HomeMy WebLinkAboutGATEWAY TO THE PARK BLK 1 LT 1Gateway to the
Park
Lot 1
Block 1
#067-601-13
0ct-11-01 08:44A Permit Counter 907 343 8250 P.01
October g, 200!
Municipality of Ancharagc
On-Sit~ Wa~er & Wastowat~ Program
P.O. ~x 196650
~o~g~ ~ ~519-6650
lohn Amore
32323 Korohusk Circle
Eagle River, AK 99577
RE: PID 067401-13, BIk 1 LI 1 Gateway to the Park
Dcm' Jim;
The following pertains to the on-site sewer system for the above referenced property.
The above system is an in~mittent sand filter system that was inslalled in May 2000.
Ray's Services of Eagle River, Alaska provided thc system's coml:onents. The system is
unique in that it includes a 1,300-gallon "Premier" plastic septic.
As part of the MOA a~proval of tho system the owner must submit, on an annual basis,
an i~-fiou aud operation statement f~om a registered prof~sional engineer.: Due to the
uuiquan~,ss of the system, only Ray's Services can conduct the inspection; no other
conh-actor will do it. As you may know Ray Sharer died gals summer, 2001. ! have made
numerou~ at~empts to contac~ Bob sharer, who has assumed Cenrrol of Ray's Services,
and have not been able to schedule an inspection.
In the meantime I can at~'st that thc ~ appears to b~ fuactioning normally:.
-l.he air supply pump is working at 2 p.s.i, as originally s~. and;
-periodic/nspect/on o£ the monitoring tubes in the sand filt~r bed has not revealed
the prescrice of slanding water.
I will continue to try to eonlac~ Ray's Services via Bob Shafer. Fu~hcrmore, I will
continue to monitor the septic system' s performance. I realize that the time ha~ elapsed
for the annual inspection report but I wan~ to inform you ~ I am making a sincere effort
to have thc sysuma inspected.
You may contact me at 3434780 if you have any quc~ons or commems.
Page 1 of 3
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: SW000111 PID Number: 067-601-13
Name: EARL MEERBREY
System: S stem: ■ New INUpgrade
Address: -
P.O. BOX 771167 EAGLE RIVER, AK 99577
ABSORPTION FIELD
Phone:
(907) 694-2830
No. of Bedrooms:
3
**
0 Deep Trench 0 Shallow Trench • Bed 0 Mound • Other
LEGAL DESCRIPTION
Soil Rating:
2.0 GPD/Sq. Ft.
Totol Depth from original grade:
***2.0 — 6.0 n.
Lot: Block: Subdivision:
1 1 GATEWAY TO THE PARK
Depth to pipe bottom from original grade:
0 — 3.1 n.
Grovel depth beneath pipe:
0.45 pt.
Township:_Range:
—
Section: _
Fill added above original grade:
0 — 3.2 FL
Gravel length:
30 n.
WELL: • New • Upgrade
Grovel width:
12 n,
Number of lines:
5
Distance between lines:
2.0 Ft.
Classification (Private, Ae,C):
Total Dip .•
Ft.
Cased To:
FL
Total absorption area:
360 so. FL
Pipe material:
ASTM D-3034/SCH 40 PVC
Driller. €.X\SZ\NC'
Date Drilled:
Static Water Level:
pL
Installer.
TWEED EXCAVATING
Date installed:
5/24-25/2000
Yield:
GPM
Pump Set At
FL
Casing H Ight Above Ground:
Ft.
TANK
SEPARATION
DISTANCES
■septic O Holding ■S.T.E.P.
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
Public/Private
Sewer Lines
Manufacturer.
PREMIER PLASTIC
Capacity In gallons:
1300
Well
100'+
100'+
100'+
—
25'+
Material:
PLASTIC
Number of comportments:
2
S°"OCe
Water
100'+
100'+
100'+
—
—
LIFT STATION
Loti
5'+
*0.5'
5'+
Sze In gallons:
****150
Manufacturer.
****NORTHWEST CASCADE—STUTH
Foundation
5'+
10'+
51+
—
—
'Pump on' level a I'Pump off' level at (High water alarm at
FLOAT LEVELS SET BY RAY'S SERVICES & SUPPLIES
Curtain
Drain
Pump Make & Model:
GOULDS 20E805
Electrical Inspections performed by:
BAILEY ELECTRIC
NONE KNOWN
Remarks: *REQUEST THE 1 FOOT LOT LINE WAIVER BE
BENCH MARK
AMMENDED TO 0.5 FEET. **THIS IS AN INNOVATIVE
Location and Description:
BOTTOM OF SIDING AT POINT "A"
BOTTOMLESS INTERMITTENT SAND FILTER SYSTEM (ISF).
***2.05 FEET OF M.O.A APPROVED SAND FILTER ADDED.
Assumed Devotion:
100.00 Ft
****THIS LIFT STATION WAS SUPPLIED BY RAY'S SERVICES. ACCORDING TO RAY'S
ENGINEER'S SEAL
oo��Op�
p,j IF A '
' �'. OF
/'•
‘p40
1901A
SERVICES, THE PUMP BASIN IS APPROVED BY THE M.O.A. NO INTERIOR ALARM
Inspections performed by: AWWC, INC. Dates: 1st 5/24/2000
2nd 5/24-25/2000
2nd
3rd 5/30/2000
<ef rey •. Garnessj 0
0 9 c 7953 a p
�4sf ..: •' ,,,—
�Q:dprofessio�°o�
OQDOp00�
Department of Health and Human Services approval
PP
Reviewed and approved by /..7 Gd• /a-� Date- Co -/-'0 n
72-013 (Rev. 9/91) MW 25 a
PERMIT NUMBER:
SW000111
AS -BUILT DRAWING
PARCEL ID NUMBER:
067-601-13
AIR COMPRESSOR
INSULATED
AIR LINE
MT4
MT3
FCO
NEW "PREMIER PLASTIC"
F 1 00 GALLON SEPTIC TANK
NEW BOTTOMLESS
INTERMITTENT
SAND FILTER
TH#1
MT2
PUMP BASIN
AIR VENT (PBV)
7
7
NEW PUMP BASIN
8
9M to WAThk
15' UTILITY EASEMENT
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 • PHONE (907)337-6179 • FAX (907)338-3246
PREPARED FOR: PHONE NUMBER:
EARL MEERBREY (907) 694-2830
LEGAL DESCRIPTION:
GATEWAY TO THE PARK S/D; LOT 1, BLOCK 1,
DATE:
5/30/2000
DRAWN BY:
J.L.M.
SCALE:
1" = 30'
PAGE NUMBER:
2 OF 3
TYPE OF WORK:
AS -BUILT OF SEPTIC SYSTEM UPGRADE (BOTTOMLESS ISF)
I
Pk! +�, 0
-Ifr y e, st• g
5 953
•a
0:• .... .•••ctoo
dprofessiot\
��4000�00
PERMIT NUMBER:
SW000111
AS -BUILT DRAWING
PARCEL ID NUMBER:
067-601-13
FINAL £M7E - 9655
11\191-AT1ON
TOP OF TANK
AT INLET -94.17
TOP OF TANK
ATOULLFT- 94,15
5f1 512
P6V MH
TOP OF MANHOLE
LIP - 9725
FROM HOUSE
INVERT OF RUNG
AT INLET - 93,21
NEW IIpr,tim
PLA511C1 l 1300
GALLON TANK
INVENT OF RUNG
Af OUTLET - 92.88
TO DRAINFIELD
ORIGINAL GRA17E
97.53 (MH,IGH POINT)
Mid MT5
FINAL GRA17E
= 97.2 97.7
ORIGINAL 6RAJ2E
- 94,03 (LOW POINT)
INVERT OF 1215TR RI1fi0N
UNE5- 94.06 (AVG.)
AIR LINE
- 92,03 (AVG.
ROfTOM OF RW
- 91.53 (AVG.)
TOP OF 5ANP/ ROfTOM OF
PEA G.AVEI, - 93.61 (AVG.)
t
ALASKA WATER & WASTEWATER
CONSULTANTS, INC
6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504 • PHONE (907)337-6179 * FAX (907)338-5246
DATE:
5/30/2000
DRAWN BY:
J.L.M.
SCALE:
N.T.S.
PREPARED FOR:
PHONE NUMBER:
EARL MEERBREY (907) 694-2830
PAGE NUMBER:
3 OF 3
LEGAL DESCRIPTION:
GATEWAY TO THE PARK S/D; LOT 1, BLOCK 1,
TYPE OF WORK:
PROFILE AS -BUILT OF SEPTIC SYSTEM UPGRADE (BOTTOMLESS ISF)
*p°0
VA
VA
VA
ess, (51
C 7953 c��oOQQ
'oa2'ro fessioo00\
��400op0o
FROM,: BAILEY ELECTRIC
BAILEY ELECTRIC
PO BOX 771304
EAGLE RIVER AK 99577
696-2939 FAX 696-3939
PROPOSAL SUBMITTED TO:
PHONE NO. : 9076963939
May. 31 2000 11:41AM P1
PROPOSAL
PROPO§AL,ktpi,../.:. . • •
DATE. fee 24 20400
PHONE NO.
?.?g-- 32-44
ARCHITECT
• •tithnprfnrm- • ^ for t 6 6 '6 CS:•i&ci•if5;
.ivinirk.4.krkir Fbr, '..i " - iEr; :C,'..rir".4.7"174Wa ‘arlaattiMataYSNES” ...-.,c,*-7.::-.-„;:•0 1-•,;;4:,14,c'zi
ttekt•i:s4:*)...k••••••:,?..” ••
':"4:'!;, ' ' . " 4' • -4 ' e'• .1.4 - , .r.•••C?,4,(4;7;,,,,,, c.,,f.;7,'•;:i.p.W.4•ZoTi.776:70:,r,tz::Ic:',?::4&""'""";:Cna(afgr5P:Mc'W.-:••`:''::•
- '•,,` '•ro-• '
.•‘-
.,:;•tt,' „2„,..44.5,•,:' ,,,„;„nT,'• ,-:,;,,..,,,,,,,ai:k;:,;;;::,;!•0:•..;!*.Ai•c0/::;*.e re: ::','•' _esal:,''''' i'''''''.4.“C:;'i4","'",'-; ?:'
4•2'. - "Fi'.1' n;,/g-ligalegai_::Our‘OM551;:t1. '.."-' ' -IF ,4:4....,,":,t; .ff:..fr.9.;:
.„„t: .:..i;:v..:....::J.:•-•r-..........
.? : • -,4:,::,ii.,,,e.,:r4.1...a71:iiez.cert;- .. ..?... ,:::-.;:• - • .....- ,!...
......:yoz;ft:;;;.;,:.Laaiiiti ...,-.,!:.
re4e,or ..!:43.nrsvmoln. . , .. • •
. . . ,
.. • . • . .,.: - ..
. -
All '4, erial is guaranteed to be as specified, and the above work to be performed inaccordance with • - drawings
and sp fications submitted for above work and completed in a substantial workmanlike man , or the sum of
i
with payments to , - ; de as follows
Respectfully submitted
Any alleratiOn of devintion from above epecillcationv MVO • 'xim COMO
will be executod only Waive/sun order. and will become nil ox •oroe
AbOVO MO otirnale. All Amcor:mem contingent upon one -
ow end
=idea Of dokay$ bovond Our Conoco. Por
Note - This proposal may be withdrawn
by us if not accepted within days
Signature
Signature
NAY -19-0O FFCL 20:01 EAG RI''.' PHYSICAL-IHERAPY 694:3926
•
C Q. C.,
CONTAAC'I'ORS QUALITY CON tROL,'CO. 20345 NEW ENGL'ANF} On.
EAGLE Ii1VER., ALASKA 99577
1907? 894-4220
CLIENT DLIA4_'17'Y BOND ac GRAVEL - LLC
WASILLA..ALAEKA
PROJECT WASIL.LA• PIT
LOCATION SCRE;C_NINLi..PLAPT
DATE E ,: MAY' 19;1'2000
SAMPLED BY CI...I ENT- . ..
TESTED 'BY r+. r .. G'i'. . TECH.; DL
DATED TES1?P.1?':': MPY,•19,• •;1111iL1�f3•.
DATE SAMPLED: MAY 1E3, •206b0
JEST METHOD:' . AETM.E.-13b1.
SAMPLE:
Sa. #'a
SIEVE
# 4
#'10
# 20
# 40
60
# +30
#
100.
# 200
A N A L, Y S I S
-+f tK74rveA Fyry Jcti YA-S::r':de1=b-mm T my:n=yrO—=^s>5::=sam:p
BAND'.F'ILT£R STOCKPILE /BELT SAMPLE
m.o.,a.
5574 -1 -lea f i l twr !and
"GPasg.r: 1/2 spec'5 .
'100 101
APPROVED .0v.
540.
1e?
I€sta than 2Y..
less Chan 1%
04/10/00 MON 11:58 FAX 9073434786
(1) OWNE
Name" 1/2
Addams.' 0 V n04.5-5
DEES ENVIRONMENTAL SVCS
(2) TYPE OF WORK (cheek):
New Well at Deepening 0 • Reeonditioning 0 Abandon 0
If abandonment, describe material and monadure in Item 12.
(3) TYPE OF WELL:
Rattily Mr k. Driven 0
Dug
Bored 0
Hoary Blad
Coble 0
(4) PROPOSED USE (check):
Duman°
Irrigation
Thermal:
pi industrial
0 Test Well
Withdrawal
O Municipal
O Other
O tleintection
0
0
(5). CASING INSTALLED: Steel re
Threaded 0
6 • Diam. from 41 ft. to ...1.24:7 . ft. Gauge
,...*Diam. from ft. to . ft. Gauge
LINER INSTALLED:
`Diem. from ft to ft. Gauge
111e.etk
Welded #14'
21-41
(0) PERFORATIONS: Perforated? 0 Yea at No
Mitofaoy Used
Sim of perforations
in. by in.
perforations from ft. to
perforations from ft. to
perforations from ...............it. to
ft.
ft.
(7) SCREENS: Well Installed? 0 Yea Pi No
Manufactureee Normo
Type Model No.
Diem.; Slot Size Sat from ft. to It.
ratan) Slot Size &Mr=
Drawdown le amount water levol ia lowered
MD WELL TESTS: below static lovel
Was a pump teat made? 0 Yea g No If YOS. by whore?
Yield: galdpthi.wlth ft. drawdown alter Ion.
lo co g a seep 4.
Air tett galimin. with drill stern at 12c7 ft. / hm.
Bailer test cal/min. with ft drawdown after hie.
Axtealemflow
Temperature of water Depth artesian flow encountered. ft.
Bond C-1054 Issued by PACIFIC MARINE
0:00.10 : ..Surefittertmany Name
'NB Wen was ariBed under my Jurisdiction and this report is true to .
the ibeet of my knowledge and hello?.
;E$E1i1DRILLINGa). INC.
Nom,
Ackingi ' PO. Ei0 72174, WASILLA AK
isigrugu
• 1,94(.0-tutv
Date / ° 191.13— •
IA 004
(10) WOAD ')F WELL:
Borough A rl en -a; r lye.. Driller's well number
B Section t R.
Tax Lot tt Let 11 Blk Subdivision
tee
Address at well location: gd._fr
W.M.
(11) WATER LEVEL: Completed well.
Depth at which water was first found /
Static level 4— /
Artesian pressure.ft. below lead nudes°. Date /
iba. per square Inch. Date
(12) WELL LOG:
Depth drilkd 1 20 ft. Depth of oompleted weB 120 ft.
Formation: Describe color, texture, grain sirs and structure of materials; and chow
thickness and nature of each stratum and aquifer penetrated, with at least one entry
for each change of formation. Report each change in position of Static Water Level
end ituhrato principal wataphotrang strata.
t
TERIAL
SWL
4.1-
4,7,7":
sts.„,
97 /0
/01
Ire no
Work started • /o r iof com
Date well drilling achine moved off of well
letta maga . *,..NacararaW ranweatiii
.2• t • t. 't 1 -
Ar, P.a,411.
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SW000111
Legal Description: GATEWAY TO THE PARK BLK 1 LT 1
Design Engineer: 0041 AK Water & Wastewater Consultant
Owner Name: Earl Meerbrey
Owner Address: PO Box 771167
Eagle River , AK 99577 -
This permit is for the construction of:
Disposal Field ✓ Septic Tank
iktatcarvw
6DO P opt,
Exoiu
dot el
5/ash@ Dern
-oma gam
yTh
Date Issued: May 17, 2000
Expiration Date: May 17, 2001
Parcel ID: 067-601-13
Site Address: 032323 MT KOROHUSK CIR
Lot Size: 56035 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
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 DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 (24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By: 66-1)&7r
Issued By:
Date: 6 - I ? -oC
Date: 1j-- I %-60
Rick Mystrom.
Mayor
Municipality of Anchorage Area
Department of Health and Human Services CMS
May 17, 2000
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anchorage.ak.us
Jeffrey Garness
Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2-B
Anchorage, AK 99504
Subject: Waiver Request for Gateway to the Park, Lot 1, Block 1
Waiver Request #WR000028
Parcel ID #067-601-13
SW000111
Dear Mr. Garness:
Your request for a waiver of the required 10 feet horizontal separation from the
on-site wastewater disposal system to property line has been approved. The approved
separation distance is feet. ge, /'e,vise. f0 0 . r . /Z /-
This waiver approval applies to the existing on-site wastewater disposal system to
property line separation only. Any future upgrade to the on-site wastewater disposal
system will require all separation distances be met or another approval from this
department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-4744.
Sincerely,
Daniel J. Roth
Civil Engineer
On -Site Water Quality Program
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
On -Site Services
Waiver Review Worksheet
WR#: WR000028 PID#: 067-601-13 HA#: Permit#:
Date Received: May 12, 2000
Legal Description: Gateway to the Park, Lot 1, Block 1
Engineer: Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2-B, Anchorage, AK 99504
Applicant: Earl Meerbrey
**********
Waiver Requested: )(foot lot -line waiver et yr t e- m o • c - IL. 19
Criteria:
1. Geology Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
2. Special Conditions:
3. Other:
**********
Waiver is Granted: i( Waiver is not Granted:
List Conditions or Reasons for above: SE E EA/4M/EER ri /977A0.1E0 LEITE,Q 0P
Tus r'Fi1,T/oN DATED 5 —12-00.
Date: r—/7 -aa
By : / /ti N
Name of Reviewer
Rec#: 06734 Amount: $115.00 Date Paid: 5-12-00
ALASKA WATER & WASTEWATER
t ..._. .. ...-.a.,r.tt xi CONSULTANTS. INC. .-.,ttt.ff.. vr.s we
May 12 , 2000
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On -Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Septic System Upgrade for Lot 1, Block 1, Gateway To The Park Subdivision
(Bottomless Intermittent Sand Filter - ISF)
To whom it may concern:
The existing 3 bedroom house is served by a private well and septic system. The existing septic
system consists of a 1000 gallon septic tank and a trench type drainfield. The existing drainfield
is surcharged and must be upgraded. We are proposing that a new 1250 gallon S.T.E.P. tank and
a innovative Bottomless Intermittent Sand Filter (ISF) system be installed. Comments regarding
the proposed upgrade are summarized as follows:
1. GENERAL: A test holes was excavated on the north of the existing septic system to
determine an area suitable for a septic system upgrade. The property has several site constraints
which limit the area for a proposed upgrade As can be seen on the design, there is a creek on the
north half of the property and a surface water flowing along the south property line. Given the
limited area for a proposed upgrade, it is our opinion that a Bottomless ISF system is the most
viable option.
2. SOILS: Attached is a log which shows the soil classifications, groundwater monitoring, and
the percolation test results. The soils below the organic layers are a SM/ML material to a depth
of 14 feet (bottom of test hole). Groundwater was encountered during the excavation of the test
hole at 12 feet. The monitoring tube was checked on 5/10/00 and found water to be at 11.5 feet.
A percolation test was performed between the depth of 4.0 feet to 4.5 feet which had a
percolation rate of 26.7 minute/inch. It is our opinion that due to the overall appearance of the
soils, a application rate of 2.0 gallons/day/ft2 should be used. .
3. DRAINFIELD DESIGN: Bottomless Intermittent Sand Filter (ISF)
a. Percolation Rate: 26.7 minutes/inch
b. Allowable Application Rate for ISF: 2.0 gallons/day/ft2
c. Number of Bedrooms: 3
6901 Debarr Road, Suite 213— Anchorage, AK 99504'— Ph: (907)337-6179 — Fax: (907)338-3246
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 225 ft2
f. Effective Depth below pressure pipes: 2.5+ inches
g. Width: 12 feet
h. Length: 30 feet.
i. Effective absorption area = 360 ft2
j. Air Supply: Thomas Industries, Model 5070, "Anchorage Tank".
k. Air Supply Line: "Wasteflow" emitterline, 1/2 inch I.D, "Anchorage Tank".
1. Sand Material: In accordance with M.O.A. latest standards
m. Pea Gravel: 100% passing 3/8" sieve, less than 20% passing the 1/4" sieve, and
less than 1% passing the #8 sieve.
We are proposing to excavate down to a depth of 6 feet (maximum), place a minimum of 6
inches of sand, install the air supply line, and cover it with 1.5 feet of sand. On top of the sand,
we will place 6 inches of 3/8 inch pea gravel, with the pressure laterals midway in the layer. We
will use a conventional lift station (Anchorage Tank), equipped with a programmable timer so
that flow can be intermittently dosed to the ISF.
4. SURFACE WATERS: There is a creek on the north half of the property and a surface water
flowing along the south property line. The 100 foot setback will be flagged by a registered land
surveyor for the proposed septic system upgrade.
5. TOPOGRAPHY: The area in the area of the proposed septic upgrade is approximately a 5
to 10 percent slope running approximately north to south; in short, there are no slope concerns.
6. LOT LINE WAIVER REQUEST: We request a 1 foot lot line waiver from the proposed
drainfield to the east/northeast property line. We are unaware of any adverse effects on the
neighboring properties with the granting of this waiver.
7. MATERIALS AND CONSTRUCTION PRACTICES: The materials used, and the
construction practices will comply with DHHS' "Intermittent Sand Filter Design, Installation &
Maintenance Manual". The contractor should read this document prior to construction. Copies
are available at the Municipal Onsite Services office (5th floor, 9th & L St.).
8. CLOSING: I am open to any suggestions from your department, which would be an
improvement to the proposed design. I am unaware of any adverse impacts this installation
would have on adjacent wells or septic systems. If you have any questions, please contact me at
337-6179. Thank 4•u for your assistance.
6901 Debarr Road, Suite 2B Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246
L.V. GENDEREN
31935
CHUGACH STATE PARK
' 4j. \\ \\ /
\TO I \ \\\
EXISTING
3 BEDROOM
HOUSE
l
l \ \
i \ \
\ \ \
\ \ \
•
CHUGACH STATE PARK
\ \ \
t— -- EXISTING
\ \\ SEPTIC
SYSTEM
i
PROPOSED SEPTIC UPGRADE
(SEE DESIGN, PAGE 2 OF 3)
LOT 2, BLOCK 1
GATEWAY TO THE PARK
KOROHSK CIRCLE
SUt'ALE WATER
LOT 6, BLOCK 1
GATEWAY TO THE PARK -
ALASKA WATER & WASTEWATER
. a CONSULTANTS INC. ws= _ •-
6901 DEBARR ROAD, SUITE 20
PREPARED FOR
EARL meerbre y
LEGAL DESCRIPTION:
ANCHORAGE, AK 99504 • PHONE (907)337-6179 * FAX (907)338-3246
PHONE NUMBER:
(907) 694-2830
DATE:
5/12/2000
DRAWN BY:
J.L.M.
SCALE:
1" = 100'
PAGE NUMBER:
1 OF 3
GATEWAY TO THE PARK SUBDIVISION; LOT 1, BLOCK 1
TYPE OF WORK:
SITE PLAN FOR SEPTIC SYSTEM UPGRADE (BOTTOMLESS ISF)
,
OF Alt
1L / • ,v�� p,
„if
0,1••�. r: • rness, (/
-0 m 7953 n`
V,'�VPCProfessio�°� c'>
NOTES'
THE AIR COMPRESSOR SHALL BE
LOCATED WITHIN THE CRAWLSPACE OR
THE GARAGE. THE CONTRACTOR SHALL
PROVIDE A 0-10 PSI PRESSURE GAUGE
AT A LOCATION WHICH IS READILY
ACCESSIBLE FROM WITHIN THE HOUSE.
NOTE' A 30 PSI GAUGE WILL NOT WORK.
THE AIR COMPRESSOR SHALL BE A
_THOMAS INDUSTRIES MODEL 5070, AS
SUPPLIED BY ANCHORAGE TANK. THE .-
AIR LINE SHALL BE 1/2 INCH DIA. HDPE
(I PIECE), INSULATED WITH 1/2 INCH
FOAM PIPE WRAP (R3 VALUE). INSIDE A
2 INCH SCH.40 PVC JACKET. THE LINE
SHALL BE BURIED TO A MINIMUM DEPTH
OF 3 FEET.
THE CONTROL PANEL FOR THE S.T,E.P.
TANK SHALL BE INSTALLED WITH A
AUDIBLE/VISUAL INDICATOR ON THE
OUTSIDE OF THE HOUSE WITH A REMOTE
ALARM INSTALLED INSIDE OF THE
\HOUSE.
•
NOTE: THE CONTRACTOR SHALL HAVE THE FOLLOWING ITEMS
FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO
CONSTRUCTION:
1. THE 100' SETBACKS FROM ALL CREEKS/SURFACE WATER.
2. THE 100 FOOT WELL RADIUS SERVING THIS PROPERTY.
3. THE EAST/NORTHEAST PROPERTY UNE.
*INSPECTIONS WILL NOT BE PERFORMED IF THESE ITEMS
ARE NOT FLAGGED. A MANDATORY PRE—CONSTRUCTION
SITE VISIT BETWEEN THE ENGINEER AND THE CONTRACTOR
IS REQUIRED.
PROPOSED BOTTOMLESS
INTERMITTENT SAND FILTER.
EXCAVATE A BED THAT IS
6 FOOT DEEP MAXIMUM BY
12 FEET WIDE BY 30 FEET
LONG. SEE ATTACHED DETAIL
AND PROFILE (PAGE 3 OF 3)
FOR CONSTRUCTION DETAILS
AND REQUIREMENTS.
\01 TH#1
INSULATED
IALID
(SEE NOTE) /
PROPOSED 1250 GALLON
S.T.E.P. TANK
EXISTING SEPTIC TANK TO BE
REMOVED COMPLETELY AND THE
AREA TO BE FILLED WITH M.O.A.
APPROVED SAND FILTER.
EXISTING DRAINFIELD TO
BE COMPLETELY ABANDONED
5LWACE WA-CEK
15' UTILITY EASEMENT
KOROHSK CIRCLE
ALASKA WATER & WASTEWATER
. = CONSULTANTS, INC
6901 DEBARR ROAD. SUITE 28 • ANCHORAGE, AK 99504 • PHONE (907)337-6179 FAX (907)338-3246
PREPARED FOR PHONE NUMBER:
(907) 694-2830
EARL Theerbrct,
LEGAL DESCRIPTION:
GATEWAY TO THE PARK SUBDIVISION; LOT 1, BLOCK 1
DATE:
5/12/2000
DRAWN BY:
J.L.M.
SCALE:
1" = 30'
PAGE NUMBER:
2 OF 3
TYPE OF WORK:
DESIGN OF SEPTIC SYSTEM UPGRADE (BOTTOMLESS ISF)
O
T6�.....:. 0,
1`117 ess;' • 0
k. �, C 7953 ;c°/
.•' 4,�Aoo
a'orofession .o
�D0000o�0
AIR LINE colt. SPALEn AT
APPPDX. 2 FEET. OMNCO
"WASTEFLOW" TYPE PROVIDED
6Y ANCHORAGE TANK,
3/ 4" PIA, SCH, 40 PVC LATERALS
(HOLES, 51IELn5, ANP FLUSHING
VALVES PER OFNCO DESIGN)
OMLE
NO LINER OPOTT M. Ft 551,Kc
PIPING PE5IGNEn f3Y ORENCO ANP
5tFPLIEP DYANCHORAGE TANK.
I I 1 1 I
L
I I I
I I 1 1 1 1 1 I I
I 1 I 1 I I I I I I I I 1 I I % 0
01
0
0
0
1 1 1 I 1 1 1 1 1 I 1
121%-41HARGESLINO40 MPE
5TEP TANK ANP MANIFOLD
30'
4" PIA. MONITORING TM AT EACH
COMER, PERFORATE BETWEEN TOP
OF SANE ANn PI5TIWUi1ON PIPE
INVERT. ( PRICK I/ 4 INCH PIA HOLES)
PLAN VIEW
FLUSHING VALVES—
( WITH PROTECTIVE COVERS)
(EXTENnmove am)
ORIGINAL GRAPE
3/ 4" PVC LATERALS (TYP,4)
MT
FINAL GWOF
MT
FILTER FA(3RIC
OVER PEA GRAVEL
6" LAYER OF 3/ 8" PEA GRAVEL
WIH Tie PVC LATERA -5 ['MEP
MIDWAY IN TW 5TRAIUM,
(GRAVEL 6ELOWpre =3'I )
2 FEET MIN. OF FILTER SANQ
AJR LINE IB" 6ELOW
TOP OE SAND
2'
PROFILE VIEW
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.,-
6901
NC.6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 * PHONE (907)337-6179 • FAX (907)338-3246
PREPARED FOR:
EARL '
PHONE NUMBER:
(907) 694-2830
M e e rbre cif
LEGAL DESCRIPTION: J
GATEWAY TO THE PARK SUBDIVISION; LOT 1, BLOCK 1
DATE:
5/12/2000
DRAWN BY:
J.L.M.
SCALE:
N.T.S.
PAGE NUMBER:
3 OF 3
TYPE OF WORK:
DETAIL OF BOTTOMLESS INTERMITTENT SANF FILTER (ISF)
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
6901PHONEARR (907) 337561rE92*B FAX (9077) 338 99504
3246
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION:
GATEWAY TO THE PARK SUBDIVISION; LOT 1, BLOCK 1
PERFORMED FOR: EARL MERBRAY
DATE PERFORMED:
DEPTH
(feet) _.;;,.,_
5/4/00
ORGANICS
SM/ML
W/ SILT AND
LARGE BOULDERS
TEST HOLE #1
SOIL CLASSIFICATIONS
GW
GP
GM
GC
SW
SP
SM
SC
ORG
ML
CL
OL
MH
CH
OH
DEPTH TO
GROUNDWATER
DATE
12.0'
5/4/00
11.5'
5/10/00
CEK
\ \
\ \
\
\ \
-.\ EXISTING
\ \ SEPTIC
SITE PLAN \�\ SYSTEM
1"=100' \ ____
5ffAL� WATEK— KOROHSK CIRCLE
•r °D
n ! VA
.mess/ 4
.•. E.
E-7953 .c**..(
QaProfess%oc 00
,440oo0a
EXISTING
3 BEDROOM
HOUSE
PROPOSED
SEPTIC
UPGRADE
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
5/5/2000
PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING
1
3:40
6"
—
—
2
4:10
30
4 3/4"
1 1/4"
3
4:10
6"
—
—
4
4:40
30
4 3/4"
1 1/4"
5
4:40
6"
—
—
6
5:10
30
4 7/8"
1 1/8"
PERCOLATION RATE 26.7 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN
4.0 FT. AND 4.5 FT.
COMMENTS:
PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS
WAS PERFO IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
DATE. re OD
;Sent 4y: Alaska Water & Wastewater Consu; 907 338 3246;
May -12-00 9:18; Page 4
2000
MPS150, Nooiger Geg
yut'1 N�coa
�Y�Ne PROPERTY OWNER AGREEMENT
FOR 1Ij1: MAL' TENANCE OF AN
ON-SITE WAS LEWATER DISPOSAL
SYSTEM
This agreement, dated 199 is made between the Municipality of
Anchorage Department of Health and Human Services (DHHS) and the property
owner(s) of: 207
pJ /O'
This agreement is made for the purpose of maintaining an on-site wastewater disposal
system on the subject property.
The property owners agree to the following:
Submit to the Municipaliry of Anchorage, on an annual basis, an inspection and
operation statement from a registered professional engineer. This inspection and
operation statement shall verify that the engineer has inspected all effluent and air
pumps, timers, and alarms, and that any deficiencies have been repaired and that the
system is functioning as designed.
(Signature) (Signature)
oh(\ NM&e—
(Printed Name)
aG.d.Neo eeFDee M6 —4rs
(Notarize Here)
Llomeyflw3crc Foe.
Tttg 5min. oF(4LwsgA.
My cc rssro m _ace1 2ES
.Ac`c Co ZcttS, -
16n-+
o1v1
(Printed Name)
oe Msy 2040.
N"
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Municipality of Anchorage '"` LD
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 1966504191
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
Parcel I.D. Coq -60 (- I
1. GENERAL INFORMATION
COSH QCn063t1
Expiration Date: a - / 3- 0.7
Complete legal description GATEWAY TO THE PARK; LOT 1, BLOCK 1
Location (site address) 32323 MOUNT KOROHUSK CIRCLE • EAGLE RIVER 99577
Current Property owner(s) PATRICIA MEISSNER
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
Day phone 694-1814
32323 MOUNT KOROHUSK CIRCLE • EAGLE RIVER 99577
Day phone
Day phone
Unless otherwise requested, COSA 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 On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an Independent professional civil
engineer registered In the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems
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, 1 verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functionl and adequate
for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the
information obtained from the Municipality of Anchorage tiles and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address
3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, Al( 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, LtD. 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. 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. GEG, LTD. 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.
5. DSD SIGNATURE
Approved for ' 3 bedrooms.
Phone 337-6179
Date
10blicie
Disapproved.
Conditional approval for bedrooms, with the Wowing stipulations:
CF -7953
1. hob. • ice,
�pr. oreeeloto� c
`OQ ,; i ,
rir
ooh Y OFity
,
•• o:
Jam'• ON-SITE • .��
WATER AND • m_
WASTEWATER
• PROGRAM
JO ••• .
Jam' •••••• • •
i zg;)
� J/D yew -msl}1111
By:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
(R•v.11AS)
l�
V. fl
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Reort
Other
Original Certificate Date* / 1 — / 3-06
Municipality of Anchorage
Development Services Department
Building Safety Division
On.Stte Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196850
Anchorage, AK 995196650
www.muni.org/onslte
(907) 3434904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description* GATEWAY TO THE PARK; LOT 1, BLOCK 1 Parcel ID:
A. WELL DATA
Well typePRNA If A, 8, or C provide PWSID# N/A Well Log (YIN) YES
Date completed 10/10/1985 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES
Total depth 120 ft Cased to 120 ft Casing height (above ground) 12+ in
FROM WELL LOG AT INSPECTION
Date of test 10/10/1985 10/17/2006
Static water level +1 ft• 25 ft
Well production 50 gpm 1.25+ g p m
WATER SAMPLE RESULTS:
Coliform_ colonies/100 mI. Nitrate N1> mg./L. Other bacteria _colonies/100 mi.
Arsenic: a ug./L. Date of sample:l0/16/2006 Collected by: GEG Ltd.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material S.T.E.P./PLASTIC Date installed 5/24-25/2000
Tank size 1300 gal. Number of Compartments 2 Cteanouts (Y/N) YES
Foundation deanout (YIN) YES Depression over tank (YIN) NO High water alarm (WN) YES
Date of pumping 3 hal 20%, Pumper JR's PUMPING
C. ABSORPTION FIELD DATA
Date installed 5/24-25/2000 Soil rating
Length 30 ft
Width
T74 3 titin ltUTO
r ft'/bdrm) 2_0 System type BOTTOMLESS ISF
12 ft Gravel below pipe 0.45 ft
Total depth 3 6 + - ft. Eff. absorption area 360 ft' Monitoring tube YES
Date of adequacy test 10/18/2006
Results (Pass/Fail) PASS
Fluid depth in absorption field before test 0 dn. Water added 492 gal
Depression over field NO
For 3 bedrooms
New depth 0 in
Elapsed Time• = min. Final fluid depth 0 in. Absorption rate >= 450+ g.p d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date -
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N
"Pump on" level at _in "Pump off" le - High water alarm level at in
Datu Cycles tested Meets alarm & circuit requirements2
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/IIft station on lot 100'+ On adjacent lots
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main N/A Public sewer manhole/deanout
Sewer /septic service line 25'+ Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'
100'+
N/A
Water main
10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line *0.5' Building foundation 10'+ Water main 10'4-
Water
0'+
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 3'
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
• #WR000028
G. ENGINEER'S CERTIFICATION
ON 10/18/2006 THE 'SF AIR COMPRESSOR WAS O 2.6 PSI
1 certify that 1 have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date to/A-7%06
COSA Fee $t/moi.AO ' /75-Ov
Date of Payment 10/.2710 G
Receipt Number 2 7 7 .S D.
(Rev. 1 1/05)
Waiver Fee $
Date of Payment
Receipt Number
•11/27/02 64 1143:49 FMJ,07 343 8599i •11„��f}U( Prop Ant. Residents b74dUkX
•
-(.4e, ter ' "za_3:;0:- -
r. 002
,11 :Lip •
ASBUILT
•
.4/,;;1,414?.ss.'a!4ear . 4ro.c2:11
%ll!7iYt2PG•` A' C,GPca
SENA & ASSOCTATF-S LAND SURVEYING 694-0829
1 HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY*
BTHAT NO ENCROACHMENTS EXIST EXCEPTCEPT AS '
ANDePttr
INDICATED. IT 1S THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE •OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER 140 CIRCUMSTANCES SHOULD
ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES.
SCALE/ c go,
DATE'
GRID!
FBlBy`ede
DRAWN:
4.1977iikk
• n..
R
• Du•n• Mvk /sword • :•
(5.5918 , %.5,
°ejy ..... •;344.../
949 skxutl a •
SGS Ref. #:
Client Name:
Project Name:
Client Sample ID:
Matrix:
PWSID
Sample Remarks:
1066271
Gamess Engineering Group
Gateway to the Park, L1,B1
Gateway to the Park, L1,B1
Drinking Water
SGS Environmental Services Inc
200 W. Potter Drive
Anchorage, AK 99518
Tei: (907) 562-2343
Fax: (907) 561-5301
Alt dateslimes are Alaska Standard Time
Printed Date/Time: 10/26/06 15:15
Collected Date/Time: 10/16/06 15:10
Received DateTme: 10/17/06 /5 13:20
Technical Director. tephen
Releas
Parameter
Bacteria
Nitrate
Arsenic
Results
0.00
ND
ND
Allowable Prep Analysis
PGL Units Method Limits Date Date Init
92226 10/17/06 10/17/06 dpt
0.10 mg/L EPA 300.0 10.00 10/17/06 10/17/06 azs
5.00 ug/L 200.8 10.00 10/19/06 10/20/06 tk
BEN 10/23/2006 14:49 9073449821
JRs Damping
PO Box 773415
Eagle River, AK 99577
(907) 694-6454
Billing Information
Patricia Meissner
32323 Mt Korohusk Circle
Eagle River, AK 99577
(907) 694-1814
[Job Site Information
Patricia
32323 Mt Korohusk Circle
Lt 1 Blk 1 Gateway to the Park Sub
Eagle River, AK 99577
(907) 694-1814
Jab Description:
P.O. Number:
Terms:
Sdeerep:
Map Book:
Cross Streets:
Job Comments:
Additional Location Comments Diagran:
1st house on the left - Brown cedar
house w/ p's. Dogs are In fenced
area, separate from service area.
3bdrm (1300g plastic)septic on right
side of dw and visible.
JRS SEPTIC PAGE 01
12509
Net 30
Nikole
Service Agreement
Number 019464
Order Date: 29 -Mar -2006
Service Date: 31 -Mar -2006 12:0
Technician: Tony
Tex %: 0
Jab Typo: Repeat
Map Grit 150 B
Mile 12.0 Eagle River Rd
Last service 08/06/04 12508
Pumped system - lift station frozen
S varinsmat14067.bmp
Service Type aty Price Each
Septic Service 15K 1 $0.00
Tax?
No
Gallons Planned: 1250
Gal. Actual: , -
Hose Length:
Double Tank: 0
Pump System:
Baffles Inlet: 0
Baffles Outlet: 0
Extension Actual
$0.00
Esdmated Charger.
Actual Chwges:
Nontaxable Total
50.00
Taxable Total
50.00
Tax Total
$0.00
Grand Total
50.00
Customer agrees to the terms and eondlions shown. THIS ISA BINDING AGREEMENT.
Signature and TM. M Customer Representadve
Accepted by JRs Pumping
Date
Date Accepted
For your added convenience we accept; American Express. DIcover, Visa end Master Cad payments over the phone.
After 30 Days accounts wtll be turned over to collections. 525.00 For NSF Checks Returned.
GARNESS ENGINEERING GROUP, Ltd.
anstataignms CONSULTANTS & GENERAL CONTRACTORS
October 27, 2006
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Lift Station Manhole Riser Insulation for: Gateway To The Park; Lot 1, Block 1
To whom it may concern:
During our site visit on 10/18/2006, we noticed that the manhole riser did not appear to be
properly insulated. Attached is a photograph taken by the property owner showing the riser
wrapped in what appears to be some type of foam packing material. The owners hired a
contractor who lined the interior of the manhole with a double layer of reflectix insulation. In
addition, he insulated the lid with 2 inches of rigid foam See attached invoice for repairs. We
have not been to the property to inspect the repair. Please provide us with direction regarding the
adequacy of this repair.
If you have an
rel
mments, please contact us at 337-6179. Thank you for your assistance.
effeP.E., M.S.
Pres
t
3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259
Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: www.garnessengineering.com
FROM :
FAX NO. : Feb. 23 2006 07:29t1 P2
John Walsh
3060 N Lary Eight Ct
Suite 2 PMB 431
Was9W AK 99654
Cel : 907-841-5523
walsherntaonine.net
1m ok:e* 5094
Date 10/23/06
Bill tn: Ctart Data Ort POOR
Patricia Meissner Follow up on Inspection Repot
32323 Mt Korohusk Circle
Eagle River
Alaska 99577
Td : 694-1814
Item 0 Description of Work
1. Replaced Valve on Weter Tank In Crawl Space - 4.2
2. Secured Main Panel to Wall - 5.2
3. Tightened down Toilet tar* seals were good -112
4. As the toilet was not rocking, did not replace ring - 11.1
5. Fixed the siting door, removed obstructon - 12.1
6. Replaced all kitchen outlets with CFI outlets 12.2
7. Installed Carbon Monoxide Detector In Hallway, wired In and battery back up - 14.1
8. Fixed Framing on Roof trusses with uprights & plywood on each side of the spat - 18.1
9. Caulked Conduit Knockouts In Maln Panel - 5.2
10. Secured Attic Access in Garage - 18.3
11. Replaced outlet in crawl space with GFI outlet - 1.2
12. Insulated manhole cover and pipe Inc Septic, using 2- rigid foam (R -Tech atstJtoam) on the cover
eibiland a double layer of rcInside flectix insulation on the de of the pipe.
T e above work was completed on the 22nd & 24th of October 2006, if you have any questions a
there are any problems with the work please contact me directly.
hanks,
JohnWalsh����
Signed �i�A�r1' Y' 7 Fir��Oau�f pated�l 02en
McROM : RAYS
■ ■
IC.
•i
NAME:
PHONE NO. : 6967295 Nov. 12 2006 12:05PM P1
TWEED EXCAVATING
& CONSTRUCTION
DATE:
17034 N. FALL! nNFn LOOP no*D. iuf7F 202
FADLF *NV*. •LASKA 13977
TFL[D'WNF (007)1341372
FAX 007) [941290
//D
INVOICE NUMBER; 2478
7;1T /'/e/xr,ier
TIN 92-0155618
ADDRESS:
33o / W 32
,9tuan, 4-e 99c77
PHONEI ZI 2 -/8/4`
DESCRIPTION 4/ 4, , ear //.h _ A g( �%Q,rl�
AMOUNT
32.32-3 k4, A:Ir0h sic J
' S7.
1:52XC%
NGJiv/ueentroo7 A/ 1C
Zaior 71v e?nq*xi s as al 14
/�42`/eH-
Teo "VA
rey�/aG-e 3 /Taea / r
Zy[OfL-
per
C.G. %o 6nr,ie5 c
Fox .335 -3244
TOTAL
1833
�'
• • err -N
V •. t- •
••fr
ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND
REPAIR AGREEMENT
MEMORANDUM OF UNDERSTANDING
BETWEEN A1NICIPA Y OF ANCHORAGE
AND maca rriul)bls
�t
THIS MEMORANDUM OF UNDERSTANDING made and entered into as of this
4> f Day of No v<.•.5+r of 20 C'Io, by and between grad A . 1).4. 490114. ,
herein the "OWNER," and the Municipality of Anchorage, herein the
"MUNICIPALITY." In consideration of the mutual covenants contained herein, the
parties to this Memorandum of Understanding agree as follows:
1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality
grants permission to Owner to utilize and operate an Advanced Wastewater
Treatment System (AWW `TIS),, described as Ll7SY located
at -E7�LU 'f"Igl Rik 13 1 1,1 , Anchorage, Alaska.
2. Definitions.
A. Alteration. Any change to the design or function of an AWWTS that
Includes the installation or removal of any parts, components or pieces not
included in the original construction permit and design. Prior to
performing any alterations to an AWWTS the owner must obtain a
Wastewater Disposal System Construction Permit from the Municipality
pursuant to Anchorage Municipal Code (hereinafter, "AMC") 15.65.
B. Certificate of On -Site Systems Approval. An approval by the
Municipality of existing water and wastewater disposal systems given at
the time of property sale and title transfer in accordance with AMC 15.65.
These approvals certify that the systems are adequate for the homes that
they support and meet the codes that were in place at the time of system
construction.
C. Damage. Any man-made or natural change in a system that would inhibit
the system from performing as designed.
D. Maintenance and Repair. The scheduled and as needed replacement of
existing parts, components and pieces of an AWWTS that were included in
the original design which would allow the AWWTS to continue to
perform as designed.
E. Permit (Construction) An On -Site Wastewater Disposal System
Construction Permit as defined by AMC 15.65.
F. Permit (Operating) An Advanced Wastewater Treatment System
Operating Permit. An annual permit, issued by the Municipality, that
allows the Owner to operate an AWWTS, upon meeting all the
requirements of this agreement, the conditions of Operating Permit, the
requirements of the On -Site Wastewater System Construction Permit and
all relevant provisions of AMC 15.65
3. Fele. Owner shall pay to Municipality an annual fee of 21=�'�
($ (,6 .00), payable on or before the issuance of the operating permit and annually
thereafter. The annual fee is due on or before the anniversary date of the approval by the
Municipality of installed system.
4. Term. The term of this Memorandum of Understanding shall be for the life of the
AWWTS.
The term begins on the date of approval by the Municipality of the installed system and
shall continue while the AWWTS system is in use or operational or until the property is
sold or title is transferred by owner and a new certificate of On -Site approval is issued to
the new owner or transferee of the property.
5. Alterations, Installation and Removal of Additional Equipment. Owner agrees
not to make any alterations, removal of parts or additions to the AWWTS without a
Construction Permit from the Municipality.
6. Maintenance and Repairs.
A. Throughout the term of this Memorandum of Understanding, the Owner shall
maintain AWWTS in good repair. In addition, it shall be the responsibility of the
Owner during the term of this Memorandum of Understanding, and any extensions or
renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2)
maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs.
Further, Owner agrees to comply will all applicable ordinance, laws, regulations,
rules and orders for the AWWTS.
B. Owner agrees to provide the Municipality a written schedule of routine
maintenance and repairs which have been performed on the system pursuant to the
terms and conditions contained in the Owner's AWWTS Operating Permit. This
schedule shall be submitted to the Municipality annually upon the renewal of the
permit. The schedule of maintenance and repair contained in the Owner's AWWTS
Operating Permit is:
C. Owner acknowledges that the fine schedule for failing to maintain and repair an
AWWTS are codified in AMC 14.60.
D. Owner agrees that only maintenance, repair personnel certified by the
Municipality will inspect and make any necessary maintenance, repairs or permitted
alterations to the system.
E. Owner agrees to grant the Municipality reasonable access to test and inspect the
AWWTS upon 24 hours written notice.
F. Owner agrees that any sale or transfer of title of the property will not occur
without a new Certificate of On -Site Systems Approval.
G. Owner agrees that the relevant provisions of the standard specification guidebook
for AWWTS is the governing professional guidelines for the construction,
maintenance and repair of the Owner's AWWTS.
7. Nonwaiver. The failure of either party at any time to enforce a provision of this
Memorandum of Understanding shall in no way constitute a waiver of the provisions,
nor in any way effect the validity of the Memorandum of Understanding or any part
hereof, or the right of such party thereafter to enforce each and every provision
hereof.
8. Amendment.
A. This Memorandum of Understanding shall only be amended, modified or changed
by a writing, executed by authorized representatives of the parties, with the same
formality of this Memorandum of Understanding was executed and such writing shall
be attached to this Memorandum of Understanding as an amendment.
B. For the purposes of any amendment modification or change to the terms and
conditions of this contract, the only authorized representatives of the parties are:
Owner:
Anchorage: Purchasing Officer
C. Any attempt to amend, modify, or change this contract by either an
unauthorized representative or unauthorized means shall be void.
9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of
Understanding 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 Memorandum of Understanding.
10. Severahility. Any provisions of this Memorandum of Understanding decreed
invalid by a court of competent jurisdiction shall not invalidate the remaining provisions
of the Memorandum of Understanding.
OWNER: MUNICIPALITY:
By: Lt 0a 14&
Date: /7-1-06
STATE OF ALASKA
THIRD JUDICIAL DISTRICT
By:
Title:
Date:
) ss.
The foregoing instrument vas acknowledged before me this / day of tavatniat✓ ,
20jk,by �•i s/ . - the 19W1..2r
ommission xpires:
011 (tt tor,
geOTAR j: !"�—
V.t PUBLIC
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
(907) 343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILLY DWELLING
Parcel ID # 067-601-13
HAA #(^r
iks
1. GENERAL INFORMATION
Complete legal description GATEWAY TO THE PARK SUBDIVISION: LOT 1. BLOCK 1.
Location (site address or directions) 32323 KOROHUSK CIRCLE EAGLE RIVER. AK
Property owner EARL MEERBREY Day phone (907) 694-2830
Mailing address P.O. BOX 771167 EAGLE RIVER. AK 99577
Lending agency Day phone
Mailing address
Agent Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual well XXX
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site XXX
Holding Tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
ing to the legality and status of system.
72-025 (Rev. 1/91) Front MOA #21 Computer Version
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $3,685.00 at,
or prior to, closing for the engineering services provided.
5. 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 of this Health Authority Approval application shows that the on-site water supply and/or
wastewater disposal system is 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 inspecti/the on-site water supply and/or wastewater
disposal system is in compliance with all Municipal an ate codes, ordinances, and regulations in effect
on the date of this inspection.
Name of Firm ALASKA WATER & WA E , ER CONSULTANTS, INC. Phone (907) 337-6179
Address 6901 DEBARR ROAD. UIT 2; CHORAGE, ALASKA 99504
Engineer's Signature L A
In conducting this evaluation, AWWC, Inc att •m. t: d to prove thorough, conscientious engineering analysis of the
system in accordance with ADEC and MOA is H ^ 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, ground water levels that may fluctuate during the year, and the water o�op
usage of the family being served by the system. These conditions are outside the control of o� r �Ot
the evaluator of the system. Satisfactory test results do not guarantee future performance o
of the system, nor do they guarantee that there are no hidden defects or encroachments.
AWWC, Inc. can therefore not provide any warranty for future estimate of how long the
system will continue to meet the operational requirements of the ADEC or MOA DHHS.
Date
3
Gv
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.
6. DHHS SIGNATURE
V Approved for 3 bedrooms
Disapproved
Conditional approval for
By
71,a� � are
rr
0
f'fessioA a
��40000��
bedrooms, with the following stipulations:
Additional Comments
1
/stJ^e-r-
Date 6-I`C0
Uri
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of
homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of
DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
72-025 (Rev. 1/91) Back MOA #21 Computer Version
RECEIVED
Municipality of Anchorage u
DEPARTMENT OF HEALTH & HUMAN SERVICdSN 01
Environmental Services Division M,;r,,,_& ulr Of ANCMO
825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) M-4.i4s;A„ stkvrces o
Health Authority Approval Checklist
Legal Description: GATEWAY TO THE PARK S/D; LOT 1, BLOCK 1 Parcel I.D.: 067-601-13
A. WELL DATA
Well Type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number N/A
Log present (Y/N) YES Date completed 10/10/85
Total depth 120' Cased to 120' Casing height (above ground) 12"+
Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES
FROM WELL LOG AT INSPECTION
Date of test 10/10/85 5/24/2000
Static water level +1' <24'
Well production 50 g.p.m. 1.8+ g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 Nitrate 5- L' Other bacteria
Date of sample: 5/24/2000 Collected by:
A.W.W.C., INC.
B. SEPTIC/HOLDING TANK DATA
Date installed 5/24-25/2000Tank size 1300 Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) NO
Date of Pumping NEW Pumper
C. ABSORPTION FIELD DATA * TO TOP OF SAND FROM FINAL GRADES.
Date installed 5/24-25/2000 Soil rating (0.d./ftiorft2/bdrm) 2.0 System type BOTTOMLESS ISF
Length 30' Width 12' Gravel thickness below pipe 0.45 Total depth* 3.6' — 4.1'
Effective absorption area
Date of adequacy test
360 SQ.FT. Monitoring Tube present (Y/N) YES
Depression over field (Y/N) NO
NEW Results (Pass/Fail) — For 3 Bedrooms
Fluid depth in absorption field before test (in.); —
Immediately after — gal water added (in) -
Fluid depth — (ins) Minutes later — Absorption rate = —
Peroxide treatment (past 12 months) (Y/N) — If yes, give date
72-026 (Rev. 3/96)* Computer Version _
D. LIFT STATION
Date installed
5/24-25/2000
*PUMP BASIN SUPPLIED BY RAY'S SERVICES.
ALL FLOATS SET BY RAY'S SERVICES.
Size In gallons
*150
Manhole/Access (Y/N) YES "Pump on" level at* *47" "Pump off" level at* *47"
High water alarm level at* *54" *Datum BOTTOM OF TANK
Cycles tested NEW
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main N/A Public sewer manhole/cleanout N/A
'+
Sewer/septic service line 25Lift station 100 +
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Foundation 5'+ Property line 5'+ Absorption field 5'
Water main/service line 10'+
Surface water/dralnage 100'+ Wells on adjacent lots 100'+
SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO:
*REQUEST 1 FOOT LOT LINE WAIVER
BE AMMENDED TO 0.5 FEET.
Property line *0.5' Building foundation 10'+ Water main/service line 10'+
Surface water 100'+ Driveway, parking/vehicle storage area 10'+
Curtain drain N01 E KNOWN
F. ENGINEER'S CERTIF
I certify that I
of Municip
with MOA
Signature
av
reco
AA g
ATI
:de: 1
idi
I.
e
Engineer's Na
Date
w
field inspections and review
systems are in conformance
n this date.
JEFFREY A. GARNESS
3 Gb
Wells on adjacent lots 100'+
OF q
W --s.
C 7953 . mph
�cgoo4
\\400 .00 .0
f es slonclo
HAA Fee$
Date of Payment 6 /dm
Receipt Number . 77, (-)2/4/-17
72-026 (Rev. 3/86r Computer Version
Waiver Fee $
Date of Payment
Receipt Number
06-01-00 08:44 FROM -CTE ENVIRONMENTAL
CT&E Ref.#
Client Name
Project Name/9
Client Sample ID
Matrix
Ordered Sy
PWSID
Sample Remarks:
CT&E Environmental Services Inc.
radraseaKerera +surd
1002491001
AK Water & Wastewater Consultants Inc.
Gateway To rhe Park Ll RI
Outside Hose Bib
Dunking Water
0
5615301 T-614 P.01/02 F-370.
Client PO#
Printed Date/time
Collected Date/Time
Received Date/Time
Technical Director
Released By
06/01/2000 839
05/24/2000 15:36
05/25/2000 13:30
Stephen C. Ede
Parameter
Results
PQL
Unite Method
Allowapte Prep Analysis
Limitd Date Date Inst
MATERS DEPT
Nitrate -N
MICRO LAB
Total Coliform
0.500 u 0.500 mR/L EPA 300.0 10 max
col/100mL SM18 92228
05/25/00 SCL
05/25/00 .JDT
06-01-00 08:45 FROM -CTE ENVIRONMENTAL
5615301
SCT&E Environmental Services Inc.
Laboratory Givitian
T-614 P.02/02 F-370
200 W. Ponor Drive
Drinking Water Analysis Report for Total Coliform Bacteria T. cho007ij ee, t 90 18-1605
READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Far: 1807) 561.5301
MUST BE COMPLETED BY WATER SUPPLIER. TO BE COMPLETED BY LABORATORY
❑ PUBLIC WATER SYSTEM I.D.
eI( PRIVATE WATER SYSTEM
O Seed Raider G Sea awoke
d,.S,_Nlicer negA WA'11a+R & WASTICWATBRCe"•••_
71.P."FS.E2 TAI�� nrneabr- -
6DOI-D RD., SUSS2D —
5-
w
O Sold Raab
SWIarNoe
sirSilitanukavisSULTARTS. INC. ...
6901 t)FRARR-lit37-9t1tm Lly
ANCItORAOIC. AK 96504
ring
to
ares
SAMPLE DATE;
0
Monde
SAMPLE TYPE:
`Fl, Routine
❑ Repeat Sample (for routine sample
with lab ref. no. )
o Special Purpose
SAMPLE LOCATION
AdSIA Nnitr i Ti
&armee %4a& SIB
BACTERIOLOGICAL WATER ANALYSIS RECORD
MMO-MUG Result Total Conform
Cohn aW100 ml
Commants
Jalt
Day
b1731
Year
o ' Treated Water
Untreated Water
Tyne Collected
Collated By
1I g^34. L 1 -4-661—
new
Ji-"
rkrr PNM
An lySis shows this Water SAMPLE to be;
got Satisfactory
o Unsatisfactory
O Sample over 30 hours old results may
be unreliable
❑ Sample toe long in transit: sample should
not be ova 48 hours old at examma ion
Inn sample v a special delivery mail.
S a4 • o0
Dae Received
Time Received
Andy* Reps
*sainted Method: Cs Membrane Phar
❑ MMO•MUG
• Number ofcolonica/10omi.
/gs l7
141 0
• .'- n-' art• Result,'
Analyst
1002491 a] g
S Fbks Jan
Faerl
Dar: Time
Client notified of unsadafattory reap;
Dammed Speen HIM Final❑
Dere: Time*
Membrane Flan Direct Cam
Verifadoa: LTB
Fecal Conform Confirmation
Final MembraneFJigr Results
Reported By
07
8G8
Scr
Date _r
COLUTRM
Time
Conform/100 ml
brs
IMT -Twmatird rT.Coat
od -ear Man
IIP a Pamper of the SOS GrouplSocSH Grand* d•
ENVIRONMENTAL FACILITIES IN ALASKA, r1WFORNiA, FLORIDA. ILLINOIS, MARYLAND. MICHIGAN. MISSOURI. NEW JERSEY. OHIO, WEST VIRGINIA
•
n MUNICIPALITY OF ANCHORAGE ,-..
'ARTMENT OF HEALTH AND HUMAN SE ICES
• Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
e . r •. Li e
Address
P° SOX 87/303 %g estAXxtQle 1,687
Phonets) Permit No. No. 01 Bedrooms
376- -26-7S- vso 1042 3
Block
Lot
Township. Range. Section
13.1 perS v
l
LEGAL DESCRIPTION
FROM
WELL
LOT LINE
Subdivision
Qjrawoyii 71•e PQrK
FOUNDATION
DISTANCES
SEPTIC
TANK
108/
ABSORPTION
FIELD
/24
/0 14
38
WELL
AS -BUILT DIAGRAM tShow location of well. septic system. property fines, foundation,
driveway. water bodies, etc.)
TANKS
® SEPTIC ❑ HOLDING
Manwactuier
MAT 5u
Material
Sleek
Capacity in gallons
/000
t
Na of Compartments
2
TYPE OF SYSTEM
l]'IRENCH ❑ BED W. DRAIN
Depth to pipe bottom from
original grade
3'
re) 2
Fill added above original grade
2'
Gravel length
Total absorption area
Number of es
/
FT
FT
FT
❑ OTHER
Total depth Irom original grade
7 ro y ' FT
Gravel Depth beneath pipe
2 FT
Gravel width
FT
Distance between lines
SQ FT NA
Soil rating
/510 SQ FT
installer O/_
ReX PMrChOe.
);g: PRIVATE
Ct eberrtA. B.Ci
2 stallei/va
Friese42/LL/
REMARKS:
Pipe material
R13S //
pvG
Date Installe
/O— g-
WELLS
❑ OTHER (Identify)
Total Depth
/2-o' FT
FT
Cased to
/20 FT
Date Installed:
/0//o/Bf
PK
O
41b*le
r>"-,
ted! ee
oda q.I
b).
Road
Scale:
Inspections Performed by.
Alor To Sca/e
Date. /a — Fj_ Fjg
MLA I C I IF. asL_ I 7- "Y-- CF 1c4 NC1--IDF 41(3E
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET_, ANCHORAGE, AK. 99501
264-4720
Elif J—ITE 8E4+JEFi f WELL IF' EFtM I T
'ERMIT NO: 850662
DAIS ISSUED: 10/07/85
FFL1CANI: S&S ENGINEERING MOOREHOUSE
DF:ESS: SRB 196X
EAGLE RIVER, AK 99577
;_:ONTACT PHONE: 694-2979
EG;L. DESCRIF': SUBDIVISION: GATEWAY TO THE PARK LOT: 1
SECTION: 4 TOWNSHIP: 13N RANGE: 1E
'_OT SIZE: 1.286A (SO.FT. OR ACRES)
iAX BEDROOMS: _
BLOCK: 1
-isted below are the options available to you in designing your septic
system. Choose the option that best fits your site.
TFRENCH EiEI]
(:)EFTH IO F'IF'E BOTTOM (FT.) 4.0 4.0
iFAVEL DEPTH (FT.) 7.0 0.5
TOTAL DEPTH (FT.) 7.0 4.5
=RAVEL WIDTH (FT.) 1.5 19.0
GRAVEL LENGTH (FT.) 75.0 76.0
_aF-:AVEL VOLUME (CU.'rDS.) 24.4 25.4
TANF:: SIZE (GALS) 1,000.0 ** 1.000.0 **
3C IL RATING (SO.FT. %BR) 150 150
** TANK MUST HAVE AT LEAST TWO COMPARTMENTS
W_ DF;AIN
4.0 C
7.0
5.0
5=.0
?4.4
1,000.0 **
150
1certify that:
1. I am familiar with the requirements for on-site sewers and wells as set
forth by the Municipality of Anchorage (MOA) and the State of Alaska.
2. I will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria of this permit.
I will adhere to all MOA and State of Alaska requirements for the set back
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. I understand that this permit is valid for a maximum of 3 bedrooms and
any enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL WORE: MUST BE DONE BY A LICENSED ELECTRICIAN.
rr'r.Vr.NEI.
_ I
AI-PLICANT: S&S ESlebeii 'INEE ,ING MOOREHOUSE
ISSUED BY
DATE: -
DATE: /U - 7 .-g
I-ILJt.1I € . I IP- CI I_ 1 r'i 1=7F= IsJCI -11.E) ifi3E
DEPARTMENT OF HEALTH AND CWIRONNEMF ;L L _ITECTION
a25 _ S7FEET, ! !'JCHUR 3E, AK -1501
2&4-4720
CTh1 E3 1 T- E_ E rAi (== rte l ,J FL A__ S_ . F ' f_ F F 1 T 1-
' 1 f HU: E: Si)bS
ISSUED:: l0/07/35
i CAr•I1 :
ACT PHONE:
5_:S ENGINEFRII 3 .100kEHDUS;-
;3RD 1RSX
EASLE RIVER,
694--x:47-
;L DESCF.IF: SUBDIVISION: GATEWA''70 1 -HE - F.1 LUT: 1
SECTION: 4 iti NSa1F': 1.3N fttiti iE 1E
1 ZE: 1. Et6A (SC:. FT. GF: ,=,CRES)
t EDROOMs.
BLOCK: 1
Led h:_1or-i are the options available to n designing ycr.rr sep
em. Choose the option that best fits ste.
lEFRE-C CAA
VH TO PIPE BOTTOM (FT.) .0
EL DEPTH (FT.) .0
L. DEPTH H (FT. ) . t_
:JEL WIDTH (FT.) 2.5
:.'EL LENGTH (FT.) 5.0
'EL VOLUME (CU.YDS.) .4
SIZE (GALS) 1.; 0).0 ** 1, )ou..r **
RATING (SI'.FT. /BR) 150 150
TANK MUST HAVE AT -LEAST TWO COMPARTMENT
1 F 4 I 1\1
4.0
7.0
5.0
73.O- GT
1,000.0
**
150
ert i i :' that:
I am ami l i r with the requirements for on --site: sewers and Wells as set
forth by the Municipality of Anchoraye (MCA) and the `-_,tate of Alaska.
1 wi l l install the system in accorda:Ic:e with ...1l MCA codes and regulations,
and in compliance with the design criteria of F?it. permit.
I will adhere to all MOA and State of -;i sF:a_ requirements for the set back
,distances from any e,istin❑ well. wastewater disposal system or public
seoerage. system on this or any ad.;scent .or nearby 1ot..
1 undo: stand that this permit is valid for <a maximum of 3 bedrooms and
an enlargement will requiTe an additional p:.rmit.
o LIFT '= T TION IS INSTALLED IN AN ARE C`.-` F E Br MOA BUILDING CODES,
1 (1) AN ELECTRICAL PERMIT AND INSPECTION ML-= 1;L 05TAINED; (2) AS-F4UILTS
L NOT BE APPROVED WITHOUT AN ELECTRICAL INSFELTt`1N REPORT; AND (3) THE
'.:TRITF;L WORT. MOST BE DONE BY A LICENSED l_F-C;1RfL;1J.
LIED
1CF;r,I : 1 _ _. E _INEE ING MUOREHOUSE t
TEL;
1.
/O -.'g's-
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
PERFORMED FOR: RI ( M c771Z i 1ek.m..)se.
(ENGINEER'S SEAL)
DATE PERFORMED:
to- 4-135
LEGAL DESCRIPTION: 1 P.7 L-. -• + Township, Range, Section: -f13� , ��� t c���t.}-
�6-�6w.I `fl4€ r SLOPE SITE PLAN
_I 1' ■■■■■■■M■■
■■■■■■■ri■.
■I ■IJ■■EME■!1
r,,11r■ir■■■■■■ii
Wi■I■■■EM11111,
■Ire■■■■■■■i��
■IIS MEIN ■■■AII
II■■■■■11■
liffiV iilr■■■M1■
10
12
13
14
15
16
17
AP
So ' V
• 4( 1
• . Ts
s = ••.1
gid. . •
...e
18 A. Shish"
/ s� •.. No. 11:7-f .
19 e0eG .••••»... E =
t�;
20
COMMENTS
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
No
Depth to Wales Mer
Monitoring? Dalt
s
L
0
P
E
0
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
/e
N
•
•
1
PERCOLATION RATE (mmutesiinch) PERC HOLE DIAMETER
TEST RUN BETWEEN
3 &: E` culdroRIN4
3RB 1196X
PERFORMED BY' r..3l f ova% 4ULSKA 15577
PH. 694.2$T8
ACCORDANCE WITH ALL AL GUIDELIN
FT AND
FT
CERTIFY THAT THIS TEST WAS PERFORMED IN
FFECT ON THIS DATE. DATE- / d — 5.1'-- itgC
(1)
Name Liae 4" n7 e...1
Ami Pe) NV 67,16s -s•
City
State
(2) TYPE OF WORK (check):
New Well M. Deepening 0 Remoditioning 0 Abandon 0
If abandonment. describe material and procedure in Item 12.
(3) TYPE OF WELL:
Rotary Air /tit Driven
Rotary Mud 0 Dug
Cable 0 Bond
0
(4) PROPOSED USE (check):
Domenic A Industnal
Irrigation 0 Ted Well
Thermal: Withdrawal
O Municipal 3
n other
O Reiniection
(5) CASING INSTALLED: Steel M Morrie 0
Threaded 0 Welded ,fir
4 • Diem from 4. / ft. to ..1.2.Q.. ft Gouge .
ft. Gauge
' Diem. tram fc to
LINER INSTALLED:
Diam. from ft to ft. Gauge
(6) PERFORATIONS: Perforated? 0 yes Ex No
'MP el perforator used
Sized perforations
in. by in.
perforations from ft. to ft
perforations hum ft. to ft.
perforations from ft. to ft
(7) SCREENS:
Manufacturers Name
TYPe
Dunn.
Diem.
Well aereen installed? 0 Yes JM No
Model No.
Slot Sim Set from ft. to ft.
Slot Size Set from ft. to ft.
(8) WELL TESTS:
Drawdown ie amount water level is lowered
below static level
Was &Aaiun, triot mode? 0 Yea 1 No If yes, by whom?
Yieldgatipsia with ft. drawdown after
n
Air test S-0 gatimin. with drill stern at /2 ft. 1
Bailer test gal./min. with ft. drawdown after
Artesian flow g.p m
hrs.
hrs.
h.rs
Temperature of water
Depth artesian flow encountered ft.
Bonri_ C-1054
Plumber)
Issued by.
PACIFIC MARINE
Surety Cowpony Nome
This well was drilled under my jurisdiction and this report is true to
the best of my knowledge and belief.
Name
FRIESEN DRILLING CO. INC.
Address
(aimed,
74, WASILLA, AK
Date
19F-
(10) LOCATD OF WELL:
Ari Cin.wrayt-
Borough Driller's well number
T. R. W.M.
Tax Lot • Int 1 Subdivision
Addreas at well location:
(11) WATER LEVEL: Completed well.
Depth at which water was firm found /1'! ft.
Static level 4- ft. below land surface. Data /
Artesian pressure It. per square ineb. Date
(12) WELL LOG:
Depth drilled / 2 0
ft. Depth Mecomisted well / 2 0 ft.
Formation: Describe color, texture, grain size sad structure el materials; and show
thickness and nature of each stratum and aquifer peseersted, with at least ees ay
fcc effir*t ehuntle 01 fout Blurt emb diaries in (anti= of Static Water Level
and indicate prim -mil Amami( strata.
MATERIAL Prim To SWL
r" per*?
C "P AV
fit: &I elg/
a i
Cq h rot
el
-77
97
101
77
97
Ja
1i
/.20
4/
Work started • /0/r 1915- Comokeed /0/10
Date well drilling machine moved off of well /"//il 19
19 Fr
OS
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
1. GENERAL INFORMATION
(a)
(b)
(c) Applicant is (check one): Lending Institution 0 ;; Owner/builder; Buyer 0 ; Other 0 (explain);
(d) Lending Institution (i2�Y� GLc (�v°'L " (1.-1re elephone
Address
(e) Real Estate Company and Agent 7 - e
Address w & )/ 4 ti`s
Telephone
le
Mail the HAA to the following address:
S & S Engineering
Application Date
Legal Description (include lot, block, subdivision, section, township, range)
Location (address or directions) �j
�/'.vm) 0/It o� L (2;1A-Cit
Applicant Name 1 /- QQ/ Telephone: Home ? 76 - yo 7? Business /--
Applicant Address (20- S 0-7 Oe7O 99 (f %
00 5-
(f)
SRB 196x
le DIYYr AIassis 99577
2. TYPE OF RESIDENCE
Single -Family% Multi -Family 0 Other
Number of Bedrooms `3
3. WATER SUPPLY
Individual WeIII Community 0 Public 0
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite Public 0 Community 0 Holding Tank 0
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2
72-025 (11/84)
5. ENGINEERING FIRM PROVIDIt..a INSPECTIONS, TESTS, FILE SEARCH, Dm.A AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate
for the number of bedrooms and type 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
S & S Engineering Telephone
Name of Firm 5K13 796x p
Address Eagl. oivpS et,skft yggp
Date
6. DHEP APPROW /
Approved for edro
Approved Disappro
2/67,5
Terms of Conditional Approval
CAUTION
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or
analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
Page 2 of 2
A. WELL DATA
Well Classification
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA) IJEC 0 3
CHECKLIST - FEBRUARY 1984
264-4720 RECEIVED
Legal Description' 1-e=•T t - • l
&pti-ti.-i,y,-1 -rs�c-
S•i`. If A, B, C, D.E.C. Approved (Y/N)
°IA
Well Log PresentaioN) Date Completed to' Yield So (mn1•'t
Total Depth IZr, r Cased to 12u. r Depth of Grouting
Static Water Level 1 D Pump Set At
J tL,
Casing Height Above Ground
3a Sanitary Seal on Casing CZDJ)
Electrical Wiring in Conduit?N) Depression Around Wellhead (Y
Separation Distances from Well:
To Septic/Welding Tank on Lot S' ; On Adjoining Lots 1 fir}
To Nearest Edge of Absorption Field onLot 12tv� ; On Adjoining Lots
//
To Nearest Public Sewer Line
Cleanout/Manhole
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
�5 1 --
Water Sample Collected by s i�Xat"' ` ; Date t l -211— 65
Water Sample Test Results Sfri \S F �
Comments
B. SEPTIONOL-1 t MG TANK DATA
Date Installed l -'S- e6 Size No. of Compartments
Standpipes(I'N) Air -tight Caps07N) Foundation Cleanout l)
Depression over Tank (Y/CW
Qate Last Pumped
Pumping/Maintenance Contract on File (Y/N) ) [/� ; for
Holding Tank High -Water Alarm (Y/N) r"A Temporary Holding Tank Permit (Y/N)
Separation Distances from Septic/Wedding Tank:
10e'�
I I -V-
To Water -Supply Well
To Property Line
To Water Main/Service Line, 1 '� To Stream, Pond, Lake, or Major Drainage
To Building Foundation
To Disposal Field
1�
Course t CPC?�
Comments
Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date InStafled I o - S- Q5
\5-4"'4i Type of System Design Twz-6—�N
Width of Field
Length of Field
Depth of Field
cv6
(n, ANCA•
Grave Bed Thickness Z
Square Feet of Absorption Area 4tor.74? Standpipes Present1f N)
Depression over Field (Y6P Date pf Last Adequacy Test
Results of Last Adequacy Test al P
Separation Distance from Absorption Field:
To Water -Supply Well
To Building Foundation
Lot
210'/
�fA
To Water Main/Service Line
To Property Line l c:>14-
343'
)-F-
3t'3 To Existing or Abandoned System on
p)k
; On Adjoining Lots 3a1
To Cutbank (if present)
To Stream/Pond/Lake/or Major Drainage Course v 1 k
To Driveway, Parking Area, or Vehicle Storage Area /rte
Comments
D. LIFT STATION
Date Installed Dimensions
Size in Gallons Manhole/Access (Y/N)
"Pump On" Level at 1 'Pump Off" Level at
High Water Alarm Level at Vent (Y/N)
Tested for Pumping Cycles during Adequacy Test. Meets MOA
Electrical Codes (Y/N)
Comments
** Check Permitted Bedroom Rating Against HAA Request **
1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed S Engineering Date /Z
SRB 196x
Company ff_MOA No
Receipt No 6 Co 4/5/
Date of Payment tDzO /.2/3/-iff
Amount: $ GS 06
Page 2 of 2
72-026 (11/84)
V. l
M Shater ; 4,::
:
CHEMICAL & GLOLOGICAL LABORATORIES OF ALASKA, INC.
TELEPHONE (907) 562-2343 5633 B Street
Anchorage, Alaska 99518
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER
❑ PUBLIC WATER SYSTEM I.D.ff
0 -PRIVATE WATER SYSTEM
Name
Phone No.
Mailing Address
City
SAMPLE DATE
SAMPLE TYPE:
El`Routine
❑ Check Sample (for_routine sample
with lab ref. no. ) ❑ Treated Water
O Special Purpose Untreated Water
1
Mo.
2-1'1
Day
State
S Is
Year
at'."77
Zip Code
SAMPLE
NO. LOCATION
2
3
4
5
Time Collected
Collected B
(,D'9r
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
Satisfactory
❑ Unsatisfactory
❑ Sample too long In transit; sample should
not be over 30 hours old at examination
to indicate reliable results. Please send
new sample via special delivery mail.
(( 7-8'S
Date Received
Time Received
Analytical Method: Membrane Filter
No. of colonies/100 ml.
Lab Ref. No. Result*
■�i
1I
11
1
Analyst
L
READ INSTRUCTIONS
BEFORE
COLLECTING SAMPLE
BACTERIOLOGICAL WATER ANALYSIS RECORD
Membrane Filter. Direct Count Coliform 100mI
Verification: LTB BGB
Flnal Membrane Filter Results ConffomN100mi
Reported By Date/ _ - a J'
Time:
TNTC = Too Numberous To Count
OB = Other Bacteria
a m.
p.m-
Gateway to
the Park
Block 1
Lot 1
#067- 601-13
Municipality of Anchorage
Development Sen./( es Department
Building SafetyiDiv'ssion
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99515-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 067-601-13
1. GENERAL INFORMATION
Complete legal description
HAA#�=f
Expiration Date:
GATEWAY TO THE PARK SUBDIVISION; LOT 1, BLOCK 1,
Location (site address or directions)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
32323 KOROHUSK CIRCLE * EAGLE RIVER, AK 99577
JOHN AMORE Day phone 696-7726
32323 KOROHUSK CIRCLE * EAGLE RIVER, AK 99577
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: TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
C
n
Individual On-site
Individual Holding tank
Community On-site
Public Sewer
..v. ...........r .....va....:., .�a... �^.*.n-,ym-.-�...Y EE:Z ^.F SSM.17zz:.".12"TE;.i_ ""-tz=rgm r,
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (I -IAA) 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 13 ails or a public. water
system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's
work.
to closing fortllr er.,,Note: Alaska Water and Wastewater Consultants, Inc. shall be' paid $ at, or prior
nr1,.i ,;r se.^..Ices pro✓id.;a.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage files and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC.
Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504
Engineer's Printed Name
Engineer's Comments:
JEFFREY A. GARNESS, P.E.
Phone 337-6179
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. 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.
5. DSD SIGNATURE
Approved for .bedrooms.
Disapproved.
Conditional approval for 3 bedrooms, with the fllowing stipulations:'PROGRAM
C•
,,y„ SEV',uc0
At the time of title transfer, the new property owner shall sign the attached maintenance ')-1))))») ) 3
agreement that shall be returned to this office before an unconditional approval is issued.
• A. G
' ' •2
A. G....
7953.•• e'p
rofession°oo
'4oOoo��'
to,
(W./((
•
ON-SITE
•
• WATER AND
WASTEWATER
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
By: a<7 .- ,/
/%
(Rev. 12/01)
Manitenance Agreements
Supplemental Engineer's Reort
Other
Original Certificate Date:
elf
oniciaor
ueloprn
H:EA.LTH• A
.?....•••GATEWAY ::FQ
xt .0 paten
04,1'
uit-
-Site' Water -& aske afsr`Pragrarn
4700`South Bragaw St
ox 19665QA u horage, AK.�951.9=6651
www c .anchorage, alrus
(907) a''/904
Tk�OR�T`( APPROVAL;
.......
`S/D, LOT: 1, Bk
HECKLIST
Pareel.lD;
4
•:IYL .
„•ars (J�
67,601,-13
PRIVATE IfA, B,.OrC pkovide:PWSID# N A Well,' -4.401N.),,,:';:.• YES
)ate completed 10/1`0/65 Sanitary:seal (Y/N) YESWires properly protected (Y/N) YES
of '4,depth 120 ft Cased to 120' ft Cas+ng height (above ground) 12+ in:
FROM•,.W.ELL LOG AT INSPEGTfON-
10/85..r ::;. .1• 16/2002
1 , . • , ft 23::
1.5
Static water level ;•
1NeiI .product+on
lVA' ER SAMPLE RESULTS `r`
.oltform 0 colonies!?OO ml
•
FtRegipLi INA TANK DATA
rse[ifo•''
. Nittatff
mg;/L Other bacteria
Date of sample 12/6/2002 Collected by:;
/MatenaT PLASTIC.
!an k $iz 1300 gal Number:of Compartments ?
ouNO. tioa cIea0(5ut (Y/N) YES; Depression over tank (YIN) 1
fate fi fpumpmg ,6/18/2002 Pumper
'S;t3,SORPTION FIELD DATA isaow FINAL GRAD
)ate aiiatatled :5 24-,25 zoao Soil rating:, • p d l ;•e r tt dmi) 2 0; -.System :type .B30TTOM:LESS ISF.:
wet ibetow pipe 0.:45 ...
ootorties/100 ml:
AttWYJC, INC
Date.mstailed ;5/24....25;.41b00'.?
Cleenouts (Y/;N) YES
Ih water alarm (YlN ;YES
PUMPING
length
X30 .
otandepth •3e +;
t9;:01.#904-6.Yf test
; 12/6/20A2
Iuid .depth m absorption hefd,before test 0 ,n
lapsed Time ' 0 min •Final fluid depth:
any e}uyenetion treatment (past 12 mo..) VY/N &,type)
hMiclth 7 •
E• lf absorption.area 360 ft2 Ivlonitaring tube YES Depression over.field NO:.
•Results (P ss/Fail}; 'PA&S For 3 bedrooms.'
ft.
• Wateradded,462.gal New depth 0 in.
Absorption rate > 450+c.
NONE KNOWN (fsyes, give date
D:<LIFT STATION
.
Date installed 5/24-25/02 Size in gallons 150 Manhole/Access (Y/N) YES:
"Pum ' on" level at TIMER in. "Pump p :off. IeVel:at •nMER In. = High water alarm level at 54 •
Datum BOTTOM OF TANK Cycles.tested 3 Meets alarm & circuit requirements?' YES
E. SEPARATION 'DISTANCES
SEPARATION. DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absortion-field on lot' 100'+ '
pOn.'adjacent lots ' `: 100'+;
Public sewer main N/A Public sewer manhole/cleanout N/A
Sewer../septicservice line 25'+ .H.olding,tank. r' N:/A'.
SEPARATION DISTANCES FROM SEPTIC/HOLDINGTANK 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 Iots'. '100'+
SEPARATION .DISTANCE-FROM.ABSORPTION FIELD ON LOT TO:
Propertyline:.- -..
Water service line.
*0:5'..
10'+
Curtain drain. ' NONE KNOWN:
F.. COMMENTS
Building foundation 10'+ Water main N/A-.....: ,
Surface water 100'+ Driveway, parking/vehicle, storage;'. 10'+
Wells on adjacent)* 1.00'+
*WAIVER GRANTED
G. ENGtNEEWS: CERTIFICATION vv. 9. _ 4 \
)
I certify. that 1 have determined through field inspections and $ *4
review of Municipal. records that the abovesystems are in. , v
conformance with MOA HAA guidelines in effect on this date
e re
A.rne�s• Q
Engineer's Printed Name JEFFREY. A. •. GARNESS .... DO @ E 79 `p� ..
9 QQ v >�
Date /2' A.? OD-- sr
•
c°o�..
-•pf
10
fessto..4=7. ;.
HAA' Fee $
Date of Payment
Receipt Number
(Rev. 12101) .
Waiver
Date: of Payment '
.'Receipt -Number'
11/27/02 WED 13.49 FAX 907 343 6599 MOA Prop Appr. Residents
JI.NY-YJJ'•CG19G in•GH Ktb tt/CIYI anL I'1Iu
.d/B9 `s6''r7"' • ..•26.3: x _ ._ . ...,.,.....
by4aal?4
Clko
..001
ASBUILT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
4 ; /1�+attro - e...eiCe:a?"/ ,elle •
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES.
002
SEWARD & ASSOCIATES LAND SURVEYING 694-0829
SCALE/1i/do,/
'YQ/
DATE:
GRID
FS:
Fr'fti�6•
DRAWN'
a
45;.-o'S T.. 4fto
.44
* o.••
.� Dunn Merk srwerd /
'.•
LS. -591844 `
12-10-02; 3:44PM:
CT&E Ref.#
Client Name
Project Name/#
Client Sample ID
Matrix
PWSID
Sample Remarks:
Parameter
CT&E Environmental Services Inc.
1028291001
AK Water & Wastewater Consultants Inc.
Gateway to the Park B1; Ll
Gateway to the Park Bl; Ll
Drinking Water
0
Waters Department
Nitrate -N
Microbiology Laboratory
Total Coliform
Results
0.200 U
1 OB, No Coli
;907 5615301 # A- 2
All Dates/Times are Alaska Standard Time
Printed Date/Time
Collected Date/Time
Received Date/Time
Technical Director
Released By
PQL Units Method
0.200 mg/L EPA 300.0
12/09/2002 16:43
12/06/2002 15:00
12/06/2002 16:30
StepheEde
Allowable
Limits
(<=10)
col/100mL SM18 9222B (<=1)
Prep
Date
Analysis
Date Init
12/06/02 JS
12/06/02 KAP
12-10-02; 3:44PM;
;607 5615301
# A— 3
CT&E Environmental Services Inc.
z Laboratory Division iliirAi►.rrAmmouPriodicawardriiiiaomAgiriiiiwArAsaaiiii
200 W. Potter Drive
Anchorage, AK 99.518-1605
_ .fir kln Wat r_AnalysiS Report for Total Coliform Bacteria
Tel: 19n 562-2343
ki4 g -
i READ IIVSTRUCTI0NS ON REVERSE SIDE BEFORE COLL1C TING SAMPLETO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
Satisfactory
Unsatisfactory
Sample over 30 hours old, results may
be untenable .
Sample too long in transit; sample should
notbe:ny,; r.3010m old at examination
to indicate reliable Testilts: 'P)eas�e send
new sample'via special d ivery mail
[ (tz, )
MUST BE COMPLETED BY WATER SUPPLIER .
❑' PUBLIC WATER SYSTEM LD. # 1 1 1 1' 1 1 1
❑ PRIVATE WATER SYSTEM
❑ Send Results ❑ ' Send Invoice
waW System NamtlComputy
Name i '•: i;i•. 'fir.:: i 'rp:
+.•: A�rr• cr
Phons%'umber GSO(� n /-
• 1 Dai irOa 1, Sui'L'tt• :.tB
wiles mums.
Cay
O Send'Restdo
ConpanY Name
Mailing Address .
Cay
SAMPLE DATE:
SAMPLE TYPE:
❑ Routine 0
O Repeat Sample (for routine sample
with'lab ief. no. )
o Special Purpose fid. _ Collected •
SAMPLE I;OCA`fION' . .
. Collected._..: ,......,a'..... BY., :..
Slate
conuct lam
Zip Cpde
!<I
0 ' • se"n'tYlnvoiCe ``
t.. , i
Yrsiac'a. .', i.,;. G
��tl�ir�`�°?� =:fs1' ' � it. i c ly cmta�sutme
6901 CeB :rr (°,:) ti,. Sutter .2E1
stat
Month , Olay
r01 61
Treated'» ater.
Untreatey Water
M4,1'IL.. Au k L.
. Please Prim
Date Received
Time Received
Analysis Began
Analytlecal Method:embrane Filter
fj MMO-MUG
+' Number of colonies/100m1.
Lab Ref. No. Result*. . Analyst
C
/J
Sent to A.D:E:C. Anch Fbks Jun
Date: Time:
Client notified of unsatisfactory results:
Pd ..._,., Spntir?t. .........,:... Fax
t w
d
Date: Time:
0
Faxed
BACTERIOLOGICAL_ WATER ANALYSIS RECORD
MMO-MUG Result Total Coliform
Comments:
Membrane Filter: Direct Count
Verification: LTB
Fecal Coliform Confirmation
Final Membranae Filter Results
Reported By
BGB
L.—Date
E.Coll
/ (-)r \
("ID 11 Colonies/100 ml
COLIFIRM
U/Is
\l/`01�U1- Time
Coliform/100 ml
V%AY hrs
rel Member ot.the SGS Group (SocietA Generale de Surveillance)
TNTC - Too Numerous To Count
02 - Other Bacteria