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HomeMy WebLinkAboutTIMBERLUX #3 BLK G LT 5TI*mberlux #3 Block G Lot 5 #018-271-59 Municipality of Anchorage Page 1 of 2 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: SW990404 PID Number: 018-271-59 Name:RONN AND CAROL LUND Wastewater System: ❑ New ■ Upgrade Address: 4701 MANYTELL AVE. ANCH. AK, 99516 ABSORPTION FIELD Phone: (907) 345-1844 No. of Bedrooms: 3 ❑ Deep Trench ■ Shallow Trench ❑ Bed ❑ Mound 0Other LEGAL DESCRIPTION Soil Rating: - 0.8 Total Depth III original grade: GPD/Sq. FL 4.9 - 6.0 Ft. Lot: Block: Subdivision: Depth to pipe bottom from odgirwl grads: Gravel depth beneath pipe: 5 G TIMBERLUX #3 1.9 — 3.0 Ft. 3.0 Ft. Township: Range: Section: Fill added above original grace: Grovel length: — — — 0.5 — 1.5 FL 66 Ft. WELL: Upgrade Gravel width: 5 Number of Knee: Distance between linea — ❑ New ❑ FL 1 FL Clese'diocI (Pnvots, A.B,c1: Total De Cooed To: Total absorption ane: Pipe material: Ft. Ft, 569 s0. FL ASTM D -3034/F-810 Millen Date Drilled: Static Water level: Installer. EAGLE MTN. EXC. Date in Iled: 11 18/99 — 11/20/99 FL Yield:Pump Set M Caring Height Mow Growl: TANK GPM Fc FL SEPARATION DISTANCES 11 Septic ❑ Holding ■ S.T.E.P. To Septic Absorption Lift Holding Public/PrWate ManufaeWnr. ANCHORAGE TANK Copocily in gallons: 1250 From Tank Field Station Tank sewer Dose Well 100'+ 100'+ 100'+ — 25'+ Matedol: STEEL Number of comportments: 2 SurfacWater 100'+ *100' 100'+ - - LIFT STATION Water Line 5'+ 10'+ 5'+ - - Sire in gallons: 1250 Manufactunn ANCHORAGE TANK 5'+ 10'+ 5'+ 'Pump on' loud at: "Pump o to"I ab High water alarm at: 1 Foundation — — 42" 42" 44" Curtain Pump "'as*Model: Eleotdoal Inspections performed by: Drain NO KNOWN - p20 ISO 05 HHF M.O.A. Remarks: ' T RECONFIRMED IN SPRING AN LOW LYING BENCH MARK Iacatio. and Deawipuan: AREAS FILLED. EXCAVATOR WNER ARE AWARE OF THIS TOP OF HORIZONTAL TRIM BOARD REQUIREMENT. OW ON GROUND PREVENTED Cb1flZlIPON OF ON SIDING AT NW CORNER OF HOUSE. 05K. /CV�P✓><+-1�D�I fr/UaEa Assumed Elevation: 100.00 Ft 8 EN°INEERBeEAL Z oo Qo6o0pp OF ooP�� Q AWWC, INC. .. ' Inspections performed by: Dates: 1st 11/18/99 ........ ...: � 2nd 11/19/99-11/20/99 3rd 11/23/99 a f Gayness;' .� ��p�m Department of Health and Human Servic s approval `• 7953 •',.Po� Reviewed and approved by: Date: g Q P r ���d� Prof 0��0`���� 72-077 Rev. 9/91) MM 25 W9 NUMBER: AS—BUILT D R A W I N G PARCEL NUMBER: SW990404 018-22 71-59 r FINAL 6K'Pl7i - 101.5 (AVGJ Mr 1 -------------- ORIGINALGI'.ADE -99.9-101,0 10' anon EAsEMEw ------------ ANEW DRAINFIELD .� MT2 A B C e\ \ 5T7 53.3 10.7 - \\\�t ST2 60.9 15.2 - MH 61.8 16.4 INVERrorPIK \\\\ M1r1 - 25.6 25.1 C1.25" PSAkE \\\\ MT2 - 86.1 71.0 PIPE) 98.02 DOrfOMOP1wKICH NEW 1250 \ \ -95.0 GALLON MT1 S.T.E.P. TANK SUMP M S%?EXEInRG TNENCH G 1 J80NOONm W PLACE '- B Wd' \ TOP OF MANHOLE a FINN GPPDE - 98.98+ U[7 - 98.97 HOOSE FCO\ `5TI 912 NN (J � roP of TANK roP of rANK A Ar IUf - 99,17 Af OUH.Ef - 99,18 1 NEW 1250 GAU,ON 1 5,f.U, TANK or DWG- 9556 ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 ' •• 4Q LEGAL DESCRIPTION: j,C ;. Cid.• •� Q TIMBERLUX SUBDIVISION #3; LOT 5, BLOCK G * • Q TYPE OF WORK: AS—BUILT OF SEPTIC SYSTEM UPGRADE ..... OQ '.•e r A. ESE, PREPARED FOR: PHONE NUMBER: RONN AND CAROL LUND (907) 345-1844 �4@0� '• —7953 •yp'•:•••••'o\ 4 f��4ppo>sslof, 0 DRAWN BY: SCALE: PAGE: DATE: 12/2/99 K.D.W. 1= 40' 2 OF 2 Alcan DATE: November30, 1998 TO: AWWC Jenny FROM! Alcan Electra Skipp Bringmann i Electri al Engineering, Inc. 6670 Ndic Spur Rd Anchor ge, Alaska 99518 Fax cover Sheet 338-3246 NE: 563-3787 562-6286 RE: 4701 Manytell Ave., Lot 5, vlocF G, TimMlux #3 Jenny- j In regards to the sewage lift station that can connected at the above mentioned location. All electrical work performed by Alcan v ras done to 1996 National Electrical Code, (NEC) standards. If you have any questions please contact me. Thank you! Number of pages including cover sheet: 1/1 'd 601 'ON Mia 313 NffV Nd6S:6 6661'06'AON 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 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW990404 I s FrGTi o� Date Issued: Oct 28, 1999 Expiration Date: Oct 27, 2000 Parcel ID: 018-271-59 Legal Description: TIMBERLUX#3 BILK G LT 5 Design Engineer: 0041 AK Water & Wastewater Consulta Site Address: 004701 MANYTELL AVE Owner Name: RON & CAROL LUND Lot Size: 55500 SQ. FT. Owner Address: 4701 MANYTELL AVENUE Total Bedrooms: 3 Permit Bedrooms: 3 ANCHIORAGE , AK 99516 - This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify 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: Issued By: Date: 10 -as-4"y' Date: l0 ^ 28 — /Q% Alaska Water & Wastewater Consultants, Inc. 6901 DeBarr Road, Suite 2B - Anchorage, AK - 99504 (907) 337-6179 - Fax (907) 338-3246 Consulting Engineers October 21, 1999 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: Sewer Upgrade for Timberlux Subdivision #3; Lot 5, Block G To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing undocumented septic system is in a state of failure, and must be upgraded prior to obtaining a Health Authority Approval for the sale of the house. Comments regarding the proposed upgrade are summarized as follows: 1. SOILS: Attached is a soil log which shows the soil profile, and the percolation test results. Below the organics was a SM layer to a depth of 6 feet and then it transitions to a SW/GW material to a depth of 12.5 feet. From 12.5 feet to 13.5 feet (bottom of test hole) was a ML layer. Two percolation tests were performed, one between 2.0 feet to 2.5 feet and the other at 6.5 feet to 7.0. The percolation rate for the upper bench was found to be 13.3 minute/inch. The percolation rate for the lower bench was found to be <1 minute/inch. There appeared to be enough sand in the strata to negate the need for an imported sand filter. Groundwater was encountered during the excavation of the test hole, perched above the ML layer, at a depth of 12.5 feet. One week later, water was found at 10.75 feet below grade. The proposed trench is going to be placed on a ridge, above the test hole, which should increase the actual separation distance to groundwater, since it is certain that the groundwater table does not rise under the ridge/knob. 2. PRESSURIZED TRENCH DESIGN: a. Percolation Rate: 13.3, <1 minute/inch b. Allowable Application Rate: 0.8 gallon/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 563 ft2 f. Maximum depth: 6 feet RECEIVED OCT 22 1999 MUNiUVALIIV u) ANLhURA©E ENVIRONMENTAL SERVICES UIVISION g. Effective Depth: 3 feet h. Width: 5 feet i. Length: 66 feet k. Effective absorption area = 569ft2 Note: this is a pressurized system. The distribution line is to be 1.25 inch sch. 40 pvc with 1/4 inch diameter holes spaced every 2.13 feet on center (holes faced downward). 4. SURFACE WATERS: There are several low lying areas where water ponds. The areas are to be filled with soil and graded so water does not pond within 100 feet of the proposed septic system. 5. TOPOGRAPHY: Attached is a topography map of the area. The area for the proposed trenches is generally flat. See the attached topographical drawing. 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 you for your assistance. President M.S. LOT 1 BLOCK 12 ELMORE S/D 1 t i WELL APPROX. \ 120' NORTH LOT 2 BLOCK 12 ELMORE S/D LOT 3 BLOCK 12 ELMORE S/D LOT 4 BLOCK 12 ELMORE S/D —. —__m—_ __.__. —e___ ---I _ PROPOSED SEPTIC SYSTEM. #TM#1 (SEE DESIGN, PAGE 2 OF 2) �Fp, LOOT 3, BLOCLUX K3G LOT 7, BLOCK G \ r TIMBERLUX ((3 / \ LOT TIMBERLUX OCK G #3 \ EXISTING SEPTIC 1 8 SYSTEM , LOT 4, BLOCK G \ ' 100' WELL RADIU / \ TIMBERLUX #3 ( i EXISTING 3 / \ BEDROOM HOUSE MANYTELL AVENUE— LOT VENUE—L BLOCK TIMBERLUXH BERLUX #2 5 \\TIMBERBU CK ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 TIMBERLUX SUBDIVISION #3, LOT 5, BLOCK G SITE PLAN FOR SEPTIC SYSTEM UPGRADE PREPARED FOR: PHONE NUMBER: RONN AND CAROL LUND (907) 345-1844 10/21/99 I- J.L.M. I 1= 100' 1 1 OF 2 LOT 4, BLOCK H TIMBERLUX #2 A. Garness; G —7953 \��O NOTE: THERE ARE LOW LYING AREAS _ — _ __ — ___ ____ _ — e — -- — — NORTH OF THE PROPOSED SEPTIC SYSTEM WHERE WATER PONDS. THE CONTRACTOR SHALL FILL ALL SUCH AREAS WITHIN 100 FEET OF THE 10' UTILITY EASEMENT PROPOSED SEPTIC SYSTEM. \ oMT-1 PROPOSED PRESSURIZED DRAINFIELD UPGRADE \ I 4� EXCAVATE A TRENCH THAT IS 6 FEET DEEP MAXIMUM BY 5 FEET WIDE BY 66 FEET LONG. THi1 ADD 3 FEET OF CLEAN, WASHED SEWER \ DRAINROCK. INSTALL TRENCH PARALLEL TO ALL \ \\ \\ SLOPE CONTOURS. THE DISTRIBUTION LINE IS TO \ BE 1.25 INCH SCH. 40 PVC WITH 1/4 INCH \\ \ DIAMETER HOLES SPACED EVERY 2.13 FEET ON \\ \\ CENTER (HOLES FACED DOWNWARD). N \ l �\ o�MT PROPOSED 1250 GALLON ` S.T.E.P. TANK 3 SUMP \ MO — CO <TO RE E FOR EXISTING P ISLE FU USE 3 BEDROOM HOUSE CO EXISTING TANK TO Z B LY ABANDONED NOTE: THE CONTRACTOR SHALL HAVE THE WELL RADIUS FOR LOT 6, BLOCK \ INSTALL FOUNDATION G, AND THE WEST LOT UNE FLAGGED CLEANOUT BY A REGISTERED LAND SURVEYOR j PRIOR TO ANY CONSTRUCTION. ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 TIMBERLUX SUBDIVISION #3; LOT 5, BLOCK G DESIGN FOR SEPTIC SYSTEM UPGRADE RONN AND CAROL LUND 345-1844 10/21/99 I J.L.M. I 1 = 30' 2 OF 2 ............... A. esS.- -7953 1X ATER & WASTEW. ,TANTS. INC. SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: TIMBERLUX SUBDIVISION #3, LOT 5, BLOCK G PERFORMED FOR: RON AND CAROL LUND DATE PERFORMED: 9/28/99 DEPT (feet TEST HOLE #1 1 ORGANICS PAGE 1 OF 2 2 SOIL CLASSIFICATIONS GW ORG 3 `se;= GP ML 7 8 9 10 a0a II'x2�*� 14—I B.O.H. 15 16 17 18 SW/GW LOOSE ML DATE 12.5' 10.75' READING CLOCK TIME +TM#1 CL GMWOH NET DROP (INCHES) 9/29/99 SM 4 GCOL r o I / SWMH 5 3 100Y'MLL RADIUS �� •NP`, SIP CH — SITE 1" SM 6 Sc b 7 8 9 10 a0a II'x2�*� 14—I B.O.H. 15 16 17 18 SW/GW LOOSE ML DATE 12.5' 10.75' DATE READING CLOCK TIME +TM#1 WATER LEVEL READING NET DROP (INCHES) 9/29/99 r o I / 3 100Y'MLL RADIUS �� •NP`, PppE`J — SITE 1" PLAN = 100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/29/99 �� •NP`, PppE`J PS jFA 5 pF GpN RB�p QER 19 PERCOLATION RATE <1 (MIN./INCH) 20 TEST RUN BETWEEN 6.5 FT. AND COMMENTS: PERCOLATION DATA ON THIS PAGE FOR LOWE NC UNABLE TO CONFORM STANDARD PERK HOLE DUE TO L00 E I PERFORMED BY ALASKA WATER & WASTEWATER I, THIS WAS PERFORM N ACCORDANCE WITH ALL STAT5tffF M ICIPA DATE. DATE: o HOLE DIA. 11 _(INCHES) I , CERTIFY THATI IN EFFECT ON THIS ALASKA WATER & WASTEWATER CONSULTANTS, INC. 000000 440 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK. 99504 G \ PHONE (907) 337-6179 * FAX (907) 338-3246 •• •, �i Q� ING SOIL LOG - PERCOLATION TEST H � LEGAL DESCRIPTION: TIMBERLUX SUBDIVISION #3, LOT 5, BLOCK G ••••• •• . • ""' •"••'"••O PERFORMED 1 FOR: RON AND CAROL LUND ... ..... — 6" J y A. amess.......... : Q DATE PERFORMED: 9/28/99 ���' E-7953 o`pp ����D,a'" (feet) 30 TEST HOLE #1 "o�FSd�� 2 3/16" professlon % ��0000�00 1 — PAGE 2 OF 2 2 SOIL CLASSIFICATIONS 4 6:11 GW _ ORG 3 2 1 /4" ®ia' GP ML 5 GM CL 4 6" GC OL SW MH 5 a °*'-s3.7 SP CH 2 1 /4" o SM f OH 6 - SC SEE PAGE 1 OF 2 w 0 7 a DEPTH TO DATE uj GROUNDWATER 8 w N SEE PAGE 1 OF 2 9 10 CLOCK NET TIME WATER LEVEL NET DROP 11 DATE READING TIME (MINUTES) READING (INCHES) 12 9/29/99 PERC. HO WAS PRESO KED 4+ HOURS 13 14 15 16 17 18 19 PERCOLATION RATE 13.3 (MIN./INCH) PERC HOLE DIA. 6 (INCHES) 20 TEST RUN BETWEEN 2.0 FT. AND FT. COMMENTS: PERCOLATION DATA ON THIS PAGE FOR UPPE CH K ONL . PERFORMED BY ALASKA WATER &WASTEWATER I, , CERTIFY THAT THIS WAS PERFORME IN ACCORDANCE WITH ALL S D M CIPAL INES IN EFFECT ON THIS DATE. DATE: PRIOR TO TE ING 1 5:10 — 6" — 2 5:40 30 3 13/16" 2 3/16" 3 5:41 — 6" 4 6:11 30 3 3/4" 2 1 /4" 5 6:12 — 6" — 6 6:42 30 3 3/4" 2 1 /4" 1 WE APPROX. 1 ' NORTH LOT 1 BLOC 12 LOT 2 BLO K 12 LOT 3 B K 12 ELM S/D LOT 4 OCK 12 S/D ELMORE S ELMORE /D 100POND S K LOT I BLOCKTIM ERL 3C LOT 7, BLOCK TIMBERLUX #3 (� OT 6, 8 CK G TIMBER X #3 0o LOT BLOCK G ^ 100' IU TIMB LUX3 MAN AWIENUE 6, OCK H Op. LOT 4, BLOCK LOT 5, LOCK H T X #2 TIMBER X #2 TIMBERLUX K'2 Q� OFF W AVSkA/10L "N AS W RCN TANTS, 8901nR SU 2B. NCHORAG 99 4 PH337 1 F (907} 338-3246 GAL DES N: ERL X SUBDI N #3, B C G PE OF WOR . TOPOGRAPICAL DRA PREPAREDOR: HONE MB RO A D CAR UND (9 7) 315-184 DATE:D RAWN Y: SCALE: PAC 0 99 A.C. . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION . ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME Ronn A. Lund PHONE 337-5934 JD NEW ❑UPGRADE MAILING ADDRESS 6005 More Lane Anchorage, AK LEGAL DESCRIPTION Lot 5 Block G Timberlux Subdivision LOCATION Manytell Street NO. OF BEDROOMS 3 V DISTANCE TO: Well of installed Absorption area 8t Dwelling 18' PERMIT NO. 780562 EZ WF Manufacturer Greer Material Steel No. of compartments 2 'o Uq. capacity in gallons 10(0 IF HOMEMADE: Inside length Width Liquid depth 6 M DISTANCE TO: Well Dwelling PERMIT NO. =—F Manufacturer Material Liquid capacity in gallons O mx DISTANCE TO: Well - Not installed Foundations 34' Nearest lot line about 25' PERMIT NO. 780562 � M Z PEW No. of lines 1 Length of each line 48' Total length of lines 48' Trench width 60 inches Distance between lines Imo. 0 Top of tile to finish grade 3 Material beneath tile 48 inches Total effective absorption area 384 Sq. Ft. W Length Width Depth PERMIT NO. Q6 F W G Type of crib Crib diameter Crib depth Total effective absorption area y DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MATERIALS - Castiron & Derforated plastic Pipe SOIL TEST RATING 85 Sq. Ft per room INSTALLER Glacier Excavating 1 71 REMARKS k C.o. s • ae e• .. K g Neal A. Ha earn Q ` No. 168&' �� • �� n , �, � ....fie �,,,� APP OVED DATE LEGAL �9 �6 2. 72-OT3 (Rev. 3/78) PERMIT NO. MU" I f-- I FWL- I -FY . 9F= F=jr-4�" oFllCaT DEPARTMENT OIWEALTH AND EN%Ml;kQyENTAL TECTION 825 'L' STREET, ANCHORAGE, AK. 99501 tXNP&LIE T-0 264-4720 WELL t-OCA:jR " " L�> 1:3 " —:E3 I -F 1—= 1—= 94 1—= FZ F=' 1—= FZ rl I -r &_/'� 17S 780562 ) q so APPLICANT RONN A. LUND LOCATION MANYTELL STR LEGAL L5 BLK 0 TIMBERLUX S/D 6005 MORE LANE 337 5934 TYPE OF SOIL ABSORETION SYSTEM IS: TRENCH LOT SIZE 55500 SQUARE FEET MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BR)= 85 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM 15. THE LENGTH DIMENSION 15 THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). F;ZE:C-!LJ I FcE:E> :SE:F=l'-lr I C_' .-rF= r4K :E; I 7ZEE— -1 IDIDE3 131*=iL_l PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- -T-WC3 <;R > FIFE FREE QU I FRr==--- BACKFILLING --BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL.AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS LOO FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC,WELL. 4ELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS 3F THE WELL COMPLETION. ITHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE iVAILABLE TO INSURE PROPER INSTALLATION. F=' 1E FR M I -r E}: F=* I FZ F='—=; E> FE Z'I—= M 0 EE FR 3- � r 1L --'.4 _7 �1=1 I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET :'ORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 1: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS 7 RE DELED TO INCLUDE MORE THAN 3 BEDROOMS. -------------=--5IGNED:___'_ APPLICANT RONN A. LUND ISSUED BY 0 V3. 2 1 N Lot 5, Block G, Timberlux Subdivision O TH-1 MANYTELL STREET The Test Hole Location is approximate and has not been located by survey methods. DWN V&Z CKD EY DATE: 3-30-77 SCALE: 1"=3' TH-1 3-29-77 All A 0.0' SANDY GRAVEL W/SOME SILT (-;P) Moist, Mediu--! Dense Brown — — — — — — —4.0' '"°• �•6 C• SANDY GRAVEL s.°.° W/TRACE SILT (GW) Slightly Moist Medium Dense b-1 ° Vie' .°•. Brown a�° 13'W.D. e.' — — —14.0' SILTY SAND W/SOME GRAVEL (S:!) Wet, Medium Dense. Gray .0' TD This log represents subsurface soil conditions within Lot 5, Bloch G, Timberlux Subdivision, Anchorage, Alaska SANITARY SEWER TEST HOLE R&m CONSULTANTS, INC. DON MEZERA -- ......... ... ...,.,. .,.„.... P,RDJ.NO ANCHORAGE, ALASKA 751131_ OW& NO. A-01 MUNICIPALITY OF ANCHORAGE 0 '1" Development Services Department = Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 01 $'271 -59 Expiration Date: �� Z 1. GENERAL INFORMATION Complete legal description Timberlux Sub #3, Block G, Lot 5 Location (site address) 4701 Manytell Ave Current property owner(s) Brett & Patty WlllbankS Day phone (907) 529-2993 Mailing address 4701 Manytell Ave, Anchorage, AK 99516 Real estate agent 2. TYPE OF DWELLING: Q Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Private Septic ❑■ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ Waiver Fee $ Date of Payment Date of Payment ����g� Receipt Number Receipt Number COSA # O S C 211 t� 0 Waiver # Distance: 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, 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, 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone (907) 522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller 6. DSD SIGNATURE System #1 Approved for .3 bedrooms System #2 Approved for bedrooms Disapproved Date 4/9/21 Al TH Benjarr rySchiller CE 12592 •��` w 1,li��PROFESSIO�t' ,%:k\�` s Conditional approval for bedrooms, with the following stipulations: OFA,46,� 041SITE WATER AND _VA I J G ERz= J P (-, A c-;:�} JJ� O T SER\h Original Certificate Date: _q The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA Checklist blue sheet Nitrate Advisory Arsenic Advisory " Other ST —r-ntd� Legal Description: Timberlux Sub #3, Block G, Lot 5 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1978* Total depth 68+* ft Cased to 40+* ft 0 Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 20+ in. Date of flow test for COSA 3/22/21 Static water level at beginning of test 51 Comments * No Well Log Available. B. TANK DATA Age of tank(s) 22 years Tank type/material S.T.E.P./Steel RAM Parcel ID: 018-271-59 Structure served by this system Well production at time of test 5.5 gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L Al Arsenic less than MRL (ND) Collected by Forge Engineering Date of Sample 4/6/20 _ft. Well Data taken from 2003 HAAC. Measured operating fluid level in septic tank 42 © Standpipes/foundation cleanout per record drawing Date of pumping 3/23/21 A+ Home Services D. ABSORPTION FIELD DATA Shallow Trench Which system tested (date installed) 11/18-20/99 © ALL standpipes present per record drawing Total measured depth from grade 6.5 ft (max) Measured depth to pipe invert from grade ft (min) All N/A — pressurized field © Monitor tubes go to bottom of effective. If not, state depth into effective C. LIFT STATION ❑ Required maintenance completed Age of lift station 22 years Lift station material Steel Comments: Adequacy test date 3/22/21 Results [Z Pass For 3 bedrooms Fluid depth prior to test 27/28 in Water added 619 gal New depth 36/36 in Elapsed time 1440 min © Code -required soil cover over field Final fluid depth 27/28 in ❑ System presoaked Absorption rate '450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: Trench is over 75% full and could be nearing the end of useful life COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' E✓ Yes Community Sewer Manhole/Cleanout > 100' 7✓ Yes if No ft 0✓ Yes if No Neighboring Tank > 100'✓� Yes if No ft Private Sewer/Septic Line > 25' 7 Yes if No Absorption Field on Lot > 100' ✓0 Yes if No ft Holding Tank > 100' 0 Yes if No Neighboring Absorption Fields > 100' Yes if No Water Main > 10' Animal Containment > 50' ✓� Yes if No ❑✓ Yes if No ft 0✓ Yes if No. Water Service Line > 10' Yes if No Manure/Animal Excreta Storage > 100' —✓❑ If septic tank is under driveway Community Sewer Main > 75' ❑✓ Yes if No ft Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' E✓ Yes if No ft Surface Water > 100' ❑✓ Yes if No. Property Line > 5' ✓� Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' if No Yes if No ft Private Wells > 100'✓❑ Yes if No Water Main > 10' ft Yes if No ft Community Wells > 200' 0✓ Yes if No. Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) ft ft ft ft ft ft ft ft Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10'✓0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' ®✓ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' E✓ Yes if No ft Surface Water > 100'✓Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I 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. COSA Checklist yellow sheet Ca.49 •.:mow-� • ��� ® . .' Ben jarr-chiller 12592 ,••���� 4/9/21 pROFESSO��.��� ����0����08���������������� �`�����`�@����~��0~�Q 0 ��8_ ���`���Qgn�m�������� DEVELOPMENT SERVICES DEPARTKUENT 9O7'343 -79O4 On -Site Water and Wastewater Section Fax: 343-7997 vvm/xx,nmuni.ore/onsite Septic Tank Advisory Certificate of On -Site Systems Approval #OSC 211160 Subdivision: Timberlux #3 Block G Lot 5 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 22 years old. Typical replacement costs range from $8,000 to $11,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 -year-old steel tank MAY look like. Sludge level 3 inches Pum in required Y 93- -Pumping completed 5 . � 2, 7.- 1 -Effluent filter cleaned Pump basket cleaned o -Proper float settings confirmed (�7s� no -Control floats cleaned 6a�.Q -operation satisfactory n. A !a rm__§�� ible and visual alarm inside dwelling -Dedicated electrical alarm circuit <��—n� -Aud acto not SaLIS 9910-Q/_ I.' f t -Alarrn system operation Manbo,19-Rhs-01 -Ground water intrusion at riser to tank connection y_e3__Lf1Q',, -Ground water intrusion around pipe Penetrations Y�npq 1 -NAJeep hole functional _IE.,I no .!�.,' Properly Secured Q. Functional "-Q' n Insulated �Yes1 lig- -Manhole lid, -All manufacturer required inspections and maintenance completed &Qs``, n -Q commpn= k ............... __ ........... ............. I ............. ............. ............... ...... ...................... .................. — .................... .......... ...... ............................. .... I ............... ....... I ...... ­___ ........................... ............. ..................... ........ ­­ .............. ....... ................. -.1 .......... ............... ........ ................ ........... .......... ....... ........ — ........ maine >n r� '� �r 17-5 Technician Company L! Date of maintenance IL.tLce Municipality of Anchorage ° ,. Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 018-271-59 HAA# 08 1. GENERAL INFORMATION Expiration Date: Complete legal description TIMBERLUX SUBDIVISION #3; LOT 5, BLOCK G Location (site address or directions) 4701 MANYTELL AVE. * ANCHORAGE, AK Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address RON AND CAROL LUND Day phone 345-1844 4701 MANYTELL AVE. * ANCHORAGE, AK. 99516 Day phone TINA COLE (PRUDENTIAL JACK WHITE) Day phone 3201 "C" ST. SUITE 200 * ANCHORAGE, AK. 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 250-2280 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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, orpnor to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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. Phone Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA 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 � SIG/NATURE V Approved for 3 bedrooms. Disapproved. 337-6179 Date 7 Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist if Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other 6�OF o ....... .. G rn a: C 795 m� t.mO Prof es s1o�°v M ON -Jilt 0- wATFR AND WASTENATER !O C )))));t, J p By:Original Certificate Date: % F, (Rev. 12101) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: TIMBERLUX SUBDIVISION #3; LOT 5, BLOCK G Parcel ID: F-11RIA 411 q 17A r_1 Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 1978 Sanitary seal (Y/N) YES Total depth 68+ ft. Cased to 40+ ft. FROM WELL LOG Date of test Or,,/ Static water level �� ft. �O Well production g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 0.2 mg./L. Uj1s?yifl Well Log (Y/N) NO Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 03/06/03 51 ft, 6.3+ g.p.m. Other bacteria 3 colonies/100 ml. Arsenic: N/A mg./L. Date of sample: 3/7/2003 Collected by: AKWWC, INC. B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Date installed 11/18-20/1999 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 9/03/2002 Pumper ISAAC'S PUMPING C. ABSORPTION FIELD DATA BELOW EXISTING GRAD Date installed 11/18-20/1999 Soil rating OE> ft2/bdrm) 0_8 System type SHALLOW TRENCH Length 66 ft. Width 5 ft. Gravel below pipe 3.0 ft. Total depth *6.5-6.9ft. Eff. absorption area 569 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 3/06/2003 Results (Pass/Fail) PASS For 3 bedrooms 12.5/ 23.5/ Fluid depth in absorption field before test 14 in. Water added 1113 gal. New depth 25 in. 14/ Elapsed Time: 1255 min. Final fluid depth 15.5 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 11/1999 Size in gallons 1250 Manhole/Access (YIN) YES "Pump on" level at 42 in. "Pump off' level at 42 in. High water alarm level at 44 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'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 1 Uu + On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10"+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and 0 * 9'•�U review of Municipal records that the above systems are in Q' •' •' . ''' ' "..... . """ D conformance with MOA HAA guidelines in effect on this date. �.� f y .....arn ss.: Engineer's Printed N me JEFFREY A. GARNESS Q�o E-7953 0 60, ........ ' ��av Date ..il t4 03 rOfessioVO\ �DOpp 510 HAA Fee $ `�� Waiver Fee $ Date of Payment �'� 03 Date of Payment Receipt Number C 31 tA03 Receipt Number (Rev. 12101) FROM :TINA COLE Jack White RE FAX NO. :9077621837 Mar. 14 2003 01:04PM PI LOT 2 j LOT 3 I 185.00' LOT 6 FA N 50.8' lo' tMiry E4ffWNB--- SEPTIC a.EANOM LOT 5 55,500 M. LOT 4 100.9' PAM 50' X &I CANT �1 \ =� N 69'56'364E I80.00' MANYTELL AVENUE B PLOT PLAN _ ASSUILT X SCALE I• • 40. GRID 3136 Project No. 03-041 Lang & Associates, inc. 19070 Daryl Avenue, Anchorage, Alaska 99515 ne Registered Land Surveyors 907) 522-4625 Fax I hereby certify that I have surveyed the following described properly: LOT 5. BIACK 'W. TIMBMUX SUBDMSION i3 Anchorage Recording DIsMot, Alaska, and th the Improvements situated thereon am wlthln the property Rhee and do not encroach onto the property adjacent thereto, that no Improwmente on the properly lying adjacent therwlo encroach on the surrered prwrNses and that then are no, modem". tronemleslon lines or olaor Welble easements on sold property except as Indicated hereon. Dated thle the 1 b Day of MA WG k -'/,11 3 at Anchorage. Alaska It to the rsepone1b11IM of the owner to dehrmins the existence of any scamerdo, covenants, or roelrloNono whloh do not appear on the recorded eubdMelon plat.