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Home My WebLink AboutMARYLAND LT 4-AMaryland Lot 4A #015-082-33 Municipality of Anchorage Page 1 of 3 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: SW000062 PID Number: 015-082-33 Name: Wastewater System: IN New ❑ Upgrade MIKE THOMAS AddresP.O. BOX 770110 EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: (907) 694-2202 No. of Bedrooms: 3 ■Deep Trench [3Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soll Retail: 1 0 9 Total Depth from originalgrade: 6-10.5 FL GPD/Sq. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 4A — MARYLAND 5.43-6.33 FL 4.17 pt, Township: Range: Section: — Fill added above original grade: Grovel length: 45 — — 0'-0.5' Ft. Ft. Gmvel width: Number of line.: Dietance between Iinee: WELL: INNew [IUpgrade 5 ft 1 — Ft. Classification (Private, A. C): Total Depth: Caved To: 201 Total absorption area: 450 Pipe material: ASTMD-3034/F810 PRIVATE 201 �, pL so. Ft. Driller. ALPINE DRILLING Date Drilled: 6/1/00 Static Water level: 58 Installer. SAUNDERS & SAUNDERS Dale installed: 5/4/00 Ft. Yield: Pump Set Al: Casing Height Above Ground: TANK 100 GPM U.K.Ft. 2 Ft. SEPARATION DISTANCES ■Septic ❑Holding ❑S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer. ANCHORAGE TANK Capacity In gallons: 1 000 From Tank Field Station Tank sewer unee 100'+ 100'+ — — 25'+ Material: STEEL s: Number of compartments: 2 Well Surface 100'+ 100'+ - - - LIFT STATION Water Lot 5'+ 10'+ — — — Size In gallon: Manufacturer. P Line 'Pump on' level at: Pump off High water alarm at,- l:Foundation Foundation 5'+ 10'+ — — — Curtain Pump Make aectrIcal Inspectlons performed by: Drain NONE KNOWN BENCH MARK Remarks: lscaaon and Description: GARAGE SLAB Assumed Elevation: 97.24 Ft ENGINEER'S SEAL 90�O4 o OF �p AWWC INC. Inspections performed by: Dates: 1st s/4/oo*.:.... :...:....�� 2nd 5/4/00 D 3rd 5/24/00 • e r A. rn ss:� " Department of Health and Human Services approval -7953 ; •: o0 O 4�44C Reviewed and approved by: Date: "� �'�� Professlo�000 72-013 Rev. 9/91) MM 25;��Lff PERMITNUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SWO SW000062 015-082-33 /— 100' WELL RADIUS — — - -_-- I — — / eco r 70' IfBl11Y PASMENf bb NEW1000 N SEPTIC A K B 9NOVSE / NEW WELL TOBBEN SPURKIAND, P.E. ` �i TESTHOLE \ SCO J _ d ALTERNATE SITE ^ S(1 e A 3 V NEW DRAINFIELD A B G ST1 19.8 24.7 ST2 14.6 30.0 DBL1 12.4 35.5 DBL2 11.6 37.4 C01 14.0 45.3 MT1 37.5 58.9 CO2 59.4 73.7 ALASKA WATER & WASTEWATER CONSULTANTS, INC.-- = 6901 DEBARR ROAD, SUITE 28 • ANCHORAGE, AK 99504 • PHONE (907)337-6179' FAX (907)338-324 PREPARED FOR: PHONE NUMBER: MIKE THOMAS (907)694-2202 LEGAL DESCRIPTION: MARYLAND SUBDIVISION; LOT4A TYPE OF WORK: AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE 7/19/200 4WN BY: C.J.G. 1LE: 1" = 40' ;E NUMBER: 2OF3 r — Ze**luFeV1A. sS: PERMFrNUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SWO SW000062 015-082-33 f07 OP TANK - Af IN.Ef - 92.64 0061% -96.72- NVEI?f OF P"_ AT IN.Ef - 92.06 511 6m - 97,5+/ - 5f2 NM 1000 6&0m 5�PTIC TANK �f0P 0PTMK Af 0Ln f - 92b4 \wff OP PLN6 Af 01111.if - 91.92 mNLH - 87,12 (AV6.) DATE: oo6pppp 6/23/00 o OF A� 40 j — DRAWN BY: r7m! a _QpP �............ 5040 ALASKA WATER & WASTEWATER C.J.G. SCALE: CONSULTANTS, INC. - T Q O -- Q 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99604 • PHONE (907)537-6179 • FAX (907)3583246 N.T.S. ....... ... ............ PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MIKE THOMAS (907) 694-2202 3 OF 3 ' J fre A. GO ness. LEGAL DESCRIPTION: ppm—7953OQ MARYLAND SUBDIVISION; LOT 4A, p f `o WORK:TYPE OF o� PROFILE AS- BUILT DRAWING OF SEPTIC SYSTEM UPGRADE �04o4pp000Qoo ALASKA WATER & WASTEWATER CONSULTANTS, INC. SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: MARYLAND SUBDIVISION; LOT 4A, PERFORMED FOR: MIKE THOMAS DATE PERFORMED: 5/4/00 DEPTH (feet) ORGANICS TEST HOLE #1 �� 1 ' 2 SOIL CLASSIFICATIONS �- 5 6 7 8 9 10 11 12 ML WITH READING GW = ORG FINE SAND GP ML GM CL GC OL _ St ��\O �OEeNo �OBEN UL SW MH SP CH msc SM OH GW/SW COMMENTS: DEPTH TO DATE GROUNDWATER DRY 1 5/4/00 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) _ St ��\O �OEeNo �OBEN V�SVPV�� PEEF 5 ��5 NOSE P E 5 PERCOLATION RATE TEST RUN BETWEEN (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) I FT. AND FT. PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON Jun -23-00 01:38P THE THOMAS CO. INC. 694-5202 P.02 Mumcipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 198850 Anchorage, Alaska 99519-6650 Rick MystrOm http:/A v w.ci.anchorage.ak.us Mayor Permit Number: #SW 000062 Date of Issue: 4-14-00 Panel Identification Numbcr..01&0B2-33 Date Started: 5-2k-00 Date Completed: 6-1-00 Is well located at approved permit location'? ® Yes ❑ No Legal Descriptio Maryland Lot 4A Property Owner Name & Address: Mike Thomas PO Box 770110 Eegle,pivK Ak99677 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type,'I'hicknu%s & Water Strata From To Casing type: steel stick-up 0 2 Wall Thickness: .025 inches gravelly silt w/cobbles 2 15 Diameter: 6 inches Depth: 201 feet silty cobbly gravel silty sandy gravel gravelly silt silty sandy gravel sand &water 15 29 58 82 29 58 82 89 Liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 58 tect Pumping level: 201 feet alter silt -wet 89 104 2 hoursu in r 100+ P n?p b ^ 6Ptn silty gravel 104 135 Recovery Rate: 100+ gpm gravelly silt 135 182 Method of Testing: airlift Well intake Opening Type: silty sandy water 182 195 water sand & gravel 195 201 ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perlbrations Start feet Stopped feet Crout Type: Bentonite # 8 Volume- I br Depth: Start 0 feet Stopped ± feet RECEIVED Pump: Intake Depth ._ feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No JUL 19 2000 Mum(,,,ai iJ .., 1—norage Dept. Health & Human Services Method of Disinfection: Clorine Tablets Comments: Well Driller: Alpine Drilling & Enterprises P O Box 110496 Anchorage AK 99511 Attention: The well driller shaTt provide a well log to the property owner within 30 days of completion and the property noonv,,A inn in drn 1'1 n nr Hvotth R. LLmion C.•.nirae r.�iti.:., Arl nave nf..nninlntin., JUN -21-00 02:24 PM KENNETH G LANG 9075224625 P.01 COO \ �o JQ�pPt, w a:20.00• \9N 1 4. 1318' i Mo ap Lot 3—A 11 m 1 ti Lot S—A M I to toI I � I sEvnc a.eu+oure I I � A9EMENTSE I 5' z 20' ANCHOR EASEMENTS I 1 20, TET.ECOM. 6 ELECT. EASEMENT ,I 9 OOr04'40% 157.04' — — 1 Lot 28 rV0APM -WI \Mw 4 � 1pjmc� PLOT PLAN _ ASBUILT X- SCALE 1� ' 50' GRID 2439 Project No. 00-33 Lang a Aasoctatese Ince 11500 Daryl Avenue, Anchorage, Alaska 99515 907 522-6476 Phone Registered Land Surveyors 9073 522-4625 Fax 1 hereby certify that I have surrwwyysd the following described Properly: Lot 4—A, MARYLAND SUMOIVISION Anchorage Rwordtnp District, Alaska, and that the Improvements eltuaMd Meson am within the property Ilnes and do not encroach onto the Proppeerty adjacent thereto. that no Improvements on the Properly lying adjacent thereto encroach on Me surveyed pnmlese and that Men are no roadways, transmission IIm, or other visible "cements on Bald property except as Indicated heron. Dated this the —:1! Day of TuNv 2oou. at Anchorage. Alaska It Is the responsibility of the owner to determine the existence of any weements, covenants, or resMallom which do not appear an the recorded subdivision plot. ) NSFeIC I ON - MUNICIPALITY OFANCHORAGE ��,J,� Department of Health and Human Services On -Site Services Program 625 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW000062 Date Issued: Apr 14, 2000 Expiration Date: Apr 14, 2001 Parcel ID: 015-082-33 Legal Description: MARYLAND LT 4-A Design Engineer: 0041 AK Water & Wastewater Consulta Site Address: 006601 JOLLIPAN CT Owner Name: Mike Thomas Lot Size: 53606 SQ. FT. Owner Address: PO Box 770110 Total Bedrooms: 3 Permit Bedrooms: 3 Eagle River , AK 99577 - This permit is for the construction of: ❑✓ Disposal Field Z Septic Tank ❑Holding Tank ❑Privy ❑✓ Private Well ❑Water Storage All construction must be in accordance with: The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: l/– bV—zc0C1 Issued By: �/i'�� / �(/ Date: Ll –/ Z/– 0 D ALASKA WATER �& WASTEWATER +, ^ :�,:__—, . .",- CONSULTANTS, INC. as.... April 7, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Well and Septic Design for Lot 4A, Maryland Subdivision To whom it may concern: The proposed 3 bedroom house will be served by a private well and septic system. A test hole was excavated on the property in the are of the proposed septic system. The proposed septic system will be designed around the 30 foot radius of this test hole . We are proposing that a 1000 gallon septic tank and a five foot wide drainfield be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached is a log done by Tobben Spurkland, P.E., which shows the soil classifications, groundwater monitoring, and the percolation test results. The soils at the top of the test hole is a loam/silt and a ML material mixture to a depth of 4 feet. At 4 feet the soils transitions to a gravely sand material to a depth of 15 feet (bottom of test hole). No groundwater was encountered during the excavation of the test hole. A percolation test was performed between the depth of 6 feet to 6.5 feet which had a percolation rate of <1 minute/inch. It is assumed that the insitu sandy soils will act as a sand filter, an application rate of 1.0 gallons/day/ft2 will be used. 2. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate: 1.0 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 450 ft2 f Total Depth: 8.5 feet (max.) g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.5 i. Minimum Length: 45 feet long j Effective absorption area = 450 ft2 6901 Debarr Road, Suite 2B — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average topography of this property is a 7 to 14 percent running from approximately southeast to northwest; in short, there are no slope concerns. The trench is to be installed parallel to slope contours. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your aeeietanrr , M.S. NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, a soil log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debair Road, Suite 2B— Anchorage, AK 99504— Ph: (907)337-6179— Fax: (907)338-3246 I —F— I I LOT 10 % I I NEfTLETON ACRES #2 LOT 16, BLOCK 2 I / \ ROCKHILL SUBDIASIONI I / I I / LOT 11 LOT 12 // NETTLErON ACRES #2 NETTLEfON ACRES #2 I Lr----------------------- -------------------I i— — — — — — — — — — — — -- — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — --- I I I I I cs-EPTIC AREA LOT 17, BLOCK 2 I I LOT 3A \\ ROCKHILL SUBDIVISION MARYLAND S/D \\ LOT 2 t MARYLAND S/D I I I `-VACAND -_� I I -� '----------- --- I- 1 1 ra___-_- TESf� OLE N67 I I I ALTERNATE m0 I I it SITE JOk01? I I L (PROPOSED SEPTIC SYSTEM PROPOSED N o= (SEE DESIGN, PAGE 2 OF 2) 3 BEDROOM \ / o"roy ( I j HOUSE S I I MARYLANDAS/D I / I 7 AREALOT \\\ // MARYLAND S/D i I � � y � / I i LOT 6A )I MARYLAND S/D \ I I DATE:>2i�tc 4/7/2000 EKmiDRAWN BY: `�J S,� ALASKA WXrL4 R & WASTENVATER J. L. Qlr" V 74ij, CONSULTANTS, INC.,-- w°^ SCALE: „ _ G•*,: t . 6901 DEBARR ROAD. SUITE 28 • ANCHORAGE, AK 99504 • PHONE (907)337-6179 • FAX (907)338.1246 1— 100 vn PREPARED FOR PHONE NUMBER: PAGE NUMBER: A MIKE THOMAS (907) 694-2202 1 OF 2 q f re A. ness:' LEGAL DESCRIPTION: �iI P C -79$3 c�:^ MARYLAND SUBDIVISION; LOT 4A TYPE OF WORK:ied/'rofessio��- SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM ' �., > 4/7/2000 0� �F q �.,........ I BRAWN BY: I J.L.M. I 100' WELL RADIUS , I WASTEWATER :• SCALE: w _ CONSULTANTS, INC. 3«,,.,:• "x 6901 DEBARR ROAD SUITE 2B • ANCHORAGE, AX 99504 • PHONE (907)337-6179 • FAX (907)338-3246 a, — — �40' ......... .... P ......... REPAIRED FOR: PHONE NUMBER: PAGE NUMBER: MIKE THOMAS (907) 694-2202 10' UnLnY EASMENr fr y . Garness;' Q 9j '•, C 7953 ;' m 4p��a '•.,, c��o �4ed /'�o fessiono\�oo �4pp0000� .GAL DESCRIPTION: MARYLAND SUBDIVISION; LOT 4A 'PE OF WORK: AND SEPTIC SYSTEM DESIGN OF PROPOSED WELL LOCATION PROPOSED DRAINFIELD. EXCAVATE A TRENCH THAT IS 8.5 FEET DEEP (MAXIMUM) BY 5 FEET WIDE / \0 BY 45 FEET LONG. ADD 4 FEET OF / CLEAN, WASHED SEWER DRAINROCK. INSTALL TRENCH PARALLEL / TO ALL SLOPE CONTOURS.,,;`.';t=,; TEST HOLE DONE BY I GO TOBBEN SPURKLAND, P.E. at y �h VMT 2-1 PROPOSED WELL ALTERNATE SITE --"' ITE / 3 _Np\ ,00 J co C 0 n \ O \ INSTALL DOUBLE CLEANOUTS PROPOSED 1000 GALLON SEPTIC TANK / / \ f 4/7/2000 0� �F q �.,........ Is,% BRAWN BY: __,.. w.. J.L.M. p a , ALASKA WATER & WASTEWATER :• SCALE: w _ CONSULTANTS, INC. 3«,,.,:• "x 6901 DEBARR ROAD SUITE 2B • ANCHORAGE, AX 99504 • PHONE (907)337-6179 • FAX (907)338-3246 a, — — �40' ......... .... P ......... REPAIRED FOR: PHONE NUMBER: PAGE NUMBER: MIKE THOMAS (907) 694-2202 2 OF 2••J fr y . Garness;' Q 9j '•, C 7953 ;' m 4p��a '•.,, c��o �4ed /'�o fessiono\�oo �4pp0000� .GAL DESCRIPTION: MARYLAND SUBDIVISION; LOT 4A 'PE OF WORK: AND SEPTIC SYSTEM DESIGN OF PROPOSED WELL LOCATION LOT 10 NETREFON ACRES #2 LOT 18, BLOCK 2 ROCKHILL SUBDMSION LOT 11 L 12 NETTLETON ACRES #2 NETTLEfON CRES #2 [SEPTIC AR LOT 17, BLOCK 2 0 3A M D S/D ROCKHILL SUBDMSION LOT 2 YIA�S/D NNNND `-VACA NO2 YS •T .n, •h, .. :• N ,V Q OVA �O NCO= ry YLANDA D r CSEPnC T 7 AR MAR D S/ LOT 6A MARYLAND S/D DATE: 4/ /2000 DRAW BY: K.D.W. s l n — 10 6901 DEBARR ROAD, UI 2B • ANCHORA , AK 99504 • PHONE ( 337-6179 • FAX (907 8-3246 PREPARED FOR ONE NUMBER: P GE NUMB XXXXXX XXX (907) XX —XXXX V OF 1 SCR TION: Y ND SUBDI 104; LTYPEOF�AORK: LOT 4 OGRAPHICAL DRAWING Mav-31-00 02:19P THE THOMAS CO- INC_ �. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825"U' Street, Anchorage, Alaska 99502-0850 SOILS LOG PERCOLATION TEST 694-5202 P.01 (ENGINEER'S SEAL) �• PERFORMED FOR: ` 1 (...n`� �C7An_� tL �`-s DATE PERFORMED: ••b 111 (Q O „r LEGAL DESCRIPTION:- 7 I• AN -0 L6 -rNA Township, Hangs,. Section: _ D H I SLOPE SITE PLAN 1 1 TI LOA.", 2 3 IP YES, AT WHAT oF,P fN1 Dian Is WTlor Ali NoNt"Ifinl DTIG ■gym OEM MINN MEMO' ■E lummom ■u■■ um. SOTTLO0-1 16 01= HGI.L 17 18 1 19 UU COMMENTS P'RCOLATION MATE ImirmAes/meh) PFRC HOLE DIAMETER I1 Tt S'. RVVN BETWEEN —. �..,,..-FT AND u FT PERFORMED BY: r • 5 I �. ±> CERTIFY THAT THIS TEST WAE'PERFORMEO IN ACCORDANCE YRTH ALL STAT E ANO MUNICIPAL GUI DEI. INNS IN EFFECT ON THIS DATE) DATE: 72-OOR (ROY. 486) 00-1 Gni� Municipality of Anchorage O i` Development Services Department .-44 '�` Building Safety Division C Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-082-33 HAA# _ 111r, rc 1. GENERAL INFORMATION Expiration Date: _ 3� i z a? Complete legal description MARYLAND S/D; LOT 4A: Location (site address or directions) 6601 JOLLIPAN COURT Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address STEVE & DEBORAH MARINEAU Day phone 240-4230 6601 JOLLIPAN CT. ANCHORAGE AK. 99516 Day phone GINA DUNDAS w%JACK WHITE Day phone 230-9699 3201 "C" ST. SUITE 200, ANCHORAGE, AK. 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ■ Individual On-site E Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the 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 fries and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone 337-6179 Address 6901 DEBARR ROAD, SUITE 28 ' ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date t I lei 101 Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, 000b�40 �4 conscientious engineering analysis of the system in accordance with ADEC and MOA o OF DSD Guidelines & Regulations. The reported results described the performance of the Ov•i system under the conditions encountered at the time of the test, and separation !V-1 distances measured to readily identifiable features. The operational life of all wells and 491 y* septic systems depend on the local soils condition, groundwater levels that may .... fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test .. ........ results do not guarantee future performance of the system, nor do they guarantee that OO t, e r A. am s,. f there are no hidden defects or encroachments. AKWWC, inc. can therefore not provide Q 9 E —795 any warranty or future estimate of how long the system will continue to meet the Q04/e c��opG operational requirements of the ADEC or MOA DSD. The content of this report is for 0 ed o� �o the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. �O000 0 5. DSD SIGNATURE / Approved for bedrooms. Disapproved. Yf 0F,4 Conditional approval for bedrooms, with the fllowing stipulations\��V�4P' . • • ' • Cyp j`�� • ON-SITE •:'� WA,t' mAND • m= WASTEWATER HROGRAM •A . IJCO V/ "RvtVTSEV�q Attachments: HAA Checklist Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By: 1i Original Certificate Date: 1Z/1Z1rZ__ (Rev, 17,1) . i Municipality of Anchorage ° • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: MARYLAND S/D; LOT 4A; Parcel ID: 015-082-33 A. WELL DATA Well type PRIVATE If A, B. or C provide PWSID# NIA Well Log (YM) YES Date completed 6/1/00 Sanitary seal (Y/N) YES Wires properly protected (YM) YES Total depth 201 ft. Cased to 201 ft. Casing height (above ground) 19'+ in. FROM WELL LOG AT INSPECTION Date of test 6/1/00 11/21/02 Static water level 58 ft, 46 R Well production 100+ G.P.M. 3.4 g.p,m. WATER SAMPLE RESULTS: Collform colonies/10 mi. Nitrate • a mg./L. Other bacteria . colonies/100 mi. .Op2 Arsenic: mg./L. Date of sample: 11 /25/02 Collected by: AKWWC, INC. B. SEPTICIHOLDING TANK DATA Tank Type/Matedal SEPTIC/STEEL Date Installed 5/4/00 Tank size 1000 gal. Number of Compartments 6 Cleanouts (Y/N) YES Foundation deanout (YM) YES Depression over tank (Y/N) NO High water alarm (YM) N/A Date of pumping 11/26/02 Pumper CHUGACH SEWER & DRAIN INC. C. ABSORPTION FIELD DATA '" DRAINFIELD ABSORBED WATER FROM C/O AS FAST AS ADDED Date installed 5/4100 Soil rating 002Pr ft'/bdrm) 1=0 System type DEEP TRENCH Length 45 ft. Width 5 ft. Gravel below pipe 4.17 ft, Total depth 9.6-10.5 ft. Eff. absorption area 450 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 11/21/02 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test DRY in. Water added 567 gal. New depth 0 In. Elapsed Time: '" min. Final fluid depth DRY In. Absorption rate >= 450+ g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed Size in gallons Manhole/Aces (YIN) "Pump on" level at in. "Pump off" IwvQI of in. High water alarm level at in. Datum ICycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 25'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date I -'q'q A L HAA Fee $ 375 " -- Date of Payment 117-/16/0z Receipt Number tib I 1 1A (Rev. I V01) Waiver Fee $ Date of Payment Receipt Number JUN -21-00 02:24 PM KENNETH G LANG %kvo 9073224623 P.01 CFVR'( 4000 "",\% / L•xs.es' ��A 4,y CT 8 \ I IM 3-A M I H 522-6476 Registered Land Surveyors (9073 522-4625 Foxne a, l w d �P �; 4g1y edjoasnt there%, that nes Improvements on the property Iying adjacent thereto enarooch on the surveyed wW ow then an rw roadways, tronemfedon I er?TC n[,woun i Doled this $9 -:�— Day of 7-1JN4 .7&9,0 of Anahorage, Alaska IN w I� 5�korosf I I � w I ICDRAINAGE \I` EASEMENTS ANCHOR MENTS 14 I I _—--�—� — — — — — ELECT. EASEMEl11 20' TELECOM. a — +I S 0000440% 137.04' I tot 20 Lot S-A rp-we R Jt WW.L. � 5am4 PLOT PLAN _ ASBUILT -1 SCALE I- - So' GRID 2439 Project No. Long & Associatese Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515 522-6476 Registered Land Surveyors (9073 522-4625 Foxne pF I Woby oMly thof I have wrveyed the following described p:oporfr. Let 4-A. MARYLAND summsl6N Anchorage Roeording 0~. Alaska, athat the tthe htednprovemonte saua tlwrson en wAMn the property Anes and do net enaroach onto the pmpwty �P �; 4g1y edjoasnt there%, that nes Improvements on the property Iying adjacent thereto enarooch on the surveyed wW ow then an rw roadways, tronemfedon prwnteee Angie or other vl@Wo ememonft on eald property except as tndloaled hereon. •, '..KENNETH Doled this $9 -:�— Day of 7-1JN4 .7&9,0 of Anahorage, Alaska LS--! A Is the mspensRdllty of the owner to defermMe fM existence of any easements, covenanle, or reehtoNone which do not appear on the recorded ®ra,Fse subdivision plat. 00-33 12-09-02 10:50 FROWCUE ENVIRONIOTAL SRV CUE Environmental Services Inc. CT&E Ref.N 1028042001 Client Name AK Water & Wastewater Consultants Inc. Project Name/N Maryland L4A Client Sample ID Maryland L4A Matrix Drinking Water PWSID 0 Sample Remarks: 9075615301 T-050 P.02/03 F-748 All Dates/ Imes are Alaska Standard Time Printed Date rime 12/09/2002 9:11 Collected Date/Time 1125/2002 16:00 Received Date/Time 11/2};(2002 10:30 Technical Dkfelor) SteMeM C. Ede Releasi"� Allowable Prep Analysis Parameter Resoles PQL Units Method Limits Date Date Init Metals Department Arsenic 0.00200 U 0.00200 mg/L EPA 200.9 (<=0.05) 11/27/02 12/05/02 IMP Waters Departm Miz Nilrate-N 0.200 U 0.200 mg/L EPA 300.0 (<=10) 11/26/02 JS Microbiology Laboratory Total Coliform 0 col/100mL SM189222B (r --I) 11/26/02 KAP �A6 MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907)343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel I.D. # 015-082-33 HAA # fMC011Q&14 1. GENERAL INFORMATION Location (site address or directions) 6601 JOLUPAN COURT ANCHORAGE AK Property owner MIKE THQMA5 Day phone( 694-22Q2 Mailing address P.O. BOX 770110 EAGLE RIVER AK 99577 Lending agency Mailing address Agent Address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 XXX NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding Tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $850.00 at, or prior to, closing for the engineering services provided. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and insp4tion, the on-site water supply and/or wastewater disposal system is in compliance with all Municipv nd State codes, ordinances, and regulations in effect on the date of this inspection. " Name of Firm Phone _(907) 337-6179 Address 6901 DEBARR ROAD B ANCHORAGE, ALASKA 99504 Engineer's Signature Date In conducting this evaluation, Awwic I C. tte pted to provide a thorough, conscientious engineering analysis of the system in accordance with ADE C and O D t Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water levels that may fluctuate during the year, and the water oo�opp usage of the family being served by the system. These conditions are outside the control of o 0 F AC 4 the evaluator of the system. Satisfactory test results do not guarantee future performance �........ Sp4 of the system, nor do they guarantee that there are no hidden defects or encroachments. app AWWC, Inc. can therefore not provide any warranty for future estimate of how long the p ; system will continue to meet the operational requirements of the ADEC or MOA DHHS. , , , ; ; - • The content of this report is for the sole benefit of the owner listed above. Any A , reliance upon or use of this report by any other person or party is not authorized, Q....v . ....... . ........ nor will it confer any legal right whatsoever. 7n fr A. r- ss;' 6. DHHS SIGNATURE _IG Approved for 3 bedrooms Disapproved Conditional approval for Additional Comments 0 —7953 ' ............ �cq Pr o f e s sionooc bedrooms, with the following stipulations: Date 7- �21- O 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 Computer Version Municipality of Anchorage IK K E I V E I) DEPARTMENT OF HEALTH & HUMAN SERVI S Environmental Services Division 19 2000 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744 MUNICIPALITY OF ANCHORAG A§ "'MENTAL SERVICES DIVr" Health Authority Approval Checklist Legal Description: MARYLAND SUBDIVISION; LOT 4A, Parcel I.D.: 015-082-33 A. WELL DATA Well Type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number N/A Log present (YIN) YES Date completed 6/1/00 Total depth 201' Cased to 201' Casing height (above ground) 24" Sanitary seal (Y/N) YES ' Wires properly protected (Y/N) YES FROM WELL LOG AT INSPECTION Date of test 6/1/00 Static water level \58' —� Well production +LLLg•p•m• g.p.m. WATER SAMPLE RESULTS: / Coliform Nitrate ° S rn�/ L Other bacteria Date of sample: 7-/1- OO Collected by: A.W.W.C., INC. B. SEPTIC/HOLDING TANK DATA Date installed 5/4/00 Tank size 1000 Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression (Y/N) NO High water alarm (Y/N) Date of Pumping NEW Pumper C. ABSORPTION FIELD DATA Date installed 5/4/00 Soil ratin p.d./ r ft2/bdrm) 1.0 System type TRENCH Length 45' Width Gravel thickness below pipe 4.17' Total depth 9.5'-10.3' Effective absorption area 450 SQ. FT. Monitoring Tube present (Y/N) YES Depression over field (Y/N) NO Pass/Fail For 3 Bedrooms Date of adequacy test NEW Results ( ) Fluid depth in absorption field before test (in.); Immediately after — gal. water added (in.): Fluid depth (ins) Minutes later: Absorption rate = Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev. 3/96r Computer Version If yes, give date D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* "Pump on" *Datum Size in gallons "Pump off' level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septictholding tank on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A _ Sewer/septic service line 25'+ Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ _ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Surface water Curtain drain F. ENGINEER'S 1 certify that I of Municip n with MOA A, Signature— Engineer's Date Building foundation 10'+ Water main/service line 10'+ Driveway, parking/vehicle storage area 10'+ Wells on adjacent lots 100't fie inspections and review s tems are in conformance on Ithis date. GARNESS HAA Fee $ � (D ' C) � Date of Payment Receipt Number O G S55i / (70b b 72-026 (Rev. 3/98)* Computer Verslon Waiver Fee $ Date of Payment Receipt Number re A. G ess;• —7953 •,. Pro f e s slonoo� 07-17-00 08:49 FROM -CTE ENVIRONMENTAL CUF Environmental Services Inc. CT&E Ref.# 1003728001 Client Name AK Water & WasTewater Consultants Inc. Project Names# Maryland S/D Lot 4A Client Sample 11) Maryland S/D Lot 4A Matrix Drinking Water Ordered By PWS1D 0 Sample Remarks 5615301 T-445 P.02/03 F-897 Client PO# Printed Date/Time 07/1412000 16:12 CollectedDate/Time 07/11/2000 11:45 Received Date/Time 07/11/2000 14:10 Technical Director Stephen CEdde�i Released By *0 r AL towapte Prep Analysis Paramerer Resutrs Pot. units Method Limits Dare Dare Init NaSBrs nenartment Nitrate -N 0.500 u 0.500 MSIL EPA 300.0 Mro$. biofoor LAboratory Total Coliform 0 col/100ML SM18 92228 10 maA 07/11/00 SCL 07/11/00 KAP