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HomeMy WebLinkAboutSAMPSON ESTATES BLK 3 LT 11Sampson Estates Block 3 Lot I I #051-811-37 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241400 Work Type: SepticTank Upgrade Tax Code Number: 05181137000 Site Legal Address: SAMPSON ESTATES BLK 3 LT 11 G:1560 Site Mailing Address: 22512 SARAH CIR, Chugiak Owner: MOORE RONALD L & REBECCA S Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: �tl�llj Is L)rlrn'tn�crnt 12/17/2024 12/17/2025 40899 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: C- Date: Issued By: �,� -- Date: ON -SITE SEPTIC/VVELL PERMIT APPLICATION Parcel I.D. 051-811-37 Property owner(s) RONALD & REBECCA MOORE Day phone Mailing address 104 NESBIT CROSS, TN 38558 Site address 22512 SARAH CIRCLE, CHUGIAK, AK 99567 Legal description SAMPSON ESTATES BLOCK 3, LOT 11 Number of Bedrooms 3 Engineering Firm FIRST WATER CONSULTING Building Permit Number APPLICATION IS FOR: (Z all that apply) Absorption Field ❑ Septic Tank Holding Tank 0 Privy r_1 Well EJ Not Applicable � APPLICATION IS AN: Initial R Upgrade RX Renewal R THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: Permit/Rush Fees: z 2" Waiver Fees: Date of Payment: _/ ZZ14-17- (-I — Date of Payment: Permit No. P Z Y 9 waiver No. 0 � I 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / FirstWaterAK@gmail.com ! !! December 16, 2024 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT - URGENT LEGAL: SAMPSON ESTATES BLOCK 3, LOT 11 The owner has requested that we obtain a septic permit to upgrade the existing aged steel STEP septic tank on the above referenced lot. We propose to install a 1500-gallon HDPE tank per the attached design to serve the existing 3-bedroom residence. A 1500-gallon STEP is to be installed for current functionality and future consideration or flexibility. Groundwater was noted in the MOA on-site file at 6.4’ below test hole grade and the tank may need to be anchored for buoyancy as noted. An epoxy coated steel 1500 gallon STEP tank may be required or requested to be installed. The lot and area are served by private water and any encroaching or required separations of wells, easements, existing septic absorption systems, etc. must be staked & verified prior to construction. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241400, Curtis Townsend, 12/17/24 FIRST WATER CONSULTING NO WELLS WITHIN 100' OF PROPOSED SEPTIC TANK OR EXISTING FIELDS. SAMPSON ESTATES BLOCK 3, LOT 11 DESIGN DETAILS: Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241400, Curtis Townsend, 12/17/24 Municipality of Anchorage ' • •,. !: Development Services Department _ Building Safety Division On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 Page 1 of 3 www.ci.anchorage.ak.us (907) 343.7904 ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW070119 PID Number. 051.811.37 ;"= MnnraWastewater System: ❑ New ® Upgrade A trou ABSORPTION FIELD NunD« at BFaooma O DFM Trerrh ® Shallow Trarrh O Bed O mmew O cow LEGAL DESCRIPTION Sat RawV TOW DeM it= at nai graft ekxX La1.2 3 11 subewn.n GPD4`0 Depth a ap• baton b«„ "'Mg.aft 3.5 Ft. Gravel door,berwatn ap• Sampson Estates TwnwP Range 3.0 F,. 0.5 Ft seawm Fa added above or9nal waft Q" Lo gtn. 0.5 Ft. 40140 Ft. Well: ❑ New ❑ Upgrade G" Claas6uo n (Pmare. A B. C)515 Taal Dave, Caged b Exist' Private Ft. Tool soorptanwa 2 10+ F, "Pe wl"'e1 Ft. Ft DNNr Dole DOW Ft. Water L"InstallerOne 400 Fr 3034 vc a,Menad YF, '� Flintstone Ent 7/19/2007 Pump sel M Gwp NegM Move Graaq GPM Fl. Ft TANK SEPARATION DISTANCES ❑ Septic ❑ Holding t] S.T.E.P. ❑ Other. To Septic Absorption Lift From Tank Field Station Holding ub1W7vate Tank Sewer Line Mery/aaur« EXIst' STEP GN wall 102.4 115.3 109 95 "'"°" H::ry a ConVanmw, S,.r.o.wale, 100+ 100+ 100+ LIFT STATION La Ule 65 12 61 Bim° Ma" W.« G. Ex(st'g For wow, 18 10.2 20 P p 0n 1s "' P •ro ark .l ., C, n Dram 50+ 50+ 50+ ti Piro Matra l Moaal ti « EMdrral ln,p«dwna pert«n,.d by Remark, BENCH MARK' Localwn and Doacno,m Back Deck � baurkq ENvalron 100.0 FL Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1" 7/1912007 Engineers Stamp u� 1/44 2nd 7/19/2007 Development Services Department Approval .•'�\� Conditional Approval Date: n D, , 0 ..............:s..... 1 c_`�•yStevPn F'. F'�rnonp�'{;r� � Reviewed and approved by: �/,7 149 +�j 'ti.. (Rev OW6) Date: �9 7 ai .... �.. 5/8 ' CONTAINED TICHT SILTS TO 10 FE£F NOTE- SOILS brCOME SILTYER AND TIGHTER Iro THE NORTH NEW DRAIN FIELD TH TWO TRENCHES 40LFx5'WxO.5 ED,3.5'7D 5, .2 HOUSE � �\ MIT ` 5. M � 1 £XISM2 OPTIC• TANK .'[�T// TO £REUSED ED M4 1 O INTECI�IIY VERIFIED 1 ,0 c / FND' 5/8 RSR — 4 XISTC Fl£_LD IN FAILURE TO ` j REMAIN SWING TIES CO A B M1 10.2 43.2 J/ M2 44.9 11.7 ' M3 29.1 51.9 M4 48.9 32.0 RECORD DRAWING 07=21 -D7 5 _ ��OFA(gS�'i) PAMOoNE4INGRASVC, 9LLC ��AP• 'AK *:49 TH */// PHONE (907) 272-8218 FAX (907) 272-8211 e j Lot 11 Block 3 Sampson Estates / Steven R. Porir;o / CE 8149 i Ronald Moore 1 IP.O. BOX 671870 a 111IN�S9q�= Chugiak, AK 99567 12 n �r I ° K I £XIST'C i ` WELL i c � n r L i>tD Dote vised 07071 6-5-07 Tering site Scole P.I.D. NO 51-811-3 PERMIT NO. SW070119 DESIGN Sneet PLAN 2 or 5 TH1 REM" FEED 3.0 .`--^J.�.�,-� 91.8 92.1 10.0 « 0.5� L5' --j 91.191.6IL5.0--i 7.5 SECTION 9.5 gsrG 1250g T.E.P. D C CE 8149 7/21/O� 'We. 0o0�wc eb 0000 emoo0� IEE NDTE b WEET 4 f TREMn. bEE RAR! { tfttlW FOR OR.ENEgN9 PROFILE [NG 7-21-07 kk PANNONE ENG SVC, LLC FotoP.O. BOX 102954 ANCHORAGE, AK 99510 ..*.v PHONE (907) 272-8218 FAX (907) 272-8211 off./ Lot 11 Block 3 Sampson Estates i Ronald Moore P.O. BOX 671870 Chugiak, AK 99567 1s 2 NTS P.I.D. NO 051-811-3' PERMIT NO. SW070119 DESIGN sheet DETAIL 3 or 5 1 2 3 4 5 6 7 s 9• 10 it 12 - 13 - 14 15 - 16 - 17 - 1B - 19 - 20- TEST HOLE 3 7FILL-Silty Gravel FILL GM I Poorly Graded GRAVEL w/Sand ¢ silt mixture BOH S CLOCK TIME NET 7InE VATER LEVEL NET DROP WPERFORMED - 1'.50' READING P.I.D. NO 1 OF At -- 4.28' - 2 5:01 1 9.17 Steven'R. or 3 o7 jl z10 -- �'-s'• - 4 5:13 10 MIN I SLOPE TEST HOLE I wnZI, CIKUUND WATER ENCOUNTERED? N IF YES. AT WHAT DEPTH? DEPTH TO WATER AFTER MONITORING? -Ory- DATE, 07 -IP -07 TEST HOLE READING CLOCK TIME NET 7InE VATER LEVEL NET DROP Scale 1'.50' READING P.I.D. NO 1 4:51 -- 4.28' - 2 5:01 10 MIN 9.17 4.89 3 5:03 -- 4.28 - 4 5:13 10 MIN 9.23 4.95 5 5:15 - 4.28 - 6 5:25 10 MIN 9.22 4.94 PERCOLATION RATE 2.0 Cmin/inch) PFPC H01 F DIAMETER 6 inches TEST RUN RFTWFFN 4 FT AND 5 FT DATE PERFORM D, 07-11-07 PANNONE ENG SVC, LLC REVISED Dote P.O. BOX 102954 ANCHORAGE. AK 99510 7-12-07 PHONE (907) 272-8218 FAX (907) 272-8211 Scale 1'.50' Lot 11 Block 3 Sampson Estates P.I.D. NO Ronald Moore 041-011-01 P.O. BOX 671870 PERMIT NO. Chugiak, AK 99567 K TEST heelSwo HOLE 3 sneer 6 0l 6 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW070119 Legal Description: SAMPSON ESTATES BLK 3 LT 11 Design Engineer: 0062 PANNONE ENGINEERING SERVI( Owner Name: RONALD MOORE Owner Address: PO BOX 671870 CHUGIAK , AK 99567 - jjj,JDU oJ j1D1P l3D Date Issued: Jun 20, 2007 Expiration Date: Jun 19, 2008 Parcel ID: 051-811-37 Site Address: 022512 SARAH CIR Lot Size: 40899 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit Is for the construction of. Q✓ Disposal Field Q✓ Septic Tank Holding Tank [] Privy Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specked In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, seated, and heated to prevent freezing. I II �gnhJ 7//1/o7foand bad -Q5. Ste✓a f.Vi(I 6 perG teo.-, Rnp new Received By. Issued Date: d 6'Zf Date: Zo 0 Municipality of Anchorage • Development Services Department`'`''a`' Building Safety Division On -Site Water and Wastewater Program ' 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. $11- : a Property owner(s) Ronald Moore Day phone 688.0393 Mailing addressP.O. Box 671870 Zip Code 99567 Site address 22512 Sarah Circle. Chuglak Zip Code 99567 Legal description (Sub'd., Block & Lot) Sampson Estates, Block 3 Lot 11 Legal description (Township, Range & Section) Lot Size 40,899 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field Septic Tank 11 Holding Tank 0 Privy El Private Well 0 Water Storage 0 Number of Bedrooms 3 THIS APPLICATION IS AN: Initial El Upgrade Renewal ❑ 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. Pannone LLC (Signature of property owner or authorized agent) Permit/Rush Fees: 7 Waiver Fees: Date of Payment: G — % — o 7 Date of Payment: Receipt Number: / _ ��eceipt Number: (Rev. 11/05) Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 907 272-8218 age, Alaska, Fax June 6, 2007 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Sampson Estates S/D, Block 3, Lot 11 Septic System Permit Request Ladies and Gentlemen: I am writing to request that a permit to install a new septic system be issued for this lot. The proposed systems will serve an existing three-bedroom house. Currently the lot is developed. The surrounding lots are served by private water systems, which are over 100 feet from the proposed soil absorption system. The lot is served by a private water system. The plan is to reuse the existing STEP tank that was installed in 1995 and construct a new drain field. The existing drain field will be reused. 1. Soils. The soils were investigated during May of 2007. Ground water was monitored in the test holes at a depth of 7.5 feet below ground level. Bedrock was not encountered in the test holes. The native soils have sufficient sand component as not to require a two foot (2') sand filter. It is my opinion that the overall soils appearance of the soils, an application rate of 1.2 gallons/day/square feet should be used using a standard treatment system. 2. Trench Design. a. Percolation Rate: 1-5 Min Per Inch b. Application Rate: 1.2 gpdpsf c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Min. Absorption Area: 375 sf f. Total depth: 3.5 feet g. Effective Depth: 0.5 feet h. Width: 5.0 feet i. Minimum Length: 75 feet j. Design Length: 80 feet k. Effective Absorption Area: 400 sf I. Septic Tank Size: 1,250 gallon STEP Tank if the original tank needs replacing Pagel of 2 Page 2 of 2 3. Surface Water: There is no surface water within 100 feet of the proposed system. The proposed systems will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: Lot I slopes to the northeast at approximately I percent based on a survey conducted in 2007. The proposed installation will be located in the northern portion of the lot, greater than 50 feet from slopes greater than 25%. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: C:\Work\Letters\11-3Sampson Est.00l.doc "U" ren 1 lo.o—�.�.... ,w•a.x- * i'.a L 5 5.0--I SECTION 12 PROFILE _.._-- • ...xc.xx .ort ox,e poq SSUED FOR CONSTRUCTION 06 -IS -07 �� OF !1Cq\l' PANNONE ENG SVC, LLC r.�P. •' S'.f• (( P.O. BOX 102954 ANCHORAGE, AK 99510 •� TH'• PHONE (907) 272-8218 fAX (907) 272-8211 Steven • ��p�e' j Lot 11 Block 3 SOmPson Estates IV'• CE 8149 i Ronald Moore ( 4s '?x'-07 • � P.O. BOX 671870 11�'s9a Chugiak, AK 99567 NTS P.I.D. NO 051-811-3'. PERMIT NO. SW07xxxx DESIGN sheet DETAIL 3 0 1 5 i L SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: 3 -BEDROOM HOUSE, NEW DRAIN FIELD, VERIFY INTEGRITY OF EXIST'G TANK 4. GROUNDWATER IS NOT EXPECTED TO BE ENCOUNTERED DURING EXCAVATION. AS EVIDENCED BY THE SOIL TEST HOLE INFORMATION ABOVE 8.5 FT. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 8.5 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER IMMEDIATELY. 5. AT EXIST'G LIFT STATION, INSTALL SECOND DISCHARGE PIPES. ONE DISCHARGE PIPE SHALL FEED THE NEW DRAINFIELDS, THE ORIGINAL DISCHARGE SHALL FEED THE ORIGINAL FIRLD . LEAVE ORIGNAL DISCHARGE PIPE DISCONNECTED FROM PUMP. DESIGN PARAMETERS N0. BEDROOM: 3 TANK SIZE: 1,000 gallon PERC. RATE: 1-5 MPI SOIL RATING: 1.2 gpd/SF APPLICATION RATE: 125 SF/BR AREA ROD: 375 SF SYS. TYPE: 5' WIDE TRENCH, 0.5' ED MIN LENGTH: 75 LF .USE: TWO TRANCHES 40LFx5'WIDE.O.5'ED,3.5' TD TOTAL AREA: 400 SF ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN—OUT T# TANK CLEAN—OUT NO. C# CLEAN—OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION LEGEND —w'—w— WATER LINE/ WELL RADIUS — ss — ss — EXIST'G SEPTIC — 33—ss— NEW SEPTIC ISSUED FOR OF A(PANNOP o EoxE02G4 1 nEERRING 99510 SVC, PHONE (907) 272-8218 FAX (907) 272-8211 Steven R:' arino':'e'Lot 11 Block 3 SOMPSon Estates �. CE 8149 Ronald Moore ( s' •6(RS/07.P.O. BOX 671870 (1kxjI- E54a�Chugiak, AK 99567 CHAINLINK FENCE CONSTRUCTION 06-15-07 LLC REVISED Date 06/04/07 Scale NTS P.I.D. NO 51-811-3 PERMIT NO. SW07xxxx DESIGN Sheet NOTES 4 of 5 1 2 3 4 5 6 7 B 9 12 13 14 15 16 17 18 19 20 TEST HOLE 1 GM FILL -SILTY GRAVEL OR ORGANICS ROOTMASS Mi BROWN SILT COMMENTS: CE 8149 GRAY SILTY GRAVEL SEEPS 2 8.5' SLOPE TEST HOLE WAS GROUND WATER ENCOUNTERED? _y EY AT WHAT T H? SEEPSF P R QEPTH T❑ WATER AFTER MONITORING? 75 QATE_ 06/01/7 SLOPE TEST HOLE PERCOLATION RATE 4.3 (min/inch) P Rf HpLF Tn AH T R 6 In h QST RUN BETWFFN 4 FT AND 5 FT DATE PFRFORMEn• 05-75-n7 PPLO. 60XOlOj1 S4 ENG �) 995L10CJF PHONE -07 (907) 272-8218 FAX (907) 272-8210' of 11 Block 3 SQmPson Estates1 Ronald Moore BOX 671870 NO.P.O. xxxxChugiak, AK 99567 5 Part 1 General SANITARY SEWER SYSTEM 1.01 DESCRIPTION. Provide all labor, equipment, material, and supervision to complete the sewage disposal system for a single family house including, but not limited to, sewer pipe, septic tank, drain field, and all required fittings and appurtenances in accordance with the Drawings, Specifications, and Special Provisions. The Contractor shall be Municipality of Anchorage (MoA) certified to install on-site wastewater disposal systems within the Municipality of Anchorage. 1.02 RESPONSIBILITY A. Owner I. The Owner shall contract with the Contractor to perform the work described in these Specification and the accompanying Drawings in accordance with the attached MOA On -Site Department Permit. There is no contractual, relationship between the Contractor and the Engineer. The Engineer shall inspect the work as required by MOA On -Site Department, so as to document the installation. Final acceptance of the Contractor's work rests with the Owner and the MOA On -Site Department. 2. The Owner shall notify the Engineer of any conditions that are known that will affect the design or installation of the septic system, to include, but not limited to, locations of drains, utilities, water wells, property comers, subsurface anomalies, or known hazards. B. Engineer 1. The Engineer is responsible for inspecting the installation of the septic system and preparing Record Drawings that document the installation to the satisfaction of the MOA On -Site Department. Inspections are performed as necessary to document the construction of the system to the satisfaction of the MOA On-site Department. In all cases, inspection shall be performed as necessary to establish the following: • The original grade at the drain fields and site • The bottom of all excavations for drain fields • Top of sand on all sand filters • Top of drain pipe • Septic tank, lift station, or holding tank prior to back filling • Placement of filter fabric and insulation • After final grading and seeding is complete. 2. The inspecting Engineer has no direct authority over the Contractor's activities or construction/safety practices. Should the Engineer identify conditions which dictate a design change, the Engineer will recommend that the work be stopped and/or the design modified. If a design modification is necessary, the Engineer shall notify the property Owner or his/her representative. The inspecting Engineer does not have the authority to direct the Contractor to modify the system design in such a way that it would be in violation of Alaska State or MOA regulations. Page 1 of 8 6/6/2007 C. Contractor 1. Pre -construction lay -out: The Contractor is responsible for locating all buried utilities, casements, property lines, surface water setbacks, well radii, and water service lines which may been crouching upon the proposed septic system. The Contractor shall ensure that all setbacks are clearly marked and flagged by a registered land surveyor, or other appropriate means prior to construction. Pannone Engineering Services, LLC, (PES) Field Inspectors/Engineers will not be responsible for establishing or confirming any of the aforementioned setbacks. 2. Discrepancy Between design Drawings and Specifications: Construction shall be in accordance with the approved site plan, design Drawings, and any Special Conditions noted on the MOA On -Site Department Sewer Permit. The Contractor is responsible to notify the Engineer of any discrepancies noted on the design plans or Drawings prior to starting work. 1.03 REFERENCES. A. American Society of Testing and Materials (ASTM) 1. ASTM D2241 - Standard Specification for PVC Pressure Rated Pipe 2. ASTM D638 - Test Method for Tensile Properties of Plastic 3. ASTM D696 - Test Method for Coefficient of Linear Thermal Expansion of Plastics 4. ASTM D792 - Test Methods for Density and Specific Gravity (Relative Density) of Plastics by Displacement 5. ASTM D1505 - Test Method for Density of Plastics by the Density -Gradient Technique 6. ASTM D1621 - Test Method for Compressive Properties of Rigid Cellular Plastics 7. ASTM D1622 - Test Method for Apparent Density of Rigid Cellular Plastics 8. ASTM D1785 - Specification for Poly. (Vinyl Chloride) (PVC) Plastic Pipe, Schedules 40, 80, and 120 9. ASTM D2240 - Test Method for Rubber PropertyCDurometer Hardness 10.ASTM D2842 - Test Method for Water Absorption of Rigid Cellular Plastics 11.ASTM D2856 - Test Method for Open -Cell Content of Rigid Cellular Plastics by the Air Pycnometer 12.ASTM D3034 — Specification for Type PSM (PVC) Sewer Pipe and Fittings 13.ASTM D3350 - Specification for Polyethylene Plastics Pipe and Fittings Material 14.ASTM F789 — Specification for Type PS -46 PVC Plastic Gravity Flow Sewer Pipe. B. Municipality of Anchorage, On -Site Water & Wastewater Department (MOA Onsite) 1. Anchorage Municipal Code (AMC)15.65 Wastewater Disposal 2. "On -Site" Wastewater Installers Manual. 3. Municipality of Anchorage Standard Specification (MASS) 4. Standard Specification for Component Parts and Materials Used in Construction of On -Site Wastewater Disposal Systems, Dated January 1991. C. International Conference of Building Officials (ICBG) 2003 Uniform Plumbing Code as amended by the Municipality of Anchorage and adopted November 1, 2005. Page 2 of 8 6/6/2007 1.04 SUBMITTALS. The Contractor shall submit their MOA Onsite Certified Installer certificate and number along with the date of class and expiration date prior to installation of system. After the complete system is installed, the Contractor shall submit unqualified as -built Drawings and certificates on MOA Onsite approved forms to the Engineer for approval to Operate. The Contractor shall record survey notes and submit these with the As-builts. All field joint locations shall be noted on the as -built Drawings. 1.05 SOILS REPORT. Pannone Engineering Services, LLC, conducted a soils investigation. The investigation can be found attached to the Drawings. Part 2 MATERIALS 2.01 PIPE BEDDING. Bedding shall conform to Class C Bedding as specified under MASS Division 20, Section 20.11. 2.02 GRAVITY SEWER PIPE. Pipes shall conform to the material schedule specified by Reference B-4 above and shall at a minimum be: a. Solid pipe: Schedule 3034 PVC plastic b. Perforated: F810 HDPE or 3034 PVC Plastic 2.03 SEPTIC TANK. The Septic tank shall be a cylindrical welded steel tank, constructed with No. 12 U.S. gauge (0.109 inch thick) material, with an operating capacity of that specified on the Drawings. The tank shall be a two-compartment design constructed in accordance with AMC15.65 and the Uniform Plumbing Code, and fabricated to the approximate dimensions as shown on Drawings. Tanks of alternate dimensions but equal capacity may be approved at the discretion of the Engineer. The septic tank shall be manufactured by Anchorage Tank and Welding or approved equal. The tank shall have a minimum of two access clean -outs, one over the inlet and one over the outlet. The inlet pipe opening shall be Schedule 40 steel in the location shown on Drawings. The inlet shall be baffled as shown or as approved by the Engineer. The inlet baffle shall penetrate six (6) inches below the liquid level in the tank. Lifting lugs shall be attached to the top of the tank for ease in handling. All steel structural members shall be jointed by electric arc welding with fillets of adequate section for the joints involved. Welds shall be continuous inside and out, ensuring a watertight tank. Pipe passing through tank walls shall be welded on both sides for a watertight fitting. After welding, all inside and outside surfaces of the tank shall be sandblasted to remove rust, weld flux, oil, and other foreign material. Weld splatter and surface roughness shall be Page 3 of 8 6/6/2007 removed by grinding. Immediately after cleaning, all metal surfaces shall be protected from corrosion by using Hi -Build Cold Tar Pitch, #46-465, or approved equal; the exterior shall be treated with one coat and the interior shall be treated with two coats. Coating applications shall follow the manufacturer recommended procedures. 2.04 SOIL ABSORPTION SYSTEM. All material used in the soil absorption system shall be approved for their intended use by MOA Onsite and shall be in conformance with the above references. Gravel to be used in the soil absorption system shall conform to AMC 15.65.010 Definitions, Gravel. Pipes used for monitor tubes shall be 3034 PVC with the portion protruding into the drain field either slotted or perforated the full effective depth as specified on the Drawings. Clean-out caps shall be rubber "Jim Caps," or approved equal, securable with adjustable metal bands. Friction fit caps will not be accepted. Filter Fabric shall be Mirafi woven or felted fabric, or approved equal. 2.05 RIGID INSULATION. Rigid insulation shall be rigid board extruded or expanded Polystyrene material meeting the following criteria: • Density: 2 PCF minimum • Compressive Strength: 35 psi minimum at 5% yield per ASTM D1621 • Water Absorption: 0.25% by volume, maximum per ASTM C272 • Thermal Conductivity: 0.23 BTU-in/°F-ft2-Hr, per ASTM C177 2.06 FILTER MATERIAL. Filter Material shall conform to that specified in AMC 15.65.060 Subsurface Disposal Fields, Paragraph D Filter Material. PART 3 CONSTRUCTION 3.01 GENERAL. All construction shall be installed as specified in the most current edition of the MoA Onsite Regulations (AMC 15.65), the most current edition of the MOA Onsite Installer's Manual, Specifications, and Special Provisions. The Contractor shall restore all disturbed property, including drainage swales, which were disturbed due to construction activities for this item to preconstruction condition or better. The Contractor is required to maintain the required horizontal and vertical separation distance required by the code. Specifically: • Solid pipes transporting wastewater from the house to the septic tank, and from the septic tank to the drain field shall have a minimum of 36 inches of vertical separation between any storm drain or footing drain. If 36 inches of separation cannot be Page 4 of 8 6/6/2007 maintained, install a minimum four -inch (4 -inch) thick insulation buffer between the septic system and the storm drain or footing drain. Solid pipes transporting wastewater from the house to the septic tank, and from the septic tank to the drain field shall have a minimum of 11 feet horizontal and 18 Inches vertical separation between water service lines and mains. Sanitary sewer pipes shall be centered over the crossing and no joint shall be closer than at least half the standard pipe length to the waterline crossing. Septic Tanks and Drain Fields shall be placed no closer than: • 100 feet to any private well, unless previously approved by the MoA; • 11 feet horizontally measured to any water main, water service, storm sewer, street light, transformer pad, electrical/telephone/cable box; • 10 feet horizontally measured to any side lot line • 50 feet up -gradient or 20 feet down -gradient of any footing drain or curtain drain. • Those separation distances required under AMC 15.65 The Contractor shall relocate any item installed with less than minimum measured distances prior to final inspection and at no cost to the Owner. 3.02 LOCATIONS AND GRADES. The Contractor shall verify and record the horizontal and vertical locations of all utilities encountered in the field and record any changes on the Contractor Record Drawings. The Contractor shall hire or employ a Registered Land Surveyor to stake the location of the septic tank, drain fields, property lines, well, 100' well radius, ten -foot property line setbacks, or any other required feature. Failure to properly stake these locations shall be at the risk of the Contractor and the Contractor shall be responsible if the required distances are not met. The septic tank shall be placed at the locations and elevations as shown on the Drawings. The tank shall be set level to a tolerance of plus or minus 0.05 feet from end to end. The drain field shall be placed in the location shown on the Drawing, with minor adjustments allowed to minimize excavation and accommodate the existing terrain. The drain field piping shall remain level over the length of the drain field. The drain field shall be constructed entirely within 30 feet of the test holes shown on the Drawings. Contact the Engineer immediately if the drain field cannot be installed in the location shown on the Drawings. 3.03 EXCAVATION. Sewer services pipes shall be bedded. Bedding and trench backfill shall be compacted to 95% of maximum density. Material that is placed while frozen or during freezing conditions shall be removed and replaced during periods when the material is thawed so proper compaction can be achieved. Page 5 of 8 6/6/2007 3.04 SEPTIC TANK. The septic tank shall be placed on undisturbed soil on a level grade at a depth as indicated on Drawings. Backfill around the tank with sewer gravel fill to at least the spring line of the tank. Fill above the spring -line of the tank shall be installed in 12 -inch lifts compacted to 95% maximum density. Any damage to the protective coating during installation shall be repaired as recommended by the manufacturer. The tank inlet shall be set at the elevation shown on the Drawings. Care shall be taken during installation to ensure the proper elevation drop between the inlet and the outlet. Install flexible "Fumco" rubber fittings, or approved equal, at connection from tank to inlet and outlet pipes as indicated on the Drawings. The Contractor shall take caution to prevent the tank from floating once it is set in place. The Contractor shall reset the tank to the proper grade if it floats, at no additional cost to the Owner. 3.05 PIPES. Pipes shall be joined to one another, to the polyethylene fittings, cleanouts, and tanks in accordance with these Specifications and the manufacturers recommendations. A. Plastic Pipe to Cast Iron. The existing cast iron sewer line from the house shall be connected to the new septic tank using 4" 3034 PVC Pipe. Connect the two pipes with a Fumco "No -hub" coupling, or approved equal, consisting of a rubber gasket and adjustable metal bands. B. Sewer Distribution Lines. Sewer distribution piping shall be joined using two-part PVC cement. The first part shall prime and clean the PVC pipe. The second part shall join the two pipes. Each section shall be able to withstand a working pressure of 25 psi. All piping shall be placed as shown on the Drawings and placed as straight as practical In case of conflict between stationing of pipe or fittings, use dimensioned locations relative to the centerline and property line, the dimensioned locations shall govern. Dimensions and length called -out and indicated on the drawings shall govern over the scaled distances. Reliance on scaled distances and length shall not be allowed and is done so at the risk of the scaler. 3.06 SOIL ABSORPTION SYSTEM. The drain field shall be constructed as shown on the Drawings and in accordance with all applicable regulations described in AMC 15.65 Wastewater Disposal. The drain field area shall be excavated to the elevation and dimensions as shown on the Drawings. Remove all organics and silt. After excavation, the open hole shall be protected from surface runoff to prevent the entrance of silt and debris. Under no circumstances shall the use of heavy equipment be permitted on the drain field surface. All smeared or compacted surfaces shall be raked to a depth of one (1) inch, and loose material removed, before any of the drain rock is placed. The bottom of the trench shall be level to within 0.2 feet, end to end. Page 6 of 8 6/6/2007 The gravel and distribution piping shall be installed as shown on the Drawings. Perforated PVC pipes shall be laid in the drain field so that the holes are placed down in the gravel. The drain field shall then be backfilled with gravel to a depth of a half -foot above PVC distribution piping invert. Filter fabric and insulation shall be placed over the bedding as required by the Drawings. Backfill above the filter fabric with material excavated from the excavation to the elevation shown. The material shall be mounded over the drain field as shown on the Drawings. Backfill of drain field shall not be compacted. All slopes and surfaces shall be top -soiled and seeded with a minimum of six inches of topsoil and MOA Schedule A Seeding. 3.07 Demolition of Existing Septic System. This section is to be used only if required on the Drawings. The existing septic tank adjacent to the existing drain field shall be demolished in accordance with Appendix K of the Uniform Plumbing Code and AMC 15.65. The existing septic tank shall not be demolished until the new septic tank is connected to the existing residence and is ready for operation, or if temporary provisions are made and approved by the Engineer. The septic tank shall be exposed and all piping removed and disconnected. All liquid shall be removed by an MOA ONSITE Certified Sanitary Pumper and disposed of in a certified septage disposal area. The top of the septic tank shall be removed. The entire inside shall be coated with lime to stop the biological action. The septic tank shall be crushed in place or removed and disposed of in a certified landfill. The ensuing hole shall be filled with unclassified backfill and compacted to the required density. The area shall be covered with topsoil and shall be seeded per MASS Division 75. The existing drain field shall be abandoned in place. If the drain field is a crib type system, the crib shall be collapsed and filled with structural material. The entire are shall be top - soiled and seeded in accordance with Mass Division 75. The existing piping that remains shall be disconnected from the septic tank and abandoned in place. All clean -outs or other indications of the piping at the surface shall be removed. PART 4 BASIS OF PAYMENT 4.01 METHOD OF MEASUREMENT. Sanitary Sewer System is a lump sum item and will not be measured directly for payment but shall include all work necessary to install an operational system as detailed in the Drawings and Specifications. All component items necessary to complete operational systems will be considered subsidiary to this item and will not be measured separately for payment. Excavation and backfill for this item will be considered subsidiary. This item will be considered complete when the system is demonstrated to be operational. Dewatering operations as required will be considered subsidiary to Sanitary Sewer System. Submittals required as described in this Section will not be measured for payment but will Page 7 of 8 6/6/2007 be considered subsidiary to Sanitary Sewer System. 5.01 BASIS OF PAYMENT. Sanitary Sewer System will be paid for at the contract lump sum price. Utility location and coordination required to complete this item will be considered subsidiary to this item and will not be paid for separately. Payment will be made under. Pay Item Pa Unit Sanitary Sewer System Lump Sum Page 8 of 8 6/6/2007 May 16 99 11:58a To: DHHS JERRY LEACH (907) 694-8501 fi Sl Date: 16 May 1999 We hereby notify DHHS as required by permit of the intent to terrali$ the following property, Lot: i l Block: 3 Subdivision: Sampson Estates Address: 22512 Sarah Circle Peters Creek Engineer Consulted: Yes X No Jerry Leach Alaska Drainfield Restoration President RECEIVED MAY 2 6 1999 p.2 Municipality of A icnotage Dept. Health & Human Services Municipality of Anchorage Page 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: PID Number: Os/ c -'7 Name: / /� Wastewater System: ❑ New Upgrade Address: // ABSORPTION FIELD Phone: // 6u 8' O/vp No. of Bedrooms: ❑ Deep Trench ❑ Shallow Trench kBed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/Sq. Ft.'— Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe / '51Son/ t� 4 , � Ft. O. S Ft. Township: Range: Section: Fill added above original grade: Gravel length: �E;_ e! Ft. Ft. WELL: 11New 11 Upgrade Gravel width: Number of lines: Distance between lines: Ft. b2o Ft Classification (Private, A,B,C): Total De Cased To: Total absorption area: � Pipe material: / b 30_3V- Ft. Ft. SQ. Ft. Driller: Date Drilled: Static Water Level: Installer:Date / insta11 /1; FJ Ft. Yield: PumpSetat:Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ❑ Septic ❑ Holding K S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufa/c/turrer: 7; "Al /L Capacity in gallons: /1210 From Tank Field - Station Tank Sewer Lines %7i/✓i/'J, Material: ` Number of Compartments: Well c1 /a/•� /O/ .��/ Surface LIFT STATION Water Llne �o t� �� f¢ Size to gallons: /1710-O2e Manufacturer: /ti�7 � CLtrc %AkA� / f "Pump on" level at: er "Pump off' level at: High w yr alarm at: Foundation ¢ �7� 71 7a.(I Curtain Pump Make & Model I Electr' al Inspections perform—by: A Drain �� BENCH MARK Remarks: 44W PrusT/aX. T4,-c Location and Description: Assumed Elevation: !ov ENGINEER'S SEAL ki � °OF •AC.4,p 1 °see-V ®® Inspections performed by: 9,U4 124e--'�' ��'Dates:ls � 2nd S pro � °•60 g , .. •`• Health.�d-19urn ices approval Kenneih M. D ` 1 CE7116 ® Department of �; � A� FyF.ee,-(� W Reviewed and approved by: Date: 72-013 (Rev. 9/91) MOA 25 Y' Be AS --BUILT WASTEWATER DISPOSAL SYSTEM LOT 11, Block 3, Sampson Estates Subdivision P.I.D. 051-811-37 OFAL��1� '00, * TH �* KENNETH M. US CE -711 \ a PROFESS1oN1, -+ A—B = 42' + B—C = 101.5'-+ B—D = 56'+ C—D = 15'+ C—E = 60'+ D—E = 30'+ ED FOR: KIND ENGINEERING LYNN PAULOSKI 20441 PTARMIGAN BLVD 24121 RAMBLER ROAD EAGLE RIVER, AK, 99577 CHUCIAK, AK 99567 (907)696-6111/For. (907)696-8111 DALE e-24-95 URAlM19NG /( SCALL I - 50' 95-51-9507 AS—BUILT DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOT 11, Block 3, Sampson Estates Subdivision w P.I.D. 051-811-37 W Permit SW95021 102.15 98.75 98.75 0 0 � w 0 U U S 0 ow Of 0 1250 GAL V) N S. T, E. P. M. Litt Station 89.5 \ 89.5 FINISHED GRADE FILTER FABRIC AND INSUL SEWER ROCK I� MIN. 0,5' SAND FILTER: FOR SEPARATION 5' 45' BED 2.5'(t yp) --\ 1 1/4" PVC FROM TANK TO FIELD 1 1/4" PVC FOR MANIFOLD M. T. WATER MONITORED 92.75' 2.5'(typ) --\ rAP FNf1C nF PIPF FINAL SLOPE 3:1 _T-_ 45' 32'+ J 000 OWOv115 —A-_ N ~ O OFA 4, �oo o *�,, TH� / .'� 4" SOLID FROM HOUSE 'GGff� KENNETH K DU S r �V6 . CE -7116 . , I PREPARED FOR: 1 .��zss ��ti� \LYNN PAULOSKI '%opESS1011 , / 24121 RAMBLER ROAD *%, CHUGIAK, AK 99567 mo 37'+ BON 9.5' M. T. T 0 N KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/Fax (907)696-8111 DATE: 8-24-95 DRAWING # NTS 95-52-9507 0 to 40 LF 1 1/4" PVC W/3/16" HOLES I @ 5' SPACING TYP to Ln O ll 45' 32'+ J 000 OWOv115 —A-_ N ~ O OFA 4, �oo o *�,, TH� / .'� 4" SOLID FROM HOUSE 'GGff� KENNETH K DU S r �V6 . CE -7116 . , I PREPARED FOR: 1 .��zss ��ti� \LYNN PAULOSKI '%opESS1011 , / 24121 RAMBLER ROAD *%, CHUGIAK, AK 99567 mo 37'+ BON 9.5' M. T. T 0 N KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/Fax (907)696-8111 DATE: 8-24-95 DRAWING # NTS 95-52-9507 MARK HANSEN P,E, Consulting Engineers Testing L iiboratory HCO2 BOX 7387. PALMER. AK 99645 (907) 7454721 FAX (9C7) tp 74&•-; 7 2; May 20, 1995 Project No: 9524 Quality Sand and Gravel P.O. Box 1456 Palmer, AK 99645 Fax. 373-7979 Project1995 aggrega'a test",g Sub;ect: Sieve Ana ys s H e� Roa^. Gentlemen: Zz- The following is the sieve analysis of the sand sampled on 5/18/95 Sieve % Passing % Required for DEC Septic Filter Sal-:, Group A Group 6 1 1/2" 00% 1" 99% 3/a,. 98% 3/8.. 9^ #q 95q% #10 9370 85.100 85-100 #20 84% 60-90 #40 33% 25-50 Atc,'3 8% 0.15 a 100 1^,. Coefficient, of Uniform;;y Coefficient. of Curvature C; 0 99 1 r4"•ax The sample conforms tc grc i A ar a S s : sc!flca; ons. If you have any questions. please do not hesitate to call ey ."ark Hansen Heavenly Lights Electric, --fl Co ntra cti n g 22509 McManus • Chugiak, Alaska 99567 Phone# (907) 688-6060 • FAX# 688-6061 Work Description: UCY (< —_ tT9 G► c S j�c�'� c C3 e C'l .` ✓l A c -C 1/V �' &/ e 1y! c c W ciy K kv a S Ce 7`-V`4 Lot 11 ?Block 3, Saripson 'st. QTY. MATERIAL UNIT PRICE TOTAL PRICE SIGNATURE/GZ�^� t�-� - DATE i t� �S TOTAL PAGE 1 OF 1 1 P� MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 -(Ln, ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950211 DESIGN ENGINEER:KND ENGINEERING OWNER NAME:VRTACNIK-SCHUNKE LYNNETTE OWNER ADDRESS:22512 SARAH CIR CHUGIAK, AK 99567 PARCEL ID:05181137 LEGAL DESCRIPTION: SAMPSON ESTATES BLK 3 LT 11 LOT SIZE: 40899 (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: 8/10/95 EXPIRATION DATE: 8/10/96 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: A SAND FILTER LAYER OF SUFFICIENT THICKNESS MUST BE STALLED TO ATTAIN A MINIMUM OF 4 FT SEPARATION FROM GROUNDWAT11 RECEIVED ISSUED BY IN - p � DATE •�� / DATE : �0' KND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-8111 June 15,1995 Municipality of Anchorage Department of Health and Human Services On -Site Services Section P.O. Box 196650 Anchorage, AK 99519-6650 ATTN: Dan Roth Subject: Lot 11, Block 3, Sampson Estates Subd., - Sewer System Upgrade Dear Dan: Attached is a design for an upgrade to the existing sewer system on the subject lot. In April I`was asked to provide testing for a Health Authority Approval. The house had been vacant for the two months prior to my inspection. During the attempted adequacy test in April we found that the system appeared to be affected by seasonal ground water. At the request of the owner's agent, we continued to monitor the water in the lateral pipes of the system through the beginning of June. Since the house was not occupied during the monitoring period, I feel confident that the seasonal high water level was 3.50 feet below current grade. Eventually the water subsided and we conducted an adequacy test of the system. The system appears quite capable of accepting more than the required daily flow from this dwelling, and I believe that the interface between the system and the accepting soil is not clogged. As a result, it is my recommendation that we upgrade this system in place. We will remove all the existing piping in the bed, install a 4' sand filter over the old gravel and native soil, and provide a new S.T.E.P. tank and pressurized distribution system. In considering alternative sites for the upgrade I discarded the use of the northern portion of the lot; it is substantially lower than the southern half and is cut through by a large swale. The area in the southwestern corner is heavily treed and the owner is not anxious to destroy the natural cover. Should this new system fail, consideration should again be given to use of one of these sites. The location of the original soil test is appropriate for the new installation, therefore it is my intention not to conduct further soil testing. However, I do intend to verify the soils during the installation. Since the original bed was 24'x Subject: Lot 11, Block 3, Sampson Estates Subd., - Sewer System Upgrade June 15,1995 Page 2of2 44', I am requesting a waiver of the maximum width to allow us to overlay the system. There is no surface water within 100' of the proposed design. There is graded ditching along Sarah Circle and Sampson Drive. During the period of breakup, I observed water in the ditch along Sampson Drive, moving south to north. However, the ditch dried up after the normal runoff period. If after reviewing the attached design you have any questions, please feel free to contact me at (907)696-6111/FAX (907)696-8111. Respectfully submitted, Kenneth M. Duffus, KND Engineering attachments: On -Site Well and Sewer Application Wastewater Absorption System Details Site Plan Soils Log/Percolation Test A SITE PLAN WASTEWATER DISPOSAL SYSTEM LOT 11, Block 3, Sampson Estates Subdivision P.I.D. 051-811-37 Loz17 : 9076495.1, Less b &se,kot"Or;.Iz 21 !9g , Less eris `. sysfim 2 yye Toia/area auu;l kr Absorp. sys/cm. 3y 552 s• 7 / A 44S ) /* 49TH* *f KENNETH M. D S ` .40f CE -7116 4 ¢ wOfAy- 10 \ 7'ROFES5IOTy Fti � PREPARED FOR: LYNN PAULOSKI 24121 RAMBLER ROAD CHUGIAK. AK 99567 KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/Fax (907)696-8111 DATE: 8-4-95 DRAWING # SCALE: V - 40' 95-S1-9507 0 U 'All OF AZ,4 J* 49TH *� KENNETH M.FUS CE -7116 Ir Q� \ '%0PESSI00", DESIGN CRITERIA 1. 3 BEDROOMS X 150 GAL./DAY/BEDROOM = 450 GPD 2. SOILS RATING: 10 MIN./INCH = 0.5 GPD/SF(BED) 3.450 GPD/0.5 GPD PER SF = 900 SF 4. 900 SF /20' W = 45' L (USE 45 L) 5. MINIMUM DESIGN SIZE = 20' W x 45' L BED 6.2" HD INSULATION REQUIRED OVER FIELD <3' OF COVER 7. 2" HD INSULATION REQUIRED OVER TANK <3' OF COVER 8. CONTRACTOR TO PUMP TANK, REMOVE INTACT AND RETURN TO OWNER ON-SITE AS DIRECTED BY THE ENGINEER. 9. CONTRACTOR TO REMOVE AND DISPOSE OF ALL EXISTING PIPE, INSULATION AND BARRIER MATERIAL. 10. ANY ASPHALT, CONCRETE OR APPERTANENCES DAMAGED OR DESTROYED BY THE CONTRACTOR DURING CONSTRUCTION SHALL BE REPLACED BY THE CONTRACTOR AT NO ADDITIONAL COST TO THE OWNER. 11. CONTRACTOR TO VERIFY AND INSURE 2% GRADE FROM HOUSE. PREPARED FOR: KND ENGINEERING 20441 PTARMIGAN BLVD LYNN PAULOSKI EAGLE RIVER, AK, 99577 24121 RAMBLER ROAD (907)696-6111/Fax (907)696-8111 CHUGIAK, AK 99567 DATE: 8-4-95 DRAWING p NTS 95-S2-9507 DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOT 11, Block 3, Sampson Estates Subdivision w P.I.D. 051-811-37 w Permit -------- "2 0 0 FINISHED GRADE (ADD UNCLASSIFIED FILL) GREATEROPE THANO 3:1 9N FILTER FABRIC AND INSUL >� 01:91nni cre. I'o w o' '0 0 o w w w ¢ SEWER ROCK o o MIN. 0.5' SAND FILTER: FOR SEPARATION'—,. Min 0.5 O W 0in " 1250 GAL I M'"" 5� 45' BED WAaMONITORED I 3.9TEBELOW GRADE® o N S. T. E. P. ® Lift Station PRESSURIZED DISTRIBUTION SYSTEM HOLE SPACING DESIGN 1. RESIDUAL HEAD = 5' 2. HOLE SIZE = 3/16" = 1.00 GAL. PER HOLE ® 30 PSI 3. 30 GALS (PUMP DELIVERY)/1.00 GALS./HOLE = 30 HOLES BOH 9.5' 4. 160 LF LATERAL/30 HOLES = 5.33' SPACING PER HOLE 5. ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURES SPECS. 2.5'(typ) CAP ENDS OF PIPE M. T. 2.5'(tYP) O T 40 LF 1 1/4" PVC W/3/16" HOLES @ 5.33' SPACING TYP 1 1/4" PVC FROM TANK TO FIELD N 1 1/4" PVC FOR MANIFOLD in 2.5' 1n M.T. O CD FOo ° 45' ri 0 U 'All OF AZ,4 J* 49TH *� KENNETH M.FUS CE -7116 Ir Q� \ '%0PESSI00", DESIGN CRITERIA 1. 3 BEDROOMS X 150 GAL./DAY/BEDROOM = 450 GPD 2. SOILS RATING: 10 MIN./INCH = 0.5 GPD/SF(BED) 3.450 GPD/0.5 GPD PER SF = 900 SF 4. 900 SF /20' W = 45' L (USE 45 L) 5. MINIMUM DESIGN SIZE = 20' W x 45' L BED 6.2" HD INSULATION REQUIRED OVER FIELD <3' OF COVER 7. 2" HD INSULATION REQUIRED OVER TANK <3' OF COVER 8. CONTRACTOR TO PUMP TANK, REMOVE INTACT AND RETURN TO OWNER ON-SITE AS DIRECTED BY THE ENGINEER. 9. CONTRACTOR TO REMOVE AND DISPOSE OF ALL EXISTING PIPE, INSULATION AND BARRIER MATERIAL. 10. ANY ASPHALT, CONCRETE OR APPERTANENCES DAMAGED OR DESTROYED BY THE CONTRACTOR DURING CONSTRUCTION SHALL BE REPLACED BY THE CONTRACTOR AT NO ADDITIONAL COST TO THE OWNER. 11. CONTRACTOR TO VERIFY AND INSURE 2% GRADE FROM HOUSE. PREPARED FOR: KND ENGINEERING 20441 PTARMIGAN BLVD LYNN PAULOSKI EAGLE RIVER, AK, 99577 24121 RAMBLER ROAD (907)696-6111/Fax (907)696-8111 CHUGIAK, AK 99567 DATE: 8-4-95 DRAWING p NTS 95-S2-9507 3 Municipality of Anchorage .( DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: nn &leiul9.C/ TSz7l/I e/ DATE PER .J LEGAL DESCRIPTION: 10#1,61t 3 Township, Range, Section: DEPTH (FEET) 1 2 3 4 5 6 7 8 8 10 11 12 13 14 15 16 17 18 19 oR4AN/c5 5I4rYsAND SNf GM S&I�PS _ 1 X69EASE 0EM$/7Y GM N SLOPE WAS GROUND WATER 1/-' ENCOUNTERED? S L IF YES, AT WHAT /' 0 DEPTH? P E Depth to Wrier After q �7 t Mnni(rvinn7 .�rg7s Dale: SWI OB 84 H�t9u•,r•••t° ••tt •s awe oR r S Kenneth M. Duff v; k�. SITE PLAN n Reading Date Gross Time Net Time Depth to Water Net Drop 8 3-y 7:'10 - P 7 Z 7: yS �: 50 .rh„v ell 7.'SS /V//t/ 8 3 8 8 '” 7 W 6 3 yB :J S iN 8:/O 5ApAl 8'8 38�� /O 8:/7 &It& ED ey 20 / S:3Z ✓5 Mint MAT " fl , t_jPERCOLATION RATE /� (mtnutes/mch PERC HOLE OIA ER /3 8: 37 NIA/ 8 //TEST RUN BETWEEN �Z•5 FTAND 3• s Ft COMMENTS iC /YD/ T SY S1AOr7l�(��/� rO��J• PERI ORtdLD BY CI_HTI(Y IIIA!Ilii% II ;f WA`, PLNI OHtJ-1.D IN ACCOHI)ANCE WTI 11 ALL SIAIL AND MUNICIPAL GUIDLI INLS 114 r_I I I -Cl ON 1IWI OAtI DA 11 d OF ,44®%1tppy Municipality of anchorage°YT: ° % �® < DEPARTMENT OF HEALTH & HUMAN SERVICES ;44A9TH ®® 825 "L" Street, Anchorage, Alaska 99502-0650 060.0$ got SOILS LOG — PERCOLATION TEST age Kennesh M. D rus i • CE 71 6 0.0 PERFORMED FOR: 1%qU JS.0/• fCSi. A JY- DATE PERFORA a •/ LEGAL DESCRIPTION: Township Range, Section: - SLOPE SITE PLAN DEPTH -10A ET O."AA1/G5 1 X6��J/s Xlfuly 2 Si%y G�adc% �M/SM 3 4 5 6 r 7 8 9 10 11 12 13 14 15 16 17 18 19 sanyG�r��/ cM Sand, 4;,wea/ 4WI6M WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water Nter Mnnitarina? �• y2 Date: S L O P E Reading Date Gross Time Net Time Depth to Water Net Drop 4395 9.38 ys 5M,A/ 6116 7 g,. 3 7:1/9 5 ,N 3 /(0 7 i6 •• •'52 y lAl 7 /b•• :S3 S3 03 ✓ " :D 5 s s 9 6.,/o E 53y 20 �m�h,O POLATION RATE — nutesim)VE;RG Dl70 ER TEST HUN BETWEEN FT AND .—FT COMMENTS PERT ONIaLD BY. GLH Iif Yd11lib IpI lin•[, if:':i WA" PEHf 01"LL' It: ACCORI)ANCE Willi ALL /STAIE AND tdUNICIPAL GUIfi(.LIN(S IN Eft LG7 ON OW, LIAIL DAft-- ?2-001,' INry 4MS1 M, he 40 Z I/V G. /q Y MUNICIPALITY OF ANCHORAGE ®/ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE NEW CLQ �/�/ (C�S / -�S ❑ UPGRADE MAILING ADDRESS �✓ A1��f,�ic�< l6 q_ LEGAL DESCRIPTION ./Z)7' %/'-[�G�'- �ANicas+� L`�%AI LOCATION NO. OF BEDROOMS DISTANCE TO: Well ! p�Q`� Absorption` area Dwelling / �° PERMIT NO. 4j p Z Y a Q wF Manufacturer �� Materiae No. of compartments y Lie. capacity in gallons IF HOMEMADE: Inside length Width `•� Liquid depth z DISTANCE TO: Well Dwelling PERMIT NO. O z d 2 � F- Manufacturer Material Liquid capacity in gallons ❑ Well Foundation Nearest lot line PERMIT NO. uj y DISTANCE TO: J iZ Z No. of lines Length of ea I' e Total length of lines Trench width Distance between lines � z w inches Top of tile to finish gradeMaterial beneath the Total effective absorption area ❑ inches LengthRMIT 41 Width 'ey/' Depih ��� / NO. PEe'5.O/ Z I� Type of crib Crib diameter Crib depth Total effective absorption area co Well DISTANCE TO: o � Building foundlation 6 Nearest lot line J JJAY Class of Depth - f Drriiller ii' Distance o lot line PERMIT NO w Building foundation DISTANCE TO: Sewer line Septic tank LQ Absorption area (s) OTHER PIPE MATERIALS pme 3a� SOILTEST.RyATING INST,,ALLL��E,jR������ W dildL ✓1 REMARKS III Ij 0 U12 (7 O , --4 �"�� s e,4 e o C rl,v, /s net .•� a * se 49 ° F 7 i Q. f, eoe000°000e Oe 00 coo 0o0 0 o� f �lor,v eve& _t ° ° O 8 _e ,f//4ldr.ArP °OOo°°°Goo �r� �-.00 ,V h<.0,/ tee/ APPROVEDefeirlw n -� fGkg� � LEGAL 11 n9 I0_.. O ". ` LOT: 11 BLOCK: 3 LEGAL DESCRIP: SUBDIVISION: SECTION: IT TOWNSHIP: 15N RANSE: 1W LOT SIZE: 40699 <SQ.FT, OR ACRES) - + ' AND ENVIRON MENTAL PROTECTION DEPARTMENT OF HEALTH Listed below are the options available to you in designing your s�ptic system, Choose the option that best Iits your site, 825 L STREET:`ANCHORAGE� � � � AK 99501 DEPTH TO PIPE BOTTOM (FT.) 4,O 4.0 264-4720 3,5 PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: 850152 05/O3/85 SCOTT HATTENBURG 723 W 6TH AVENUE ANCHORAGE, AK 910501 274-1543 1:���1 11 �����", d ]L~11 , ur f SAMPSON ESTATES LOT: 11 BLOCK: 3 LEGAL DESCRIP: SUBDIVISION: SECTION: IT TOWNSHIP: 15N RANSE: 1W LOT SIZE: 40699 <SQ.FT, OR ACRES) - LOT LOCATION: SARAH CIRCLE MAX BEDROOMS: 3 ' Listed below are the options available to you in designing your s�ptic system, Choose the option that best Iits your site, � � � �� � � � � � M��][�� DEPTH TO PIPE BOTTOM (FT.) 4,O 4.0 GRAVEL DEl!PTH (FT.) 0,5 3,5 TOTAL DEPTH (FT,) 4.5 7,5 GRAVEL WIDTH (FT.) 23,O 5.0 GRAVEL LENGTH (FT45,O 81.0 of GRAVEL VOLUME (CU.YDS.) 38,4 60.0 TANK SIZE (GALS) 1000.O SOIL RATING (SMFIT. /BR ) 228 250 ** GRAVEL LENGTH > 75 FT. REQUIRES MULTIP'E RUNS (NOT EXCEEDING 75 FT. EACH) ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS ..... ..... ... ~,~�______...... ~... _....... ..... ~~__^~��~�~~ I certify that: 1. I am NAM liar with the or on~site sewersand wells as set forth by the Municipality Anchorage (MOA> the State o{ Alaska" of and 2. I will install the system in accurdance with all MOA codes and regulations; and in compliance the design of this with criteria permit` 3` I to MOA State Alaska [or the set back will adhere all and o1, requtirements distances �rom any existing well�waste�ater disposal system or public sewerage system o: this or any adjacent or nearby lot. it. I understand that this permit is valid �or a maximum o{ 3 bedrooms and any enlargement ll require an additional permiL- .IF I FA LIFT STATION Iq INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT ANlT INSPECTION MUST OBTAINED; (2) AS-BUILTS BE WI1 NOT BE::�. APPROVEl:) WITHOUT AN ELECTICAL INSPECTION REPORT; AND <3) TH.' ELECTRICIAN. ELECTRICAL MUST SE DONE BY A LICENSED SIS�ED 'DATTE: -��--������~~r ..... ..... ..... �...... ~'~� APPLICANT: SCOTT HATTENB�RG . ISSUED BY � � DATE: �'/ .... �_~._._`~~..~.._�___..~__~_ ��~~���~___.....~ r� ❑ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST ' 1 p MA�f 1 t 10)85 PERFORMED FOR: t5GO"L"r %-• N.A+'TTrG�b�'Rl�. RiE.Stl�t=._IJC.t� DATE PERFORMED: HKZI I�iBS LEGAL DESCRIPTION: L5P MP5cxI `�TAES C I TiwR'5 cz se'K7 SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 2 •�-i-2 �tn�ttJ 141 00 I ev sI�.TY-sArsDY G-+2,a�i�l.,. 01�t ()e A�° nod CE -6739 7P••e•eeeeeeo°oo°v ?1101 UI3/ S WAS GROUNDWATER ENCOUNTERED? IF YES, AT WHAT CGAt!7. TEST CPA/ DEPTH? 5-2 -85 A $ Fat e. d,0S s7/O 9.$!/ 81,30 Id•S N �5rt 87145 /!•25' $74S �/.37sn x •ti2S WOO 9%nn 4.375'" u •9. .75 /dr/27 rr 9715 9, G as" � .1,25't 8 "1Z t f4C) L O P E M •Reading• j Date Gross Time Net Time Depth to Water Net Drop STAR. 5-1-85 5-1-657 lt5 B t d •9. " /Z5" 7 �• OG/�lAh.T-1-85' 8 "1Z I �� O. / .00 " /d -I- 8722 D141W. /99- " 0.75 !' vi 8;416 /8 MIAL 1 12.00,0" A/ u a er • use 2N MIt'VI J PERCOLATION RATE (minutes/inch) l� � Z�I F0a Dest&A( J TEST RUN BETWEEN `�.L—� FT AND ylZ FT COMMENTS C0Mt.A1c11L'� Z5D 5 F PE2 13EDRyrrP°t �iec6MMBti1Ci B1=D SYSTEiM� TOK sua+eiN as Ntal1 a5 &tl�la t5�seo 014ReCADM �c�ai2�nsrev� skaag5 PERFORMED BY: ZC•Or'r I.-• �ATT�1��uRL� CERTIFIED BY: 'SAME. DATE: Apt APPrQv4,d P5xCau:.-6r WAO +4" ►ham ed HA,�j ' sYsToAmo 44 +L0 :rkMvatar& AMA.. 0 4; 44 EDM M N: f F 44 a z V 0 G m: G yF- �rAR>�i 0 NST a � � a y r'I: ZZ O : 4J / r v 90 J II• ai m O o 3 A A a 0 4; 44 EDM M N: f F 44 a z V 0 G m: G �rAR>�i NST a w • N; y r'I: ZZ O : 4J / W D: 4€ 90 ro: M: 3 A A t 0 w ^r04 F a U) v 14 +) q ro rd 3 O z +J ro N 3 +-; 0 44 z Z o a M ro o 04 z 0 .i +-) a) �rAR>�i NST • N; v� r'I: : : 4J / N: D: 4€ 90 ro: M: k 'oi v +J: 'a@ v: y >:: cn i w: EO: c N d': kD. Ni Q 14 ri: .-1 o M [P N : IT O O O O O O O O i x•�r O O O a w x w x w x w x w x w a w oe w x a a w w w a w ^r04 F a U) v 14 +) q ro rd 3 O z +J ro N 3 +-; 0 44 z Z o a M ro o 04 z 0 .i +-) a) Day phone ,Community on site 72-025 ;i/, xr� - t pan, x "' .. � 1 �`• T,l ff community welrsystem, provide wntten'confirmation fro( aie Al t= :: ing to the Cegairty and So fsystem litc"EF.sf. ar,`� Public sewer 4 -i' - OF WASTEWATER DISPOSAL ., '.��`��..'. ` � ` `•, ', � .. Indiyidual,on :site hx . •:. =ter. :' �`f{a.33ri_fI1eF ; ,Community on site 72-025 b &ttttr: 'T y ir/ i., .a14_ � � litc"EF.sf. ar,`� Public sewer 4 -i' - NOTE:-,;, If community wastewater system, provide written confirmation from State ADEC . �attestingto the legaCityand tatus ofsystem. , " .. (Rev. 1/91) Front MOA e21 MUNICIPALITY OF ANCHORAGE Municipality of ArlchoragANVIRONMENTALSERVICES DIVISION DEPARTMENT OF HEALTH & HUMAN SEI ET Environmental Services Division 5 1995 825"L" Street, Room 502 • Anchorage, Alaska 99501 • `o 47RECEIVED Health Authority Approval Checklist Legal Description:oC1 3/C 3 647n (7c$vr7 &%. Parcel I.D.:yV- S//- 37 A. WELL DATA Well type /A/Z) . If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed 5118 (8 5 Total depth l L"C7 Cased to [(no Casing height (above ground) o? 9 Sanitary seal (Y/N) Y Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test S �SS 9 Z z I9 Static water level 13(0 I y0 I fi Well production TS g.p.m. 9 -p -111 - WATER SAMPLE RESULTS: Coliform I (� //Nitrate Other bacteria d Date of sample: N,,*4`f�2�Collected by: B. SEPTIC/HOLDING TANK DATA Date installed 8 ! g Tank size l;�� Number of Compartments o1 Cleanouts (YIN)-4— Foundation cleanout (Y/N) Depression (YN �l _ High water alarm (Y/N) Date of Pumping, Pumper �^ C. ABSORPTION FIELD DATA Date installed 'gllsA; 5- Soil rating (g.p.d./f 2 or ft2/bdrm) ©.rte 6x System type B�� Length Width .20 Gravel thickness below pipe O.' S ! Total depth / r Effective absorption area Yea 5� Monitoring Tube present(Y/N)__>_/ Depression over field (YIM Date of adequacy test/� - " l&,J Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test (in.); � Immediately after= gal. water added (in.): Fluid depth Minutes later: (in.) Absorption rate = g.p.d. Peroxide treatment (past 12 months) (Y" If yes, give date �-- D. LIFT STATION Date installed _ �o J (I Size in gallons 12 SO Manhole/Access (Y/N) "Pump on" level at* i ! "Pump off' level at* Ilk High water alarm level at* 0 11 *Datum _ 0W I �p o�tNaailol. Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/liolding tank on lot _ & ; On adjacent lots /civ t Absorption field on lot On adjacent lots /ov Public sewer main ti/ A Public sewer manhole/cleanout N /4� Sewer /septic service line rTU t Lift station /c/ Z. +-r' srA4T/v--7 SEPARATION DISTANCES FROM TANK ON LOT TO: Foundation 'Pic I t _ Property line /o'd Absorption field /o 1+ Water main/service line Jo '4- Surface water/drainage /oo '-/- Wells on adjacent lots loo '-/-- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation Surface water /00 14 - Curtain drain F. ENGINEER'S CERTIFICATION Water main/service line 20 . -/- Driveway, Driveway, parking/vehicle storage area Wells on adjacent lots I certify that I have determined thru field inspections and review ofjVfunicipal in conformance with MOA HAA guidelines in effect on this date. E Signature Engineer's NameAn)e:�,�z���, p_���ti�1ef�[j�r • ':2 ®�® P r Date 2t /�? sj� HAA Fee Date of Pa, Receipt Ni Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number 69V- ;%-? a$ Abp � "ms are ,n Kenne,ii M. DuffUep w® CCE 71/16 ;\00 R�Fkp ESSIONP, �0sOF_- mss. NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907)456-3116 • FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 • FAX 274-9645 KND Engineering 20441 Ptarmigan Blvd. Eagle River Ak 99577 Attn: Ken or Dee Our Lab #: A137473 Location/Project: Your Sample ID: 22512 Sara Circle Sample Matrix: Water Comments: Lab Number Method Parameter -------------------------------------------- A137473 EPA 353.3 Nitrate -N Reported By: AnthonyLtr. Lange Chemistry Supervisor Units mg/L Report Date: 04/28/95 Date Arrived: 04/24/95 Date Sampled: 04/24/95 Time Sampled: Collected By: * Definitions * ND = Non Detected H = Above Regulatory Max. E = Estimated Value M = Matrix Interference D = Lost to Dilution MDL = Method Detection Limit Result * MDL --------------- 1.43 0.20 Date Date Prepared Analyzed ----------------- 04/24/95 MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES T Division of Environmental Services 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. # n4'I Ak\- 'Y1 1. GENERAL INFORMATION Complete legal description Lot 11 Block 3 Sampson Estates Location (site address=or directions) Peters .Creek'Alaska.,!'i. 22512 Sarah Circle Property owner, ' . y p Scott'LHattenburg Da hone 562-1830 _ - Mailing address P.O. Box 67:0093 Lending agency City,•Mortgage Day phone 563-0700 Mailing address 121 W' Fireweed Lane #120 Anchorage AK 99503 Agent Don McKenzie Real Estate Day phone 694-9035 Address 13135 Old Glen Highway Suite 1100, Eagle Uirer, AK 99977 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well X 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 X 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.1191) Front MOAN21 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 on-site 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 Address LCMF Limited Engineer's signature 6. DHHS SIGNATURE Approved for Disapproved. 7&&0V bedrooms. Conditional approval for Additional Comments UITIr Phone 562=1830 95903 — Date OF A4 r 49th '% •':i y ;STEPHEN W. CN3i:i: C s CE4559 •"' "90FE5S10P)'=p��ry bedrooms, with the following stipulations: Date 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 N21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Gm7-I1 Blve4 Parcel I.D. 65 d a- 37 A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) �Date completed 5��8�85 Driller JA - 44J7��4N� Total depth �� �� Cased to leo 0 Casing height 2. / Sanitary seal (Y/N) `�L'3 Wires properly protected (Y/N) y� s Date of test Static water level Well flow Pump level FROM WELL LOG s/its �8� i 7. g.p.m. /s7' AT INSPECTION /310 a. D SEPARATION DISTANCES FROM WELL TO: 27 Septic/holding tank on lot On adjacent lots Absorption field on lot 06 ; On adjacent lots /ZS Public sewer main A/4D- . Public sewer manhole/cleanout Alam° Petroleum tank Sewer service line fy+— / Int l N vs WATER SAMPLE RESULTS: Coliform O M9Ic- Nitratele- o97 i"9 Other bacteria Date of sample: �I(o�9'L Collected by: S bu B. SEPTIC/HOLDING TANK DAT Date installed x"14` X98" Tank size �oo0 57.0-/, Compartments Foundation cleanout Yes Depression (Y/N) (Y/N ) No Cleanouts (Y/N) High water alarm (Y/N) Alarm tested (Y/N) 't��� Date of pumping 2; `Q� Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: leaOn adjacent lots let, Foundation a S Well(s) on lot 1 To property line 3 s� Absorption field 8 Water main/service line Surface water/drainage A)Oi'`' CONTINUED ON BACK PAGE 72-026 (Rev. 7/91) Front C. LIFT STATION Date installed AJ11Q Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at "Pump off' level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA 5 �4S Date installed Jvoe lq8 Soil rating-'L6_49S•FI52 System type gaP Length `AL1 Width 24 Gravel thickness /2 Total depth 3 i5454A­7 jna3 Q DF'121g1CJ IH9u� Total absorption area loSio sl= Cleanouts present (Y/N) I 7eS) aLI•er Bet) Depression over field (Y/N) A] vDate of adequacy test jai Results (pass/fail) mass for bedrooms Peroxide treatment (past 12 months) (Y/N) No If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot _. /0ie On adjacent lots t Property line 30� I To building foundation I 1 To existing or abandoned system on lot N&VA- On adjacent lots 'Sd Cutbank O+ (ON La T7Water main/service line `)d Surface water h am- Driveway, parking/vehicle storage area 341 Curtain drain ham^ E. ENGINEER'S CERTIFICATION I certify that t have checked, verified, or conformed to all MOA and HAA g�.idelin in effect on the date of this inspection. OF F A� 0 d a4 0 • Signature- *.9 @ JP t, Engineer's Name 6"• ' "�" « - � 3// /9`z Date _ 2 MAA Fee $ l Zo Waiver Fee: $ Date of Payment `� % `7/z Date of Payment ReceiptNumber Receipt Number 72-026 (Rev. 3/91) Back MOA 21 m WELL FLOW TEST LOCATION: e-6 7- 0.577 JOB NUMBER: DRILLER: DATE OF TEST: DATE WELL COMPLETED: TECHNICIAN: WELL DEPTH: STATIC WATER LEVEL (top of casing) : 13( — Clock Time Elapsed Time Minutes Static Water evial, Flow Rate opm Cumulative Gallons Pumped Remarks 00 t7 36' — Tr9 tPT LyK �- /6 20 / 37— / 2;L.0 /�z0 37 S, 6 3;/o ) o /37' S /03 LF!0 0 37' Average Flow Rate: 5-0 `fPnt Comments: Reviewed by l Date: A D E D U A C Y T E. S T REPO RT LOCATION: // B3 Sw".p�o,-� JOB NUMBER: INSPECTOR: DATE:_- TYPE OF DWELLING;_ 5,'n�,�c y, ,�� SEPTIC TANK SIZE: N0. OF BEDROOMS: 3 TYPE OF S.A.S.- CALCULATE PEAK LOAD:_ -3 X (mpogiiRFn TW PPT_ B2cauzia, ✓Jo ?/ ® 2.O x/G� /y 10/04 Mari im✓ �zu /2¢f c�irec i� NPc�I�t 9, 5'o Gars o� TEST RESULTS: f �t5 REVIEWED BY: DATE: �(� A D E Q U A C Y T E.S T REPO RT LOCATION:- Z.11 JOB NUMBER: INSPECTOR: DATE.-_I/t� TYPE OF DWELLIN6,__SEPTIC TANK SIZE: NO. OF BEDROOMS-- _- TYPE OF _ S. A. S. : CALCULATE PEAK LOAD. -_I /57o7= 11-$" c l IYIC�CLIDCiI Thl CCC'P TEST RESULTS: REVIEWED BY: DATE: V MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1, GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 11, Block 3, Sampson Estates T15N R1W Sec-3 Location (address or directions) Peters Creek (b) Applicant Name Scott Hattenburg Telephone: Home NIA Business 274-1543 Applicant Address 723 Ath Anchorage AK 99501 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder M ; Buyer ❑ ; Other ❑ (explain); (d) Lending InstitutionN/A Telephone Address (e) Real Estate Company and Agent N/A Address Telephone (f) Mail the HAA to the following address: Pickup By Engineer 2. TYPE OF RESIDENCE Single -Family 9 Multi -Family ❑ Other Number of Bedrooms 3 3. WATER SUPPLY Individual Well 10 Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite$] 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 (11184) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm pArl F RIVER ENnINEERINu S' BVICEf Telephone Address EAGLE RIVER, AK 99577 P BOX Date .,2 �/pt� 694-5195 Gl �� pJoc°ooe{in pO 0 I, r, — E Engineer's Seal ®fj a Louis A. Bwera CE -6736 y /<<, A"6FESS1��;;' .e _' 6. DHEP APPROVAL / Approved for bedrooms by ate Approved Disapproved Conditional Terms of Conditional Approval 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 artafyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the a 0ft8I engineer's z f .... �� Y� �'� , work. M NtC1PALiTY OF A7\'Ckf�PA �1 DEPT. OF Pn -_ MUNICIPALITY OF ANCHORAGE (MOA) RNVIRONMENTAL N HEALTH AUTHORITY APPROVAL (HAA)E� 4 198�� CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: L f �� �� E�a��'` �S� �s T/s`r✓/c' � �✓ S{c 3 A. WELL DATA Well Classification Aefyy 7_ If A, B, C, D.E.C. Approved (Y/N) All Well Log Present (Y/N) __X—_ Date Completed /?'?��" / T Yield Total Depth 9/6'0 ' Cased to ��� Depth of Grouting y% Static Water Level / 3 C ' Pump Set At S Casing Height Above Ground a y Sanitary Seal on Casing (Y/N) y Electrical Wiring in Conduit (Y/N) i Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot spa ; On Adjoining Lots fD0 f To Nearest Edge of Absorption Field on Lot 1061 On Adjoining Lots %0 To Nearest Public Sewer Line None To Nearest Public Sewer Cleanout/Manhole ""e- To Nearest Sewer Service Line on Lot Water Sample Collected by IE7h " ee - ; Date a" -C J� Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed �� Size""U No. of Compartments a Standpipes (Y/N) y Air -tight Caps (Y/N) y Foundation Cleanout (Y/N) Z Depression over Tank (Y/N) Date Last Pumped Pumping/Maintenance Contract on File (Y/N) 12-114 ; for Holding Tank High -Water Alarm (Y/N) � Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well /Ooz To Building Foundation To Property Line //? f To Disposal Field /19 To Stream, Pond, Lake, or Major Drainage To Water Main/Service Line jd 1 9 Course a'Q Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata SSU ���� Type of System Design RE? Date Installed Length of Field y1/ Width of Field �/ Depth of Field _ y Gravel Bed Thickness 6 Square Feet of Absorption Area SUS 6 1 Standpipes Present (Y/N) Y Depression over Field (Y/N) /U Date of Last Adequacy Test Results of Last Adequacy Test �Ve6'' Separation Distance from Absorption Field: To Water -Supply Well 106 To Building Foundation 2 Lot /V To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION / ,4 Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments To Property Line To Existing or Abandoned System on On Adjoining Lots -;;Io f To Cutbank (if present) ///ur e f Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date Company �i�/�_ s MOA No. S7 2 cj Receipt No. A 5 !! QF qiqq�� 11 Date of Payment •►�` ``'•••"•••. Amount: $ % 6 *'�••` ••••949 ineer's Seal s -49TH I•.e.N•.M • .� ig•i•NU�••••�•i Page 2 of 2Louis A. Butera ^/••• CE 6736 �A``1 00.••� .••fC�' i ....,.+•�t.�ii 72-026 (11/84) September 25, 1985 Mr. Robby Robinson Department of Health and Environmental Protection Environmental Engineering Division Municipality of Anchorage 825 "At' Street 82w Anchorage, AK 99501 "UNITED ENGINEERS PLANNERS PROJECT MANAGERS SURVEYORS Regarding: j Lot 11, Block 31, Sampson Estates y Dear Mr. Robinson: £ a rtt`O Additional improvements were made to the septic system on the above referenced property. On August 1, 1985 I installed 2 -inches of additional rigid insulation board over the effluent outfall line from the house to the septic tank and I installed same V over the entire septic seepage bed in order to decrease susceptibility to system R� freeze-up. I was not happy with the septic system contractor's utilization of 1" of S poor grade (styrofoam) insulation board over an uneven surface which resulted in the styrofoam breaking and cracking during the seepage bed's backfilling process. When final grading of the backfill over the bed was complete, and proper dainage away from the house was provided, approximately 3.5 to 4.0 feet of cover remained over the top of the drain rock in the seepage bed. Realizing the condition of the styrofoam installed by the septic contractor, I opted to install another 2" of high density insulation board approximately 16" below ground surface to reduce frost penetration in the aforementioned critical areas. As far as I am aware, the septic tank has sufficient insulation and so no improvements were made to that element of the system at this time. I have attached xerox copies of photographs taken during installation of the additional rigid insulation and can provide additional documentation as required. I have also attached a copy of the well log as required by DHHS for your files. Please file the information contained herein and, if questions arise, please do not hesitate to call. Sincerely, Scott Hattenburg, I.E. 723 W. 6th Avenue Anchorage, AK 99501 .Phone: 274-1543 owner/Builder 723 West 6th Avenue Anchorage, AK 99501 (907) 274-1543