HomeMy WebLinkAboutT15N R2W SEC 25 LT 94T15N R2W
ecti*on 25
Lot 94
#051 �283�09
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page of
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP221481 PID Number: 051-283-09
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade
Name
CADENCE INTERNATIONAL
ABSORPTION FIELD
El Deep Trench ❑ Wide Trench ® Bed ❑ Mound
Site Address
17607 ALMDALE AVE, EAGLE RIVER
® Other ADVANTEX
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
5
2 GPD/SF
2 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
1.5 Ft.
Gravel depth beneath pipe
0.5 Ft.
Subdivision Block Lot
94
Fill added above original grade
VARIES 0.34' — 0.56 Ft.
Gravel length
25 Ft.
Township Range Section
T15N R2W 25
Gravel width
15 Ft.
Beds: Number of Lines
3
Distance between lines
5 Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
*2 BEDS x 375 FtZ
NA
NA Ft.
Well
50'+
50'+
__
25'+
TANK ® Septic ❑ S.T.E.P. ❑ Holding ® Other ADVANTEX
Manufacturer
ORENCO / ANCH. TANK
Capacity
2500 Gal.
Surface Water
50'+
50'+
--
Material
EPDXY STEEL
Number of compartments
2
Lot Line
5'+
5'+
__
NA
Foundation
10'+
101+
--
LIFT STATION
Manufacturer
ORENCO
Capacity
75+ Gal.
Remarks DECOMMISSIONED EXISTING SYSTEM &
INSTALLED NEW ADVANTEX SEPTIC SYSTEM w/ INSUL.
Alarm location
FIRST FLOOR
Electrical installed by
CAPSTONE
*INSTALLED PRIMARY & SECONDARY ABSORPTION FIELDS.
Installer J(�S
PIPE MATERIAL House to tank 3034 drainfield Tank to
3034
Drainfield 3034 CO/MT 3034
Inspector FWC
BENCH MARK (Assumed elevation) 100 ft
Inspdection 1" 6/7/23 2nd 6/12/23
Location and description
3`d 6/12/23 4"' 6/13/20223
TANK: HOUSE GARAGE DOOR THRESHOLD
FIELD: DETACHED GARAGE DOOR THRESHOLD
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
� '4 ,`
��
Conditional Approval: Date
.lowAloe '•:+
......
.........
i • '. Curtis Huffman .`
Septic
A provedstem
pP Date /
`' /
T� �`,eq' •, CE 128991 .-mac` W
" ��� l��• 12/08/23. •E�..GW
. .
���FD PROFESStfl���'...'"`"
. 4ROF!iSStQ-�►""""
Note: this approval does not include well permit requirements.
kmev uoivu io/
PERMIT: OSP221481 PID:051-283-09
Dry
,
E
eck
?,0 --
_
STAKED
PL & WELL
M
RADIUS
PRIOR TO
DFCO
LOT 94
She
�a Qec
0I0
0 O o
o
/ - NEW 2500-GAL EPDXY STEEL TANK -""-
BM: TANK W/ 2 AX20 PODS & LS. INSULATED
BEDS & ALSO FROM LS.
D E
DCO v v F 2 LINES W/ 2 PITLESS
BOULDER ADAPTERS TO SWITCH BEDS
BARRICADES MH MH \
AROUND PUMP \
TEA A Q BASIN - LS
)°21'0011
48
A-C = 48.3'
B-C = 74.0'
A-E = 36.1'
B-E = 60.1'
A-F = 33.7'
B-F = 56.6'
A-G = 41.9'
B-G = 15.3'
B-H = 16.5'
C-H = 20.6'
B-1 = 27.4'
C-I = 30.2'
A-J = 54.8'
B-J = 26.5'
E
Lot
111
FCO
COa
99.05
MH
MH
-"'" MH
TWO
AX20
94.07
PODS
93.49
2500-GAL
EPDXY STEEL
ADVANTEX
PUMP
TANK
BASIN
*TWO BENCHMARKS AT THRESHOLDS:
TANK -MAIN HOUSE MAN DOOR
FIELD -GARAGE MAN DOOR
A-K = 63.2
SEPTIC SECTION
B-K = 35.2'
SCALEi NTS
A-L = 76.7'
B-L = 47.9'
T15N R2W SEC 25 LT 94
B-M = 46.0'
C-M = 51.2'
PREPARED FOR:
B-N = 3.9'
C-N = 39.5'
CADENCE INTERNATIONAL
17607 ALMDALE AVE
EAGLE RIVER, AK 99577
FIRST WATER
CONSULTING
13030 Sues
Way
Anchorage,
Alaska 99516
(907)350-9566
firstwaterAK®gmail.com
TOP OF SLOPE
INSTALLED & VERIFIED AT
CONST - FIELD 10' TO
GARAGE, 6' BETWEEN FIELDS
& 5' TO PROPERTY LINE.
-35' TO TOP OF SLOPE
M
I MT TH-22-2
MT N
5' S' M MT
5' S.
G J
MT
ON WIN �M� •
DECOMMISSIONED INSTALLED NEW I L o -t 112
EXISTING SEPTIC & 15' X 25' PRIMARY I
MAINTAINED 6'+ TO & RESERVE BEDS 1
NEW BED W/ LEVELING SAND
TO MAINTAIN -2' MAX DEPTH.
MT MT
99.34 FINAL GRADE 99.42
98.86
FILTER FABRIC ORIGINAL GRADE/ -
INSULATION f & INSULATION TH22-2
'] 2' ORG/OL
F_48 7.36 97.36
SEWER ROCK
96.86 96.86 GM
97'80 MT FINAL GRADE MT 97.99 ON 5�•
9- 11/9/22
FILTER FABRIC ORIGINAL GRADE/- DRY 6/12/23
& INUULATION
11
5.96 95.96 BON
SEWER ROCK 16•46
95.46 95.46 RELATIVE ELEV. TO
LOWER BED
SUPPORT®SERVICES:®®\
OFAj�
c * g
DATE: 12/08/23 rtis Huffman
SURVEY: FWA w
DRAWN: FWCS CE 128991
SCALE: 1" = 30' 12/08/23
PAGE: 1 OF 1 'I'J?0PRsstD`0-'
S 8905VE 328.48 Lot 79 8416M
Lot of
50'ROW & UTILITY
RESERVATION
W
'y
Z
0
I- 06 < UJ
> n
0 W Z X
U) Z Lot 93
W
Lo ry
CO LOT 94
C) 00
C\J
hain link
ence (typ)
LIJ i W
0
0 //Ret, Wall
C) 0
Wire Fence (typ)
-4-
Z i
Fire Pit'.'i SCALE: 1 50, Z
Deck A
14 c)
0 220
a
"ANell (0 0 C- 22..
Deck
CO 2 Story lzram
House e deck
30 - - ------ 57.2
103. 14,0 ,068.0 o M�0
. .0 0 )
40_0 r(Garagec�
(�05
----Grave 4.0
A peck
OH a 30.0
o
Manhole
Asphalt /Septic vent (typ)
'D
Asphalt Tank7Z Cl)
S 89050' E 328.48 RECERTIFIED 9-20-23 Lot 112
Lot 111 AS -BUILT NO CORNERS SET THIS DATE
00 N N X I hereby certify that I have performed a Mortgagee's inspection
q *`�- CD OF in accordance with ASPLS Standards of the following
0')
04 C,4
0 • described property: LOT 94. SECTION 25,
CD •T1 5 N R2 W, SEWARD MERIDIAN, AK
Z•49th Anchorage Recording Precinct, Alaska, and that the
00 improvements situated thereon are within the property lines
000 00 and do not overlap or encroach on the property lying
00,
adjacent thereto, that no improvements on the property lying
.00 adjacent thereto encroach on the premises in question and
00 L.-Walatka fflo that there are no roadways, transmission lines or other
0 • OW visible easements on said property except as indicated
ALMDALE AVE. Q• ��. 8036 - LS .•�5 ' hereon,
AW Dated at Anchorage, Alaska
%FESsfow& this I 1th day of JUNE 2015,
EASEMENTS OF RECORD, OTHER THAN FRED WALATKA & ASSOCIATES, L.L.C.
THOSE SHOWN ON THE RECORDED
PLAT ARE NOT SHOWN HEREON Fb 23-1, pg 66-67 2 Engineers and Surveyors
UNLESS OTHERWISE NOTED. FB 15-3, _pq 65-66 -4� -2'- t)2-4E 907-248-1666
This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary
survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to
establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original
client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered,
the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product.
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP221481
Work Type: Septic Upgrade
Tax Code Number: 05128309000
Site Legal Address: T1 5N R2W SEC 25 LT 94 G:0753
Site Mailing Address: 17607 ALM DALE AVE, Eagle River
Owner: CADENCE INTERNATIONAL
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
nr
do 'S'
DepaI, till ell t
12/13/2022
12/13/2023
108900
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: S �% F- W c'
Issued By:
Date:
Date: I2 3 2
5
MUNICIPALITY OF ANCHORAGE
Development Services DepartmentPhone: 907-343-7904
On -Site Water & Wastewater Section ^'� Fax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 051-283-09
Property owner(s) CADENCE INTERNATIONAL Day phone
Mailina address PO BOX 1268 ENGLEWOOD, CO 80150
Site address 17607 ALMDALE AVENUE, EAGLE RIVER, AK 99577
Legal description (Sub'd., Block & Lot)
Legal description (Township, Range & Section)
T1 5N R2W SEC 25 LOT 94
Lot Size 108,900 Sq. Ft. Number of Bedrooms 5
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
7
Initial El
Single Family (SF) x❑
(w/wo ADU)
Septic Tank
1E
Upgrade 0
Duplex (D) ❑
Holding Tank
❑
Renewal ❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES
A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
re of property owner or authorized agent)
Permit/Rush Fees: 5555 Waiver Fees:
Date of Payment: 18%I hZ 2 Date of Payment:
Receipt Number: �� � Receipt Number:
Permit No. Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / firstwaterAK@gmail.com
!
!!
December 2, 2022
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC SYSTEM UPGRADE PERMIT
LEGAL: T15N R2W SEC 25 LOT 94 – 17607 ALMDALE AVENUE
The property owner has requested we obtain a permit to upgrade the failed septic system of the
above referenced lot. We propose to install a shallow absorption bed and a 2500-gallon epoxy
coated Advantex tank with 2 AX20 pods to serve the existing 5-bedroom residence. The design
is based on the recent test hole conducted in 2022 with reduced, conservative soil application rate
and the 12.5 total lengths from the centered proposed absorption bed / field. Groundwater was
observed at test hole excavation and monitoring per the attached.
To further clarify, the existing shed will and must be moved for the absorption bed. We highly
recommend installing the primary and reserve absorption fields as noted on the design and
pressurizing if required. Also, this design is based on horizontal and vertical reduction distances
per AMC15.65.355 H per the dates of the visual observations and site measurements along with
the as-built survey.
The slopes are moderate at 0-5% at the proposed upgrade location. The lot and area are served
by private water. The design will not impact any of the neighboring properties. Please contact
us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221481, Curtis Townsend, 12/13/22
FIRST WATER CONSULTING
T15N R2W SEC 25 LT 94
DESIGN CALCS:
NO WELLS WITHIN
100' OF PROPOSED
SEPTIC SYSTEM
NO SLOPES >25% WITHIN 35'
OF PROPOSED ADVANTEX FIELD.
PROPOSED MANIFOLD IS AT
THE CENTER OF ABSORPTION
FIELD AT 12.5' CENTER OF FIELD.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221481, Curtis Townsend, 12/13/22
FIRST WATER CONSULTING
DESIGN DETAILS:
T15N R2W SEC 25 LT 94
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221481, Curtis Townsend, 12/13/22
13030 Sues Way - Anchorage, Alaska 99516
Tel. 907-350-9566 FirstWaterAK@gmail.com
SOILS LOG - PERCOLATION TEST
LEGAL DESCRIPTION: T15N R2W SEC 25 LOT 94
PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT
ON THIS DATE. DATE: 11/09/22
DEPTH
FEET OG
SOILS
1
ORG/OL
2
3
4
5
6
7
8
GM w/ boulders
9
10
11
12
BOH
13
14
15
16
17
18
19
20
Reading Date Gross
Time
Net Time Depth to
Water
Net Drop
11/1/22 30 min 6 2 4/16
30 min 6 2 3/16
30 min 6 2 3/16
PERCOLATION RATE 14 (MIN / INCH)
TEST RUN BEWTWEEN 2.5 & 3.5 FT
PERC HOLE DIAMETER 6
PRE-SOAKED PRIOR TO TEST & ALL READINGS TO
THE 1/16TH.
GROUND WATER ENCOUNTERED: YES
IF YES, AT WHAT DEPTH: 5
DEPTH TO WATER AT MONITORING: 5
DATE: 11/09/2022
TESTHOLE # 22-2 DATE PERFORMED: 10/31/22
SEE SITE PLAN FOR SLOPE & LOCATION
COMMENTS:
VERIFY GROUNDWATER MT
AT TIME OF CONSTRUCTION
PERFORMED FOR: INTERNATIONAL CADENCE
11/09/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221481, Curtis Townsend, 12/13/22
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE, AND REPAIR AGREEMENT, herein the "AGREEMENT" made and
entered into as of this oQ 15�- Day of _ of 201-d , by and between
C4S26Ma '011- _.. , herein the "OWNER," and the Municipality of
Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code
(AMC) 1.5.65.365. In consideration of the mutual covenants contained herein, the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS),
described as AN ADVANTEX SYSTEM
located at (legal description)
T1 5N R2W SEC 25 LOT 94 - (17607 ALM DALE AVE, EAGLE RIVER, AK)
2. Maintenance Repairs and Alterations.
(Owner is required to read, understand and initial each section)
01 b
Throughout the term of this Agreement, the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
�C It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This
includes an annual maintenance fee (typically 5400 to $600).
�6 Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative wi11 inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system, which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of 3
fW Owner acknowledges that the Municipality may request records of maintenance and
repairs from the manufacturer's representative or maintenance provider,
F-�E Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
assessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without anew
Certificate of On -Site Systems Approval.
OA Q it Q
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.
e_VD Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system, or upon transfer of title, and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions, nor in any way affect
the validity of the Agreement or any part hereof, or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this 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 Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05, i 812018) Page 2 of 3
OWNER:
By: _(sibnature) Date: 2
&-q (print name)
47
STATE O 2
) ss.
THIRD JUDICIAL DISTRICT }
The foregoing instrument' was acknowledged before me this2� day of DercA,,,6ex— ,
20�, by
NO RY PUBLICp ]ENNA NIELSEN
Commission expires: 05 ji4 TEF A,T OCOLORADO
NOTARY ID 20184020526
MY COMMISSION EXPIRES 05/14/2026
MUNICIPALITY:
(signature) Date:
(print name) Title:
(rev. 05/18/2018) Page 3 of 3
I .-, Municipality of Anchorage Page ,/ of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
· On-Site Wastewater Disposal System and/or Well Inspection Report
Name: ~./ ~-, t~>¢¢¢ ]~ ~ ¢*~ Wastewater System: ~New D Upgrade
Phone: E¢~--~¢~ ],o. of Bed~m,: ~DeepTre~ch ~ Shallow Trench ~8ed :Mound ~Other
~ Total Depth from original grade:
Lot: Block: Subdivision: Depth to pipe bottom horn original gcade: Gravel depth beneath pipe
J --' j Fill added above original grade: J Gravel ,ength: ~ ~
Township: ~/~ Range.~ ~ ~ Secdon: ~ ~ -- / Ft.
~ ~ gravelwidJh: Numberoflines: JDistancebetweenlines:
WELL: g New Upgrade/ ~ R J, ~ R.
Classification (Private, A,B,C): Total OepJh' ~ased TO: Total absorption area: Pipe material:
Oriller: ~ Date Drilled: SJat~cWalerLevel: Installer: ~ Date installed:
Y~G~M JP.mpS.tat: Ft. Jcas,,g Heigh, Abo~eO,ound:Ft. TANK
SEPARATION DISTANCES ~Septic g Holding ~ S,T.E.P.
TO Septic Absorphon LdJ Holding ~ublic/PrivaJe ManuCacturer: Capacity in gallons:
Well /~ -- ~ ~ ~/ ) Material: ~L Number of C~.artments:
SurfaOewater ~l~ ./¢¢, 1~ ( ¢¢o¢ %_. LIFT STATION
CurtainDrain ~ ......... ~ .... ~ Pump Make & Model J Electrical Inspections performed by:
Remarks: ~// ~T' ,~/~ ~ BENCH MARK
ASsu~ed Elevation:
ENGINEER'S SEAL
Inspections performed by: ~4~ ~¢ ~¢¢. Dates: 1st I¢-/¢'¢F ~ ........ ~ ,
Department of Heal~ an~ ~uman Services approval ~'¢" ' "
Reviewed and approved by: Date:/~ -24 -q7 ,~,, ,~,,~,m,~'
72-013 (Rev 9zgt) MOA 25
~Permit No. SW970229
Page 2 of 2
Municipality of Anchoroge
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 Telephone: ,343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Legol Description: LOT 94 T15N R2W SEC 25
PID No.: 05128309
50' ROW & UTILITY RESERVATION
SWING TIES
A-C = 213.0' ~
Z
J
CLEARED PARKING
AREA P.OPOSEO
r-~ F7
~o ~P~ce L_j
~'~1'~"
ELEVATIONS
(NOT TO SCALE)
e f.H. #2
UNOEVI~LOPED
SCALE F'=60'
10/21/97
,
~ OF A/~.
~/~.~....... ...... .-: .~.
'~(-0." 49TH~ '~.~,
~". LOUIS A. 8UTERA.:~,
~.. .'~
~A ~-.. CE-6756 ..'~
...........
Sent ny: Alaska Water and Wastewater Con; 907 338 3246; Jul-2§-02 13:13; Page 111
'" SULLIVAN WATEtl WELLS
P.O. BOX &70212, CNUGIAK, i~.kAS KA t9567 · TELEPNONE 111.,2719
' . DEPTH , ~ .:
~: ~ ; ' · 0 '
! ./~ ~ ~-- ~ ,..,' ,~7
, '"" ~/~r~o~ r~~'. c,~"~J~d~'"'~
~ Caslng'~e~Wall~i~ness ,~ In.es ~/~ : "' '"' :
~ D;ameter ~, '(. . I~hes,.depth ~1ol feet 96 2;~ /~gdX~cK:;' . .... : .'.~
~: Static~ter~vei(f~groundbve'): /OS feet
~' ~ ' . : .
'~ WelllntakeOp~nl6gT~: ~OpenEng
, - .,~- ~
Oep~: ~om ~ feet, to ket ': t '"~
~; Pump Size : hp Brand Name
'~r' Well DislnE~e~ Upo~ ~mple~on? ~ 0 No ' '
~ .
'
~ A~ENTION'. Iris ~e ras~ns~ili~ of the pmpe~ ~ner to su~it a copy of the wea ~g Io ~e pm~ m~Mfl~. Mun~p~
:J of ~chorage: Oepa~ent of Hea~ & ~uman 8e~es ancot Oepadm~t of Envl~mentat Co~e~tb~
:~:. Depa~ent Of Environmental Consewaten. ~ .
PAGE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUM~ SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT
PERMIT NUMBER:SW970229
DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES
OWNER NAME:DALHSTROM KIT
OWNER ADDRESS:17607 ALMDALE'AVE
EAGLE RIVER,AK 99579
DATE ISSUED: 7/31/97
EXPIRATION DATE: 7/31/98
PARCEL ID:05128309
LEGAL DESCRIPTION:
T15N R2W SEC 25 LT 94
LOT SIZE: 108900 (SQ. FT.)
NUMBER OF BEDROOMS: 5 THIS PERMIT: 5
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
1. THE ATTACHED APPROVED DESIGN.
2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS
15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL
REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80).
3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
PROPOSED TRENCH MAY NOT BE LOCATED LESS THA~N
35' FROM A CHANGE IN SLOPE TO GREATER THAN
25 PERCENT.
RECEIVED BY: ~//~'-W'~f~~
DATE:
Eagle River ] n ineerin Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
E~le l~iv¢~, AK 99577-3294 (907) 694-3297 f~
July 22, 1997
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
MUNICIPALITy OF ANCHORAGE
ENVIRONMENTAL ~SERVICE$ DIVISION
JUL 22 1997
RECEIVED
Re: BLM Lot 94 T15n R1W, Sec 25
Narrative & Permit Application
Dear Mr. Cross:
The proposed well and septic system will have very limited impact on adjacent properties for the
following reasons:
1. The surrounding lots are large, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity.
4. Drainage will not be affected and is not a major consideration in our design.
5. A 15' variance is requested for the required distance of 50' to a +25% slope
change. This is because of the curved line the top of slope follows as it parallels
the proposed septic leachfield. It should be noted that the slope is natural and
vegetated and is terraced in the location within 50' of the leachfield.
If you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\ 1997\97-035-NAR.r>OC
PERFORMED FOR: C,-.¢i~ wIxO'
LEGAL DESCRIPTION: ~LA/~ ko~' .c=j~
~-
1
2
3
4
5
6
7
8
9
10
11-
12-
14
15-
16-
17-
18-
19-
20-
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
COMMENTS ('7 MC/V~'T
Township, Range, Section: ~-~H, R?-'~,/,
SLOPE SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
S
IF YES, AT WHAT ~
DEPTH? p
E
Depth to Water Aher
Monitering?
Reading Date Gross Net Depth to Net
Time Time Water Drop
3 12~4o I 2 .'
PERCOLATION RATE 1 C) (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~x FT AND ~ FT
PERFORMED BY: L~UI~ A, ~,o'r~p.~ i ERE& ~c:'-eX:~-"~ ~z-'~; -CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ~LL STATE AND MUNICIPAL GUIDELINES IN EFFECT 0N THIS DATL:. DATE:
72-008 (Rev. 4/851
Municipality oi Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG m PERCOLATION TEST
{ENGINEER'S SEAL)
PERFORMED FOR:
LEGAL DESCRIPTION:
DATE PERFORMED:
Township, Range, Section: 7"/J
1
2
3-
4-
5-
6-
7
8
9
10
11
12
13
14
15
16
17
18
19
20-
COMMENTS ~-'~'~ ~
SLOPE
WAS GROUND WATER
ENCOUNTERED?
S
DEPTH? /~-~ p
E
Depth to Weter After
Monilorino? ,~¢~7 Oale: 7'"?' ~" "~ 7
SITE PLAN
Reading Date Gross Net Depth to Net
Time Time Water Drop
~2 I ~/=~" ~o ~ ~/1~ I ~1/~"
PERCOLATION RATE ~" ~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN w~';* 'F' FTAND ~'~'- FT
PERFORMED BY: I --~'%--%P ~.~¢~ ~"'~"~'-- CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
72-008 (Rev. 4/85)
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
LEGAL:
A.
1.
2.
3.
4.
$.
7.
8.
9.
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM
BLM Lot 94 TISN R2W, Sec 25
7/22/97
GENERAL
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 requirements.
All soil tests are advisory to the design and are to be varified or modified in the field by the engineer.
All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality &Anchorage, Department of Environmantal Conservation requirements.
It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi-family wells.
The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
It is always recommended that a surveyor locate the nearest lot line position and the location of any
easements.
Any remaining open test hole excavations shall be filled.
B. SEPTIC TANK/LIFT STATION
1. Septic tank shall be a minimum size of 1500 gallons and of approved MOA design..
C. TRENCH
1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom.
2. The bottom of the trench shall be level, plus or minus 1.5".
3. The total depth of the trench excavation is not to exceed 10' at any point.
4. The effluent line within the trench shall be laid level within 0.03'.
5. The trench gravel is to be covered with typar fabric material.
6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed
over the leachfield.
7. The area over the trench is to be finish graded to prevent ponding of surface wa'~er runoff.
8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 10' GRAVEL DEPTH = 7' under pipe, 2" over pipe
TRENCH LENGTH = 67' TRENCH WIDTH = 3'
SOIL RATING = 0.SGPD/ft2 B~EDROOM CAPACITY = 5
SEPTIC TANK = 1500
Twenty-four (24) hours notice required for all inspections.
\1997X97-035-spc.doc
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 97-035
Calculated By: LB
Date: 7/22/97
Legal: blm LOT 94
Single Family 5 BedrOom Dwelling
TEST HOLE
Deep Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 750 gallons
Percolation rate = 10 minutes per inch
Wastewater application rate = 0.8 gallons per day per square foot
Required absorption area = 938 square feet
Trench width WV) = 3 feet
· Gravel depth (D) = 7 feet
Required length = Required absorption area / 2 / D
Required length = 938 / 2
Required length = 67 feet
Total Excavation Depth = 10.0 feet
/ 7
$ 89'51'3' E
3P8,48
SO~ ROW & UTILITY R~'SERVATInN
I
I
I
I
I
I
I
z ~ ~
/ I ~ / ~'~ ~ ~/~ ~
~ i1~ / ~ - TEST HOLE
~ ~ ~ m - ~ON~TOR TUBE
~ ~ o - SE~ER CL~NOUT
~ ~ - ~ELL
..... ~SE~ENT
NO SURFACE ~ATER PROPOSED L~CHF~ELD
NO KNOWN CURTAIN DRA:NS ---, EX~ST~NO LEACHF~ELO
WELL/SEPTIC SiTE PLAN
LEGAL: BLM LOT 9~ ~x~. ......
OWNER: GEN WlXON ~<~-" ~ '"~'~'
~o~ ~7-~3so/~r~: 7/~/~I sc~[ ~" = ~'
A EAGLE RIVER ~NGINEERING SERVICES '~ '., CE-6736 ..' ~
EAGLE RIVER, A~. ~77
(907) 694-5195 FAX: (907) 694-3297
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
w~wv.cLanchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
051-283-09
Parcel I.D.
1. GENERAL INFORMATION
Complete legal description
Expiration Date: / 0/30/~ Z
T15N, R2W, SECTION ~, LOT 94
Location (site address or directions)
17607 ALMDALE AVENUE * EAGLE RIVER, AK
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
Kff AND NANCY OAHLSTROM Dayphone 694-4929
P.O. BOX 770025 * EAGLE RIVER 99577
Day phone
DWIGHT/BARBARA BOWDEN w/ ERA Day phone
3380 'C' 51R£ET * ANCHORAGE, AK 99503
562-3300
Unles$othe~e~quested, HAAw~behe~byDSD~rpick~.
2. NUMBEROFBEDROOMS: 5
3. TYPE OF WATER SUPPLY:
Individual Well E~
Individual Water Storage
Community Class Well I'~
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. shall be paid $ at, or pdor I
to closing for the engineering sen/ices 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(are) safe, functional and adequate
for the number of bedreoms and type of structuro indicated herein. I further vedfy that based on the
information obtained from the Municipality of Anchorage t'~les and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
NameofFirm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone 337-6179
Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE. AK 99504
Engineer's Printed Name JEFFREY A. CARNESS, P.E.
Date
Engineers Comments:
In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results desc#bed the perfon'nance 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 ali wefts 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 ere outside the control of the eva/uator 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, /nc. 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 pany is not authorized, nor wi/lit confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for ,22-
bedrooms.
Disapproved.
Conditional approval for __
Attachments: HAA Checklist
Septic System Advisory
Well Flow Advisory
bedrooms, with the fllowing stipulations:
· ' WATERAND : ~
~ ; WASTEWATER : :
Manitenance Agreements
Supplemental Engineees
Other
Original Certificate Date:
'*' Municipality of Anchorage
Development Services Department
Building Safety DIv~lon
On-Site Water & Wastewater Program
4700 ~outh Bmgaw ~t.
P.O. Box lg6650 Anchorage, AK 99519-6650
(9O7) 343-?9O4
Legal Description:
A. WELL DATA
Well type PRIVAI~ If A, B, or C provtba PINSID#
Date completed 5/20/1998 Sanitap/seal (Y/N) YES
Totaldepth 300 ft. Casedfo 101 ft.
FROM WELL LOG
Date of test 5/20/1998
Static water level 105 ft.
Well production 32 GPH
WATER SAMPLE RESULTS:
Coliform ~) colonies/100 mi.
Amanio: N/A mg./L.
SEPTIC/HOLDING TANK DATA
HEALTH AUTHORITY APPROVAL CHECKLIST
T15N, R2W. SECTON ~,LOT 94 Parcel ID:
~ WAS HYDROFRACTURED
--3 YEARS AGO PER HOMEOWNER
Nitrate O~1~ mg./L.
Data of sample: 7/10/2002
Tank Type/Material
Tank size 1500 gal.
Foundation deanout (Y/N) YES
Date of pumping 7/11/2002
ABSORPTION FIELD DATA
Date installed lo/Io/lgg7
Length 67 ff.
STEEL
Number of Compartments 2
Depression over tank (Y/N) NO
Pumper
PBELOW EXISliN~ 0RADII
Soil rating ~ ff~q:N:lm¥) 0.8
Width 3 fl.
Totaldepth ~.4..-1o.,~fl. Eff. absorpflonama .938 ft~ Monltodngtuba YES
Date of adequacy test 7/11/2002 Results (Pass/Fall) PASS
. 9.25/
Fluid depth in absorption field before test 63 in. Water added 825 gal.
59.5/
Elapsed Time: 1040 min. Final fluid depth 63 in.
Any rejuvenation treatmem (past 12 mo.) (Y/N & type)
051-283-09
Well Log (Y/N)
Wires properly pmtacted (Y/N)
Casing height (above ground)
AT INSPECTION
7/11/2002
91 fl.
'1.3 g.p.m.
24+ in.
Other bacteria O colonies/100 mi.
collected by: AWWC, INC.
Date installed 10/10/1997
Cleanouts (Y/N) YES
High water alarm (Y/N) N/A
JR'S PUMPING
System type TRENCH
Gravel below pipe 7
Depreasion over field~
Absorption rote >=
NONE KNOWN
For 5 bedrooms
72.5/
New depth 76 in.
750+ g.p.d.
If yes, give date N/A
O. UFT STATION
Date installed
"Pump on' level at in.
Datum
E. SEPARATION DISTANCES
Size in gallons
"Pump off" level at .
Cycles tested
Manhole/Acc~<- (Y/N)
High water alarm level at
Meets alarm & circuit requirements?.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot100'+
Absorption field on lot 100°+
Public sewer main N/A
Sewer/septic service line 25'+
On adjacent lets 100'+
On adjacent lots 100'+
Public sewer menhole/cleanout
Holding tank N/A
SEPARATION DISTANCES FROM SEPTICJHOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+
Water main N/A Water sewice line 10'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+
Water sen/ice line 10'+
Curtain drain NONE KNOWN
F. COMMENTS
Building foundation 10'+
Surface water 100%
Wells on adjacent lots 100'+
Absorption field 5'+
Surface water 100'+
Water main N/A
Driveway, partdng/vehicle storage
G. ENGINEER'S CERTIFICATION
I certify that I have detenwlned through field inspections end
reWew of Municipal records that the above systems ere in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Print .ed Ni~me
Date "~//{::,/O*Z..
J~rrREY A, GARNESS
10'+
Waiver Fee $
Date of Payment
Receipt Number
JUL-Ig-OZ 04:11~ FI~&E ENVIRONI~NTAL
~tK CT&E Environmental Service. Inc.
g0756t5301
T-021 ~.02/04 F-130
CT&E Ref. N
Client Name
Project Na me/#
Client 5ample ID
Matrix
Ordered B)'
PWSID
Sample lC'marks:
1024112001
AK Water & Wastewater Consultants inc.
Lot 94, TISN R2W, Section 25
Lot 94, TI SN R2W, Section 25
Drinking Water
All Dates/Times era Alaska Standard Time
Printed Date/Time 07/19/2002 15:06
Collected Date/Time 07/10/2002 8:36
Received Date/Time 07/10/2002 9:30
Technical DJr.~i',lar S~ben ~ ~de
Water is ext~mely hazd. Sodltan and chlorido Icveh are very high indicating poss~lc influence of salt water. Total Dissolved Solids
exceed regulatory limhs which is ~egulated based on aesethetic quality rather health concern.
Alkalinity is lower than what is typically seen in Anchorage area water (60-140). The normal range is 10-500 mg/L. There are no
particular health effects associated with water in the normal range. Alkalinity is the ability to neutralize acids.
Allowable Prep Analysis
Parnmetcr Results PQL Units Method Limits Date Date
Aluminum 20.0 U 20.0 og/L EPA 200.8 07/15/02
Arscni¢ 4.92 2.00 ug/L EPA 200.8 (<.50) 07/15/02
Bazium 299 3.00 ug/L £PA 200. g (<2000) 07/15/02
Cadmium 0,100 U 0.I00 ug/L EPA 200.8 (<5) 07115/02
Calcium 325000 .5000 ug/L EPA 200.8 07/15/02
Chromium 4.00 U 4.00 U~L EPA 200,8 (<100) 07/15/02
Copper ~6.3 1.00 ug/t. EPA 200.8 (<1300) 07/15/02
Iron 250U 250 ng/L EPA 200.a (<300) 07115/02
Lead 1.84 0.400 ug/L EPA 200.8 (<1.5) 07/15/02
Magnesium 835 .500 ug/L EPA 200.8 07/15/02
Manganese 47.0 .5.00 ug/L EPA 200.8 (<.50) 07/I 5/02
Phosphorus $00 U .500 ug/L EPA 200.8 07/I 5/02
Potassium $00U .500 ~g/L EPA 200.g 07/15/02
Sodium 330000 .5000 ng/L EPA 200.8 07/I 5/02
Silicon 3660 1000 ug/L EPA 200.8 07/t 5/02
Silver L00 U 1.00 ug/L EPA 200.8 (<100) 07/15/02
Zinc 20.6 2.00 us/L EPA 200.8 (<5000) 07/I $/02
Chlor{dc ~ * 20.0 mg/L EPA 300.0 (<250) 0711U02
Fluoride 0.200 U 0.200 mg/L EPA 300,0 (<2) 07/I 0/02
Nitrate-N 0.213 0.200 mg/L EPA 300.0 (<10) 07/10/02
Ni~'itc-N 0.200 U 0.200 mg/1. EPA 300.0 (<1) 07/I 1/02
Sulfate l.g0 0.200 mg/L EPA 300.0 (<:250) 07/11/02
Total Dissolved Solids ~07_"~ * 50.0 mg/L SM20 2540C (<500) 07/11/02
////~'~.0' - mg/L SM20 2320R 07/10/02
NCO3
Alkelinit7
CO3 Alkn]inity // 0.00 mg/L SM20 2320B 07/10/02
OH Alkalinity / 0.00 mg/L SM20 2320B 07/10/02
Conductivity / 3500 1.00 umhos/cm SM2510B 07110/02
pTI 8.00 0.100 pT[ units EPA 150.1 (6..5-8.$) 07110/02
Init
KGF
KGF
KOF
KOF
KGF
KGF
KGF
KGF
KOF
KGF
KGF
KGF
KOF
KGF
KGF
KGF
KGF
JDT
JDT
JDT
AS
AS
AS
AS
AS
JUL-Ig-OZ 04:I11:M FI~M-CT&E ENVII~O~I,ENTXL SRV
,~T~_. CT&E Environmental Servlcel Inc.
60756tSS01
T-OZI P.03/04 F-130
CT&£ Ref, N
Client Name
l~ro,iect Name/~
Client Sample ID
Matrix
Ordered By
I024112001
Ali. Water .~' Wastewater Consul~nts Inc.
Lot 94, TISN R2W, Sectlon 25
Lot 94. TISN E2W. Section 25
Drinking Water
PQL
10.0
All Datfl/Times are Alaska Standard Time
Printed Date/Time 07/19/2002 15:06
Collected Date/Time 07110/2002 8:36
Received Date/Time 07110/2002 9:30
Technical Dare.or Stephen C. Ede
Units Me~hod
Allowlblc Pr~p Analysis
I.imi~ Da~e DaW
mg/L SM20 2320B 07110/02
col/100mL SMI8 9222B (<1) 07110/02
Init
AS
SBH
Municipality of Anchorage
Development Services Department
Building Safet~ 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
Parcel I.D. 051-283-09 HAA#
1. GENERAL INFORMATION Expiration Date:
Complete legal description T15N, R2W, SECTION 25, LOT 94,
Location (site address or directions) 17607 ALMDALE AVENUE i* EAGLE RIVER, AK
Current Property owner(s)
Mailing address
Lending agency.
Mailing address
Real Estate Agent
Mailing address
KIT AND NANCY DAHLSTROM
P.O. BOX 770025
Day phone 694-4929
EAGLE RIVER 99577
Day phone
Day phone
"C" STREET * ANCHORAGE, Ah 99505
DWiGHT/BARBARA BOWDEN w/ ERA i
3580
562-3300
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 5
TYPE OF WATER SUPPLY:
Individual Welt
Individual Water Storage
Community Class. Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site ~
Individual Ho:lding tank []
Community On-site []
Public Sewe~ []
The Municipality of Anchorage Development Services Department (DSD) Issues Cer~ificates 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 welt 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. shall be paid $ ~l~ i D at, or pdor I
to closing for the engineering services provided.
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, / redly that my
investigation, based on procedures outlined in the Health Author/ty 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 Munic/pafity of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with afl appficable Municipal
and State codes, ordinances, and regulations in effect at the time of insts/lation.
NameofFirm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone 557-6i79
Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date
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
DSD 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. T,~e operational life of afl we/is 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. AK~!4/C, /nc. can therefore not provide
any warranty or future estimate of how long the system wi//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 fight whatsoever.
DSD SIGNATURE
Approved for ,~
Disapproved.
Conditional approvat for
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
bedrooms.
bedrooms, with the fllowing stipulationsg
~~~ WASTEWATSi~R
Manitenance Agreements
Supplemental Engineer's Reort
Other
(Rev. 12Iilj\j
Original Certificate Date:
D.; .'~EIFT- STATION
:~Date installed
':'Pu~p. on" level at
E~
Septic tank/lift ~tati~fi. On iht
Al~s~ ~pt [dh',fiei~.o'n
· Public Sewer main
S~- lsepti.c~s~ice' line'
'Prdperty line: - 1"0~+!
Water :~ervice line 10'+
Curtaifi ;drain .:..NONE ~.KNOWN .~
Datum
'SE ~A~TION b'J§'~'ANCES .... .... ' "' :~ : '
SEPARATION DI~AN~;ES FROM'WELL 0~1' LOT TOi. '
"1'00"-~ On'~j~c~'fi~ ~ots
1.OO~+ """ "'~'~'' '""' ""
. ~.'.:On:aidjacent ots-
-..'~A ' '":: ~ : ' '~' '.~:U~Iic Sewer manhole/cl'eanout
25"+ :~lbldifig tank ·
:S'EPA'~ICiN ID ISTANCES FROM' sE~"~/H~3LD.ING,:TANK ON. LO:T .TO:
Boilding fouhdation 5'.-+ Pr(~p~i'ty lihe~ ; .-5'+. Absorption field
Water main N/A Watei' servi~e .lirie 1.0'+ 'Surface water
Wells on adjabent.lbt:s .100!+ .
SEPARATiON.DI~TANC~ ERO.M ABS~)~'[5~'I(~N FIELD :ON DDT '[0:.
Building foundatioh ,1:0'+ ::Water main
Surface water 1.00'+.
in: "Pump'.'c~f~'~'.l~bii~t' -.;~...., ,. m.,,., ,4.:.:......High wa'~er'ala~m .level at '
..Cycles te's~e~ ..... . ...... Meets alarm & cimuit requirements?
100~+
¸,+
100'+
Driveway; pa~'kin~/vehicle..storage '.; ,10~+
Wells.on ad, j~ceht 1.6tS. '~1.00~+
· .F.. cOMMENTS .. .; · ..~...., . .:
........ · ~ ....... '" ....... ' ' N .::;:~"="=~: F:.' ' .
.. .... . . <.:
· . ..'... .. ... ... ,......... :i ~'"...,,,~.
7re~ie.w ofA4u"n'ici/~!.Ncdh~ls that"fhe abd:~e s~gteths:.a~'in. '}.:'::~ ",.'... t i.' '""~'~' '~/:~'.'"" ' 7~!F";,¢)
confo~ancowith'MOA,HAAgbideh'n~ii~effec~'hthis'abt~':.. "t ~~~;~ :.', '.: ' ~
........ ,.,..........,.., .....~,:...... :.., ... ,..~,~...~.:..... ....
" """ """" ........ "' :" ' """ ' "a .... .'$:'"". I " ' ' " ·~
Eng neerS 'Prlnted.:,.Nam~ JEFFR..ET-. a. G RNES,,S';" ' ~"~,-" '.~~'.,.~:7.. ~ .
. · .,. ,~,,; ~. ..-..:.......:....,... ........ :.:....:.. "~~~2:~~'
Da~e:'..:;'..'.'. ........ '~'L ~//~!: · ..":.': .. '.':':"..':'" '. "(:.'"' (::..: '..'"' '.~~.~.'=~ '
: .... ..,..~...~/L,...,.,..' ............ ::."":'"""':':'t .:. "'::'-":':!:'""":"":~ ':"": ~'!" ':' .,.i'" :' ..
- .' ........ ~'-.."'- ... "::. Wa~iV~r'. Fe~ ,$ "- :':".~-
'~'o~Lpayment 7/~:."3'/'~:~:'~'.'"'~:.":,' --'.':: -..!..D.','A(e.8'f.'i~ay~n't ...
R~'i~'No'~b~'r' .'°~",?i,~.".~.:~~./.I :'~ ', '":',:~C~il~t: Na,h~ber - - '
(Rev.' 12101 )
in.
"JUL-I9-6Z 64:ilPti FRG~CT&E EAVII~ENTAL
~a&~n~ CT&E IEnvironmental Servlce~
T-021 P.02/o4 F-130
CT&R
Client Nsme
ClJem Su, mple ID
MatFL~
Ordered ]~y
PWSID
· Sampl~ l~marks:
1024112001
AK Wa~er & Was~ewawr ~_,,_,1~ Inc.
Lot 94, TItN .R2W, Seclio~ 25
LoZ 94, TI~N R2W, Sec0on 25
Drinking Wa~e~
Afl ihtes/l~mes ate Alaska Stsndaed Time
Printad Da~ime 07/1g~002 15:~
Coll~d Dal~ime 07/1~0~ 8:36
~ulved Ds~ime 07/I0~002 9:30
~ch~i~l D~ ~cn ~
Water is ~xuemcly hanL Sodium end chloride ~cvels ~ v~ b~ ~i~ng p~siblc ~u~cc of salt wa~. To~l D~so~v~ So~ids
p~icul~ h~[~ ~ ~ wi~ w~ ~ ~e n~ ~e. A~ is ~e ~il~ to ncu~ acids.
~rty~.lr.v T~d~.v'l-dual A.nal~fe:LE
Alum~um 20.0 U :20.0 ug/L EPA 200,8 07/1
Ar~aic 4.92 2.~ u~ ~A ~.S (<~0) 07/15~2
B~ium 299 3.00 u~ EPA 2~,8 (~000) 071tJ102
~ ~I~U 0.100 u~ ~A 2~.8 (~)
~ 32~0~ 5~ u~ ~A 200.1 ~/1 sto2
~hr~i~ 4.~ U 4.00 a~ EPA 2~0.8 (<~ 00) 07/15/02
Cop~ ~,3 l.OO u~ BPA 2~.8 (<1300) o7/t5~2
Ir~ 250 U 250 u~ EPA 2~,8 (~) 0~/IS/02
Lc~ 1.84 0.4~ ~ ~A 2~.S (<15) 07/1~/02
~ 835 S00 ~ EPA 200.8 07/15/02
Phns~s ~ U 500 ~ ~A ~.8 0WI ~/02
PoJ~i~ 500 U ~00 ~ EPA 2~8 07/15/02
S~i~ 33~ 5~0 u~ EPA 2~.8 07/15/02
Sil~n 3~ 1000 u~ ~A ~.8 0~/l
Silv~ l.~ U 1.00 u~ EPA 2~.S
Zi~ 20,6 2.00 u~ ~A ~.g (<~) 07/15102
~c ~ * 20.0 m~L EPA 3~.0 (~50) 07/11/02
~i~ 0.213 0.200 ~ ~PA3~.0 (<10) 0Wt~
Ni~i~N 0.~ U 0.2~ m~ EPA 300,0
Sulf~ t~ 02~ ~ ~A 3~.o (~50) ow~t/o2
HC~ ~ini~ -' / ~ I 1.0 m~ SM2Q ~20B
/ o.~ m~ ~R OT/t~
KGF
.1DT
JDT
^$
~HLSTROH
!
I
!
Lot 9~
!
: t I [.
P.o. ~x ~4 - _ --- . t .~ ,j r ,: .
01-15-03 10:52 FROM-CT&E ENVIRONMENTAL SRV
9075815301 T-443 P.01/01 F-387
CT&E Environmental .Services inc.
Laboratory Division i~-"~~g.,ag,~'~'~.a~-;~~..~¢,~:z'a~.a~.~.~r.~
200 W, Potler Drive
Drinking Water Analysis Report for Total Coliform Bacteria A.chor.oo.
AK g9618-1606
· Tel: (907) 562-2343
READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Fax: (907) 561-5301
PUBLICWATERSYSTEMLD.# I I I I 1
mVAT WAT aSYST M
Send Restdt$ O Send Invoice
f3 ,qend Results C] Send Invoice
ALASKA WATER'& WAb-'TEWATE :-:
Day Year
Treated Water
Untreated Water
]1
SAMPLE DATE:
Mouth
SAMPLE TYPE:
O Routine
13 Repeat Sample 0'or routine sample
with lab ref. no. )
n Special Purpose
SAMPLE LOCATION
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY -'
Analysis shows this Water SAMPLE to be:
Satisfactory
Unsatisfactory
tn Sample over 30 hours old, results may
be unreliable
Sample too long in transit; sample should
not be.over~Ohours old at examination ......
to indicate reliable resnlts. Please send
new sample via special delivery mail.
Date Received /-' ~ ~
'rime ReceiYed /'~ -~ 7
Analysis Began ' / ~ 0 I~)
Analytical Method: ~ Membrane Filter
MMO-MUG
Date: Time:
Client notilied of unsatisfactory results:
Phoned Spoke with
Foxed
.Date: Time:
Comments:
BACTERIOLOGICAL WATER ANALYSIS RECORD .
MMO~MUG Result: Total coliform
Membrane l~ilter: Direct Count
Verification: LTB BGB .....
Fecal Coliform Confirmation
Final Membrane Eilter Results
E. Colt
Colonies/100 mi
COL/FIRM
Colllhrm/100 mi
Member of the SG$ Group (Societ6 G6n6rele de Surveillance)
................. ,, , ,~,~,o ~aaavt alul~ ~II~HI~AN. MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA
