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Home My WebLink AboutSAND LAKE #2 BLK 3 LT 7,Sand Lake Block 3 Lot 7 #011 - 134-42 Permit Number:. SW020219 Name: WILLIAM SIMONS Addre~a: 9534 CANTON LOOP * ANCHORAGE, AK 99515 Phone: No. af Be,Jrooml: 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 On-Site Wastewater Disposal System and/or Well Inspection Report PlO Number:. 011-134-42 Wastewater System: [] New Page I of 3 [] Upgrade ABSORPTION FIELD (907) 762-7654 LEGAL DESCRIPTION 3 7 SANDLAKE ~2 3 SEE DWG - SEE DWO WELL: [] New ~ Upgrade 2.5 ~ ~ 755+ I SEPA~TION DISTANCES .~u= IIDeep Trench IrlShaltow Trench rlBed mMound 130t~er 0.8 a,o/~ r~ 10.98 MAX 8.97 42 O 3034/ F-810 ~'/~/~02 THRU 9/6/02 ~ lolrmm~ ~.,,~,,_T.~.k. Ab,o~UonF.mld Sto~U~t ,.,,--' ____ PREMEIR PLASTIC 1000 WeT1 *115'+ '120'+ - - 75'+ ~ PLASTIC s.,o:, Wat, r ~00'+~00'+ - - - LIFT STATION Lot U.. 2' *'" - - - ~"'~= I Cu~mln O.~n '. NONE KNOW~ ~ J~ ~ ~ ~ I I Eemorks: BENCH MARK *SEE JULY 2. 2002 ADEC WA~R TOP OF PATIO DOOR **WE REQUEST THAT THE ORIGINAL WAIVER OF 2' BE AMMENDED TO 1' ***OLD SEPTIC TANK ABANDENED COMPLETLY PER UPC Inspections performed by: AKWWC, INC. Dates: 1st 8/30/2002 2nd 9/2/2002 3rd 9/6/2002 Development Services Department Approval. ~v)e~w~?d and approved by:~/ ./Z'~. ~/c'~ Dote: ~ 09/10/02 ~ 18:28 F,~ I 907 762 3189 ~002 O IRON?lPG ' : · ~ HUD AND TAC~. ' EB¥ISION$ DATE IWORK'0RD£g.: JI'IELD BOOK: · ~'~ 4., "' 0~11£ : No~J pER~4ff NUblBER: SW020219 ' 4' -"1 ! / / AS-BUILT DRAWING ~'~o, ,-, ~,-,~'~'"ER: ST1 10.16 38.465, I ST2 13.03 39.37 i DBL1 15.78 40.18 DBL2 17,47 41.22 FD 17.86 41.28 C01 45.55 60.04 1111 45.795 56.69 NEW 1000 GALLON pREMIER C02 57.81 44.53 //.~'~c s~c ~K-~ m'2 55.655 45.33 NDCHBOR'$ AIa~ WATER & WASTEWATER CONSULTANTS, INC. PREPAREO FOR: PHONI~ NUMBER: WILLIAM SIMONS (907) 762-7654 LEGAL OE~CRIP~ON: SANDLAKE SUBDIVISION ~2; LOT 7, BLOCK 3 1YPE OF WORK: AS-BUILT OF SEPTIC LOCATION 9/10/2002 ORAWN BY: Z.T.G. 1" = 30' PAGE NUMBER: 20F3 pERUlTNUUBER: AS--BU.ILT DRAW.]~TG pARCeL ID NUMBER: SW020219 011-1:54-42 TOP OF TANK AT--x INLET B 94.64~ INVERT OF BUNO J AT INLET - 95.65 /--TOP OF TANK AT __~ OUTLET m 94.64 NEW 1000 GALLON ~ PREMIER PLASTIC SEPTIC TANK tNV~T or BUNO AT ~ ~ 93.38 TEST HOLE C-RAO E B ORIGII.~L GR~DE-% FABRIC T OF PL°E 92.96 OF TRENCH -, B5.99 BOTTOM OI ~ HOLE 77.g7 (0R'0 'ALASKA WATER & wA STEWATER CONSULTANTS, INC, PREPARED FOR: PHONE NUMBER: WILLIAM SIMONS (907) 762-7654 SANDLAKE SUBDIVISION :~2:, LOT 7, BLOCK :5 l~pIr OF WORK: PROFILE AS-BUILT OF TRENCH AND TANK 9/10/2002 0RAWN Z.T.G. SC..AL~ N.T.S. PACE NUUBER: 30F3 ALASIL~k WATER & WASTE'~VATER ~."4~;~' .., ~ ~. ~ ~...~,~ 5°.~.~,,"J~;2,"~.-~ ~.~.,..~ ~ ~..-.., .... .~ ~ .......... ......g iSOIL LO(; - PERCOLATION TESTJ ' ~./4~j.~....~ LEGAL DESCRIPTION: EANOLA~E S/O ~2; LOT 7, BLOCK 3 . PERFORMED FOR: V/1LLIA~ StOlONS DATE. 8./:9/=002 (feet) ~;_~_~: ORGANICS JTEST HOLE #1 J ,,, ~ SOIL CLASSIFICATIONS '-.. '-..J"_l,¥_' ' ~_~...,,~'~ / /f/-'¢' / .' I ..".,, '..,,/".. 4--"t'"' ~ GW · """' ~ '-,-"' ~ GM ......., , ~ /.F/ /// . >.%~... "%~°" /1 ' ' -"~'"',...,.., ~ sw LIJ. LIJ.IJ .H , ~_-~£{, / ~ / ~,,".,~, / '°~'"° :,'3:;;;, SP '" ""' DEPTH TO ?-"~'"' ,-..'o,, GROUNDWATER ~'~'" '% '"" DRY 8/29/2002 t, $1~ DESIGN, PAGE 2 OF 2.''.u :,..~.a'-,...r "'""' ', ~-"~'"' ":'"' '-1 ', .-/ ~"L!,..~.L.~2J. 10-- 1 ~ ~ DATE DROVE 2' STEEL 14~ PIPE TO 17' DEPTH TO 15~ CONFIRM NO BEDROCK OR WATER. SUSAN 18 -- OSWALT RECEIVED MOA APPROVAL, 17 B,O.II, READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 1 2:10 - 6" 2 2:40 30 4 1/2' 1 1/2" ,3 2:40 - 6' 4 3:10 30 4. 1/2' 1 1/2' 5 3:10 - 6" - 6 3:40 30 4 1/2" 1 1/2" 18-- 19-- 20 SOILS LOGGED BY: COMMENTS: PERCOLATION RATE 20 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.5 FT. A FOUR HOUR PRESOAK WAS PERFORPIEO: · YES [] NO SUSAN OSWALT PERCOLATION TEST PERFORI'IED BY: JODY MAUS PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W~S ~ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ~'hl/O~, CONSTRUCTION AND OPERATION CERTIFICATE "...~.e,~.DEPARTMENT OF ENVIRONMENTJ~L CONSERVATION. '~'~'-'~:;~:. * = PUBLIC WATER SYSTEM · ,:.~.~,,-;., · APPROVAL TO COI~'TR UCT Plans for the construction of by OI / ue,,,, --" ~ e(..~-~" ~ ~ publlcwatersyste~located ·, Alaska. submitted In accordance with 18 AAC 80.100 have been reviewed and are I~ approved. . · El conditionally approved (see affached conditions). . ~ . . . If con,ruction h~ not sta~ within two years of the approval date. this ce~lfl~te ls void plans and s~ f,~tlons muff ~e ,ubmt,~ for ,,~lew and ~p~rov,l ~fore con~r, ucUon. ~PROVED CHANGE ORDERS .. Chan~ (~...~e,~..~ ~pprov~ by Date The "APPROVAL TO OPERATE" section must be completed before any water Is made available to the public. APPROVAL TO OPERATE.., · .~,,:!,,~,.',i~..;t.:.. water ~yste~'~'~pteted on . I Z.- ~, "~g'~_.. ' ' (date).The system Ishereby granted Interim ~pp~oval to operate for 90 days following the cpmpfetion date. . As-built plans submitted during the Interim approval period, or an Inspection by the Department has confirmed the system was constructed according to the approved plans. The system is hereby granted fin. al]approval to operate. /'* .:. DAILY DRILLING LOG SYREN BROS. DRILLING,~ INC 2701 Eagle S~ree! Anchorage, Alaska 99 S0~.., 274-6437 OWNER OF LAND ........... ~[~..~'.J[~S~J.~O~I ADDRESS ............... . ..~. _n..~. i..?...~.a.~, 82nd I ~liff ~LL. S~ DA~- ~AR~D .......... 9/30/82 .... ~o/3I~ DA~ - ENDED .................................. KIND OF FO~A~ON: FROM 0 ~ T~ 8 FROM 8 ~ O ~ 35 FR M 1~ 0 .............. ~. ~.; ............. ~OM ]~ ~ d~ s~d · .............. ~. TO ............... .oM...~Y_ ...... ~. ~o.._..~.._--_. _~P_~_~ .... 2~ 243 ~avtn~ FRO~ 243 ~ TO 2~ ~ clay · F~nU 2~ ~ T~ 310 clav/~l F~nU 3~0 ~ ~n ~3 ~ c~a~ . F~nU ~3 ~ _~ ~ ._ ~ll ~l/~ter ~ .............. ~. TO .......... ~ ..................... M{SC~ {NFO~MA~ON: 397 feet DEPTH OF WELL. .............................. STATIC LEVEl. OF WATER feet GALS. PER HRfi*LN 6" A53 G~D B Steel YJND OF CASING ............................ FROM ............ FT. TO .......... 5~T ........ FRO~ ............ FT. TO FROM .............. FT[ TO ' FRoM ............. FT. to.__~,~.~ ............ v '~;J"V"MENT'a*L PEOTECTR~ FROM ........... .FT. TO ..FT RoM ............... ....... FROM FRO~W ............... FT. TO ......... FT ............... Stephen D, Sy'ren DRILLER'S NAME ............................................................ ANCHORAGE WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 November ISP 1989 Dr. Leroy C, Reid, Jr. Alaska Environmental Control Services 1412 West 33rd Avenue Anchorage, AK 099503 PWSIDI # class C 563-6775 According to the records on file in this office, the Sand Lake #2, Lot #Be Block #3 water System Is in compliance with the State of Alaska Drinking Water Regulations. Sincerely, X V ra Cr ig Environmental Field officer VEC:bas 49TH ROY C' REID, JR. 47� A, . . 0 CE - 2251"..- MUNICIPALITY OF ANCHORAGE Development Sen/ices Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6050 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 10, 2002 Expiration Date: Jul 10, 2003 Permit Number: SW020219 Legal Description: SAND LAKE #2 BLK 3 LT 7 Design Engineer: 0041 AK Water & Wastewater Consultan' Owner Name: William Simons Owner Address: 8101 SEACLIFF STREET ANCHORAGE, AK 99502-4136 Parcel ID: 011-134-42 Site Address: 008101 SEACLIFF ST Lot Size: 6750 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notificafion by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A, Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. ~5.."~The following special provisions. ~AT THE TIME OF CONSTRUCTION THE ENGINEER SHALL PERFORM A SOILS TESTCOMPLETE WITH , WATER MONITORING, BEDROCK TEST AND PERCOLATION TEST TO BE SUBMI'I'I'ED WITH THE ~ · AS-BUILTED INSPECTION REPORT. ' Date: 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.cLanchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERHIT APPLICATION FOR /~ SINGLE FAHILY DWELLING Parcel I.D. 011-134-42 Permit Number Property owner(s) Mailing address (1) Mailing address (2) WILl lAM SIMONS 8101 SEACLIFF STREET "' ANCHORAGE. AK Legaldescription (Lot, Block & Sub'd.) LOT 7. BLOCK 3: SANDLAKE ~2 Legal description (Section, Township & Range) Lot Size g '7'~'"~) Acres/Sq. Ft, N/A Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Day phone 762-7654 Zip Code 99502 3 Well Only Water Storage Jacuzzi ~E] water softening Unit I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTE'WATER CONSULTANTS, INC. (Signaturc of property owncr or outhorizcd egcnt) Permit Fees.*-~ 400 Date of Payment: 7' 3°0~--- Waiver Fees: '~ I~.~ Date of Payment: ~'~ Receipt Number: 4®rom "0 ALASKA WATER & WASTEWATER CC)NSULTANTS, INC. June 24, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref, Septic System Upgrade for Lot 7, Block 3; Sandlake Subdivision #2 To whom it may concern: The existing 3 bedroom house is served by a community well located on Lot 8, Block 3; Sandlake S/D #2 and private septic system. Per MOA records, the existing septic system consists of a 1000 gallon septic tank followed by a deep trench type drainfield. The existing drainfield is in a state of failure and must be upgraded. Access to the rear of the lot in the area of the existing system and the proposed system upgrade is limited due to the location of the neighboring homes, a retaining wall, and adjacent fence lines so the use of an existing soil log was used to estimate the soils application rate used for this design. The original test hole was excavated on 9/16/82 and is located to the east of the existing septic trench. We propose to excavate a confirmation test hole prior to construction to verify soil consistency and the assumed the soil application rate used for design. We are proposing to install a 1000 gallon septic tank and a deep trench type drainfield. Comments regarding the proposed design are summarized as follows: 1. SOILS: See the attached log dated September 16, 1982 that shows the soil conditions and soil type typical of the area (a poorly graded sand). From our past experience of working in the Sand Lake area and from the information provided in the neighboring well and soil logs, it is our assumption that an application rate of 0.8 gallons1dayW is adequate for the basis of the trench design. As mentioned above, soils conditions will be verified prior to construction including a percolation test. 2. TRENCH DESIGN: a. Percolation Rate: N/A b. Assumed Application Rate: 0.8 gallons/daylf� c. Number of Bedrooms: 3 d. DesignFlow: 450 gallons per day e. Minimum Absorption Area: 563e 6901 Debaff Road, Suite 211 * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com f. Total Depth: 11 feet (max.) g. Effective Depth: 7.25 feet h. Width: 2.5 feet i. Reduction Factor: N/A j. Minimum Length: 40 feet k. Effective absorption area = 580 ft~ 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPtlY: The average topography of this property is generally fiat. In short, there are no slope concerns. 5. LOT LINE WAIVER: We request that a 2 foot lot line waiver from north property line to the proposed septic tank and the proposed drainfield. We also request a 5 foot lot line waiver from the south property line to the proposed drainfield. We are unaware of any adverse effects on the adjacents properties. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance., Pres~ t~ NOTE: Attached is a site plan drawing, a design drawing, a soils log, and a 7page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road. Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 555 CORDOVA STREET ANCHORAGE, AK 99501 http:llwww.state.ak, usldeclhome/htm TONY KNOWLES, GOVERNOR Telephone: (907) 269-7696 Fax: (907) 269-7650 July 2, 2002 Jeffery A. Garness, P.E., M.S. Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B Anchorage, Alaska 99504 Subject: Lot 7, Block 3, Sand Lake Subdivision, #2;Wastewater Disposal System Waiver Request f!'om an Existing Class C Public Water System Source Well; Review Dear Mr. Gamess: This is response to your letter received in this office on June 24, 2002 in ~hich you requested the Department to grant separation distance waivers between the proposed wa~tewater disposal system to be !ocated on Lot 7, Block 3, Sand Lake Subdivismn, #2 ~d the Class C public water system source well Ioca:ed on Lot 8, B!ock 3, Sand Lake Subdivision #2. I have completed my review of the Deparlment's files on the existing public water system, the previously issued separation distance waivers in B~ock 3, Sand Lake Subdivision, and Ibc submitlcd inlbnnation. Based on this review, I believe that the requested waivers are reasonable. As noted above, you have requested the Department to grant separation distance waivers between the proposed wastewater disposal system to be located on Let 7, Block 3, Sand Lake Subdivision, #2 and the Class C public water system source well located on Lot $, Block 3, Sand Lake Subdivision #2. Noting the depths of the source well on Lot 8, the continued Iow levels of nitrates, and the lack of total coliform bacteria, the waiver requests are reasonable. Therefore, in accordance with the Drinking Water Regulations [ 18 AAC 80], the following waiver is being granted: The hoEzontal separation distance between the Class C public water system source well located on Lot 8, Block 3, Sand Lake Subdivision, #2 and the proposed septic tank on Lot 7, Block 3 Sand Lake Subdivisiou #2 serving a single family home has been waived from 150 feet to 115 feet. · The horizontal separation distance between the Class C public water system source well located on Lot 8, Block 3, Sand Lake Subdivision, #2 and the proposed drainfield located on Lot 7, Block 3, Sand Lake Subdivision, #2, serving a single family home has been waived from 150 feet to 120 feet. · The horizontal separation distance between the Class C public water system source well located on Lot 8, Block 3, Sand Lake Subdivision, #2 and the existing drainfield located on Lot 7, Block 3, Sand Lake Subdivision, #2, serving a single family home has been waived from 150 feet to ! 04 feet. Jeffery A. Garness Page 2 07/02/02 The above noted distances were taken from your submittal. If the proposed wastewater disposal system located on Lot 7, Block 3, Sand Lake Subdivision 42 fails or needs to be upgraded, this waiver becomes invalid. For this waiver to remain valid the following items will need to be provided: I . A copy of the record drawings of the installation of the proposed septic tank and soil absorption systems to ensure that the above noted separation distances are being maintained. 2. The copy of the Inventory and Source Registration for Class C Public Water System with Sections Al and D completed will need to be submitted to this office. 3. Authorization from the owner of Lot 7, Block 3, Sand Lake Subdivision allowing you to apply for a separation distance waiver from this Department. The issuance of these separation distance waivers do not imply the granting of any additional authorizations, nor obligate any local, state, or federal regulatory body to grant required authorizations. Thank you for your cooperation with this office. If you have any questions, please do not hesitate to contact me. Z � Keven K Kleweno, P.E. Environmental Engineer Cc: Jim Cross, P.E., MOA BLOCK 4 I I I LOT1 LOTM I ! .. ..... "-~.....?x,.. -- LOTSO ~ ~"~ .~. -"~"7/t~/ , ..... '''.~,1 '", LOT2 / \ -.,-.. ,q .---.._ ,, \ I ' · 150' ~ RADIUS' I// ~T ~ I ',.IX LOT 39 LOT 38 / / I I I LOT 41 LOT 11 t LOT 40 I LOT 12 / It~ LOTt ALASIC4, WATER & WASTEWATER ~T17~ ~. rJ rJ rJi[.=, CONSULTANTS, INC. PREPN~ED FOR PHONE NUMBER: WILUAM SIMONS 762-7654 t trGN. ~c. SCR~FTION: SANDLAKE SUBDIVISION ~2; LOT 7, BLOCK I~E OF WORK: SITE PLAN FOR DESIGN OF SEPTIC UPGRADE LOT 13 WEST 80 AVENUE ~ 24 6/24/2002 J.LM. SCN. E; 1" = 100' 1 OF2 ~. LOT1 LOT 2 / ! \ LOI? // LOT 10 / / LOTll LOT 12 STON~./BRICK DROP TO THE FAST. APPROX. 'IHRE~ BEDROOM HOUSE ~.~ ,!i j===' , f I ~__1 r I~'j j I I I EXISllNO DRA~NrlEI.D TO BE USED AS A Rr'~W~: $11~. {APPROX~UATE APPROXIMA~ LOCA'nON OF HOLE pERFORMED ON PROPOSED CONFIRMATION ~I~Y ~OIL~ AND p~RFORM p~R~OLATION ~r.~ PRIOR TO CONSTRUC~ON. PROPOSED DR~R~ELD, EX~AVAT~ A TRENCH THAT IS WlD£ BY 40 FEET LONO. ADD 7.25 Ct.Y. AH. WASHED S~ DRAINROCIC INOTE: THE CONTRACTOR SHAJ. L HAV~ AND SOUTH PROPERTY UNre: FLAGGED BY A pROF'E:SSIONALI I,A~D SURV~'YOR PRIOR TO A.k/y CONSTRUCTION. e/24/2002 ALA$ICa~ WATER & WASTF. WATER K.o.W./J.,.M. .."' '".~ . ~o~,T~,~.,,~. . ~ ~~F'~ WILLIAM SIMONS (907) 762 7654 2 OF 2 ~.:~ fl~'~';~;:]'"~ ~ ~,,~o,: ~/. Ic~-~s~ ..'~ SAND~K[ SUBDIVISION ~2; LOT 7, BLOCK 3 ~.~...~ ....... -'~ DESIGN OF SEPTIC SYSTEM UPGRADE ~ MUNICIPALITY OF'ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION n SOILS LOG - PERCOLATION TEST SOILS tOG PERCOLATION TEST OATEPERFORMED: SITE PLAN $ L O P E Reading Dete Grotl Net Del)th to Net Time Time Weter 18- 19- 20- COMMENTS PERFORMED , . .,~,?. .... ~, ,*,~: . · .....,, PERCOLATION RAT_E. '~ ' ', "*"*'~' '. ~- -' .... (minutel/ineh TEST RUN BETWEEN . J'~ '"'~.'~',..~T AND ' ~, ' "~ FT... ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAl. PROTECTION 825 L. Street, Anchorage, AIIsk. g9501 264-4720 SOILS LOG - PERCOLATION TEST COILS LOG PERCOLATION TEST 1- DATE PERFORMED: SLOPE SITE PLAN 5- 6- 7- 8- 9- 1 ] - ' -- ENCOUNTERED? 12 - e' ..~% / ' IF ~ES, ATWHAT 13- 14 - . Reading 17- COMMENTS PERFORMED BY: ¢ -, PERCOLATION RATE LO: o Lc ~ I~ - S Date Tim~ Time ~fl Water Drop ~/.IZ .~Z ,"ze.,-~-,/~l.~!~, er-/~/(~ I .~7 / 1.95" ~ IZ:OZ.~O,3 I0 i :~:.~:30 ' IC") ( '~ (mlnule$1inch } BETWEEN I0 FT AND I I FT CERTIFIED BY: 72-008 (6179) MUNICIPALITY OF ANCHORAGE DEPARTMENT dF HEALTH AND ENVIRONMENTAL PROTECTION ~12E L, $lreel, Am:heroic, Alad~e 99601 2844720 SOILS LOG -- PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: L ,. 5~It I~ I~ ~bcl¢ 3 10- 11 - / \ rNOOUNTERED? DEPTH? DATE PERFORMED: SLOPE SITE PLAN 13- PERFORMED BY: . / $ L MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAl. PROTECTION SOILS LOG -- PERCOLATION TEST · :of,: LOG · PERCOLATION TEET PERFOFIMEO FOR: STOCK CONSI~UCTION £0t~PANY DA?~P~RFO~MEO: 1?~1?~Al ~6A(OE~Cm~,O.: LOT 17, BLOCK 3, SANOLAKE SUBDIVISION ~2. Anchorage, Alaska 1 .... Frozen to 1.0' :' I 4- ~... s- Br~n SILT, NL - ~ trace sand, mist to wet lO- ~ l - WA~ GROUND WATER ENCOUNTERED? . 12- IF YE, AT WHAT D£PI'H? ~ ~,c,, Grcx, N,Y ~ to Brown SILTY SAND, SM T~ ~, mih. ~,,,r ' w/silt & sand seams, 1 jZ/12/81 9:55 - 110.5 - . mist. 2 " 10:25 ~ 113.5 3.0" 3 " 10~53 ~ 116.75 3-1/4" 4 " 10:55 ? ' 5 " 11:25 ~ 107,5 3~/4'' 6 " 1]:55 30 110.75 3-1/4" ' 7 " 12:~3 28 113.5 Z-3/4" ~ 89 ". 1Z:2512:55 Z 101.0 SZLT, ,L 30 mist tO ' 1,?~ ~0 107.5 Lot ts wooded with 6.0' Birch tr~s. Lot appears to have -~*~ Municipality of Anchorage Development Services Department Building Safely Division On-Site Water nnd Wastewater Program 4700 Bragaw Sm:et P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) ~43-7904 Waiver Review Worksheet WI~: WR020039 PID~: 911.1~t-4~ HA#: Date Received: 7/3/02 Legal Description: Sandlake #2 Block 3 Lot 7 Engineec Jeffrey A. Gamess, P.E, ~laska Water & Wastewater Consultants, Inc. Applicant: William Simons Waiver Requested:~feet from north z)ro;)ertv line to Criteria: Geology Permit8: proposed sel)tlc tank and dralnfleld Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: ,O Waiver is Granted: X Waiver is not Granted: UstConditionsorReasonsforabove: ~'~'~ F. ~/ ~- /,4,'E ~/~ I,1 I.. Date: 7/~/O~. By: Name of Revi~er Rec~: 22263 Amount: $150.00 Date Paid: 71612002 Municipality of Anchorage George I: Wuerch, Mayor Building S,'ffcty Dirision P.O. ~x 1~0 * 4700 S. Bmgaw S~cct ~choragc, Alaska ~519-~0 · (~7) ~3-~01 h t t p://x~v.cl.m~chomgc.nk.us 0 7/5/2002 Jeffrey A. Gamess, P.E. Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Rd. Suite 2B\ Anchorage, AK 99504 Subject: Waiver Request for Sand Lake//2 Block 3 Lot 7 Waiver Request #WR020039 Parcel ID #011-13442 Dear Mr. Garness: Your request for a xvaiver of the required I0 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is ,2dY'feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system xvill require all separation distances be met or another approval from this department. If there are any further concems or questions regarding this waiver, please call our office at 343-7904. Sincerely, Civil Engineer On-Site Water & Wastewater Program Municipality o.f Anchorage o .-.=-~ Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. ..o. RUSH www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. 1, Ol 1-134-42 GENERAL INFORMATION CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAHILY DWELLING Expiration Date: Complete legal description SANDLAKE SUBDMSION ~2; LOT 7, BLOCK 3 Location (site address or directions) 8101 SE. ACLIFF STREET * ANCHORAGE, AK Current Property owner(s) WILLIAM D. SIMONS Mailing address 9534 CANTON LOOP * ANCHORAGE, AK Lending agency Mailing address Real Estate Agent Mailing address Day phone 762-7654 Day phone SALLIE NICKERSON w/ JACK WHITE Day phone 229-1148 3201 'C' STREET SUITE 200 '* ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OFWATER SUPPLY: Individual Well Individual Water Storage Community Class 'C" .Well Public Water System TYPE OF WAS?EWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HM) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners, Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may' be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or pdor I to dosing for the engineering services provided. I 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal afT/xed hereto and as of the validation date shown below, I vedfy that my · investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that *the o'n.site water supply and/or wastewater disposal system is(am) safe, functional and adequate for the number of bedrooms and type of structure indicated hereln. I further verf[y 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. NamecfFirm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone 357-6179 Address 6901 DEBARR ROAD, SUITE 2B * ,aNCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, AKWVVC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results desc#bed the 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 dudng the year, and the water usage of the family being served by the system. These conditions are outside the control of the eva/uator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system wi//continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor wi//it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. ' Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other ' By: Odginal Certificate Date: {Rev. 12.~1) Municipality of Anchorage Development Services Department On-s~e Water & Wastewater Program 4700 Sou~ 6ragaw St. P.O. e~x 196650 Ancfx3mge, Al< 99519'~6s° www.d.anc~orage.ak.us HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescrlption: SANOLAKE SUBDM$10N ~2; LOT ?; BLOCK 3 ParcellD: 011-134-42 A, WELL DATA Well Date completed Total der~th ,'t. If A, B, or C provide PWSID~I Sanitary seal (Y/N) Cased to ft. well Log (Y/N) Wl,~;, i~rupedy pmtacted (Y/N) Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. WATER SAMPLE RESULTS: Coliform 0. colonies/100 mi. Nitmta 0.2 mg./L. Arseni~ N/A mg./L. Data of ~ampta: 6/25/2002 Other bacteria 0 colo~les/100 mi. Collected t~. N<WWC SEPTIC/HOLDING TANK DATA Tank Type/Mata~l PLASTIC Tank size t00.O, gal. Number of Compartments 2 . Foundation ctaanout (Y/N) YES Depression over tank (Y/N) NO. Date of pumping NEW Pumper Date installed 8/30-g/2-6/2002 Cleanouts (Y/N) YES High watar alarm (Y/N) N/A ABSORPTION FIELD DATA ri)[LOW fiNN. GmS1 Date installed 8/3o-g/2.-~/02 Sell rating ~r ft~3drm) 0,8. Length 42 ft. ~ 2.5 ft. Totaldepth ,11.3 ft. Eff. absot13tionama753+ft~ Monlforlngtube ~ Date of adequacy test NEW Results (Pass/Fall) - Ruid depth in absorption field before tast - in. Water added - gal.. Elapsed Time: .~- min. Final fluid depth -- in. Abeo~n rata >=, A~y rejuvenaUon lreatment LeaSt 12 mo.) (Y/N & type) - System type DEEP 'mENCH Gravel below pipe 8,97 fi. Depression over field NO Form. 3 bedrooms New depth '~ in. - g.p.d. If yes, give date - D. lIFT STATION Date installed 'Pump on" level at ' in. Datum E. SEPARATION DISTANCES Size in gallons 'Pump ofl" l~v_=l at Cycles tasted .in. Manhole/Acr~,~; (Y/N) High water alarm level at Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/tilt station on lot On adjacent lots Absorption field on lot On adj~cerlt ldts Public sewer main Public sewer manhole/cleanout Sewer/..;epU~, service line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line *2' Absorption field Water main 10'+ Water service line 10'+ Surface water Wells on adjacent lots '115'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: COMMUNITY WATER Property line Water service line 10'+ Curtain drain NONE KNOWN F. COMMENTS Building foundation 10'+ SurFace water 100'+ Wells on adjacent lots '120°+ 100'+ Water main 10'+ Driveway, parking/vehicle storage *OLD DRAINRELD IS 100'+ TO WELLS. ADEC WAIVERS ARE IN PLACE G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspecflons and review of Municipal records that the above systems em in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name/. JEFFREY A. GARNESS D.ta Waiver Fee $ Date of Payment Receipt Number JR. 10'+