The URL can be used to link to this page

Home My WebLink AboutTHUNDERBIRD HEIGHTS BLK 3 LT 8Thund rbird H ights Block 3 Lo-I- 8 #051 - 721 - 19 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221105 PID Number: 051-721-19 Dwelling: 9 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Upgrade Name Brian and Carl Miller ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ound Site Address 25043 Thunderbird Dr EJ Other Phone Number of Bedrooms Soil Rating Total depth fr original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Thunderbird Heights 3 8 Fill added above original gra - Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines. Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total ab rption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well > 100' NA NA I NA NA TANK ❑p Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer greer Capacity 1250 Gal. Surface Water > 100' NA NA NA Material Number of compartments Lot Line > 10' NA NA NA NA plastic 2 Foundation T> Q' NA l NA NA LIFT STATION Manufacturer Capacity Remarks insulation placed over new DCO Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 dTankto rainfie ld 3034 JRs Septic Drainfield CO/MT3034 Inspector Curtis Townsend BENCH MARK (Assumed elevation) 100 ft Inspection 1� 6/6/2022 2�d 6/23/2022 Location and description 3rd 4th bottom of siding near point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date TH / ....11' L .T .." d ..... jYI//JA Septic System �•. Date L, 7 0 d. , 30 Approved Date _2Z��iJlF No. CE 119 l. �� FESS10' -� Note: this approval does not include well permit requirements. THIS LOT AND ALL NEIGHBORING LOTS ARE SERVED BY A PUBLIC WATER SYSTEM AND THERE ARE NO WELLS WITHIN 200' OF THE SYSTEM. SCOPE OF WORK 1. REMOVED EXISTING SEPTIC TANK. 2. PLACED NEW 1,250 GALLON SEPTIC TANK AND TIED INTO EXISTING ABSORPTION SYSTEM. THE TANK WAS PROVIDED WITH A MINIMUM 20" 0 MANWAY RISER SERVING THE FIRST COMPARTMENT. DOUBLE CLEANOUTS WERE PROVIDED DOWNSTREAM OF THE TANK. 3. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. NEIGHBORING SEPTIC IS > 10' FROM PROPERTY LINE o�s 1� THERE ARE NO STEEP SLOPES WITHIN 50' OF THE PROPOSED TANK. Septic Tank Record Drawing Prepared for BRIAN AND CARI MILLER 25043 Thunderbird Dr Chugiak, Alaska 99567 THUNDERBIRD HEIGHTS BLOCK 3 LOT 8 EKLUTNA ENGINEERING, 19162 MOUNTAIN ROAD CHUGIAK, ALASKA 99567 (907) 406-1058 OSP221105 LLC DATE: 6/24/2022 DRAWN: CLT SCALE: 1" = 30' PID: 051-721-19 SHEET 2 OF 3 U 20" Rbr `' / S 6� °0 Fd Watyr 4 39� Rbr e \ E I /\46' 4 P N \ 25.8' S Lt ! ht 33 �v O Pole Stn rs /// 1.5' o Light 7Dec / o / Eaves Pole 5 _ / �/ 2 /Lot 6 30, � PePes ' s��t4c / �" mai /// Block 3 Water R, 70.000' b®p se tic Frame / L= 24,85' House, Fel '-Fla t a l 12'x16.5' Rbr Pole / ° / Deck J 1.5' Eaves R= 50,00/ $43' Rb Pvmt she vi L= 48.69' SRbr �9, E s � G R- 129.013, �_ 0F LL rl AAn THI hereby certify that I have surveyed the following described • ...... .. property: Lot 8, Block 3, Thunderbird Heights Subdivision, Plat�...f t ._.1..No.77-226, Anchorage Recording District, and that no encroachments i ny P. Boneta exist except as indicated hereon. This As -built will only show the ��, �: _ l s3, LS -10393 easements that appear on the recorded subdivision Plat No. 77-226, l� 7r Anchorage Recording District; under no circumstances should this data lrro la/l7.� ` hereon be used for the construction or establishing of boundary or fence lines. 2040 Thunderbird Heights Subdivision ASBUILT SURVEY APB Land Surveying SC"'X'N FWT Lot 8 Block 3 Brian T & Carl S Miller 1" = 40' As Depicted on: Plat No. 77-226 25043 Thunderbird Drive 12204 East Prince of Peace Drive Chugiak, Alaska 99567 Eagle River, Alaska 99577 Anchorage Recording District Surveyed: June 9, 2022 GRID: NW1865 DRAFAM RVA (907) 227-1361 MU NICIPALITY OF ANCHORAGEOn-Site program pO Box ore RoadAnchorage, Alaska 9951 904 Fax: (907) g43_7997 On-Site Wastewater Disposal System permit Permit Number: OSp221105 Work Type: SepticTank Upgrade Tax Code Number: 05i72i19000 site LegalAddress: THUNDERBTRD HE|GHTS BLK 3 LT s G:1865 Site Mailing Address: 25049 THUNDERBTRD DR, Chugiak Owner: MILLER BRTAN T & CAR| S Design Engineer: EKLUTNA ENGINEER|NG, LLC* This permit is for the construction of: E Disposat Fietd EI Septic Tank E Hotding Tank E erivy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 5t13t2022 5113t2023 23365 4 E Private Well E Water Storaoe All construction shall be in accordance with: de Chapters 15,55 and 15.65 and the State of Alaska )rinki ;lt=l he Devetopmeht 4. From October 15.to April 15; a subsurface soilabsorption freezing weathershall be either: a. Opened and Closed on the same day, orb. Covered, sealed, and heated to prevent freezing Received By: lssued By: MUNICIPALITY OF ANCHORAGE Development Services Department `� -`; Phone: 907-343-7904 On -Site Water & Wastewater Section -' Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-721-19 Property owner(s) MILLER BRIAN & CARI Mailing address 25043 Thunderbird Drive Chugiak Site address 25043 Thunderbird Drive Chugiak Day phone AK 99567 AK 99567 Legal description (Sub'd., Block & Lot) THUNDERBIRD HEIGHTS BLK 3 LT 8 Legal description (Township, Range & Section) Lot Size 23,365 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field- ❑ Initial ❑ Single Fan)ily-(SF) Q Septic Tank Q Upgrade 0 (wTwo AD) �— Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. / f (Signature of''property owner or a agent) Permit/Rush Fees: 2Z C Waiver Fees: Date of Payment: _ q -2L? - ZZ Date of Payment: Receipt Number: 03 5-0 22 Receipt Number: Permit No.22_/ JOS Waiver No. GADevelopment ServicesOuilding Safety\On Site Water and Wastewater\FormsUient FormsTermit Application.doc Eklutna Engineering, LLC cu rtistownsend @gmail.com May 3,2022 Subject: Thunderbird Heights Block 3 Lot 8 Upgrade Septic Tank Permit Request Narrative osP221105 This is a design narrative for a permit to install a new septic tank on this property. The existing tank is 44 years old. The homeowner is desiring to replace the tank. The proposed system will serve an existing four (4) bedroom house. The existing septic tank will be removed and disposed of and a new 1,250 gal septic tank will be installed. Double cleanouts will be provided downstream of the tank. Soils. The soil in this area is composed of sandy gravel. A test hole had previously been dug during the month of November to a depth of 1.6'. No groundwater was encountered. Soif Absorption System. In April 2022,605 gallons of water was inserted into the existing septic field. The monitoring tube was dry before, during and after the test. The monitor tube only extends 5' into the 6.5' effective depth. lt will not be upgraded at this time and is adequate for a four bedroom field. Wells. This lot and the surrounding lots are serued by a public water system. There are no wells within 200' of the proposed tank location. Neighboring Wastewater systems. lmmediate neighboring septic systems are all +10' distant from property lines. Surface Water: There is no surface water within 100' of the tank. The proposed tank upgrade will maintain at least 100'from all surface water and drainage ditches. Topography: The existing topography in the area of the tank is flat with slopes less than 2% in any direction within 50' of the tank. The proposed installation will not affect the future development of this or the surrounding lots. Sincerely, Curtis L. Townsend, P.E. Attachments t. 2. 3. 4. 5. 5. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221105, Deb Wockenfuss, 05/13/22 THIS LOT AND ALL NEIGHBORING LOTS ARE SERVED BY A PUBLIC WATER SYSTEI/ AND THERE ARE NO WELLS WITHIN 2OO' OF THE SYSTEM. SCOPE OF WORK1. REMOVE EXISTING SEPTIC TANK.2, PLACE NEW 1,250 GALLON SEPTIC TANK AND TIE INTO EXISTING ABSORPTION SYSTEM. THE TANK IS TO BE PROVIDED WITH A MINIMUM 20" O MANWAY RISER SERVING THE FIRST COMPARTMENT. PROVIDE DOUBLE CLEANOUTS DOWNSTREAM OF THE TANK.3. ALL CONSTRUCTION TO BE IN ACCORDANCE WITH ALL REOUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. NEIGHBORING SEPTIC IS > 10' FROM PROPERTY LINE /s r THERE WITHIN TANK. ARE NO 50' oF STEEP SLOPES THE PROPOSED ,\ 4BR HON/E ENSURE NEW SEPTIC TANK IS 1O' FROM FOUNDATION AND 5' AWAY FROM EDGE OF FIELD EXISTING 36' x 36" x 6.5' EFFECTIVE DEPTH TRENCH ____:, UI\L\IY vj)Z ------____-_-- t0 Septic Tonk Permit Drowing Prepored for BRIAN AND CARI MILLER 25043 Thunderbird Dr Chugiak, Alaska 99567 THUNDERBIRD HEIGHTS BLOCK 3 LOT 8 osP221 105 EKLUTNA ING/NIIR/NG, LLC 19162 l\/OUNTAIN ROAD CHUGIAK, ALASKA 99567(e07) 406- 1 058 DATE:510312022 DRAWN:CLT SCALE:1" = 30' PID:051-721-19 SHEET 1 OF 1 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221105, Deb Wockenfuss, 05/13/22 lth and Environmental Pr ~ction Fourth Floor West 825 L Street Anchorage, Alaska 99501 264-4720 IHSPECTIOH REPORT OH-SITE SEWAOE DISPOSAL SYSTEM NUMBER OF CO:4PARTM£NTS ~. CAPACITY ~.Z,.~'O GALLONS. TILE DRAItl FI[.LD: TOTAL LErlGTH ~(.1:~ ~' -'[ ....... r~[.ARC. ST I. OT Lh'qE_ Dl.,1, :,~.. I'RL?,~ ~,'ELL . _FOLI;I()ATIO;4 ...... OF LINE ,~ of Lines ......... L)~%IANC[ Is[l;'/Eg~l LIr:Es ........ TnErlclI WIDTH~-~. IN. ·TOTAL EFFECTIVE £.::'.C,P;'~ lO:; ,',,~L/ ..... -~.-('~.~.. SQ. FT. Lt'.NGI'It OF [ACII [.1~'I~. t.;t~,l t ]ljI IH' llt. L I0 IIr;l:,,,G;I,',llE _l_..-.~ .... k.^I[RI^L ;[rlEATIITIL. E ,~---._~. ABOVE TILE ~" IN DI.,M51 ER et( WIDIli ... LENG l'II D~PTIt Log Crib Rings Crib Size: DIAk:LI[.R .... L, tPIIt, DISTA,NCEKP, OM: WELL 'f OT,~L EFfECTiVE , ' ",' ;"2'J:1:3;,'110'l .... t¢[AIILS] LOT J INE /d'T:O~PTION AREA (V/ALL A~EA) ,,a~ ~. I I I i · ; I Class: ~LG ~.~_ Depth: Well Dista:~ce TO: Lot Line 31¢!9: Sewer Line: Pipe Materials: i! of Bedr?oms: Installer. ~Q. F" I January 4, 1978 Harvelle Harrison Dev. 3201 C Street Calais Office Center Anchorage, Alaska 99503 SubJect: Lot 1 Hlock I Thunderbird Heights Subdivision Permit ~?71024 Lot 8 Hlock 3 Thunderbird Heights Subdivision Permit ~771025 Lot 3 Hlock 2 Thunderbird Heights Subd~vision Permit ~771028 A permit ~ssued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, Health and Environmental Protection Sewer and Water Section I-,11_11-.11 C I PFII_ I T'-,-' IOF Rt-J,]HORFII'$E DEPARTMENT OF HERLTH RND ENVIRONIIENTRL PROTECTION 825 ~'L" STREET, ANCHORAGE, RI(. 995F1i OI'-.I--S I TE SENER PERI,1 I T PERMIT NO ¢ ??:10R5 ) FCPLICBNT HARVELLE HARRISON DEV .S~01 C ST (CALAIS OFFICE CENTE LOCATION THUNDERE~IRD DR & 'FI~LCOFI CT LEGAL L8 B~ THUNDERBIRD HTS SUB LOT SIZE ~.14~ SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH HRXIHI}I NiJMRER OF BEDROOMS = 4 SOIL RATING (SQ FT?BR)= ±00 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEH IS: DEPTH= ~_O I_ENGTH= ._~4 ORR'eEL DEPTH= THE LENGTH DIHEMSION IS THE LENGTH (It4 FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCRVATIOM (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE I*IINII'IUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REI;IU ! RED SEPT 1- C: TRIqI( S 1' 2'E= :1.25F_4 6RLLOI'4S PRCI(RGE PLRI'-IT OPT 1' 01'-I A PACKAGE PLANT ~IRY BE INSTALLED AT THE PERMITTEE"S OPTION SUBJECT TO THE FOLLOWING CONDITIONS: i. EITHER R CLASS I OR II NSF APPROVED PLANT MRY BE INSTBLLED. ,, 2. R CONTINUOUS HRINTENRNGE AGREEMENT IS REQUIRED· IF R HRINTENRNCE " AGREEMENT IS NOT KEPT CURRENT YOU IIR~' BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM AND/OR YOU HAY BE SUBJECT TO PROSECUTION. TNO (2> INSPECTIOt4S ARE .RE(~UI. PFI-:,. O 8 E GE '~_-CHNICAL ~ DEVEL PMENT CO. Russell Oyster 694-2T/4 Soils ~t Foundations Perfo~ed fo~: Box 90, Davis St., Eagle River. Alaska 99577 694-2774 or 688-2280 SOIL LO~ Leg&l Description: ~ /~' Ead Ellis 688.2280 Land Development Depth (feet) Sotl Characterfstlcs o 1 2 3 I3,I 10 11 12 18 , 16 Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: v~ If yes, what depth Drain Field .... ? / ~ . tT SHALL eE THE RESPONSISILITY OF TH-c BUll. DER . s.ow. U~;TS ~ SU~.V,S,O. COv;.~.TS LOCAL ZONING C~ES AND ORDINANCES. PLOT PLAN TRYCK ' - / ~,~ LOT ~ ,eLOCK ~ / /~g~.. ,,.~4~.s .¢~ ��U1 MUP UTY OF ANCHORAGE i N� 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. 051-721-19 1. GENERAL INFORMATION Expiration Date: _ L -25-- 2f2 �A Complete legal description THUNDERBIRD HEIGHTS BLK 3 LT 8 Location (site address) 25043 Thunderbird Drive Chugiak AK 99567 Current property owner(s) MILLER BRIAN & CARI Day phone Mailing address 25043 Thunderbird Drive Chugiak Real estate agent Day phone 2. TYPE OF DWELLING: F1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 AK 99567 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic 171 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System 0 Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 55 0 Date of Payment 6123 ,2y-,� 2 Receipt Number_ 0 32 5 j b COSA# 0 5C 2 13 (D3 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # 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 Eklutna Engineering, LLC Phone 907.406.1058 Address 19162 Mountain Rd Chugiak AK 99567 / Engineer's Printed Name Curtis Townsend, PE Date � Z1 0 2 Z, 6. DSD SIGNATURE (� %c System #1 Approved for -1 bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms OF A q : gTH .... / .............. is L Towp>end ' ql• Dale n L t l rs'ZL 4� is; P No .CE 11904 �l��P�'C`ESSID�pL.,w .S. j A ?. bedrooms, with the following stipulations: `lllltl((cC«<fl ONIAIA -S1TE Ty b W;gS.rL VIA I,— AND rn �o ROC -M By:7Original Certificate Date: ('750-2 a 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet • Legal Description: THUNDERBIRD HEIGHTS BLK 3 LT 8 Parcel ID: 051-721-19 If more than 9 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for C Static wat el at beginning of test ft. B. TANK DATA Age of tank(s) " 1 years Tank type/material SEPTIC plastic Measured operating fluid level in septic tank new ❑ Standpipes/foundation cleanout per record drawing Date of pumping installed June 2022 D. ABSORPTION FIELD DATA Which system tested (date installed) 1978 ❑ ALL standpipes present per record drawing Total measured depth from grade 7.6 ft (max) Measured depth to pipe invert from grade 2.6 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective T Well production at time of test pm Water storage tank volu gallons Well disinfec or coliform test? ❑ Yes ❑ No _J,Q6fiform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ❑ Required maintenance corn Age of lift station y Lift station materia Comment Adequacy test date ans.'f Results ❑✓ Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 605 gal New depth 0 in Elapsed time 120 min ❑ Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate ' 600 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: no reports of septic line freezing 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' [✓ Yes Community Sewer Manhole/Cleanout > 100' Q✓ Yes if No ft M Yes if No ft Neighboring Tank > 100'0 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' M✓ Yes if No ft Holding Tank > 100' 0✓ Yes if No ft Neighboring Absorption Fields > 100' ❑✓ Yes if No ft Water Main > 10' Animal Containment > 50' ✓0 Yes if No ft E Yes if No ft 0✓ Yes if No ft Water Service Line > 10' Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway comment below Community Sewer Main > 75' M Yes if No ft P Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' [✓ Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' Yes Yes if No ft Wells on Adjacent Lots: Q Absorption Field > 5' if No Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' 0✓ Yes if No ft 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) Building Foundation > 10' M Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA GOSHguidelines in effect on this date. COSA Checklist yellow sheet .:. TH ... •G•, rtis1, T wi�s. i �� • Date (c T y v� No, C 11504 a ENGINEERS Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bregaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorege.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 1. GENERAL INFORMATION Complete legal description '/_ o ~'- ~ /3 -o c~ Location (site address or directions) ~- 5" o ~ ~ Expiration Date: Current Property owner(s) Mailing address Lending agency H fl ,8 ~. ~. ¥ E. ~' c- L~ $' N Day phone Day phone Mailing address · Real Estate Agent .. Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage .... Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] Individual Holding tank [] Community On-site [] Public Sewer The Municipality of Anchorage Development Sen/ices Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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 sen/ed by a private or Class C well and may be reissued with new water sample results less than 30 days old. (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 ce~fied by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation, based en 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 flies and from my investigation and inspection, the eh-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 cf installation. $ & S ENGINEERING Name of Firm 17034 E.~¢- P4~cr Leap ~e.~ Ne. Address Eagle River, Alaska 79577 Engineer's Printed Name /~0~ &,.~ ;'- C. Phone Gc~ ff -D-q '7~ Date 1~-/3/~1 5. DSD SIGNATURE ¢ Approved for ~ Disapproved. Conditional approval for bedrooms. ~ - .. .. ,~ bedrooms, with the following stipulntions: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: I ~ ~ ~ -' 0 [ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Brai]aw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ct~'x~x-age.ak.us (9o7) s43-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Oeaalptlon: ~.0 T- c~ WELL DATA ~J~ C.. L~,A'T ~ /2,. Well type If A, B, or C provide PWSID # Well Log Date completed Sanitary seal {Y/N) Wires ~bl~ected {Y/N) Total depth · lt. Cased to fL ~ height (above ground) FROM WELL LOG ~ AT INSPECTION Date of test Static water level ./' fL fL g.p.m. Other bacteria Well production ~ g.p.m. WATER ~MgI~ LTS: Coliform ~ colonies/100 mi. Nitrate mg.a. ~ sarnple: Collected by: colonies/100 mi. B. SEPTIC/HOLDING TANK DATA Tank Type/Material ~ ~.P 71 c-// $ 7' F.. 4 ~. Tank$ize 1~'5"o gel. NumborofCompaab,rents ~ Foundation cteanout (~N) y~5- Depr~__$ion over lank (Y~') CO. Date of pumping I ~. / $ / o I Pumper O'/L ~ C. ABSORPTION FIELD DATA Dateinatelled //3///7~ Sollrating (g.p.d./fl=~ Length :3 G If. W~m 3 fL Tote] depth ¢:~ lt. Eft. abeaq)tk3n area 2/(a~ f~ Monitoring lube ~/4~ Date of adequacy test h/~.q/O/ Result~ ~;'~'~ell) Fluid depth in absorption field before test b4.~, in. Water added ¢~;~gal. Elapsed Time: ;0 min. Final fluid depth Day in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) /v a~,e. ~e ~.,~ Date aeanout=~) High water alarm System type Gravel below pipe G. 5- fl. Depression over field A~ 0 For *t *~' 0 O.p.d. If yes, give date D. UFT STATION Date installed "Pump on' level at Size in gallons in. "Pump off' L-vel Manhole/A~,'~ High water alarm level at in. Datum Cycles tested SEPARATION DISTANCES Meet~ alarm & cimutt mquimmerffs?. SEPARATION DISTANCES FROM WEU ON LOT TO: Septic tenldlllt station on lot Absorption field on lot Public sewer main On adjacent lots nhole/deonout Holding tank SEPARATION DISTANCES FROM SEPllC/HOLDING TANK ON LOT TO: / Building foundation 5" '~ Properly line ~ '/" Water main / ~ '/- Water ser~ce line / O Wells on adjacent lots o~ 4) 0 + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line I O /-'~' Building foundation )'O 4- Water Service line ) O v'4-' Surface water ~ 00 4- Curtain drain ~"~ ~''~ ~< '"o'-"" Wells on adjacent lots '~ O 0 Absorption field (o '/'- Surface water / O 0 -/-- Water main Driveway, ~hicle storage 0 ~. o,~', v',e,..*, vJ F. COMMENTS G. ENGINEER'S CER'nFICATION I certify that I have determined through field inspections and review of Municipal reconts that the above systems are/n conformance with MOA HAA guidelines Jn effect on this date. Engineer's Printed Name Date HAA Fee $ Date of Payment Receipt Number (Rev, 12/00) Waiver Fee $ Date of Payment Receipt Number DEPARTMENT OF_HEALTH & HUMAN SERVICES ........ Division of Environmental Services On-Site Services Section L P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ~'"~ GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent C,~u3~r~-.~.~. /?~-c.~..~ Address Day phone · Day phone ~//~- Day phone ~/-/1'~' Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ,4 TYPE OF WATER SUPPLY: Individual well 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 OFWASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. STATEMENT OF INSPECTION BY ENGII~IEER, 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 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 ,o/n the date 9f this inspection. DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date The Municipality of Anchorage Depart~ent 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 engin eer registe red in the State of Alaska. The DHH$ does this as a courtesy to p u rchesers of ho mes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct Inspections or analy~e data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Legal Description: A. WELL DATA Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN ,SER~~2.~] ~:~j~o ~p~.;u b4tlJ~Id~ Environmental Services Division 825~.' Street, Room 502 · AncAorage, ~aska 99501 · (907) 34~g)~Aa4 '"~ta*D/t~ Health Authority Approval Checklist f~'C~'] I/~D Well type CoM~I. IfA, 13. or C. ~,=,~ ADEC let~r. ,~OEC water ~ numar L~4~ (Y/N) Date completed n ~ Tol~ depth ~%,~ Cased to Caql g bc~gbt (8bove~ Sa~taq' scaJ (Y/N) ~ Wires p~ (Y/N) ~ELL LOG J AT !NSPECTION Dat~ of lest ~ IL SEPTIC/HOLDING TANK DATA DatcinsmUcd I/'~8 Tanksiz~ IZ~O N-m~erofCompa,'Imcms ~' Cieanout~(Y/N)~ Dq~ssion (Y/N) I~O High wat~ alarm (Y/N) Foundation dcanout (Y/N) y Date of Pumping '/' q/~ ~ ABSOI~U'I'ION ~-iISL,D DATA Dam in..qudled I / ? B C+ · 'Pump off' level a~* High wat~~ E. SEPARATION DISTANCES S~NCES FROM WELLON LOT TO: ~j/t~ Septic/holding tank on~"..~ ; On adjacent lots Absorption field on lot Public sever main Sew--/scpUc service line Public sewer manhole~cl,.o'-~t Lift station SEPARATION DISTANCES FROM SEPTIC/HoLDING TANK ON LOT TO: Building foundation ~ t.~ Properly line ~'0 ~ Absoq~ion field Water main/service linc '~ ~0 ' Surface watcr/drninnge ~ ~00' WelLs on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIT~LD ON LOT TO: Wat~' m~in/se~tice lille Building foundation Surface water ~' Curtain drain ~V.~ Driveway, pa~ing/v~hi¢le storag~ aren ~JDV~- g~U~,~f Weli$onadjao:nllots "/'~.o~ Pmpe~.'line W~- Waiwr F~ S Date of Payment Pogeipt Ntmll~' Rev. 8/95 OSS: haa.wk,doc Alaska Water & Wastewater 8471 Brookridge Drive ~ Anchorage ~ Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers August 20, 1996 Municipality of Anchorage Dept. tlealth & Human Services Division of Environmental Services On-Site Services Section P.O Box 196650 Anchorage, Alaska 99519-6650 Ref: IIAA for Lot 8, Bk 3, Thunderbird lleights. To whom it may concern: The subject lot is served by a private septio system, and community water· I initially inspected the septic system on 8/7/96, and could not find the sump (buried or broken)· The homeowner retained KC Alaska, Inc. to install a monitoring tube, and aedo at the end of the trench. Rather than driving the monitoring tube (as I requested), the contractor excavated into the trench, undoubtedly relieving any liquid that may have been in it (surrounding soils are GW ). In short, I don't know what the initial water level was in the trench; however, according to the person who installed the monitoring tube (Rod Potter), the trench was dry and uncontaminated to the bottom of the drainrock. 1 tested the septic system on 8/19/96. Comments regarding the system and the adequacy test are summarized as follows: ADEQUACY TEST: Prior to doing the adequacy test the monitoring tube was dry. I introduced water into the trench at a rate of 6.67 gpm for a total of 90 minutes (600 gallons)· The monitoring tube was dry at the end ortho test. Based upon this data, the trench was deemed to be adequate for four (4) bedroom house. NOTE: The adequacy of a septic system is in./It}enced by mtmerous factors, inchtding, but not limited to, seasonal surface water #tfiltratio., groundwater variatio.s, septic system maintenance (/'requency of septic tank pumping, usage of biological additives), condition .of drain pipe attd pipe jo#tts (which can be damaged by seismic activity attd deteriorate with age), type of sttbstances deposited itt septic system (cigarette butts, sattitary napMtts, misc. objects), arm the amount of water behtg introduced on a cont#mal basis. Consequently, the results of this adequacy test are only valid for the specific day of the test. Furthermore, because of the limited nature of this #tvestigation, it is possible that there are bidden defects which may not have been detected. No warrantee is made regarding the future performance of this septic system TRENCI! INSTALLED UNDER DRIVEWAY: The trench was installed at a shallow depth (I.5 feet approximately) under the driveway. See the attached as-built survey. The inspection report (I/31/78) didn't indicate whether the line was insulated or not. According to the homeowner, the system has never froze. In the future, if freezing problems occur, it may be necessary for the new homeowners to insulate the line, and/or add soil cover. SEPTIC TANK: The steel septic tank was installed on 1/31/78, making it approximately 18.5 years old. The tank was not physically exposed and inspected, therefore, the condition of it is unknown. No warrantee is made regarding the future life ofthe tank. If you have any questions, please contact me at 337-6179, or on my pager at 1-800-481-1162. Thank you for your assistance. Sincerely, ./~ c.c. Neil Berry Sallie Nickerson, Coldwell Banker Properties Neil Berryl .wps ,".* . ..: ..... .z~ I..~. '.. .' 1' · ,'~ ~-. · . , -. . .* · .~. u,,~. ...- .., ..... ,...;.,... ~.,r . 1' .... .',1 ...'. .'~,'., ..... - .... /.t'.· -. .... · .~... ~.,,,....,..., .. .,... . ,~ ... . .:.,.,.. ....... : ....... .~ · ~.~ .. .~.... · : , ,. .., o .,,~.~% -.,~1~ . - . . ,o -~ .,,~.:*~o-~. :o .*- ..~ ~ . , . * ~ · .. .,* ..... /_.. . , ~ .. . ...... * . · ,'~ · . . ...,,. ~' .~_.,r., ,~ . ., .,~ .,., ..... .. .. . . .,~'~ ..... , ., , ..... ,~ ;~..,:,,,., ,. · .. ~ · ,. ~ ..... . , .. t ~.,,,,.: .,,-.'.'., ...I-,-***-:.-..~_*~ , · :-,t-lO~af.a~*~'. : - '. . ' * . - '.',.. ; . , . ~.... ~.,.~.,.,+ .... j . j- .,~ ..,: . ,,: · . : ., , ~,~,, ..., · , . '-'-. ...... .,., *.o - ~ ,~,"9 . :.~ .'.,... - · ,. ~-, ~ ..' · .... ..... -.-:.,' , I:-. , '.'f~,, .~ ~...:.,.',.,I, ' - .' '/.* ~*.k' ::.,. · ,,~..~.,. ....,., ..! ~. .. · /4 .... ,.1.~ / / '." ,' '~'..i!. 1'., '.,:i~ . 'f , "."' - .I, .¥."-1. '" .':' '," ..:*,'i-,,~,.:~'~ '. : .. / "... "-:: " ~'.";~"i'" ~' ;,.':'- ,. / · ', /' .,I / · . '~;~:?~:,":'.,~. ~,.;'" · . ./ / .... · · '': · -,~,.,,' ,d,4 '-' I ..'.. ', "~':~ ',l. ". ' ~.'~, .',t.' ,/'.-A ... ,m- . · . .. . · / .../ ... ,,: -. . ~ . .':'~-~ 2. ~¢.' '.-; ' . ~,.I ~.. &__.~, {,/'iL'~. '.' ~z,-~. . . · l.!.~l /, '/ ' :" , ~ L~... ,..t.? .... :., ,~'...,'h~,.' ~:";.,.,,, ;: ..-,, , - ~ .., /'.. · · :, Y.,;.',. :'ri ..... lt... I v'<"!, '. '" ~%,,.',~, "~.4.::. ,'.!¢~,, -. ' / / "". -'. .... ;. ..- '~',"' '~, '.',/. fX''~ I ~ ' ...~ ....~..~t/~.-/'",. ..~~,- ,. · *./ . · :.. ..... .t,, ,_. :'.~ .... ; /?:..:;.. ,..:....'-,':.~'R,~:l~"~e,':',. ... ~ · / /' . ,. · ' . .' "n~ -' .' :',, :.t.j, ~/..t.' , ..'.. ~;::,.;.:r,'.,.'.'::..'- . /' / ... ' . .... .-'~. ~ ,. l* '~ .' .. · ' ..', · .',-::..':'~ · *- ' "/ " ·'.. '". ~.-,~...';.. :.. *.' . :. "J ~',[ ' ',-. , ~ ' - '-, '.r '~-; - , : /~..' / , · · - ,.,'- , .' " . ., ~ - .. -'..~..' ' . .' ' .;. · ,~ t~'./-~r ;? . . ... .-.... ... ,-t ..... ~ .... _; .. : · .... .e-., ,~,...:..: :/".,l~,:,l 2,.,~.~ · · · ' , - ,...'..~ ~..- ...- -:..>..;., .~-~,,..'.,:v,-.':...~','. ~' .,. . . ...... ',,'- :',. · ~ - .. '-,..-"'.~, [-*. ' ': · ": ~':*':."-~..,~.::2,-"'" ' ~. .: ~.~, .. · ' ' '' ,' . '." ':-,~ ' ".- ~ ! :"' ..~ ,,'~-Z',* '~ .' '..:'~.4 v' f. ~.., -- ' :'-~d:' '' ." .- · . '.. .' ' , · .. ..... -, ...,, · .~. ,,~.~ .. . .-.,.. · ~ · . . . . ... ~,~',.L) ,. ..- __~,' , < .... - ,, - .. .:.. ,, ~.... ,~lr,-,* ,'....',z....'.....(~ .... . .. · .. .*. -, · . ~.~ '. ..-',,,... · . , · .. .**.:..,~ · ..... ... ~ .... ~.~ - · ', ,... :-'. · .. ~,,,,;,.,,'. .' ..'.. ., · . ~r.; . :~, -..' . a~ r,~',,,,.,,~,-~ .~.~ ...... , .',' .: -.'.;"...'".:':~'-A" ..' . '. ,* .. · , .,.- ..... ..-, .. · ~ 1~-6,,,-,,,u,,,.o~ ... ~.- .. · · :, ·: . ".' ;.-*..,...~ .- ..... .... ' . . .: o. .... A,~.BUlf.,Z, , ,... ...... : ~' :. -...,. . '.~ ........ ..... : .... ..... , . ..... . ,.. . .. . . · . . ~ ..Z,:,,~. .F ,~.,i~ ,~ · .. .... · ..'~:.:.. ,-. .'. ~:,~Ld.~._~.J~...d.~_~,-,~,,,=~.~-.=.. .... - .... .. ,..' ..'... · .'.'!'~\',~-~4~;g., ~:~}~ , ~ ~,,.,, · ~-,,...,, ~ ~..f':L.'.'.-:.:~-:'.: · · : .'- · .. '.'::c o,~ ,t.',~,~w~,,-~r, ^~,~,, . . :. . ... , . : · -~'..,.'/,,~,,.."'~ .... *'--e./.', ,'. · · . . ' · k* .-. .... - . .,ITO~l~q? Od: .Tt)~"~r,,,~'~,'~.~-.v. · · ~ DATE INSPECTOR DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME DATE DATE INSPECTOR INSPECTO~ MUNICIPALIT~ OF ANCHORAGE DE~. OF HEALTH & 2 5 1981 ENVIRONMENTAL SANITATION DIVISION Tele~one ~7~ RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete request~ will not be p~oceu~d. Please allow ten I10) days for processing. 1. PROPERTYOWNER I PHONE VINCENT & MERLYN J. BEITER 1688-2431 MAILING ADDRESS PROPERTY RESIDENT (if different from above) PHONE 2. BUYER N~TT. & ~FT~RFS R~R~¥ MAILING ADDRESS ?0 BOX 436, Anchorage, A~ 99510 3. LENDING INSTITUTION Alaska USA Fed Credit Union MAILING ADDRESS DeBarr Road, nchorage, AK 4. REALTOR/AGENT Jim Hontague/John Parker Totem RealtY. Inc. MAILIN~ADDRESS Box 911, Eagle River, AK 99577 PHONE PHONE 276--5100 PHONE 694-9494 5. LEGAL DESCRIPTION Lot 8, Block 3, Thunderbird Heights STREET LOCATION NILN Thunderbird Drive 6. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY 7. WATER SUPPLY r--I INDIVIDUAL* [] COMMUNITY I--I PUBLIC UTILITY 8. SEWAGE DISI~)~AL SYSTEM [] INDIVIDUAL/ON*SITE** 1978 [] PUBLIC UTI LITY NUMBER OF~BEDROOMS [] One t--'l Four I-1 Two [] Five E-I Three [] Six [] Other * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) YEAR ON-SITE SYST'EM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 1, TYPE OF RESIDENCE r-1 SINGLE FAMILY [] MULT. IPLE I~AMILY 2. WATER SUPPLY r~ INDIVIDUAL I-'1 COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [-1INDIVIDUAL/ON -SITE I-'IpUB LIC UTILITY Connection Verified [--ISepticTank or []HoldingTank Size: I ~"~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELLTO: Absorption Arab to nearest Lot Line 5. COMMENTS THIS SIDE FOR OFFICIAL USE ONLY . ~, NUMBER OF BEDROOM~ [] ONE [] THREE [] FIVE [--I TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER INSTALLER SOILS RATING MANUFACTURER ~ MATERIAL i'--I OTHER INearest Lot Line DATE {~/~PPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accom~certif[cate) [] DISAPPROVED' / / 72.010 (Rev. 6/?9) { · £ uwicipalit dof 825 'L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN. MAYOR OEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTIOf/ July 1, 1981 Vin~ent/Merlyn J. Beiter % Jim Montague Totem Realty, Inc. Post Office Box 911 Eagle River, Alaska 99577 Subject: Lot 8 Block 3 Thunderbird Heights Subdivision Approval for the individual sewer and water facilities cannot be granted until the following item has been completed: (1) The septic tank pumped with a receipt submitted to this office. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist .RCP/ljw cc: Alaska USA Federal 2600 De Barr Road Credit Union 99504