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HomeMy WebLinkAboutSANDY BEACH LT 1ASandy Bench Lot 1 A #011-112-47 Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-5650 • htlp://www.muni.orglonsite • (907)343-7904 ONSITE WASTEWATER INSPECTION REPORT }Permit Number: OSP121031 PID Number: 0 11 - 112-47 P El New ®Upgrade � Name: STEVEN MIESSNER ABSORPTION FIELD k% Address: ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 7751 WANDERING DRIVE *ANCHORAGE, AK 99502 ❑ Other Phone: No. of 8edroom8: Salt Rating: • ® Total Depth from original grade: N/A 5 _-", ff OPD/Sq. Ft. 8.5 MAX Ft, �, LEGAL DESCRIPTION jDapth to pipe Invert from original grade: Gavel depth beneath pipe 3.50 MAX R. 5.0 Ft. P Subdivision: Block: Lot: Fill added obova original grade: Gravel length: SANDY BEACH i 1A SEE DWG. 15 Ft h township; — anger _ ec Ion: — Gmved width: Bede Number of lines Distance between linea: � - - SEPARATION DISTANCES 2.5 Ft. e• Total absorption area; 4umber of tranches: Dist. between trenches Ta Septic Absorptlon Lift Holding PabIM/PrW From Tank Field Station Tank Sewer Linea 150 S2 Ft. 1 Ft' Well fico' *50' *50' - 25'+ TANK ® septic ❑ S.T.E.P. 111-Ioldin ❑ Other a Manutacturan Capacity: Surface Water *50' *50' *50' - GREER 1500 Gal. t Lot Line 5'+ 10,+ 5'+M°ten°L Number of compartments: - N/A HDPE 2 Foundation 5'+ 5'+ - LIFT STATION Curtain Crain NONE KNOWN Manufacturer. Copoetty. GREER 500 Gal. Remarks: OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC Rump ori level at: ump off' level at: Nigh water olarm at: TIMER TIMER 46" • *WR#100007 '"CONFIRMATION PERK TEST ON 9/14/12 WAS pump Make cit Modell Efeatrtoal Inspect ons performed by: 0 I <1 MIN/INCH. DES WOCKENFUSS WAIVED SAND FILTER P-SE-41T MOA -� .REQUIREMENT ON 9/12/12. - PIPE MATERIAL House to tonic 6" DUCTILE & D3034 Tank to SCH40 dralnfield Installer WHITTERS Droinfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) Inspection 100.00 n Dates: 1st 9/14/12 2nd 9/17/12 Location and Description: 3rd - 4th -- BACK DOOR THRESHOLD Community Development Department Approval FNOINEER'8 OFa Conditional approval: Date: 12- -25-1 5�0 f ��• / Oh i, -to T //'i/ (� �-D �� /l2 S�Cv - g . o iJ� 1 Y'Q t44^eQj^ colOrAg 6-pt Gtl°S E /" f Gar ess.- Q S ?^E� CE-79 Approved• Date: �4QdArofesslor°acr g0�4ogood CnzhVelw►0n m c�, a 7 111 -1 b o` CA T IT s i�� q411nics, GARNESS ENGINEERING GROUP, Ltd AeroCell'. ENGINEERING SALES CONSULTING Alaska Authorized Dealer January 24, 2020 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650 Anchorage, AK 99519-6650 (907) 343-7904 Ref: Sandy Beach S/D; Lot 1A (7751 Wandering Drive, Anchorage, AK) Memo concerning converting CAT III AWWTS to CAT II AWWTS septic system To whom it may concern: The permitted septic system upgrade was installed on the referenced property on 9/14-17/2012 and was started up shortly after that. ARM Septic Services. LLC checked the monitoring tube in the 2012 drainfield in July of 2019 and found it to be dry. In order to simplify the overall operation and maintenance of the system, we are proposing that this unit be permanently configured as a CAT II system. Our justifications are as follows: The receiving soil has a percolation rate of <1 minute per inch and the sand filter requirement was waived with the issuance of the septic system permit. Given this percolation rate, a 4.0 gpd/sq.ft. application rate would be required for a Cat II system. The residence on this property has a total of 5 bedrooms, so 187.5 sq./ft. of absorption area is required for a CAT II system (750 gpd / 4.0). The existing 2012 drainfield has 150 sq./ft. of absorption area; however, the septic system is also connected to the previously installed drainfield _with_a flow _director (splitter) and this drainfield has 480 sq.ft. (per 1997 HAA). In short, with the combination of both these drainfield, there is 630 sq.ft. of combined absorption area for these drainfields and meets the absorption requirement for a CAT II system. It is our opinion that by utilizing both of these trenches, that the combined absorption area is adequately sized to utilize a CAT II configuration. We would propose that ARM Septic Services, LLC adjust the flow director so that the flow from the Aerocell unit is directed evenly between both these trenches. At this time, we request that your department approve a CAT II configuration be used at the referenced property. Upon your concurrence, we will have ARM Septic Service, LLC, either leave the Jandy valve actuator in the discharge position; or have them completely remove the actuator and leave the valve irthe open position; and also we will have them adjust the flow director so that both trenches are ytilend. We will also have them place a CAT II sticker on the control panel. Si E., M.S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Jody Maus From: ARM Septic Services LLC <armservicesak@outlook.com> Sent: Monday, July 22, 2019 4:58 PM To: Jeff Garness Cc: Jody Maus Subject: 7751 Wandering Dr (CAT H Conversion) Hey GEG, I'm wondering if the Quanics unit located on 7751 Wandering Drive (Sandy Beach; Lot 1A) qualifies for CAT II conversion. The drainfield was dry when last inspected on 7/17/2019 and the owner (Ryan Fortson) approved CAT III to CAT 11 conversion on the same day. Let me know if there's anything else I can do. Thanks! Landon Bruce Septic Technician/Consultant ARM Septic Services, LLC Ph: (907) 688-9433 Cell: (907) 230-2383 Email: ARMServicesAK@outlook.com Website: www.ARMServicesAK.com Facebook: www.facebook.com/ARMServicesAK/ Municipality of Anchorage Community Development Department Page 1 of 3 On-Sfts Water & Wastewater Program 4700 Elmore St. a P.O. Box 196650 Anchorage, AK 99519-6650 a http:/Iwww.munf.orglonsfts a (907)348-7904 ON-SITE WASTEWATER INSPECTION REPORT ` Permit Number: OSP121031 PID Number. 011-112-47 P El New ®Upgrade 0 Name: 0 STEVEN MIESSNER ABSORPTION FIELD k. Address: ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 7751 WANDERING DRIVE *ANCHORAGE, AK 99502 ❑ Other Phone: No. of Bedrooms: I sag Rating` I Total Depth from adgina grade: Installer WHITTERS Inspector GEG, Ltd. Inspection Dates: 1st 9/14/ 2 2nd 9/17/12 1DCOVOn and aeacrlptiem 3rd — 4th — 11 BACK DOOR THRESHOLD Community Development Department Approval Conditional approval://��%y� jDate: /2. -2A-1Z IF In t-tp �1/U C 7p'O b /l2S�fvL1 1 �h00 5.0 N/A 5 ' LEGAL DESCRIPTION 3.50 MAX Ft Subdivision: Block: Lot; SANDY BEACH 1 1A I„ owns — ange: — tic Ion: — fl We Number of lines Diatoms between linea: 2.5 SEPARATION DISTANCES — To Septic Absorption Lift Holding public/prrva Dist. between Woolu: From Tank Field Station Tank Sewer Una TANK ®Se tic Well *50' *50' *50' — 25'+ A Moterml: Number W Ccmoormn. ta: HDPE 2 LIFT STATION Manufacturer. Surface Water *50' *50' *50' — Lot Line 5'+ 10'+ 5'+ —,A Foundation 5'+ 10'+ 5'+ — Y Curtain Drain NONE KNOWN Remorks:OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC e *WR#100007 **CONFIRMATION PERK TEST ON 9/14/12 WAS f <1 MIN/INCH. DES WOCKENFUSS WAIVED SAND FILTER —9r REQUIREMENT ON 9/12/12. Installer WHITTERS Inspector GEG, Ltd. Inspection Dates: 1st 9/14/ 2 2nd 9/17/12 1DCOVOn and aeacrlptiem 3rd — 4th — 11 BACK DOOR THRESHOLD Community Development Department Approval Conditional approval://��%y� jDate: /2. -2A-1Z IF In t-tp �1/U C 7p'O b /l2S�fvL1 1 �h00 5.0 Spa/sq. rt. 8.5 MAX e, Depen to pips invert from original grade: (ravel depth beneath pipe. 3.50 MAX Ft 5.0 Ft, FII added above original orode: Grovel langth; SEE DWG. Ft, 15 Ft. Graved width: We Number of lines Diatoms between linea: 2.5 _ — Ft. n. Total absorption aroa:tuber of trenches: Dist. between Woolu: 150 sa e. 1 — FL TANK ®Se tic ❑ S.T.E.P. DHolding ❑Other Manufacturer: Capady. GREER 1500 gal, Moterml: Number W Ccmoormn. ta: HDPE 2 LIFT STATION Manufacturer. Cgpae%y: GREER 500 m. TIMER I TIMER I 46" 'ump Make k Model: aaotrlaol Inapxtiam performed by. P— MOA PIPE MATERIAL House to tank 6e DUCTILE & D3034 Tank to SCH40 drainfield Drainfield D3034 CO/MT D3034 BENCH MARK (Assumed elevation) Date: % S 100.00 ARNTES N G INT *--AEERTENG CGROUR Ltd. ,aune 25, 2013 Municipality of Anchorage Development Service Department On -Site Mater & Wastewater Prooram 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 Ref: Request for Variance for Sandy Beach Subdivision; Lot 1A To whom it may concern: A HDPE septic tank was installed in September of 2012. Per your code requirements a groundwater monitoring tube must be installed for any plastic tank so that prior to pumping groundwater can be checked. For the referenced property a monitoring tube was not installed, however, a testhole was excavated to a depth of 6.5' below the bottom of the tank during the installation and no groundwater was encountered (during high groundwater season). In short, we are requesting that your department waive the requirement for the monitoring tube in this case based upon the fact that no miaicer the time of year the HDPE septic tank should never be in groundwater, If you have any questions, please contact us at 337-6179. Thank you for your assistance. /P P.E., M.S. 3701 E. Tudor Road, Suite 101 *Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com PERMIT NUMBER: AS—BUILT DRAWING PARCEL INUMBER: - OSP121031 011-11 12-47 I A B ST1 55.1 25.8 ST2 58.5 30.6 DBL1 53.6 22.6 DBL2 54.8 24.8 DBL3 59.5 32.3 \ DBL4 60.2 33.1 MH1 62.8 36.5 MH2 39.3 25.2 MH3 36.2 27.6 FD 44.6 21.0 MT7 34.1 32.1 CO2 31.3 32.4 ST3 60.9 34.0 '. EXISTING WELL (IN BASEMENT) EXISTING 5 BEDROOM HOUSE 1 1' LOT UNE WAIVER ESERVE SITE. 8'D x 2'W x 131 WITH 5' OF EFFECTIVE ONFIRMATION1 PERK /TEST LO DRAINFIELDI CONNECTED AS A RESERVE SITE TOBBEN SPURKLAND, P.E. TEST HOLE \/ / 1 \ , 2 \ / / T1 + NEW DRAINFIELD MH2 H3 ®® 3 / 11 1 Aj2CEL UNE C / 1 1050 QUANICS AEROCELL UNIT J DBL1 &2 J (ISTING WELL NEW 1500 GALLON GREER I \ PLASTIC SEPTIC TAN LiI <4c U GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E NOOK fl - SUM 101 • O WP , W 99507 • PH (907)3])-8179 • FM (907)W8-3248 • WESSIIE: r xgo muwn9lmwin9.c°m PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 242-0076 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: SANDY BEACH; BLOCK 1, LOT 1A PNB TYPE OF WORK: DATE: AS—BUILT DRAWING 9/24/12 NEW 500 GALLON LIFT STATION WITH QUANICS PUMP AND CONTROLS / .3&4 LINE FROM HOUSE LINE TO STEP TANK INVERT OF BUNG INVERT OF BUNG AT INLET = 96.21 AT OUTLET = 96.00 TOP OF TANK AT INLET - 96.17 INVERT OF BUNG AT INLET = 95.56 NEW 1500 GALLON GREER SEPTIC TANK TOP OF TANK AT OUTLET 96.10 AEROCEU. UNIT SITS ON TOP OF MOUNDED BED. . I NEW 5 00 GALLON LIFTS I U STEEL 00600 D4 GARNESS ENGINEERING GROUP, Ltd. p°O, : 4 T y* CONSULTANTS & GENERAL CONTRACTORS • • • • • • • ' ' ' ' ""' ....• • • • 3701 E. TUp ROM. SUITE IDI • ANDHDRADE. AK 99507 • PHONE (907)337-6179 • FAX (907)336-3246 • WEBSRE:. w.game nginwinq.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .......... ..... • STEVEN MIESSNER N/A 3 OF 4 �O 13 f e Corn ss.• LEGAL DESCRIPTION: DRAWN BY: ODs EQ SANDY BEACH; BLOCK 1, LOT 1A J.L.M. ��fP, ''�T.Jz37l�0 TYPE OF WORK: 4QQd prOfessOO o'er PROFILE AS—BUILT DRAWING (TANKS))�40000�� PERMIT NUMBER: AS DRAWING PARCEL NUMBER: OSP121031 -BUILT 011-11 12-47 FINAL GRADE = 99.92-100.37 TOP OF TANK AT INLET = 96.99 STI fEl INSULATION F ST2 TOP OF TANK fq , AT OUTLET - 97.00 LINE FROM HOUSE LINE TO STEP TANK INVERT OF BUNG INVERT OF BUNG AT INLET = 96.21 AT OUTLET = 96.00 TOP OF TANK AT INLET - 96.17 INVERT OF BUNG AT INLET = 95.56 NEW 1500 GALLON GREER SEPTIC TANK TOP OF TANK AT OUTLET 96.10 AEROCEU. UNIT SITS ON TOP OF MOUNDED BED. . I NEW 5 00 GALLON LIFTS I U STEEL 00600 D4 GARNESS ENGINEERING GROUP, Ltd. p°O, : 4 T y* CONSULTANTS & GENERAL CONTRACTORS • • • • • • • ' ' ' ' ""' ....• • • • 3701 E. TUp ROM. SUITE IDI • ANDHDRADE. AK 99507 • PHONE (907)337-6179 • FAX (907)336-3246 • WEBSRE:. w.game nginwinq.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: .......... ..... • STEVEN MIESSNER N/A 3 OF 4 �O 13 f e Corn ss.• LEGAL DESCRIPTION: DRAWN BY: ODs EQ SANDY BEACH; BLOCK 1, LOT 1A J.L.M. ��fP, ''�T.Jz37l�0 TYPE OF WORK: 4QQd prOfessOO o'er PROFILE AS—BUILT DRAWING (TANKS))�40000�� PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: OSP 121031 011-112-47 I CO ORIGINAL GRADE FINAL GRADE ® HIGHEST 100.13+ POINT = 99. 4 II ,FILTER FABRIC o II 0 o IIo' o II 0 0 o BOTTOM OF 9 TRENCH = 0 90.88 0 II II ELEVATION OF BOTTOM OF TOBEN SPURKLAND. P.E. TESTHOLE = 74.38 (GROUNDWATER ® 84.38) --� GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E MOR RNA, SUITE 101 MiCROWAE. AR 98507 • FfRINE (907)337-6119 • FAX (801)338-32{6 • N£ M: ww amxs&jp er xom PREPARED FOR: PHONE NUMBER: PAGE NUMBER: STEVEN MIESSNER N/A 4 OF 4 LEGAL DESCRIPTION: DRAWN BY: SANDY BEACH; BLOCK 1, LOT 1A PNB 'TYPE OF WORK: DATE: PROFILE AS -BUILT DRAWING (DRAINFIELD) 9/24/12 Municipality of Anchorage Community Development Department - Development Services Division P.O. Box 196650 - Anchorage, Alaska 99519-6650 - 4700 Elmore Road Info and Help: (907) 343-8211 INSPECTION: Voice: (907) 343.8300 Fax (907) 249-7777 Inspection Report - Electrical APPLICATION NO. RETROE121633 Master/Standalone Permit Permit Type: Electrickil Res Notes: Please call 1/2 hour before inspectlon.2 2-5211 rRecuested by: Aaron Chambers 24�-5218chedule Date:09726/2012 Preference:AM Inspection #: 208698 .AA____ =s M --w' - '/' dlrfnr.i�o A1� D�.wn • n11 �� 7 uescnpnon or vvorK: rowel anu cunuui iw seNuc iu� awuvn - ovvr Contacts ontractor (907)622.3607 POWER LIGHTING AND CONTROL, LLC 13841 SAVAGE DR Owner - SCHULZ LAURA 50% & FORTSON RYAN 50% Inspector Comments: - - Inspector: LZ#/ i J� ��2Zy' / Date: �r On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121031 Tax Code Number: 01111247000 Work Type: Septic Upgrade Permit Effective Dates: March 14, 2012 to March 14, 2013 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: SANDY BEACH Site Legal Address: SANDY BEACH LT 1A G:2224 Owner/Address: CERTHOLDERS OF CWALT INC ALT LOAN TRST 2005-77T1 PSSTHRU BANK OF NY M 400 NATIONAL WAY SIMI VALLEY CA 930656414 Site Mailing Address: 7751 WANDERING DR, Anchorage Lot Size in Sq Ft: 17111 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By Municipality of Anchorage Development Services Department Onsite Water and Wastewater Program S ` e h epartrnent **** VARIANCE/WAIVER REVIEW **** WR#: 100007 HAM PID#: 011-112-47 Permit#: SW100030 Legal Description: Sandy Beach Lot 1A Engineer: GEG Applicant: Janelle Pfleig_er Your request for the following waivers is approved. • 50 feet separation distance between the on-site well and drainfields and septic tank. • 50 feet separation distance between surface water (Sand Lake) and drainfields and septic tank. • 1 foot separation distance between the reserve drainfield and north property line. This waiver approval applies to the existing septic system only. Any fixture upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................................................... Waiver is Granted: X Waiver is not Grante Date: 4/9/10 Approved by Name of Reviewer, ............................................................................. Rec#: 064217 Amount: 1050 Date Paid: 4/6110 **** VARIANCEMAIVER REVIEW **** Municipality of Anchorage A Jt Rt��l FYj iLf:t4/� Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 1 — ) I d — Ll Property owner(s) JANELLE PFLEIGER Day phone 242-0076 Mailing address 7751 WANDERING DRIVE. ANCHORAGE. AK Site address Zip Code 99502 Legal description (Sub'd, Block & Lot) SANDY BEACH SUBDIVISION, LOT to Legal description (Township, Section & Range) Lot Size Sq. Ft. THIS APPLICATION IS FOR ( ®all that apply): Absorption Field Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ 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. GARNESS ENGINEERING GROUP, Ltd. Permit/Rush Fees.. `) J 0 Date of Payment: L U Receipt Number: D (') Ll 2. 1 (Rev. 11/05) Waiver Fees: 1, y S 0 Date of Payment: Receipt Number: `i GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS March 31, 2010 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 (907)343-7904 Ref: Sewer Upgrade Permit and Waiver Request for Sandy Beach Subdivision; Lot 1A To whom it may concern: The existing five (5) bedroom house is served by a private well and septic system. The septic system is in a state of failure and must be upgraded. The original septic system was sized for 3 bedrooms, but the residence actually has a total of 5 bedrooms. The existing septic system had waivers granted from the septic system to both the well and to the lakefront of Sand Lake (waiver request #WR970045). As can be seen on the attached site plan and design drawings, there is no area available on the property to upgrade the septic system without obtaining waivers. Due to the site constraints and the size of the house, we are proposing to use an advanced wastewater treatment system. We will need to obtain several waivers for this installation. Comments regarding the design are summarized as follows: SOILS: A soil log was found for this property that Tobben Spurkland, P. E. performed in 1985. See the attached log which shows the soil classifications and groundwater monitoring. No percolation test was performed. We are proposing that a percolation test be performed at the time of construction to verify the soils rating. Given the soil rating that Mr. Spurkland visually classified the soils, we are anticipating a 1 to 15 minute/inch percolation rate which is a 5.0 to 6.0 gpd/ft2 application rate for a Category III advanced wastewater system. To be conservative, we have used an application rate of 5.0 gpd/ft2 for this design. TRENCH DESIGN: See attached design drawing for drainfield specifications. TOPOGRAPHY: As can be seen on the attached design drawing, the average topography in the area of the proposed drainfield is approximately 15-20 percent and increases to a 20 to 25 percent as it travels towards the lakefront. The slope runs approximately east to west. The proposed drainfield will be installed parallel to the slope contours. In short, there are no slope concerns. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com SURFACE WATERS AND WAIVER REQUEST: This property is lakefront on Sand Lake. The lot is very small and will not support a conventional type septic system. The existing septic system had a 55 foot waiver from the lakefront to the drainfield and septic tank. We are requesting that a 50 foot waiver be granted/amended from the lakefront to any portion of the new and existing septic system. The justification for the original waiver still applies, however we have provided other mitigating factors that further justify the granting of these waivers. The following is a list of these mitigating factors: • We are proposing that a Category III advanced wastewater treatment system that has remote telemetry which monitors the system 24/7. If a high water alarm is encountered, the certified service provider is notified and an audible alarm occurs automatically. This will minimize the potential for any effluent to surface or daylight. The alarm condition will be responded to by the service provider to make any corrections or fixes necessary. • The location of the septic system is on a manicured lawn and is in a very visible area so that if any effluent was to surface, it would be noticed and the problem corrected. • In regards to subsurface migration, the high quality effluent of a Category III advanced wastewater system meets ADEC surface discharge requirements. Even though we are not proposing surface discharge, it is our opinion that there is little to no concerns in regards to contamination of the surface via lateral migration. Based upon these mitigating factors and the previous engineer's justification, it is our opinion that there is little concern in regards to this waiver and we request that the 50 foot waiver from the proposed (and existing) septic system to surface water be granted. WELL WAIVER REQUEST: As can be seen on the attached site plan and design drawing, we are also requesting a 50 foot waiver from the existing well to the proposed septic system. The following items are justification for the waiver: • We are proposing that a Category III advanced wastewater treatment system that has remote telemetry which monitors the system 24/7. If a high water alarm is encountered, the certified service provider is notified and an audible alarm occurs automatically. This will minimize the potential for any effluent to surface or daylight. The alarm condition will be responded to by the service provider to make any corrections or fixes necessary. • The proposed and existing septic system is downhill from the existing well. If the septic system was to overflow, the effluent would not travel toward the well head. • The location of the septic system is on a manicured lawn and is in a very visible area so that if any effluent was to surface, it would be noticed and the problem corrected. • The other path of contamination is subsurface migration of wastewater should the tank begin to leak and from the drainfield effluent. The previous engineer evaluated the wells in the area as part of his waiver package. It is our opinion that this justification still applies. Recent water sample results indicated nitrate levels to be 0.100 mg/L and coliform bacteria results were 0 col/100mL (see attached). The existing septic system has encroached upon the existing well for 25 years and there appears to be no indication of contamination. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com Based upon the aforementioned facts, it appears that there is minimal risk associated with a 50 foot waiver from the existing well to the proposed and existing septic system. DRAINFIELD DISTANCE WAIVERS: As can be seen on the attached design drawing, we are proposing to install a new drainfield uphill from the existing drainfield. We are proposing to utilize the existing drainfield as a reserve site by installing a Zabel Flow Director which can be used to alternate the flow between the two drainfields. It is our opinion, that after several years of no usage, the existing drainfield will rejuvenate itself and be a viable drainfield for usage. The existing drainfield has 6 feet of effective and the proposed drainfield has 5 foot effective. We are requesting that a 10 foot separation distance be allowed between the two drainfields. Since the drainfields will only be used only one at a time, it is our opinion that there is no concern in regards to this reduced separation distance. We have also provided an alternate drainfield site for a 5 bedroom drainfield (see design drawing). Even though the existing drainfield meets the square footage requirements for the advanced wastewater system and alternate drainfield site should not be required, we have provided this drainfield area on the design. However, in order to install this drainfield, a 1 foot lot line waiver would be required from the north property line to this drainfield. We are unaware of any adverse effect on the adjacent property with the granting of this waiver. Based upon this information, we request a 1 foot line waiver be granted from the north property line to the alternate drainfield site. If you have aAy questions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. NOTE. Attached is a site plan drawing, a design drawing, two detail drawings, a soils log, and a 7 page construction specification letter which are all part of the design package for this septic system. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com _.__—_ _____—___—_ -------..`_ \ SANDY BEACH LOT 4 i 100' WELL RADIUS _ I `\ 1 I it r It SANDY 2A BEACH \\ I / \ 9 SANDY BEACH '1'(,i ♦\ / / I )'t*• TRACT 63 ----_______-- EXISTING I PARCEL HOUSE 5 BEDROOM \ — T12N. R4W, SECTION 10, W4. NW4, NW4, PARCEL 7 SANDY BEACH LOT 6 SANDY BEACH LOT 5 SANDY BEACH LOT 7 / /SAND LAKE'/'/'/' -rRfFSE, SIT TOBBENTESPURK STNO D.PE.%//// / ///i, T12N, R4W, SECTION 10, W2. SE4, NW4, NW4 GARNESS ENGINEERING GROUP, Ltd.p; CONSULTANTS & OENERAL CONTRACTORS�.�• �• JANELLE PFEIGER iNE NUMBER: 242-0076 LEGAL DESCRIPTION: SANDY BEACH SUBDIVISION, LOT 1A C OF WORK: SITE PLAN FOR PROPOSED SEPTIC UPGRADE pw. olm) PAGE NUMBER: 1 OF 4 fret' A, arness:' .. . DRAWN BY: aoo 9 CE 7 3 dG J.L.M. �Q/o, 'r31{Q•''���oo 3/12/2010 1 LETTER THAT PERTAINS TO TH15 ULNUN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD \ WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND \ PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND \ AGREE TO ACCEPT THE TERMS AND i 1 LOT LINE WAIVER REQUESTED/ i --RESERVE SITE. 8'D `2'W.z C` R 11 1 / L 1 / L. 1 ARCEL LINE 1 / 15-�nx 1 20_25&_ UNIT AND INSULATED JANDY VALVE BASINJ I I / INSTALL ZABEL FLOW DIRECTOR— J PROPOSED 1500 GALLON /� EXISTING WELL CREER PLASTIC SEPTIC TANK I NUMBER OF BEDROOMS: 5. GALLONS PER DAY (GPD): 750 PERCOLATION RATE/S: 1 TO 15 MIN./INCH PROPOSED APPLICATION RATE: 5.0 MINIMUM GRAINFIELD-SO.FT.: 150 DRAINFIELD DESIGN: MAXIMUM DEPTH: 8.5 FEET WIDTH: 2.5 FEET LENGTH: 15 FEET EFFECTIVE: 5 FEET ACTUAL SO:FT.: 150 , I 1 � � I I LJ �Y•blM / L �I �--� IOPERTY LINES, THE PARCEL LINE, THE 50 FOOT IUS FROM THE WELL THAT SERVES THE PROPERTY, FOOT WELL RADIUS FOR THE WELL ON THE TO THE SOUTH. AND THE 50 FOOT SETBACK TO EDGE FLAGGEDATAKED BY A REGISTERED LAND I'L WITH 5' OF EFFECTIVE I TEST TO BE INSTALLATION / IBE USED AS A RESERVE ! TOBBEN SPURKLAND, P.E. / TEST HOLE STgO / / / SED 500 GALLON / LBERT• PREMIER / TIC TANK WITH TICS PUMP AND / CONTROLS / STING 1000 GALLON PTIC TANK. TO BE / �CAVATED, PUMPED, 4ND COMPLETELY / / GARNESS ENGINEERING GROUP, Ltd. .'�y CONSULTANTS & GEMIEML rnuroeCrpRg • • • •' • " ^ •"' ""' •' • • 3701 E. TUDOR NON. WM 101 • FiNCXgU-0E, Fut NW7 • PuuONE (901)33) -gun • FM (907)339-39a9 • 9i MM-...w.99maFvigmu0ng.mn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •;• "•"" "": JANELLE PFLEIGER 242-0076 2 OF 4 OQnn� '•, f or ess: BY: V ,100,• ' . CE -79 DRAWN v` LEGAL DESCRIPTION: M 4N sf p% •'• '•FG SANDY BEACH SUBDIVISION; LOT to J.L U �@•"�{��E°� DATE: 444 dpr fesslol' TYPE -0F WORK: 3 2 40O���pO� DESIGN OF SEPTIC SYSTEM UPGRADE �) 201 D (Rev. OV05) e .. ` r •' - EXISTING WELL \ (IN BASEMENT) — :. .a.4• EXISTING a 5 BEDROOM HOUSE — • a a:;• a A{' PROPOSED 1050 QUANICS AEROCELL 1 LETTER THAT PERTAINS TO TH15 ULNUN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD \ WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND \ PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND \ AGREE TO ACCEPT THE TERMS AND i 1 LOT LINE WAIVER REQUESTED/ i --RESERVE SITE. 8'D `2'W.z C` R 11 1 / L 1 / L. 1 ARCEL LINE 1 / 15-�nx 1 20_25&_ UNIT AND INSULATED JANDY VALVE BASINJ I I / INSTALL ZABEL FLOW DIRECTOR— J PROPOSED 1500 GALLON /� EXISTING WELL CREER PLASTIC SEPTIC TANK I NUMBER OF BEDROOMS: 5. GALLONS PER DAY (GPD): 750 PERCOLATION RATE/S: 1 TO 15 MIN./INCH PROPOSED APPLICATION RATE: 5.0 MINIMUM GRAINFIELD-SO.FT.: 150 DRAINFIELD DESIGN: MAXIMUM DEPTH: 8.5 FEET WIDTH: 2.5 FEET LENGTH: 15 FEET EFFECTIVE: 5 FEET ACTUAL SO:FT.: 150 , I 1 � � I I LJ �Y•blM / L �I �--� IOPERTY LINES, THE PARCEL LINE, THE 50 FOOT IUS FROM THE WELL THAT SERVES THE PROPERTY, FOOT WELL RADIUS FOR THE WELL ON THE TO THE SOUTH. AND THE 50 FOOT SETBACK TO EDGE FLAGGEDATAKED BY A REGISTERED LAND I'L WITH 5' OF EFFECTIVE I TEST TO BE INSTALLATION / IBE USED AS A RESERVE ! TOBBEN SPURKLAND, P.E. / TEST HOLE STgO / / / SED 500 GALLON / LBERT• PREMIER / TIC TANK WITH TICS PUMP AND / CONTROLS / STING 1000 GALLON PTIC TANK. TO BE / �CAVATED, PUMPED, 4ND COMPLETELY / / GARNESS ENGINEERING GROUP, Ltd. .'�y CONSULTANTS & GEMIEML rnuroeCrpRg • • • •' • " ^ •"' ""' •' • • 3701 E. TUDOR NON. WM 101 • FiNCXgU-0E, Fut NW7 • PuuONE (901)33) -gun • FM (907)339-39a9 • 9i MM-...w.99maFvigmu0ng.mn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •;• "•"" "": JANELLE PFLEIGER 242-0076 2 OF 4 OQnn� '•, f or ess: BY: V ,100,• ' . CE -79 DRAWN v` LEGAL DESCRIPTION: M 4N sf p% •'• '•FG SANDY BEACH SUBDIVISION; LOT to J.L U �@•"�{��E°� DATE: 444 dpr fesslol' TYPE -0F WORK: 3 2 40O���pO� DESIGN OF SEPTIC SYSTEM UPGRADE �) 201 D (Rev. OV05) FFROM AERCOELL TREATMENT SYSTEM NSTALL ZABEL FLOW DIRECTOR 4" CLEANOUT IrI ----------------- ---,� I o I I I I I I I I 15 FEET LONG 4" MONITORING TUBE/ - - - - �0 w ORIGINAL FROM AERCOELL TREATMENT SYSTE 8.5 FEET IEEP (MAX. 5' OF EFE CLEANOUT/ZABEL FLOW DIRECTOR r-4" MONITOIRNG TUBE GRADE OF INSULATION FABRIC GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS S GENERAL CONTRACTORS 3101 E. RNOIt 91tD. St91E �°� • .WCHOR�CE. Mf 9950) • PX01E (W*M7-6110 • FM (907)509-M" wEB51IE:...gom®•M��^V.wm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JANELLE,PFLEIGER 242-0076 4 OF 4 LEGAL DESCRIPTION: DRAWN BY: SANDY BEACH SUBDIVISION; LOT 1A I J.L.M. NUMBER OF BEDROOMS: 5 GALLONS PER DAY (GPD): 750 PERCOLATION RATE/S: 1 TO 15 MIN./INCH PROPOSED APPLICATION RATE: 5.0 MINIMUM GRAINFIELD SO.FT.: 150 DRAINFIELD DESIGN: MAXIMUM DEPTH: 8.5 FEET WIDTH: 2.5 FEET LENGTH: 15 FEET EFFECTNE: 5 FEET : OF WORK: DESIGN OF DRAINFIELD 3/12/2010 lRw NIM) J A. Gor ss.� !• C79 •' A°G A 9 O0 < O Z A Z O � C m Z O S A A A m O z m g� z tiro AA O O O Z Z o V y O mo Dzx A S� Am 40 A 6mo ON 0 O O A P o zz k Soc m V m z >m Q zm O zm z A W O X 0 D C g N OZA AZA m f.lCElC t7 =-y1A 12A m sm D y 2 O� 9yA Zmm -i A z < A 2 �N mz{ mOA m p N m GD G G D m20 in' mm 22� O C'O m A D JOCmn A� ONA p z z'm m pm rn 0� nim m y cs x �o me gm� n n m j 2 z 2 y 9 z D O m g D m m K z r Z y r r < r m gg > �O WZ - O C m n O ~ O o 0 yy v O O O m ^ DRAWN BY: 3/11/2010 J. L.M. LEGAL DESCRIPTION: SANDY BEACH SUBDIVSION; LOT 1A TYPE OF WORK: PROFILE OF QUANCIS AEROCELL SYSTEM 'REPARED FOR: PHONE NUMBER: JANELLE PFLEIGER 242-00 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS S GENERAL CONTRACTORS n c lawn awn. s:nc coc. ,wunxrce ix. vwm axdE conn vi-ena/��x: (w�l ve ane . rhnme .ar.w..�wY... PAGE: 3OF4 OC ND 0, fmA NN Dm A zM ? cF o� i z 't r mp ��� m �Oc z v* A. Gar ess. 0 �N OZA f.t N M0mom Nzf A Lr > K O m Z m N m o O rtm O 0 0 I� z ^ DRAWN BY: 3/11/2010 J. L.M. LEGAL DESCRIPTION: SANDY BEACH SUBDIVSION; LOT 1A TYPE OF WORK: PROFILE OF QUANCIS AEROCELL SYSTEM 'REPARED FOR: PHONE NUMBER: JANELLE PFLEIGER 242-00 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS S GENERAL CONTRACTORS n c lawn awn. s:nc coc. ,wunxrce ix. vwm axdE conn vi-ena/��x: (w�l ve ane . rhnme .ar.w..�wY... PAGE: 3OF4 OC ND 0, fmA NN Dm A zM ? cF o� i z 't r mp ��� m �Oc z v* A. Gar ess. ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT MEMORANDUM OF UNDERSTANDING BETWEEN44UNICIPALITY OF ANCHORAGE AND Nvan /tt_1 THIS MEMORANDUM OF UNDERSTANDING made and eenteereede into as of this (qDay of /' ✓ of 20j�, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Memorandum of Understanding agree as follows: 1. ADVANCED WASTEWATER TREATMENT SYSTEMS. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWT//S), described} as Qt 6 rl'es ffei'i)CE'Aocated at Anchorage, Alaska. 2. Definitions. A. Alteration. Any change to the design or function of an AW WTS that Includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Prior to performing any alterations to an AWWTS the owner must obtain a Wastewater Disposal System Construction Permit from the Municipality pursuant to Anchorage Municipal Code (hereinafter, "AMC') t 5.65. B. Certificate of On -Site Systems Approval. An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with AMC 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. C. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. D. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AW WTS that were included in the original design which would allow the A W WTS to continue to perform as designed. E. Permit (Construction) An On -Site Wastewater Disposal System Construction Permit as defined by AMC 15.65. F. Permit (Operating) An Advanced Wastewater Treatment System Operating Permit. An annual permit, issued by the Municipality, that allows the Owner to operate an AW WTS, upon meeting all the requirements of this agreement, the conditions of Operating Permit, the requirements of the On -Site Wastewater System Construction Permit and all relevant provisions of AMC 15.65 3. Fee. Owner shall pay to Municipality an annual fee of ($_.00), payable on or before the issuance of the operating permit and annually thereafter. The annual fee is due on or before the anniversary date of the approval by the Municipality of installed system. 4. Term. The term of this Memorandum of Understanding shall be for the life of the AW WTS. The term begins on the date of approval by the Municipality of the installed system and shall continue while the AWWTS system is in use or operational or until the property is sold or title is transferred by owner and a new certificate of On -Site approval is issued to the new owner or transferee of the property. 5. Alterations Installation and Removal of Additional Euuinment. Owner agrees not to make any alterations, removal of parts or additions to the AWWTS without a Construction Permit from the Municipality. 6. Maintenance and Renairs. A. Throughout the term of this Memorandum of Understanding, the Owner shall maintain AWWTS in good repair. In addition, it shalt be the responsibility of the Owner during the term of this Memorandum of Understanding, and any extensions or renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. Further, Owner agrees to comply will all applicable ordinance, laws, regulations, rules and orders for the AWWTS. B. Owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system pursuant to the terms and conditions contained in the Owner's AWWTS Operating'Permit. This schedule shall be submitted to the Municipality annually upon the renewal of the permit. The schedule of maintenance and repair contained in the Owner's AWWTS Operating Permit is: wt'c,% C. Owner acknowledges that the fine schedule for failing to maintain and repair an AWWTS are codified in AMC 14.60. D. Owner agrees that only maintenance, repair personnel certified by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. E. Owner agrees to grant the Municipality reasonable access to test and inspect the AW WTS upon 24 hours written notice. F. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. G. Owner agrees that the relevant provisions of the standard specification guidebook for AW WTS is the governing professional guidelines for the construction, maintenance and repair of the Owner's AW WTS. 7. Nonwaiver. The failure of either party at any time to enforce a provision of this Memorandum of Understanding shall in no way constitute a waiver of the provisions, nor in any way effect the validity of the Memorandum of Understanding or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 8. Amendment. A. This Memorandum of Understanding shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality of this Memorandum of Understanding was executed and such writing shall be attached to this Memorandum of Understanding as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this contract, the only authorized representatives of the parties are: Owner: Anchorage: C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 9. Jurisdiction: Choice of Law. Any civil action arising from this Memorandum of Understanding shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Memorandum of Understanding. 10. Severability. Any provisions of this Memorandum of Understanding decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Memorandum of Understanding. STATE OF ALASKA THIRD JUDICIAL DISTRICT MUNICIPALITY: By: Title: Date: ss. The foregoing instrument was acknowledged before me this /5/ day of Ala r oh 20 rz, by N Y PUBLIC FOR ALASKA '4f;••� rt My Commission expires: /D 17 % /6t( pC • OFAI K �4ti fl�l��%�ll1)JI1111�11� Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW 9 _70,�-b � PID Number: C) Il — 1 %X — oP_(a Name: Wastewater System: ❑ New ❑ Upgrade Address: ABSORPTION FIELD l' Xis i T7 ,� ems; Y_ _ Phone: No. of Bedrooms: 711 Deep Trench ❑ Shallow Trench ❑ Bed O Mound ❑ Other LEGAL DESCRIPTION Soil Rating: — Total Depth from original grade 11310 GPD/s . FI. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe — CI—i' _ q_ Ft. & Fl. Township: Range: Section: Fill added above original grade: Gravel length: -- Fl. 3a -NO WELL: E-1 New ❑Upgrade _ Gravel width: L U 6,L Number of lines: Distance between lines fM1 FL Ft Classification (Private, A.B,C): Total Depth: Cased To: Total absorption area: U Pipe material: opt k"'t `J FI. FL SQ. F1 °'wf Driller: Date Drilled: Sialic Water Level: Installer:J I I Dale install e1 d:I I v �L "_A:2:1 Ft. V 41. 'ILK Yield:Pump Sel at: Casing Height Above Ground: TANK GPM Ft. Ft. — _ SEPARATION DISTANCES Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: 4w < Capacity in gallons: I From Tank Field Station Tank Sewer Lines c 44 jAm I Well ` 0 # �p I —� — � oL Material: 9Tff_ZL, Number of Comra_rlments: Surface/ Water LIFT STATION Lot Size in gallons: Manufacturer: Line t p2U Foundation % "Pump on" leve at: "Pump off'. level at: High water alarm at 2 / _ CurtainJy, Pump Make & Malel Electrical Inspections performed by: Drain I 'y. _ t`I �- e BENCH MARK Remarks: nn �� Location and Description: F N C> Assumed Elevation �3 O a i ENGINEER'S SEAL Inspections performed by: Dates: 1s�. 2no Department of Heal and Human Services approval i Reviewed and approved by: Date: 72-010 (Rev. 9/91) MOA 25 I I � I I I\ I \� I I I I I � I \ I I 25 0 25 50 75 100 125 I5a LOT 3 SCALE. 1" = 50 FT. I I A I � / I I � I \ LOT 2 1 j VACANT \� ;AND LAKE I� LAKE SHORE 1 ' SWING TIES: 4RK AC 23.2 ET BC 53.5 AD 45.7 BD 31.5 TOBBEN SPURKLAND P.E. LOT 1, ,SANDY BEACH SID SEPTIC SYSTEM AS BUILT 203 W 15TH. AVENUE PHILIP BINGMAN DATE: AUG. 31, 1997 ANCH. Al( 99501 7751 WANDERING DRIVE SHEET: 2/3 GRID: 2224 (907) 279-3916 PERMIT # SW970257 P10 # 011-112-26 SAN00012,D VG _J TO TRENCH -.._J 95.75 j 98.5 t 2" INSULATION -------------- r------------------------------- --------- 1000 GAL SEP 7I P LANk TO HOUSE 96.05 BENCH MARK. TOP FNDA. ASSUMED ELEV, 100,00 TI]BBEN SPURKLAND P.L. %7 1 ✓ 1 SEPTIC SYSTEM AS BUILT L ,� T � � AND ; BACI , S/';7 c 203 W15th Ave 7751 WANDERING DRIVE DATE AUG. 31, 1997 llih rage Ak 99501 PHILIP BINGMAN SHEET. . 5'/,3 GRID: 22 24 PERMIT j/ SW970251 PID # 0 11- 112-26 ®® SAN00013. DWG � I PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970257 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:BINGMAN PHILIP L & DEMPTHA V OWNER ADDRESS:7751 WANDERING DR ANCHORAGE, ALASKA 99502 PARCEL ID:01111226 LEGAL DESCRIPTION: SANDY BEACH LT 1 & ADJ M/B TR LOT SIZE: 18500 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 8/15/97 EXPIRATION DATE: 8/15/98 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: AS -BUILT DOCUMENTS SHALL BE COMPLETED FOR THE NEW SEPTIC TANK INSTALLATION AND THE EXISTING DRAINFIELD COMPLETE WITH CLEANOUTS, MONITOR TUBES, ELEVATIONS AND SWING TIES TO ALL COMPONENTS AS SET OUT IN 15.65. RECEIVED B ISSUED BY: DATE: j" La - DATE: (J /g_ - C / PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970257 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:BINGMAN PHILIP L & DEMPTHA V OWNER ADDRESS:7751 WANDERING DR ANCHORAGE, ALASKA 99502 PARCEL ID:01111226 LEGAL DESCRIPTION: SANDY BEACH LT 1 & ADJ M/B TR LOT SIZE: 18500 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 8/15/97 EXPIRATION DATE: 8/15/98 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: AS -BUILT DOCUMENTS SHALL BE COMPLETED FOR THE NEW SEPTIC TANK INSTALLATION AND THE EXISTING DRAINFIELD COMPLETE WITH CLEANOUTS, MONITOR TUBES, ELEVATIONS AND SWING TIES TO ALL COMPONENTS AS SET OUT IN 15.65. RECEIVED B ISSUED BY: DATE: �I ii"2-T DATE: (J -�✓ / 7 T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: Septic System Repair, Component Replacement Lot 1 Sandy Beach S/D 7751 Wandering Drive Gentlemen; July 29, 1997 This property is served by an undocumented system. In 1986 ADEC granted approval and "Grandfather Rights" including waivers to both well and surface waters. An HAA inspection and test indicated that a blocked line prevented wastewater from entering the leach field. Upon excavating the "tank" is was discovered that the "tank" actually was a cesspool with a concrete lid. We are requesting a permit to install a proper septic tank and abandoning the cesspool and log crib by pumping and placing fill material in the cavities. We have been in contact with ADEC, Mr. Bill Rieth, and been told that installing a proper septic tank does not invalidate the waiver granted in 1986. The attached siteplan shows the lot as depicted on the Municipal 100 -scale maps. In actuality the property extend to the lake shore. Yours Tq"etuy T. Spu land P.E. I �T I l� I ;.I 4v���E VE 0 049th ................................... 0 i A .....(�..... . ................. .o O A 7U. EN SPURKLAND•�•� 1 s'. No, CE-2225 mv Wel ANN f ,t, �D �wA���••o I N 25 0 25 50 75 100 125 150 �I LOT 3 SCALE, 1" = 50 FT I: \ I I I 1 I VACANT \ SAND LAKE NOON I 1 �e LAKE SHORE IST CO RENCH ?ENCH CO OG CRIB REPLACE WITH 1000 GAL. SEPTIC TANK IIUHLIEN SPUKI(LAND Y.L. I I LOT 1, SANDY I�L,ACH SID I I SEPTIC SYSTEM DESIGN I 203 W 15TH. AVENUE DATE: JULY 27, 1997 ANCH. AK. 99501 PHILIP BINGMAN /ana) 97a_za1F 7751 WANDERING DRIVE SHEET: 1/2 GRID: 2224 ' PERMI T # PID # SAN0001R,D 1✓G � I TO TRENCH 7 p/?nrroc tnNN �� 1000 GAL SEPTIC TANK TO HOUSE BENCH MARK. ASSUMED ELEV. 100.00 i UbbLIv �,ruKKLANU r -'.t. L11T 1 -VAN 203 W15th Ave 1 JA/VDY BACH -SVP SEPTIC SYSTEM DESIGN Anchorage Al 9 501 7751 WANDERING DRIVE DATE: JULY 29, 1997 P7q-�qlr I PHILIP BINGMAN SHEET: 2/2 GRID: 2224 PERMIT i PID // o SAN00013.DWG sJ ® Mm-Acipality ®f Andiorage � (department of Health and Human Services 825 'U' Street Rick Mystrom' Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 14, 1997 Tobben Spurkland, P.E. 203 West 15th Avenue #203 Anchorage, Alaska 99501 Subject: Waiver Request for Lot 1 Sandy Beach Subdivision Waiver Request #WR970045, PID #011-112-26 Dear Mr. Spurkland: Your request for a waiver(s) of the required 100 foot horizontal separation of a on-site wastewater disposal system to the surface water and the on-site wastewater disposal system to a private well have been approved. The approved separation distance(s) are the private well to the septic tank and absorption trench of 50 feet and the on-site septic tank and absorption field to the surface water (lake) of 55 feet. This waiver approval applies to the existing on-site wastewater disposal system to surface water separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Should the operation of the subject wastewater disposal system cause any contamination or degradation of the subject surface water, this waiver will become void. If there are any further questions or concerns regarding this waiver, please call our office at 343-4744. Sincerely, Daniel Roth Civil Engineer On-site Services Program ljm:#5 Bingham MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet I WR# WR970045 PID# 011-112-26 HA# Permit Date Received: August: 11, 1997 Legal Description: � X XX Lot 1 Sandy Beach Engineer: Tobben S urkland P.E. 203 West 15th Avenue #203, Anchorage, Alaska 99501 Applicant: Philip Bingham _ Waiver Requested: Field to surface wat:er of Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Points: ****** Waiver is Granted: X Waiver is NOT Granted: List Conditions or Reasons for. above: 5e76 1977/fel9 C> _ Date: X97 By: Name of Reviewer Rec #: 03049/2022 Amount: $ 920.00 Date Paid: Aub; ll, 1877 --- ------ --- - - bv/91vE Rf-cPLfE,5F FO>Z L OT / 5#anr 9,610Cl-/ Su6D1v15/0,tr 1vlpvgq 1? C{ursr- NutKD6r2 w8? 7004,5 w/91vER yEqu-rsr- FDI? 19ROP0550 5,Fpr/c T/7ivl< / 1995-09l07ra,O T"/PE.vc1-1 TO WitC.L OF SO FP-tr #,VP r'O 4 4R E OF 5'5- ftE'-"T, 5,EPr(c P/? T,4 •- I rw o✓�L. s TitF sFnrte 507-6m /,v QuEsr,a.I GlNl70CunaENTEO. IN J /' "N ' (HIRE -RE RF,?L4rsTr �R t%(-Cg'Fan /-/.,F,�• coo t4t<,p/vF .gC[OnrN�Yv/E/J ISS P�Rr a� r(rls R QkEST. Trtc� MC/A a r-Mez- F- 11V16 6-ON7 uL Grc r . a, R. 0, F, r. rtr�_ � Tv T Srr4rt� To T-rL: wr9,v� i ON TMT i919s/S r/-rAT %-/CrE SYs re�� 1, "-s !'avrrtP" d MW l�tP/nr¢ ra �/� �' T/�uS r : tvns 4-7- Fx/Sr1,L e, S n�rr�rrr,u,v� Ai %/tils T/rc� Ir >�s 6�r�v rvrsCav��r ✓J rI(r9i �`/f r3 tar 11r7s .vim✓��2 t&,O sF- PrtC. 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J_AYFK;r OF S7WA16'v7 f/L.T j?(E WELD /i xesr CavF11"-�D �gNt�fiQ. ivArLr� sC+nn/�4,s 1 /n 0/c/FS�tiI /9.vnLSsir'`TL S /�Fp6C7/��L�. iKIE In ALL /f u/�G/?/}p/5n.T F/?Drh �u� /°nopOs€t7 wnsrewtarrat nri m<m- S Y'S l`JF,w 0 N OPT rZ a�a oox c 2 I _ L ti l 7o ' /9 x 'Y =.374- 7 50/1. 5 ori 0 TIO/L-' /1 - 1 /%S70)/' (i�olz TY 7 2y x(17 �l IN /� 6R TIVI-F, 61?bpr;mT- R55uiKe� Coiv;r#FvtnnvR_' 4 0/0 it 5 �oARt� rlaN G 2ITNp ror)/ / z 3- a IX SOILS LOG MUNICIPALITY OF ANCHORAGE ❑ PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: 'P DATE PERFORMED: '/I e+ w. v n.. r 'LZ Fe At LL I'. i L o_ i 12 i\j , P— 4 QC / LEGAL DESCRIPTION: DEPTH FEET) 1 2 3 ` 4 f 5 jl 6 7 a 9 10 11 12 , 13 14 M 16 17 18- 19- 20 81920 �L-t� COMMENTS PERFORMED BY: 72-008 (6/79) 2225-1 y�1�i1 • J Nk 2S, 197J gcAT�•., V glen - role . �,� SLOPE _ a ITE PLAN WAS GROUND WATER . / ' � ENCOUNTERED? L O Depth to P Reading E IF YES, AT WHAT 'f DEPTH? Drop Mul 'I 1P41 Fp��7VC — ENYIR NMENTA Pp�r 0) �•3�• n WAS GROUND WATER . / ' � ENCOUNTERED? L O Depth to P Reading E IF YES, AT WHAT 'f DEPTH? Drop PERCOLATION RATE _ TEST RUN BETWEEN FT AND CERTIFIED BY: (minutes/inch) —_ FT DATE: DRAG. :TION Gross Net Depth to Net Reading Date Time Time Water Drop Mul 'I 1P41 Fp��7VC EPT. OF HE/,ELH ENYIR NMENTA Pp�r �•3�• n PERCOLATION RATE _ TEST RUN BETWEEN FT AND CERTIFIED BY: (minutes/inch) —_ FT DATE: DRAG. :TION If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: SANDY BEACH LOT 1A ParcellD: 011-112-47 A. WELL DATA *PER AWPS (SEE ATTACHED) **WELL LOCATED IN BASEMENT Well type PRIVATE If A. B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed 1956 Sanitary seal (Y/N) YES Wiresro erl p p y protected (YIN) YES Total depth *120 ft. Cased to *120 ft. Casing height (above ground) **4 in. FROM WELL LOG AT INSPECTION Date of test NO WELL LOG 11/29/12 Static water level ft. 78.8 ft Well production —9-p M. 7 g. p. m. WATER SAMPLE RESULTS: Coliform O colonies/100 ml. NitrateN�2 mg./L. Collected by: AWPS Arsenic: � ) ug./L. Date of sample: _11/29 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/HDPE Date installed 9/14-17/12 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping NEW C. ABSORPTION FIELD DATA*BE�oW FINAL GRADE Date installed 9/14-17/12 Soil rating (g.p.d./ft`or /bdrm 5.0 System type TRENCH Length 15 ft. Width 2.5 ft. Gravel below pipe 5.0 ft. Total depth *8.50 ft. Eff. absorption area 150 ft' Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS Fluid depth in absorption field before test = in. Water added =gal. Elapsed Time: = min. Final fluid depth = in. Absorption rate >_ For 5 bedrooms New depth =in. 750+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date - D. LIFT STATION Date installed 9/14-17/12 Size in gallons 500 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump off- level atTIMER in. High water alar level at 46" in. Datum BOTTOM OF TANK Cycles tested NEW Meets alar & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot *50 On adjacent lots 100'+ Absorption field on lot *50 On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water *50' Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Properly line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water *50' Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *WR#100007 G. ENGINEER'S CERTIFICATION l certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed`)lame JEFFREY A. GARNESS Date 12-4/121 (Rev. 11105) . Oi 4 T �.... .. ............... Je y Ga essr P ` CE -7 ;�a`�o� Municipality of Anchorage Community Development Department ° Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 211575 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot IA of Sandy Beach Subdivision. This inspection revealed an arsenic concentration of 41.3 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Information on arsenic is available from the On -Site Water and Wastewater Program website (wy w muni.or /onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. UARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS December 27, 2012 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Request for Variance for Sandy Beach Subdivision; Lot 1A To whom it may concern: A HDPE septic tank was installed in September of 2012. Per your code requirements a groundwater monitoring tube must be installed for any plastic tank so that prior to pumping groundwater can be checked. For the referenced property a monitoring tube was not installed, however, a testhole was excavated during installation and no groundwater was encountered (during high groundwater season). In short, we are requesting that your department waive the requirement for the monitoring tube in this case based upon the fact that no matter the time of year the HDPE septic tank should never be in groundwater. If you have any questions, please contact us at 337-6179. Thank you for your n-,gktanrp 0 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessenginecring.com '4' � ACGllll T I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: S9v+/Grf I✓�AC� fs/eP.ft loT/� AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LtNES, OR FOR ESTABLISHING BDUND- ARY LINES. r�..dsz000r NEWARll .& ASSOCIATES LAND SURVEYING 69 SCALE: DATE TH *1 GRID; r...: .. ...... ..... zzz5' i . Duenu Merk Seward FS %LS 1-SYB � a DRAWN: *'N MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services to On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # Ol/ — HAA # �1'_ RO1 0399 1. GENERAL INFORMATION / Complete legal description S> AN D`/ AC /-4 ?( p Location (site address or directions) 7751 d f�,'K � Pr Property owner tC; ! IAN , Pl(I L I Day phone Mailing address — 775 CLt Ld-e v-1' �Y - Lending agency Mailing address Day phone Agent l t VvA 3, ttetx t- 40_�z Day phone Address oo 'rd d ✓ ''k Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: - 3 S. 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 OF WASTEWATER 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. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the onsite water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ^) abbe. Sov rV�U,_-P- t -_ Phone a-1 Address Engineer's signature 6. DhIHS SIGNATURE X Approved for Disapproved. M 2�;' go 3 Date 3 bedrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date 12-3 " Z 7 _ 0 ®® The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 r�uN�caNni.rrr or ANCHORAGE. Municipality of Anchorage l � f, DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 l_ Street, Room 502 • Anchorage, Alaska 99501 u (907) 4�3-474 �ir�V Health Authority Approval Checklist Legal Description: SAND (3 L /} GE-) LOT I Parcel I.D.: A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number _ '/A - Log present (Y/N) t`1 Date completed I a4 _ Total depth / Cased to /9-p Casing height (above ground) Sanitary seal (Y/N) — Wires properly protected (Y/N)_ FROM i WELL LOG AT INSPECTION `4 hrtsP�ucat Date of test 9-7 Static water level (%td YrM CIL4 i Well production _ g,p.m. g.p.m. WATER SAMPLE RESULTS:` y�� C,as`0 vvn h2c Coliform ft7 Nitrate � Other bacteria (7 / Date of sample: ` 97 _ Collected by: �~ a B. SEPTIC/HAI=BINE TANK DATA Date installed 81911q-7 _Tank size 10 n' -Q Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) Depression (Y/N) �_ High water alarm (Y/N) lel _ Date of Pumping t4APumper N/A C. ABSORPTION FIELD DATA Date installed _ Soil rating ( d ft2 or ft2/bdrm) /, U _ System type 1 wcwc a4 Length Width 9 �_ _�Gravel thickness below pipe _Total depth /G Effective absorption area _ )/0I� Monitoring Tube present (Y/N) Depression over field (Y/N) Date of adequacy test ? Results (Pass/Fail) — For _ bedrooms u Fluid depth in absorption field before test (in.); T. Immediately after 1000 gal. water added (in.): Fluid depth / % _ (ins) Minutes later: /.5 Absorption rate g.p.d. Peroxide treatment (past 12 months) (Y/N) _ If yes, give date 72-026 (Rev. 3/96)' D. LIFT STATION N/ Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: "Pump off" level at* Septic/holding-tank on lot D-0 _ On adjacent lots 1 &—V ! Absorption field on lot On adjacent lots _ Public sewer main _ ��Ia Public sewer manhole/cleanout Sewer /septic service line _ _>1 — Lift station '41A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ` r r Property line Absorption field 5 r � Water main/service line 90 Surface water/drainage Wells on adjacent lots. >/frc� SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: r � Property line 031V Building foundation _ �10 Water main/service line >a5 Surface water iLZ Driveway, parking/vehicle storage area Curtain drain . � L0 Wells on adjacent lots F, ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal records that the above systems are in conformance with MDA HAA guidelines in effect on this date. Signature_.t Engineer's Name I o hbeli „ r P I.. , _ t ' Date ��r�`['fit? r HAA Fee $ l' b f2' Date of Payment 01 Receipt Number__ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTME' )F HEALTH AND ENVIRONMENTAL PR( '.CTION uIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 ` Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) I ,K-,- i e_..,o, _ R.Pb.-.G CEr_ 10 i 1 ` b.), Location (address or directions)) 773/ (b) Applicant Name D�,r L^/ -p— Telephone: Homme ���0 � Business Applicant Address 773/ 44!�17.1Auc. (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution ply,�! [4M4 t/ -4-i Telephone Address (e) Real Estate Company and AgentwL""r �� ' — Address CK Telephone rG S'cA-e3 (f) Mail the HAA to the following add 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms 25 3. WATER SUPPLY Individual Welt/ Community ❑ Public ❑ Note: If con mu`nit_y well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite < Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11,84) Page 1 of 2 5. ENGINEERING FIRM PROVIDIN ISPECTIONS, TESTS, FILE SEARCH, DA' XND INFORMATION C:] As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I f rtt w, unrir., Wet yam frnW the Miiniripality of Anrhoranfilpg and from my invastinntinn nnri insnPrtjnn the on-citp water Supply and/or ipnl aprJ-,';tate rade orrlinanroe rpni I^t $CLon .D Name of Firm % 01PAe,Pi �.pV r V -106o[/ Telephone Address Date N . •Engineer's Seal ® a'. o. 2225-E :',a'd do -1�' iUli 25, 1971 DHEP APPROVAL Approved for 41,'«C' bedrooms by ��` �'""' °' Date * Approved Disa coved Condit nal -- Terms of Conditional Approval ! -1-4 -&(� jF /Llo7� ApfeIPV44 V®F �f'H.yS Sy�.'Fe..ti C,✓a8 mace t,.c / pci,�- U /J ,b�Go�wCyL �-o«Qr^R..tGG'I'4-T LtGH /`/•-i.��Cd • /•'.rte ��'�9G _-,YgtG,,,.t L SA a f kn1, 7 46G _' Jt A$ t% tt cQer �cnSsv�,+ tl� Jn ✓ e La f -r �1 � fo C w r „i f "s -"W p�.e CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGZ DEPT, OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENYIRONMENTAI. PROTECTION HEALTH AUTHORITY APPROVAL (HAA) ��� 2 1986 CHE=CKLIST - FEBRUARY 1984 264-4720 Legal Description: LoT i E0 , C . 10 . i°` ISt.Pi� a µti/ A. WELL DATA Well Classification R F If A, B, C, D.E.C. Approved (Y/N) NIA _ Well Log Present (Y/N) Date Completed L$ ra fe _ Yield 7 '39D�_ Total Depths — Cased to 165—(2 Depth of GroutingO� f= Static Water Level Pump Set At k3 O f TO l Casing Height Above GroundSanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) _ Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot _`? ; On Adjoining Lots ! To Nearest Edge of Absorption Field on L�k'` �� ; On Adjoining Lots _ To Nearest Public Sewer Line lY ON IP. To Nearest Public Sewer Cleanout/Manhole RO N t = To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments 'A Mege1 B. SEPTIC/HOLDING TANK DATA S ; Date _ /'49-0` IRL"6 Date Installed _? U Size—L!279-0 No. of Compartments ON F Standpipes (Y/N) it Air -tight Caps (Y/N) ly, Foundation Cleanout (Y/N) Depression over Tank (Y/N) _ N _ Date Last Pumped SL4_�u4K4-�.� i qg3 Pumping/Maintenance Contract on File (Y/N) iy - ; for — NIA _ Holding Tank High -Water Alarm (Y/N) N/A Temporary Holding Tank Permit (Y/N) Px/i`N Separation Distances from Septic/Holding Tank To Water -Supply Well ar)5 f- To Building Foundation ,;ZI`-'> To Property Line 4_6 _ To Disposal Field V,44!/[`1m, _ To Water Main/Service Line >y D To Stream, Pond, Lake, or Major Drainage Course 66 Comments Page 1 of 2 72-026(11/84 ) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design Date Installed _�/��t.v�,vtc'�.v{� Length of Fieldp z `h Width of Field t/ Depth of Field — - I C �1f � � Gravel Bed Thickness Square Feet of Absorption Area �T�®/�� _ Standpipes Present (Y/N) QNB Depression over Field (Y/N) /Date of Last Adequacy Test // Results of Last Adequacy Test �}rS [ � " Q 4sC•,kj � 50 Separation Distance from Absorption Field: To Water -Supply Well &V _ To Property Line To Building Foundation C�_, ='� To Existing or Abandoned System on Lot /VON/ ; On Adjoining Lots > /0-,C> To Water Main/Service Line _ > Z0, _ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area 70 Comments D. LIFT STATION D N Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments - Dimensions Manhole/Access (Y/N) "Pump Off" Level at " Check Permitted Bedroom Rating Against HAA Request '" Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verifieq9or conformed to aIll0A a d HAA guidelines in effect on the date of this inspection. Signed (��� Date Company / MOA No. Receipt No. F ,a Date of Payment — 1`� �� 1��.••••:��;,'.. Amount: $Cse h.' 4r _-_Y v Engineer's Seal {_. I. YOB.• .• .s �•!.b Page 2 of 2 I� ``y'''. N'c 25 1971 4�, •n•'�r�l'as� 72-026 li veal � i 03 W. EMU 1p VA. z F1 CH R�Wl�7��� CIS CONSULTING ENGINEER TELEI' RECEIVE, MUNICIPALITY OF ANCHORAGE JANUARY 2.2, 1986 DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 6-6650 ANCHORAGE, ALASKA 99501 SUBJECT: REQUEST FOR HEALTH AUTHORITY APPROVAL CERTIFICATE LOT 1, SANDY BEACH SUBDIVISION Gentlemen; This residence was constructed in 1956. At that -time there were no requirements as to the separation distance between the septic system and surface waters. The septic system serving the residence was installed 65 feet more or less from the edge of the waters of Sand Lake. The original septic system consisted of a septic tank and a log crib. At some point in time the original sF:ptic system was upgraded by the addition of an absorption trench. When this was done is not known, no permit was obtained or inspection report failed. The trench is approximately 40 feet long, total depth is 9'-8", rock depth is assumed to be 5 feet or more. This assumption is based on the fact that a monitoring tube installed at the end of the trench is 9'-8" deep, has 20 inches of water in it and is perforated four feet below ground level to the bottom of the pipe.This pipe is not connected to the distribution pipe in the gravel. A test hole was drilled approximately 10 feet away from the trench on December 17, 1985. Total depth of the hole was 25 feet. Water was encountered at 15 feet. The soil consisted of silty sand of medium density. A visual estimation of the percolation rating is less than 150. A 2.5 inch perforated PVC pipe was installed in the hole. The observed water level of 15 feet is approximately at the level of the lake. Water level was still at 15 feet on December 19. On January 20, 1986 the system was tested for absorption rating. 265 gallons was added to the tank without any increase in waterlevel in the tank or the monitoring tube. The tanklevel and the waterlevel in the crib were 47 inches. 50 gallons of water was then added to the monitoring tube. By measuring the rise and subsequent drop in water level an absorptionrate greater than 450 gallons per day was obtained. Well yield. The well serving this property is a 4 -inch cased well located in Tobben Snurldand P.E, Health Authority Application Lot 1, Sandy Beach Jan. 22, 1986 Pg. 2 MUNICIPALITY OF AIVCH0RAGs ENvl, oyM�ol. H611kTo a NTA( PKorecTION EC -VI; The casing is 4 inches above the concrete floor of the basement. Because of the wires and the riserpipe the waterlevel could not be monitored. The well was pumped for 70 minutes. A total of 315 gallons were pumped. If the well casing was full of water this would account for 115 gallons. A minimum of 200 gallons would have to come from the water bearing soils. This means that the well will produce more than 3 gallons per minute. The wells in the neighborhood all produce water in excess of 10 gpm. Yours 40 Tobb n Spurkland P.E. c/c Larry Mauldin, Jack White Co. v.2225 -E: ° ~ JUIJS,"L,° 1971 z DIEP` . 01P IHNVMOVULU NTAR, CONSFH"TION ANCHORAGE/WESTERN DISTRICT OFFICE 437 'E' STREET, SUITE 303 ANCHORAGE, ALASKA 99501 January 22, Municipality of Anchorage Department of Health & Human Services P.O. Box 6650 Anchorage, Alaska 99501 BILL SHEFFIELD, GOVERNOR 274-2533 MUNICIPALITY OF ANCHORAGa E986EPT. OF HEALTIi & NVIRONMENTAL PROTECTION JAN 2 1g8!- REE IVE SUBJECT: Waiver Horizontal Separation from Well to Septic System to Lake, Lot 1, Sandy Beach Subdivision, ($621 -•WA -094) Dear Sir: The Department has reviewed the subject waiver request and hereby grants grandfather rights for horizontal separation from the well to septic system and septic system to lake to 50 ft. Grandfather rights will only apply l:o the subject pro— perty for a 3 bedroom single family residence only. Sincerely, Michael P. Lewis Environmental Engineer MPL:msm cc: Tobben Spurkland fi P.O. BOX 6650 P:4 �+ ANCHORAGE ALASKA 99502 0650 of 4 (907) 264-4111 F� �1 c �' orage � TONY KNOWLES. N !l _ MAYOR DE'PARINIENT OI' IIFALTH & HUMAN SERVICES JanIII)J"/ ti, 1986 `I'vhh,rrn t;purlcJ�anc:l, T'.E. 203 'A. Ltit:h Ave. C £lul.tn 203 An(!hur'arin r Alarika 99`i01 5u1, jsI,,•t r V,( -)t 1, sandy Ileacla Subdivision Waiver Request 85•-067 Deur Mr'. Si�rlt;lc.lando Thlt; I)r'I'�'r't:mcnC, has consi.dcred your request for a waiver of the minlnnnn ;ic'par.at:ion di.stancers required by Title 18, Alaska ,,,1H n!ili,rritive (=ode Chapt_cr• 70.02.1. This Department concurs with ,.rirac�.l.u,ion ghat con tam i.nation for the well from the septic your syrrl'.u! the ::rul>jcct .lot i.ar very unli;cely. When the separation oil d 1,I I.,rrlr;hthwcren Lhe ab5orpt.Lorr field and Sand Lake (55 feet) is co1lrllrlr>r•e,I ur;i.ng t:he proce11 (1srucetErickson, ADEC)aaipossibiliity Walvnr t;uiracJ.i.lTer for. �(:RO (- of Irl l; rt WAter contamination is indicated, however. For this rc nllr,u yOUK, waiver request htrr, been denied. 1, lir, I);rr.l:meni; acknowJ.edge`s the fact that groundwater sampler; tr:rl:rlll I:rr>m a t:cathole adjacn et to the absorption trench indicated thnt the <ir-oun<'Iwater was free from bacteriological_ contamination at t fr„ pr;erient: time. No analysis of chemical. or viral. con - at ver. t"1111111"t rl;It. ion wa; performed, Th I II w,l i.vice denial may be appoaled to the Env l r „Ilnlc'nCa 1. Conservation. y mat;l I'I I can be contacted at; 7.64-4720. S iII(III I'n 1-y r , SCr l,h"n ;;. Morris C:i.vI I I'InOI- --r On --•n I I ` f"c r. v-i.ccr, SM2/,II-III'/ Alaska Department of questions regarding this 03 W. 15th "C" SUITE 203 T)� � 2 ANCHORAGE EALASKA 99501 CONSULTING ENGINEER A ; TELEPHONE: (907) 279-3915 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL MHAWhR 27, 1985 DIVISION OF ENVIRONMENTAL HEALTH DEC 2 11985 DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 6-6650 RECEIVE® ANCHORAGE, ALASKA 99501 SUBJECT: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR SEPTIC SYSTEM TO SURFACE WATERS. LOT 1, SANDY BEACH SUBDIVISION Gentlemen; We are submitting a request for waivers from the separation distances stated in Title 18, Alaska Administrative Code Chapter 70.021 This residence was constructed in 1956. At that time there were no requirements as to the separation distance between the septic system and surface waters. The septic system serving the residence was installed 55 feet more or less from the edge of the waters of Sand Lake. The original septic system consisted of a septic tank and a log crib. At some point in time the original septic system was upgraded by the addition of an absorption trench. When this was done is not known, no permit was obtained or inspection report filed. The trench is approximately 40 feet long, total depth is 9'-8", rock depth is assumed to be 6 feet. Total absorption area is 480 sq.ft. A test hole was drilled approximately 10 feet away from the trench on December 17, 1985. Total depth of the hole was 25 feet. Water was encountered at 15 feet. The soil consisted of silty sand of medium density. A visual estimation of the percolation rating is less than 150. 2.5 inch perforated PVC pipe was installed .in the hole. The observed water level of 15 feet is approximately at the level of the lake. On December 19th., a water sample was taken from the testhole. Water level was still at 15 feet. The sample was obtained using a "thief". This equipment was not sanitized or clorinated prior to use. A copy of the lab report is attached. The report show that neither Fecal Coliform nor Fecal Strep was found in the water sample. This finding may indicate that the waste water from the trench is not moving towards the lake, or that the waste is completely treated by soil filtration before reaching the testhole. :[n either case contamination of the lake is prevented. As can be told by the attached AS -BUILT survey, this lot is too small to meet the present separation distances. At the time when the residence was built the installations were in compliance with existing regulations. At the present time there are no indications that the lake or the groundwater is being 1 Tobben Spurkland P.E. Waiver Request, Lot 1, Sandy Beach P9. 2 contaminated by the installation. Since the residence has been occupied for close to thirty years any potential problems would have manifested themselves by now. We request that this waiver request be considered favorably. Yours vV Tobben Spurkland P.E. c/c Larry Mauldin, Jack White Co. f.9 � '�• \• •• L JUN': 2b, 19/1 $� a lyQw<�U IPA. ANCHORAGEEALASKA 99501 CONSULTING ENGINEER TELEPHONE:: (907) 279-3916 DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE @3FOW , 1985 DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 6-6650 RECEIVED ANCHORAGE, ALASKA 99501. SUBJECT: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR RESIDENTIAL WELL. LOT 1, SANDY BEACH SUBDIVISION Gentlemen; We are submitting a request for waivers from the separation distances stated in Title 18, Alaska Administrative Code Chapter 80.020 This submittal follows the format outlined in a Memorandum dated January 3, 1985 on the subject of "Separation Distance Waiver Guidelines for SCRO prepared by Mr. Bruce Erickson, District Office Coordinator. This Memorandum outlines a procedure to be used in the evaluation of waiver requests by assigning number values to geological features addressed in the waiver request. These geological features are described in the well logs of lots 6, 9, and 10 of Sandy Beach since no well log is available for lot 1. In this request I have followed your procedure and assigned values to the pertinent features as follows: 1. Vertical Distance Between Sewage System and Ground Water. Previous owner of this property reports that the well is 180 feet deep, and was installed in 1956. The three wells mentioned above are 202 feet, 179 feet and 191 feet respectively. The reported static water levels are 112 feet, 80 feet, and 70 feet. Lots 9 and 10 are level lots with the ground only a few feet higher than the lake. Lots 1 and 6 consist of sloping surface and it is considered likely that the conditions at Lot 1 are more similar to the conditions at Lot 6. All three well logs do show that the aquifer is being contained by an impervious layer and that the artesian pressure is more than 90 feet. All three wells were yielding substantial volumes of water with little or no drawdown. For Lot 1 the distance to the water table supplying water for the well is a few feet less than 180 feet. Point value assigned 7.5 Tobben Spurkland P.E. Waiver Request. Lot 1, Sandy Beach page 2 2. Soil Absorption. The well logs from the ajoining lots show that the soil between the surface and the water bearing sands consists of silt, silty sand , and clay. Point value assigned 4.0 3. The materials described in the well logs has a percolation rate larger than 50 min/inch. Point value assigned 3.0 4. Water Table Gradient. This is a confined aquifer with 90 feet of pressure head. At maximum drawdown the gradient of the water table will be 0%. At less than maximum drawdown the gradient will be positive. The well logs show a maximum of 15 feet of drawdown. Assuming this to be the maximum drawdown the slope between the free water surface in the well and a point on the confined surface under the septic system is 75/63, or more than 100 %. Point value assigned 7.0 5. Horizontal Separation From well to drain field 63 ft. Point values assigned 1.5 TOTAL POINTS 23.00 This total shows that contamination is very unlikely. The waiver should therefore be granted. Yours C'+a•�GK�J Tobben Spur land P.E. c/c Larry Mauldin, Jack White Co. 2 �� f ,r a JN N': 2? 71971_ As tt`�r cantnl Y� MUNICIPALITY OF ANCHORAOF DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION D El 2 1985 RECEIVED fie I1J1Nq WLt CP/E2E . � TfL 20.x' r. D �j/ 32.0 C s.i x '00"j w PIPE= - N'7' v 0 A�,t: <E 6' ••ley • 4 Q b a oe KYd+ero••O.(�.�H•Ni•• e :• CRAIG L. SAVAGE J Co ^� (r 4538.5 �� �(r�je•t,e ee�•Li��.o� 4A, •-••wweo h "cA SEPTIC,- SYSTEM ice`© 4) PARCEL CONTAINS j',r ?` EASEMENTS OF RECORD, OTHER. THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON. ,.,•� --e_ mac, 7 ^}�C S1, C,p c" v ,4PP)eOX. V✓ATERS EUCE Q 1 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspec- tion of the following described property: LOT I , S4L,� I j _ 6E6,rL SU��I�/1�7I0N _ Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adiacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska [his—J2--L" day of JUI Aa 191_ FiEWI" LOUNSBURY &ASSOCIATES - Engineers, Surveyors & Planners nQl Chinn or)r)V M. L LAP h� 9; ��� yam, nn c-1 ILIA11 5. LEGAL DESCRIPTION� CAI -10 tyu ..,pM MUNICIPALITY OF ANCHORAGE 10_Z_)9 DEPARTMENT OF FIEALTH & ENVIRONMENTAL PROTECTION 7751 Wandering Drive B25 L Street - Anchorage, Alaska 99501 6. TYPE OF RESIDENCE ENVIRONMENTAL ENGINEERING DIVISION no cl��sk Telephone 264.4720 ❑ MULTIPLE FAMILY REQUE;iT FOR APPROVAL OF INDIVIDUAL. WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not: be processed. Please allow ten (10) days for processing, _ 1. PROPERTYOWNER' PHONE Robert G. Ford 243-0213 _ MAILING ADDRESS — _ El PUBLICUTILITY 7751 Wandering Drive 19-1 I-tJ[a• PROPERTY RESIDENT (If different from above) -. - PHONE - - 2. BUYER ❑ PUBLIC UTILITY PHONE Larry Maulden by this Department. 694-3525 MAILING ADDRESS General Delivery 99577 72-010(3/7.9) - ----� il. LENDING INSTITUTION _ - - Quality Escrow CompInc. -PHONE 276-2421 MAILING ADDRESS — 3201 C Street 99503 4. REALTOR/AGENT PHONE Clair J. Rams_ 277-1553 MAILING ADDRESS — — 3201 C Street 5. LEGAL DESCRIPTION� Lot 1 Sandy Beach Subdivision - STREET LOCATION — — 7751 Wandering Drive 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS IX SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ MULTIPLE FAMILY ❑ Two ❑ , Five L3- Three ❑ Six 7. WATER SUPPLY -----��-- NK INDIVIDUAL" *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well _ El PUBLICUTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** *`If individual/on-site, give installation date ❑ PUBLIC UTILITY If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. - 72-010(3/7.9) - ----� ---�— -- try THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED Mav 9, 1978 TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 7751 Wandering Drive, see attached map 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or EJ Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED DATE � � BY (Title) L AL DESCRIPTION Lot 1 Sandy Beach Subdivision 72-010 (Rev. 3/78)