*.tU,,,;~ ,I. ~..d...., AK 99567 Day Ph r2n e ." Par'ce 1 l'd: ()5 :i.-.73 1- :1,6 Lot. Lega 1 ~ Subd i v :i, s i on: 1'40RTHNOFJDS SUBD. I..,clt. ,", 11 Section: 4 ]"o~r~ship= 1DN Range: Lot, Size 20000 (sq,, ft.. c:n' Max Bedr'ooms~ This Per'mit: ;5 "l"otal Capacit. y: B ], c)c k ,", 4, SEPT I C "I"ANK: M :i. n i mum tot. a :t. sept..i, c: t, an k capac: i t, ¥ '.' 1. 000 ga 11 or"¢.,~. IEac h ..,c. p t, ,t c: 'Lar'd.: must have at least. 2 compavt, ments,, Dept. h 'Lo top of se,,p't:ic: 'Lank (s) < 4.() {' eey[',, r' e ~':{~ I 'J :' 6~s :i. n~.~!;Lt 1 at, i or] (::~v~:-:,)P t, ar'~ k ( s ) , INF:'[}RM ]:). H,, H,, S~ PRIOR "f'O 1SI" & 2ND iNSPECTIONS BY ENGINEER, IF AF::'TER OFF:ICE HOURS, CAL.L :343-'468I AND L, EAVE A MIESSAGE,, CEINSTRLICT' I:::'ER ENG]:NEERS AF:'F;'ROVED DIESIGN. 't"HZS PERMI'I" EXPIRES 12/31/89 AND VAt_ZD Ft]R A SINGL. E I::AM]:LV HOIdE. I CIER'f :[ I::;'Y I'HAVI: for',th by t. he Mun:i,c:i, pal:i, ty c.',f Anchor',age (MOA) arid the St. ateo{' Alaska,, 2. I ~i:[1 install 'Lhe system in accor'danc:e ~:i.'Lh all MOA cc~cles and r'egulat:i, ons, and in comp].iar'ice wit, h t. he design cr'iter'ia o¢ this per'm:i.t,. 3,, ~ w:i.]i adh6:,pe t.o all MOA and State of Alaska t"equir'ement, s ¢c:m the set. bac:k dis'Lances fr. om any exist, lng v~le],l, wast. ewater, disposal sys'Lem of l::n.,d::~].ic sewepage syst. ern on t, hts of any acljace)r'YtL c)r' near'.by lot,, I under'st, and t, hat. t.l"tJ,~i~ per'mit :i,s va~:i,d also ur'~der'st, and that, t. he c:apacity any enlar'gemerlt will r'equ:i,~"e ari adclit, ional per, mit. W .[~:..t.....l. ¢4t t [. ,, t I(..~ L,L .I. N 1UCi... -, ................................. Tom Fink, Mayor unicipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 March 10, 1989 William McClintock P. O. Box 671089 Chugiak, AK. 99567 Subject: Lot 11, Block 4, North Woods Subdivision Dear Mr. McClintock: On May 2, 1988, sewage effluent was observed flowing from your lot onto Lot 10. A sample of the effluent showed fecal coliform bacteria-in numbers too numerous to count. At that time you were made aware of the problem and the health risks involved. On October 20, 1988 your engineer obtained a permit for an upgrade of the absorption field, as your existing field was in a state of total failure. As this upgrade has not been completed we~s~ reiterate the importance of getting the new absorption bed in place as soon as possible. You are currently in violation of AMC 15.65.020C.2 and .020C.6. Should you fail to comply with the terms set out in AMC 15.65 legal proceedings will be initiated as provided by law. Should you ~any further questions on this matter or any further requirements please contact my office at 343-4744. Daniel N. Bolles On-Site Services cc: A1 Sundquist, P.E., Manager On-Site Services Municipality °f Anchorage Department of Health and Human ServiceS' Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 9, 1989 William Mc Clintock PO Box 671089 Chugiak, Alaska 99567 Subject: Lot 11 BLock 4 Northwoods Subdivision Permit #880237, P.I.D. #051-731-16 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 19~88. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report (three-part form) must be sent to this office for review and approval, and for documentation. When applying for a new permit, the fees are: $90.00 for an on-site sewer permit; $50.00 for a well permit; $140.00 for a combined sewer and well permit. If there are any further questions, please call this office at 343-4744. Sincerely, Daniel J. Roth Acting Program Manager On-site Services Section DJR/ljw enc: Copy of Permit '" "" ~ ? 4 ':'~'"" 4 '720 c:J,:::~. L.. S'Lr~eet, Anc::hc, page, Alas~ka ':79501 0 N - S I 'T' E S E W E R P E R M I "F O~.~.nF, e? Nam6:,~ WILL]:AM MC (]L,.]JNTOCK L w ~ei Add~ess ~ t:::',, 0,, ):,i~C)X 6'7 i ":,(:~tg~ CHUG ii'. AK ~ AK 99:.::;67 D ~;.,t y Ph c)r'te ~ 68 I~:~ .,,,. 4499 051--731 ... 16 Sub d i v i ~;~ :i. on ~ NORTH WCI(]D~ SUBD,, Lot: 1 :[ Sect:i. on: 4 l'ownship~ :tSN Range~ 1W 20000 (SCl.-F'L. ~r' acr'.e~) B ]. oc k .' 4 mi!st have at:, lea.s{ 2 compar'tmer~ts,, Dep'Lh f'.o top of sep'L:i.c tar'lk(s) < 4,,0 .... . ..l'd'I D,,~ H,,S, F::'F:-:,'i()t:::,: 'f'O ].S'T' ¢, .... ,d,lD I N!:3PEC"f' i ONS BY ENG I NIEE]::~., :[ t:::' ( ~ '...it:~;IRUCT F::'ER ENGiNtEEF:~S AT'I'ACHED APPR[tVED DES ],i:I,I, ~i.~. ::~ F'b]-;MIT EXF::'IRES :1.;;~'./':51/88 AND VALID "...r. ~ S]:NGL..E I::'AMILY I'"ICIME,, :I:.i",.."l I FY THAT :', [ am familiar' with 'Lh¢. i',equ:i.r-emont~s for' on-site ~i~ewens and we].].s as set. fcm'L.h by 'Lhe Murticipal:i. ty oF Anchor'age (IdC)A) arid the State ol:' Alaska. ;!: ~,,~:i.].!:t!mdLa].]. the system J.n acccir'd~;:tnce wi'Lb all M(]~:~ c::6)des ar'id r'egu].a'L:i.c)ns~ and :i.n cc, mpi:i, arice w:i.'Lh t. he design ct'it, er'ia of 'Lh:i.~ per'm:i.'L,, I ~,~i].]. adher'e 'Lo all MOA and i~it. ate of Alaska r'equil-ement~;s f~::~r' the set back d~.s'Lances Fr'om 8r'vy' ex:i. sting well, ~asteu~a'LeP disposal sew~;.tpage ~;yst:..(~ff~ c:rt thli. s o1" arly adjacent of near'by lot, any en].ar'gemer'vL w'.i. ll r, equir'e an add:i, tionaI per'm:i.t, ............................. : ........... ,..______.,..,,,.,,... ........... (Owr'l,.~:~') NII.,..L..~Pd*! MC CLINTOC;K EAGLE RIVER ENGINEERING SERVICES Lou l]utera, P.E. P.O. Box 773294 Eagle River, Alaska 99577 Telephone (907) 694-5195 October 18, 1988 Mr. Dan Roth On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519-6650 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION OCT 1 8 1§88 RECEIVED RE: Lot 11 Block 4 Northwoods Sub. Dear Mr. Roth: At the request of Mr. Bill McClintock, we are submitting a final design of a leachfield for the 3 BR residence on the subject lot. Percolation testing shows a 130 soil rating and no water detected to a monitored depth of 10.5' below ground surface through October 1988. As the existing septic tank outlet is at 5.3' below ground surface, a gravity flow bed system could be installed at this time at 5.5' depth allowing a 1' margin for water table fluctuation. Based on Municipal D.H.H.S. records of the Northwoods water cycle, it is apparent that the high water table period occurred in October and this was consistent over a majority of the test holes. Therefore, we are asking for a permit to install the septic system at this time. The leachfield has been redesigned from our preliminary submittal to remove the 5' lot line wavier requirement. If there are any questions or concerns, please contact me at my office at 694-5195. Sincerely, Louis Butera, P.E. LAB/bit SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT 11~ BLOOK 4~ NORTHWOODS ~1 GENERAL 1. The well and septic plan are for a single family residence only. 2. The dr"awing and or site plan shall be a part of this specification. All materials and workmanship shall meet the Anchorage Department of Health and State Department Of Environmental Conservation require- 4. All soil tests are advieory'to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Oonservation requirements,. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the si'tm plan, any deviation requires engineer approval. S. It is always recommended that a surveyor locate the nearest tot line position and the location of any easements. B. BED 1. The bed is to follow the natural land contour to maintain uniform t.o~al depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 5. The total depth of the bed excavation is not to exceed 6~ at any point. 4. The sewer line is to replace the existing sewer line that leads to the existing bed. 5. The bed gravel is to be covered with typar fabric ~aterial. 6. Soil or combination of soil and extruded board insulation to a depth of 4> or equivalent is ~o be placed over the leachfield. 7. The area over the bed is to be finish graded to prevent ponding of surface water runoff. The septic tank and leaehfield must not be closer than I00~ to any existin~ private well~ 1SO~ to any Olass "0" w811, or 200 feet to any community well. Bedroom Capacity = 5 ~ ~ ~ Septic Tank Size = 1000 gal. existing i 3DS ~5 ~l o ;L-F H ~,/ o o o S 4~ TRACT C F. AGLF. RIVF..R F..NGINF. F. RING SF. RVICF, S Lou Butera, P.£. P.O. Box 773294 Eagle River, Alaska 99577 Telephone (907) 694-5195 August 31, 1988 Mr. Dan Bowles On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519-6650 RE: Lot 11 Block 4 Northwoods Sub. Dear Mr. Bowles: At the request of Mr. Bill McClintock, we have completed a test hole and preliminary design of a leachfield for the 3 BR residence on the subject lot. Percolation testing shows a 130 soil rating and no water detected to a monitored depth of 10.5' below ground surface. As the existing septic tank outlet is at 5.3' below ground surface, a gravity flow bed system could be installed at this time at 5.5' depth allowing a 1' margin for water table fluctuation. If this is acceptable, we could proceed with construction or we could initiate a monitoring program to determine water levels over a high water table period. The allowance of a greater than 1' margin at this time will create a lift station situation and subsequent expense. I would tend to lean towards a long term monitoring as the best course of action. We~are also,requesting a waiver of lot line setback to 5'. A letter has been sent to the owner of Lot 10 requesting his non-objection to this setback. Mr. McClintock has contracted with Bart Construction to place organic material over the septic daylighting areas to alleviate any surface sewage. If there are any questions or concerns, please contact me at my office at 694-5195. Sincerely, Louis Butera, P.E. LAB/bit I; I I LOT 11 SEPTIC SYS, IN REAR OF LOT ~ ~Sr 100.00' M~ANUS EAS~ENT EXISTING LEACH F[EL9 :::::::: NEV LEACH F[EL9 CLEANDUT - · SCALE~ [' = 40' SEPTIC SITE PLAN *' ~ LEGALt LOT 11, BLK 4, NDRTHWDDDS gl ~ 9~ ~,.~.~ BVNER~HR. WlLLIAH HcCLINTDCK ~ PD BX 773~94 ~OFESS~O}~ . EAGLE RIVER, AK. 99577 ~*~ S94-5195 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 82{5 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE SITE PLAN WAS GROUND WATER DUNTERED? YES, AT WHAT tH? S 7 ~*~y~ Gross Net Depth to Net Reading Date Time Time Water Drop ~ ,, i.,~/ /a~,; 5- ~ 7 ~ I ~ " I.'~-~ /~ ~,~ ~ '- 7 ~" i '~, 3OLATION RATE ~-/J~ -~ (minutes/inch) TEST RUN BETWEEN -'~ FT AND '~-- ~/~' FT PERFORMED BY: 72-008 (6/79) Eagle River Engineering E 0, BOX 773294 Eagle River, AK 99577 694-5195 CERTIFIED SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT li, BLOCK 4, NORTHWOODS ~1 GENERAL 1. The well and septic plan are for a single family residence only. The drawing and or site plan shall be a part of this specification. All materials and workmanship shall meet the Anchorage Department of Health and State Department Of Environmental Conservation require- ments. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by tlqe contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. BED i. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 1.5" 5. The total depth of the bed excavation is not to exceed (see below) at any point. 4. The sewer line is to replace the existing sewer line that leads to the existing bed. 5. The bed gravel is to be covered with typar fabric material. ~. Soil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the leachfietd/ 7. The area over the bed is to be finish graded to prevent ponding of surface water runoff. 8. The septic tank and leachfield must not be closer than 100~ to any existing private well, 150' to any Class "C" well, or 200 feet to any community wetl~ RECOMMENDED LEAOHFIELD DIMENSIONS TOTAL DEPTH = Dependent on Monitoring BED WIDTH × 18~ Soil Rating = 150 Bedroom Capacity x 5 Septic Tank Size : 1000 gal. existing GRAVEL DEPTH = 6" BED LENGTH RASMUSSON ENTERPRISES Box 7?0-766 EAGLE RIVER, ALASKA 995?? (907) 688-9110 ot [ Pages ',% PROPOSAL SUBMITTED TO STREET CITY. STATE AND ZIP CODE DATE OF PLANS JOB NAME JOB LOCATION IJOB PHONE We hereby submit specifications and estimates for: ,..S ...$',.XO o. O0 ~8 ~rOpl~tt.~ hereby to furnish material and labor -- complete in accordance with above specifications, for the sum of: Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanhke manner according to standard practices. Any alteration or dewat~on from above specdica* tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents O~' delays beyond our control. Owner to carry fire. tornado and other necessary insurance. Our workers are tully covered by Workmen's Compensation Insurance. Authorized ,- ? I~ ~ Signature ~.~ .... ~ Note: This proposal may oe ~'"~0 w~thdrawn by us f not accepteo w~thin days. A~:eptauxe of ~roposa! --The abo,e prices, specmcations and conditions are satisfactory and are hereby acceptod. You are authorized to do the work as specified. Payment wdl be made as outlined above. Date of Acceptance: SiRnature CHARLES BARR CONTRACTING PROPOSAL SUBMITTED TO: DESCRIPTION OF JOB: // Address State ,,J _ zT- Wg ~g~b~ ~j~r~F~g tO furnish labor an~ materials complete in accordance with the above specifications, for the ~,ith pavment to be made as follows: ~]~ ~ :: ~ [f~ F : ~ ~~~ -- Sign,qture Note: This proposal may be ~,~l~- drawn by u~ ~f not accepted ,~thin .Azreptanre of ]troposat Payment will be made [3ate Accepted  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 [] UPGRADE LOCATION NO. OF BEDR~S ~r Z Manufacturer L'q~ ~"°n~l ,F HOMEMADE: ,..~d~ ,.nnth Width Liquid depth ~ ~ Well Dwelling PERMIT NO. ~ Manu,acturerDISTA~C" TO: ~ /~ Mater,a] Liquidc.p.cit~ in,allons ~ ~ell Foundation ~earest lot line ~[~MIT ~O. =~ ~ DISTANCE TO: ~ ~ ~ NO. of lines Lengt~ea~ li~ Total I,ngth 0f lines Trench width Distance between lines ~'-- ~,/~ inches ~ O ~ ~ Top of tile to finish grade Material beneath tile inches z' ~f~tive ab~rptio~area Type of crib Crib diameter Crib dept~ ~ Total e ti ab o p e e~ /~ Buildi~da ~ Nearestlotline/¢ '~ ' w DISTANCE TO: ~ ~ Class~ )De~th Driller Distance to lot line PERMIT NO. '~ ~ Building foundatio~ Sewer line Septic tank Absorption area(s) ~ DISTA~C[ TO: OTHER PIP"E MATERIALS INSTALLE~ ~ .. / ~ ' 72-0~ (Rev. 3/78)" ,~ '~, DEF'RRTMENT L HERLTH 8ND EN',,,'IRONMENTRL i .OTECTION ', 825 "L" STREET., RNCHORRGE, AK. 9L~50:2 '" 264-4728 8t05~;4 ) STE'v'EN /_ c ..........: ..... ,_ _,k.H L:it.:i_, L..,N~',T NORTHWO0[:,S DR I',,,'E L 1:2 B 4. NORTH WOODS _,, [.' RPF'L I CRNT LOCRT I ON LEGRL I TFE Ur =,J~L HE.=.-RFT[UN =,T=,TEM [=,, TREN_.H r,~R,:.::~r,lUM NUME:ER OF E:EDROOMS = 3: SOIL RRTING ,::SQ FT,..'BR)= THE RE,..JIRE[: SI~E O~ THE SOIL FIE, z'ERFTISN S~STEM THE LENGTFt [:, [ MENS i ON ~S THE LENGTH (~N FEET) OF THE TRENCH OR C, RA~NF[EL[:,. THE DEPTH OF R TRENL. H'~ OR PIT %S THE E:,~TRNCE BETWEEN THE b"F('] ...... Nr, AND THE BOTTOM OF THE EXC:RVRT~ON ,::~N FEET). FL R TRENL. HE_,. THERE IS NO SET WIDTH ]~' ,- -. mFS,EL DEPTH THE MINIMUM DEPTH OF GR. RVEL BETWEEN THE OUTFRLL PIPE RND THE BnTTOM OF THE _,--,L.H,HFION ,:'IN FEET:). F;-"EC=..~Lt I F~:E[:, .... Er; T I C: TFII~'-.tI-=:; I ZE:= :..t. ~Z'~;£1r:Z~ t..~LLblr-,t_. F_F..MIT RPF'LICRNT HPI-., THE RE_,FLN_,IE, ILIT'T TO INFOF.:M THIE; DEPRR'TT,1ENT DURING ]'HE INSTRLLRTION INSPECTIONS ,DF RN'-r' WELLS R[)JRCENT TO THIS PROPER'T"T' RND THE N IMBER OF RE=,I[.EN_.E=, THRT THE WELL WILL =,ERYE. ....... T ~-.-I1 C" .:...--.. ~ .=. ....... ._-.~ - '- 'c ' '- ' -' ' ' ' '1]"" B'I" BFICI<FILLING OF FIN'¢ =~,._]Efl WITHOLIT FINRL IN=,FEL. TIUN RI'.,I[) HPFR.,RL THIS E:,EPRRTMENT WILL BE =,UB._TECT TO PF.'CSEC_TION. MIF,tIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEWAGE DISPOSRL SYSTEM IS i00 FEET FOR R PRIVRTE WELL OR t50 TO 200 FEET FROM ~ PUBLIC WELL DEPENDING UPON 'THE T'¢PE OF PUBLIC WELL.. MINIMUM DISTRNCE FROM R PRI'¢RTE WELL TO 8 PRIVRTE SEWER LINE IS 25 FEET 8ND TO Fl COMMUNITY SEWER LINE IS 75 FEE]'. OTHER REC..!UIREMENTS MFI~' RPPL'Y. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS 8RE R',/BILRBLE TO INSURE PROPER INSTRLLRTION. F'E F..': !',1 I T E,---,F ][ F..E ....... E:,EE:.EIr,IBEF:_--.. _IL., :t. c.'.~,:,-- 1 I CERTIF'¥' THRT :2: I RM FRI"IILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND 1.4ELLS RS _,ET FORTH B'¢ THE MUNICIF'RLIT'T' OF RNCHORRGE. CODE:,. '=" I WILL INSTRLL THE qVqTEM IN RCROF.'DRNr"E WI]'H THE ' 2: I UNDERSTRN[,.', THRT THE ON-=,ITE _EI4ER _,.r~TEI'I i','lR~-* F.'E~ IRE ENI~RF...~EMEI'4r IF' ]"HE '"'- ,- I"' IS .... RE=,ICEN_.E REMO[:,ELED TO INCLUDE MORE THFIN "~' BEDROCMS ..,,~-..H L:ib _, UONz, T. . tifF:. L I L. HI"4T STEVEN L c ......... :" '- I .... UEE. E.T_ ....................................... [.HTE ....... V4. 0 --~NICIPAL]TY OF ANCHORAGE "-~ Department o~ Health and Environmental ~£otection 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT ~ON-SITE SEWER PERMIT Legal Description: C ti ~ _~a~O3~ Lot Size: ~/.~ Type of Soil Absorption System Is: Trench: ~.~--Drainfield: Seepage Bed: __ Holding Tank: Maxlmum Number of Bedrooms: _~ Soil Rating(sq.ft/br) 10~T~ej Required Size!of the Soil Absorption System Is: DEPTH LENGTH ~---~ GRAVEL DEPTH ~ '! WIDTH The length-dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /(J)O~ GALLONS * * 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. * * * TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well d~pending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 1 9 8 1 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more t~t~ bedrooms. Signed: Issued by:/~- '~7~ Applicant Date: SWP/024 (1/81) Hussell Oyster 694-2774 Performed for: Legal Description: Depth (feet) 0 & E ENG,NEERING & DEVELOr MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Name: Mailing Address: Soil Characteristics 0 ,t 2__ ~ Earl Ellis SOIL LOG 688-2280 4 V ~i PLOT PLAN 12__ 13 __ ~=~/~1 ,~l~L- u'J,~"~-~-~,~- ~.~/o PERC. TEST 16 ': Ground Water Encountered: Yes . No If yes, What dep~. // Proposed Installation: Seepage Pit Drain Field ~' ~'- ' Comments: 2 32,894 52,890 I 15' UTII ~ 06.75 12650 $2,890 .... ~76.5o 31,335 EAS3 NORTON 500.23 COURT 85.68 I00.00 / UTILITY ESMT. 6 5 21,565 105.54. I00.00 21,006 20,000 85.40 I00,00 4 2d, 500 EAST I00.00 20,000 15' UTIL 100'00 r .~ 98.37 20,166 98.37 I00,00 ~ I0 20,000 TY ESMT. -~oo.oo I 2 20, i~6 ' 20,000 JOt.05 iO0.O0 McMANUS 42 I j ;~O, lO~ 81.17 ......... [- ,_oo._ o_o_ 1.5' UTILITY ESTT. I° 20,000 00.89 100,00 40 20,000 I00.00 n 41 ~ 20,000 -' L -- 1.00.00 20,000 EAST 20,000 UTILITY ESM ~o.-'6'o EAST ~.__NO R_T. JcL~O.~OD S ,oo,oo]'T Lo_o.:o_~ mo.oo ' 21,568 146.65 lO0.O0 ~CT A EAST NR 185.26 I 23,387 ~ 13 <b ~_% 25,020 '.%, 21,916 ~ I00.00 95.84 81.41 63;I.20 I00.00 I00.00 5 6 20,000 20,000 I00.00 I00.00 38 20,000 100.00 100,00 371 I 2 3 4 5 20,317 20,1~,0 20,128 20,127 20,125 WELL LOCA' 15' UTIL 14 22,015 t00.00 I00,00 100.00 I00.00 '~----'~:T,: S 89° 29"W DATE RECEIVE~) INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR ~ , MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTrt &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONENVIRONMFNTAL pj~OTF. CTI©N 825 L Street - Anchorage, Alaska 99501 0C7 3 I 81 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIREOTtONS~ Complete all parts oil page 1. Incomplete requests will not be proce~ed, Please allow ten (10) days for processing. J MAILING ADDRESS P~OPE~TY ~EalD~NT (If dJfferon~ from ~bovo) PHONE 2, BU~ PHONE MAILING ADDRESS INSTITUTION 4. REALTOR/AGENT , ~~ J PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS [~ [] One [] Four SINGLE FAMILY [] Two [] Five I-- MULTIPLE FAMILY I~' Three [] Six [] Other 7. WATER SUPPLY F- INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled  COMMUNITY since June 1975, For wells drilled prior to that date, g~ve well PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM J~ INDIVIDUAL/ON-SITE** /]y,~/ YEARON-SITESYSTEMWASINSTALLED. [~ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) ~, THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS I~ SINGLE FAMILY []ONE '[~THR EE []FIVE I-]OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRI LLED [3~ PUB LIC UTI LITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM i PERMIT NUMBER [~NDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~'~ O~' // , Connection Verified INSTALLER [~ePtic Tank or [] Holding Tank ~ize:/fC)~ If Tank is homemade SOILS RATING give dimensions: ~/~.~ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank IAbsorption Area lSewer Line [ Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~APPROV ED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-010 (Rev, 6/79) Northwoods Block 4 Lot 11 #0§1-731-16 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.a k.us (907) 343-7904 Parcel I.D. 1. CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING o5,-731-16. GENERAL INFORMATION Expiration Date: Complete legaldescdption NORTHWOODS SUBDMSION; LOT 11, BLOCK 4 Location (site address or directions) 22525 MCMANUS DRIVE * CHUCIAK, AK Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address BUDDY AND ANITA CANT Day phone 22525 MCMANUS DRIVE * CHUOIAK, AK 99567 Day phone PAbl SZENDER w/ DYNAMIC PROPERTIESDay phone 3111 'C' STREET * ANCHORAGE, AK 99503 240-1019 261-7600 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 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. Note:Alaska Water and Wastewater Consultants, Inc. sha/I be paid $ at, or pdor I to closing for the engineering services provided. I 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(am) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verity 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(am) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. NameofFirm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone 337-6179 Address 6901 DEBARR ROAD, SUITE 2B "ANCHORAGE. AK 99504 Engineer's Printed Name JEFFREY A. GARNESS. P.E. Date Englneer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a Ihomugh. conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results descrtbed the pedormance of the system under the conditions encountered at the time of the lest, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, greundwater 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 perfom3ance of the system, nor do they guarantee that there are no hidden defects or encroachments. AK14/WC, Inc. can therefore not provide any warranty or future estimate of how tong 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 percon or party is not authorized, nor will it confer any legal fight whatsoever. 5. DSD SIGNATURE Approved for ~- bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms, with the fllowing stipulations: .,~tiU.(fflffr. h?, _ ~" F ==, WATER AND . : %;¢/... .... Manitenance Agreements J/iii);} iIl~ut Supplemental Engineers Reo~ Other Odginal Certificate Date: Municipality of Anchorage . Development Services Department ; Building Safety OMsk~n ',~ ........' On-SIta Water & Westewater Program ~ 4700 Soulh Bmgaw SL P.O. Box 196850 Anchorage, AK gg519-6650 (~') Z43-?e04 Legal Descflptlon: WELL DATA Ce Well type HEALTH AUTHORITY APPROVAL CHECKLIST NORTHWOODS SUBDMSION; LOT 1 1, BLOCK 4, Parcel ID:. Date completed Total d,,ptP, ft. PUBLIC Ifa, B, or C provide PWSID~ SanlteW 8e~l (Y/N) Cased to __ft. FROM WELL LOG 051-731-16 WATER SYSTEM Well i ~ (Y/Il) Wires pmpedy protected (Y/N) Casing height (above ground) AT INSPECTION Date of test Static water level ~ ff. Well preduc~on g.p.m. WATER SAMPLE RESULTS: Coliform - colonies/100 mi. Nilrate - mgJL. Assanic: - mg./L. Date of sample: - SEPTIC/HOLDING TANK DATA Tank Type/Material S1~'EL Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 7/2,t/2002 ABSORPTION REID DATA ft. g.p.m. .in. Date installed ~/l/gg--~/12/gg Soil rating (g.p.d.~i 150 System type BED Langth 40/46 lt. Width 1,1/12 ft. Gravel below pipe 0.5 ft. Totaldepth 4'-5' ft. Eff. abeoq~onema 712 fl= Monltoringtube YES Depression over rmid NO Date of adequacy test 9/16/2002 Resulta(PesslFall) PASS For 3 bedrooms Fluid depb~ in absorption field before test ,1 in. Water added 1002gal. New depth '11 in. Elapsed Time: 1070 min. Final fluid depth Any rejuvenation treatment (past 12 mo.) (Y/N & type) Date installed 9/8/1981 Cleanouts (Y/N) YES High water alarm (y/N) YES Pumper JR'! PUMPIN0 eLJQUID LEVEL AT ¥OP OF DISTRIBUTION UNE~ ~'LIOUID LEVEL 1 NCH BELOW INVr..~i in. Absorption rote >- 4504- g.p.d. Y~S, 'SEPT1CLEAR' If yes, give date 8/16/02 Other bacteria - colonies/100 mi. Collected by: - D. LIFT STATION Date installed 5/8-12/1999 "Pump on' level at 28 in. Datum BOTt'Old OF TANK E. SEPARATION DISTANCES SIz. e in gallons 500 'Pump or level et 28 in, Cycles tested 3 Manhole/Access (Y/N) ~ High water alarm level at 34 in. Meets alarm & circuit requirements?. YES PUBLIC WATER On adjacent lots ct,~ a~j,~uent lots Public sewer manhole/oleanout Holding tank SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main - ~,=w~,/~epflc service line SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation '5'+ Propar~/line 5'+ Water main 10'+ Water service line 10'+ Wells on adjacent lots 200'+ Absoq3tlen field 5'+ Surface water 100% *PER INSPECTION REPORT SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '10'+ Building foundation '10'+ Water service line 10'+ Sudace water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections end review of Municipal reconts that the above systems ere in conformance with MOA HAA guidelines in effect on this date, EngineeCs Printed Name JP. PI. KEY ~ OARNI-='SS Receipt Number (Rev. Water main 10°+ Driveway, parking/vehiole storage Waker Fee $ Date of Payment Receipt Number SYSTEM Sent By: UCCLINTOCK LAND ASSOCIATES [NC; 9076948965; i.',./ t ....~ I ftJ3T S 8§'58'22' £ 100.05' Oct-22-Dg LOT 11. 1:52PM; Page 1/1 \/ MclVlANOS DRIVE ~cCLIIVTOC.~ LA,VD ..4S.$0C~4TE$, /NC.