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HomeMy WebLinkAboutSCIMITAR #1 BLK 1 LT 7Scimitar #1 Block 1 Lot 7 #051-132-02 f *7A Municipality of Anchorage Development Services Department Buildinn•SiteWaterandWaste aterProgaDivislm�4700 BragawSt.P.O. Boz 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343.7904 Page of TER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: PID N _ j(�� p� 7D51 N„r R061_ umber. 17fa ,2T Q a Wastewater System: ❑ New �'•+• pgrade Pnorr U' Z/0a c1l ucAeff ifr2/G 40RIVCc ABSORPTION FIELD �O- —,o J �jG S Rumbet of fits& s ••p Trgwn O Snglor Trrrrt O BaE O LlovrO 0 Dlh« LEGAL DESCRIPTION Sal R,tuq Taq ppin han apNl4•gle aka / La s mewn / GPDFr' Dean b PPI balan horn Wgn,l PeOe Gr„ FI. TownuuG 7` � � Sean bmegn PP. R,rpe Sawn Fm gtOeE qwv apnq vale Ft. Grevq L FI y •nan Well: — SrIl(/6 New Greww.an / ` Fl. F1. Pgrade Nur Im, D»i«we wrse J,,s, CreUfiC&I n (PM,Ie, A B. Taq Depen Cow t,FI. Tab •Dx,awnq„ / FI O DrOk PWM VC_ D »o FI. Ft F� V C• 3Q.� Slgw «Lava ,+q 'br FDat swgr, Yrok Pump $qq Gawp fits hbpye Gr„dFi Q J 0 GPM Ft GC OS oI33 FL TANK SEPARATION DISTANCES Septic ❑ Holding To Septic Absorption ❑ S.T.E.P. ❑ Other. Fran Tank Holding ubuUPn a •a«« A Field Station Tank Sower Line 'PeG1y /T� ZSO Gal WWI CanP,rtmenr SWIso,wq«0r V z LIFT STATJON La Orr /f 0/ _ as •a✓« / Gal FarW,twn [� 1 /O _ Pw^ w st 'Pump dr Mvq . Hpn wei«rr q F Cungn 1),,num rtn d w //�} Pp M , d Mobq M ”' Er yrKy �•( F I �7 :»awn, pManrp by Remerk, BENCH MARK Loueon qa Def4wUa1------------- ! OQ2 /tC »vaiwn /OO FL Engstiv'g,-J�TP R G OF ...�(&td1 v'�CPC•••'....e fi `3 Inspections performed by: Its, C.) �Z�pS r Ej STN r aw• '. y' e ) Dates: 1q r ,. 2n°0 Gr Development Services Department Approval r Reviewed andapprovedli r, steYen W. �3 b : d s••. FE 6ZIS Y �,�. RN I_901 p1. , 0 .. - n ^- Date: _qap/xu., �� `, •.` 'Alf- Test Hole— New 1250 Ga o ISeptic Tan ew F.C.O. Existing Tan Decom issionecl ull Run e, / V0JVe C to ��� DESIGN NOTES: 1. Total Depth of Trench is 8' fry surface. Terrain slopes toward a north. 2. Sewer Service Line minim 2% slope. 3. Trench is Minimum 'f0' from Lot Line. 14. Lots Served by I / to Water Wells. field) F.C.D. A 26.4 B 5 S.T. C.0.1 29,7 17 S.T.C.❑.2 25 22 D.C.O. 25.2 24 C.O. 1 26.3 27 C.O./MT 87.5 102 NORTHRIM �P�� SCIMITAR S/D I AS -BUILT ENG/NEER/NG '.aemBL❑CK 1, LOT 7 LOT PLAN i 77237 Bear Paw Circle Eagle River, Alaska 99577 V= $�� _— 907.694.7028 •'••....•• j DETAIL LAYOUT �.:------�„E7. ' - - --- -.. _.. -- - -- 11/1/05 2r__ of 3 i U rn U L ai L � u m Q v N a 0 u ) m W 0 O L S u M+' u Fd > +� c� C5 U 44) > d> n c � Z W W Q 0� a6l �:p d C Q J ~ N LR1 d CL sa 5 u c z -1 a7 > N F- U NMS W �N LO atd _ O £ Cl- N Uw LJ 3000 aC _ O d oc 4- UCJ dU N E N _ +- C p iS4-F- N C Yd Z S US L L0 0 3 U O 01 1Z7 v� q In In 3 In ¢ In Ld A .-:N M40 �0 n d ~S Ow 0 O O u It C � C 4�CU CJ F- O d W � C, O II _O � :p d d > c 3 N ip O W C i U rn U L ai L � C3 C3 F-- m Q v N a 0 u ) m W 0 O L S u M+' u Fd > +� c o C5 U 44) > d> ��50) '4- N � Z W W Q 0� a6l �:p d C Q J ~ N LR1 d CL sa 5 u c r� S u QjL F- C O Q L O N J2 Q a a, Z _j3 rn U L m Z � C3 C3 F-- m Q v N x • U Z u S od d > U d ,WHO Cl U C O Y > d' JF-� O L S u M+' u Fd >Zw p as L Q aW F- J -0 N > O d j M Q C > N Q O L C W dU fn CO jF,z a6l �:p d C Q �UfY aw N LR1 d CL sa 5 u c z -1 o 3 3 c 7 O'4 ` JC]M =U W +' O g+'� J2 C� Cl U W - QED y+o'�+- 3 O 'A +.. �d L N 0)t £ d U NMS W �N LO atd _ O £ Cl- N Uw LJ 3000 aC O d oc 4- UCJ dU N E N _ +- C p iS4-F- N C Ql- OFd.. NyH NY E+d+ Z S US L L0 0 3 U QO.y 3. C a,3 ai Cl 1Z7 v� q In In 3 In ¢ In Ld A .-:N M40 �0 n W 11 O d a, LL) ai 6 x in N W F- 0 3 W h LO 0 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Permit Number: SWO50347 Legal Description: SCIMITAR #1 BLK 1 LT 7 Design Engineer: 0838 North Rim Engineering Owner Name: ROBERT & SANDY JOHNSON Owner Address: 20344 CHUGACH PARK DRIVE CHUGIAK . AK 99567-6345 Upgrade Date Issued: Sep 15, 2005 Expiration Date: Sep 15, 2006 Parcel ID: 051-132-02 Site Address: 020344 CHUGACH PARK DR Lot Size: 141904 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: MV Disposal Field 0 Septic Tank F-1HoldingTank ❑ Privy E] Private Well Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide 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, sealed, and heated to prevent freezing. Received By,. Issued By: Date: % Zo OJ Date: 4 14, Municipality of Anchorage �< ... Development Services Department Building Safety Division On -Site Water and Wastewater Program s ..... 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 05/- /32 -02 Permit Number SW Property owner(s) o r /-,` nd� �•• Day phone 6�8-0325 Mailing address Z03yy 6A?(VIZ Zip Code 77 Y? Site address Zip Code Legal description (Lot, Block & Sub'd.) S[' riot/Tf%r/ �- oCf—( 'LQ 7' Legal description (Section, Township & Range) Lot Size 41 �� U A es/Sq.Ft. Number of Bedrooms [1 THIS APPLICATION IS FOR: �_J Well Only Sewer Only ❑ Water Storage Sewer and Well ❑ / El Sewer Upgrade THIS PROPERTY CONTAINS: H ❑ Jacuzzi 13ot Tub Swimming Pool ❑ Water Softening Unit El Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or a orized agent) Permit/Rush Fees: (�D • Waiver Fees: Date of Payment: 9 Date of Payment: Receipt Number: �✓? �(!O ��1 _ Receipt Number: (Rev. 09104) bT1-�IM ENGINEERING NorthRim Engineering 17237 Bear Paw Circle Eagle River, AK 99577 907-694-7028 September 7, 2005 MOA On -Site Water & Wastewater Program 4700 Bragaw St Anchorage, AK 99519 RE: Septic System Design, Scimitar #I, Block 1, Lot 7 The septic system has failed on the subject property. The owners wish to replace immediately. The soil test was excellent. This is a large lot. Most of the neighboring lots are developed. This site should not negatively impact any of the other area lots. The slope is relatively flat at about 5%. Please review the wastewater system design for the single family home. I have included design plans & specs, design guidelines, & soil tests. If there is need for additional information or clarification please give me a call. Sincerely, v�tJ.' e Eng, PE, i Design Enclosures �NOIUERING_ Scimitar #1S/D, Block 1, Lot 7 SPECIFICATIONS & DESIGN GUIDF.I,INFS AVnstewnter System Sizing: This is an existing single family home @ 4 bedrooms. The existing system is in a failure mode and is 28 years old. The septic system will be replaced. This requires a new 1250 gallon septic tank. The lot is very large at about 3 acres. Neighboring lots are also large. Most of the neighborhood lots have been developed. Separation will be maintained to the existing water well. No adverse impacts are expected from developing this lot. The proposed septic system is located on the drawing as are the neighboring wastewater systems & water wells. The lot is relatively flat and with a small slope. No conflicts to any neighbor lots is anticipated. One soil test was conducted. A sandy soil with an excellent percolation rate. An application rate of 1.0 GPD/FP is being utilized. The old septic tank will be properly abandoned. The old absorption trench will be connected via a "Bull Run' valve. Specifieation Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • Two compartment, 1250 gallon septic tank. • Watertight couplings on inlet & outlet. • 5 foot minimum between the tank and bed. 10 foot to property lines. • 3 feet of cover or insulation is required for trench; an equivalent of 1" insulation for each foot soil cover. • Tank & solid pipe must be set on well compacted, stable soil. prior to an • 4 inch diameter cleanouts with airtight caps are required 1 to 4 feet from foundation wall, p y 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10 feet from the tank positioned to provide cleanout access towards the tank and towards the absorption field. • All cleanouts must extend to at least ground level. • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. • Trench to be placed level, minimum of 4 feet to groundwater, 6 feet to bedrock from drain -rock. • Drain rock to be''/) inch to 2'/i inch screened. Drain rock to be distributed uniformly throughout the trench. • Perforated pipe to be installed level with perforations down. • Silt barrier (filter fabric) to be installed above the drain rock. • Smeared trench sides must be raked or scarified before drain rock placement. • Backfill over drain rock must not be less than 36". • The finish grade must be mounded to promote drainage over the trench. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope. • Septic Tank to be pumped every two years or when required. • Insulation board to be extruded direct burial polystyrene (Dow Styrofoam 111 or equal) • The existing septic tank will be abandoned; the septic tank will be pumped, crushed, and filled with sand/gravel or removed and properly disposed of. "Bull Run" valve to old absorption trench. Septic System Construction Does Not Preclude Adjoining Lots From Sanitation Improvements. DESIGN NOTES: 1. Total Depth of Trench is 8' from surface. Terrain slopes toward the north. 2. Sewer Service Line minimum 2% slope. 3. Trench is Minimum 10' from Lot Line. 4. Lots Served by Private Water Wells. 1 NORTHRIM ENGINEERING 17237 Bear Paw Clroli Eagle River, Alaska 9937: 907.694.7026 SCIMITAR S/D BLOCK 1, LOT 7 WASTEWATER LAYOUT LOT PLAN V = 100' We: --- -- -EET. 9/6/05 �1 of S _ I Test Hole— New1250 Ga o ISeptic Tan I I 1 _,7 Existing Sep System -- ull Run Valve (Connect to exit Ing tie(d) / I I / I RIO e w F,C.G. / DESIGN NOTES: I 1. Total Depth of Trench is 8' from Isurface. Terrain slopes toward the north. / 2. Sewer Service Line minimum 2% slope. I/ 3. Trench is Minimum 10' from Lot Line. I 4. Lots Served by Private Water Wells. :s� a SCIMITAR S/D NORTHRIM ENGINEERING `• BLOCK 1, LOT 7 li— 77237 Bear Paw CfrWe ••Fe7M Eagle River. Alaska 99377 •• 907.694.7018 a'w i DETAIL LAYOUT LOT PLAN r = 50' ---- Date; _ — EET: 9/6/05 2 of 5 Septic System Construction Does Not Preclude Adjoining Lots From Sanitation Improvements. DESIGN NOTES: 1. Total Depth of Trench is 8' from surface. Terrain slopes toward the north. 2. Sewer Service Line minimum 2% slope. 3. Trench is Minimum 10' from Lot Line. 4. Lots Served by Private Water Wells. SE9.3903f1 10278! (!S 7)9) _) 1 1019'5900'• 157A IO9-179)) I Test Hole I I New 1250 Ga o I Septic Tan I I I I I I N99.5901'W-2-0-5 5 I. WELL ^ I Pw F.C.O. I�' x(sting Sep y / S sten ulI Run Valve (Connect to I I.V I I I I / I / R NORTHRIM ENGINEERING 17257 Bear Pow Circ ' •• a 9n,'' Eogie Ri.er, Alaska 99377 t • •• 907.694.7028 t i SEPIIC w Jo SCIMITAR S/D S/D PLAN BLOCK 11 LOT 7 SUBDIVISION LAYOUT w9/6/0s Na of s_' S u c N i H a N z O t 0 CL 1 t La N O H 3 £ d N U rn U L > O a ° C— CL i v oa 17 ` I I 11 i u :p i O L O. 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Block 1 Lot 7 T.H. Location, See Attached Design Groundwater? DEPTH (FEET) Depth organic 1 - •,` Water Depth 4 - Monitorin .None GM 5 - '' _.. Silty Gravel 6 - :'" w/ Sand 7 9/6 0 8 9 10 9/6 2 2 min 5' 2' 3 9/6 5 13 - ' �'.::�. Dense 4 9/6 7 14 - 2' 15 - 10 16 - 17 - 12 18 - 2, 19 - T.H. Location, See Attached Design Groundwater? No Depth -- Water Depth After Monitorin .None Date, 9/6_ /_ # Date Gross Time Net Time De th Net I 1 9/6 0 2 9/6 2 2 min 5' 2' 3 9/6 5 -3. 4 9/6 7 2 min 5- 2' 5 9/6 10 -- r- air, 12 2 min 5' 2, 20 - 21 - Percolation Rate 1 min./inch Perc Hole Diameter Test Run Between 3' and4' Comments, I Performed By ni^r+bRi� Erng• Performed in Accordance with All Sta ON THIS DATE. DATE, 9/6/05OF _ 6' CERTIFY THAT THIS Tt5 i why /Municipal Guidelines in Effect I NORTHRIMP ••. I TESTHOLE LOG ENGINERINGE 117237 Beor Pow Clrcle s�.+p '.Eagle Rl"r. Alaska 99577 a;",°'• ; GEOTECHNICAL 907.694.7078 T. H. 1 I�a:et 9/6/05 lof 1 MUNICIPALITY OF ANCHORAGE A 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 NAME +� t r` �jy,.�.. .—_. PHON�fE ..�._.__ NEW �.7�3 EJ UPGRADE MAILING ADDRESS F' C)ACr I ��►L)z� LEGAL DESCRIPTION r14 _-La LOCATION NO. OF BEDROOMS 1OLI 6a _ Well A sorption area Dwelling U Y PERMIT NO. DISTANCE TO: � � (� � ^' — — -1,.Q— .— _ V2_0 f- z N Manufacturer Material No, of compartments N Liq. capacity in yallons IF HOMEMADE: Inside length Width Liquid depth 0 Y DISTANCE TO: Well Dwelling PERMIT NO. JUZ m `-� I- Manufacturer Material Liquid capacity in gallons 2 i.� Z Well DISTANCE TO: > �1� No, of lines Length of each line, jl Foundation Nearest lot line. 7 I Total length of linesttI Trench width PERMIT NO. �z C) (� Distance between lines L3 3 inches <m o„ F Top of rile to finish grade beneath the Total effective abso;ption area ❑ .; .. _ inches /006 4=4W V Length Width �� Depth - PERMIT NO. w a. f- as Type of crib Crib diameter Crib depth Total effective absorption area N DISTANCE TO - � Well � Building foundation Nearest lot line _j Class Depth Driller Distance to lot line NO. _I wDISTANCE TO: Building foundation Sewer line JPFIT Septic tank ption area(s) OTHER i - PIPE MATERIALS ) �/ c SOILTEST RATING 12 l� -- INSTALLER Yc6ya-io(%�- - t� REMARKS F-14 i APPROVED DATE LEGAL '���� DEPHRTME�T � HEHLTH HND ENYIRONMEMTHL . .OTECTION STREET, HNCHORHGE, AK 99501 264�4720 TYPE OF SOIL HBSORPTION SYSTEM IS� TRENCH MHXIMUM NUMBER OF BEDROOMS � ] S�IL RHTING (SQ FT/BR)� 250 THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM Mi MEMO"! L- �� �����lF�� is" Ss 1711-1 1 ii �": . , �� ��� ���� PERMIT HPPLICHNT HHS THE RESPONSIRILITY TO INFORM THI5 DEPHQTMENT DURING THE INSTHLLHTION INSPECTIUNS OF MAY WELLS HDJHCEHT TO THIS PROPERTY HHD THE NUMBER OF RESIDENCES THRT THE NEL. WILL SERVE 11'. -JP �- -���� ��� ~~~~-~LLING OF HNY SYSTEM 11THOUT FINHL INSPECTIGN HND HPPROVHL BY THIS it �MEOFF HILL BE SUBJECT TO PROSECUTIDN. MINIMUM DISTHNCE BETWEEN H NEL. HND HNY ON-SITE SBkHGE DISPOSAL SYS TEMNISNG 100 FEET FOR H PRIYATE NELL OR 150 TO 200 FEET FROM A PURLIC WELL UL�� y� UPON THE TYPE OF PUBLIC uELL|T� WELL TO H pRIyHTE SEWER LINE IS 25 FEET HND MINIMUM DISTHNCE FROM H PRiYM TO H COMMUNITYSEWERLINEIS 75SFEET�ICRTIgNS HND CONSTRUCTION �IHG�HMS HRE OTHER REQUIREREN!S MAY WFIN ,���. HVHILHBLE TO INSURE PROPER INSTHLLHTION. ������ �-���0� ���M����� SAW... �43 5!. I H� � y|1�| CERTIFYATHHTHR WITH THE REQUIREMENTS FOR ON~SITE SEWERS 9ND NELLS �S SET 1� I FORTH BY THE MUNICIPHLITY OF HNCHORHGE. 2 I NILL F1 L. THE SYSTEM IN HCCORDHNCE WITH THE CODESEN[HRGEMENT lF THE ]' I UNDERSTFAM) TINT THE ON-SITE SEWER SYSTEM MRY REQUIRE R�SIDENCE IS REMODELED TO INCLUDE MORE TION I BEDROOMS ~�`------04 3 ~� �_~-�... ����C 3. F-- 171 Q X W �� PA IC..- 11-41 Fit ���� ' DEP8RTMENT i HEf-11.,11 MID ENVIRON1-1 ENTFi L. ]TE:CTICW-4 ^ 825 /L/ STREET HN�HORH�E HK 99501 l / / 264-4720 L_ 97-1 P-11 �A .1 -_F` :5 ETE 1"I Q IFT: ��E Fr1T PERMIT NO� ( 810]94 ) lPPLICANT ROBERT G JOHNSON PO BOX ]81 E R c\�`�ll 694�9521 � � ./ .00RTION ER_ .EGHL L7B1 UNIT 1 SCIMITHR LOT SIZE 140000 SQUARE FEET PYPE OF SOIL HBSORPTICIN SYSTEM IS: TRENCH 1HMMuM NUMBEIR OF MIDR1.1011s -­ ] SOIL RATING (SO 250 FHE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS: ����9­11= :.L. 4zil L.- FEE VA -U H -A �!5 ��IF-1 IEi-E, L_ ��������� C. _ THE: LEMGTH DIMENSION 113 THE LR.113TH (IN FUT) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND HND THE GOTTOM OF THE EXCHVHTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GR.FiVEL DEPTH IS THIE MINIMUM DEPTH OF GRH, -'EL BETWEEN THE OUTFHLL PIPE HND THF: BOTTOM OF THE EXCHVHTION (IN FEET). -A: 1 C.- -Y- FOT thl K ���E.,E �CE, C.,_4 L.. Q. CH VJI "'b" ORMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE INANTHLLHTION INSPECTIONS OF AI,TY WELLS HDJACENT TO THIS PROPERTY HND THE 1�M�ER OF RESIDENCES THHT THE WELL WILL SERVE. �P.4 8_11 ��2': 1, ��AT IT"::" IC.:- 'T I C. -I P-A:E_-. �Fi,',, Fit ENE GLl ll� 1 1 Fit E7� 3H�KFILLING OF ANY SYSTEM WITHOUT F7INRL INSPECTION HND RPPROVHL BY THIS )EPHRTMENT WILL BE SUBJECT TO PROSECUTION. 1INIMUM DISTRNCE BETWEEN H NELL HND ANY ON~SITE SEWHGE DISPOSAL SYSTEM IS 100 FE[HT FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H WE.LL �EPENDING ]PON THE TYPE OF PUBLIC WELL 1INIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVHTE SEWER LINE IS 25 FEET HND TO H COMMUNITY SEWER LINE IS 75 FEET. �ELL LOGS FIFE REQUIRED HND MUST BE RETURNED TO THE DEPHRTMENT WITHIN ]0 DHYS ]F THE WELL COMPLETION. ]THER MAY HPPIM SPECIFICATIONS RNC, CONSTRUCTION DIAGRAMS ARE TCi INSURE PROPER INSTHLLHTION. FmV.E::F`.,P.A­P. 1: M MKO"', 1 too K Q ERE r"l E3 Q IT.". �ST W [ CERTIFY 1: I HM FHMILIHR WITH THE REQUIREMENTS FOR ON -..SITE SEWERS HND WELLS HS SET WRIT BY THE MUNICIPALITY OF HNCHORHGE. 2: I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES I: I UNDERSTHND THAT THE SEWER SYSTEM MHY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODE ED RE THHN ] BEDROOMS ~~.~�~��~_� ISSUED BY~~_L������-� DHTE^._��_`��-L��.�__ V40 / January 4, 1982 Robert G. Johnson P.O. Box 381 Eagle River, AK 99577 I i I Permit �- 810394 Subject-: L 7 B 1 Unit 1 Scimitar A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz Program Manager�- Sewer and Plater Program Enclosure: Copy of Permit rz. /4 r r.v. ® & E ENG AEERING & LEVEL®I 10ENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 SOIL LOG /��c> 1', /1 7- �l 61111 !S 0 Al —Tel. N0 Performed for: Name:--- Mailing Address: , Legal Description: Z o / 'Z [. °er � 0A/ / 7- 55a Z,�/ / 7-19 fie- Depth (feet) Soil Characteristics 0 - 1 5/L 7- 2 2 3 4 sr 5 6 - i 7 1i S 10 1'I 12 13 14S 15 -- 4 IIol ���uuLia�/d-S %m Earl Ellis 688-2280 PLOT PLAN tido �c �ac,an. PEEK. TEST Ground Water Encountered: Yes No If yes, what depth—/%4 v� Proposed Installation: Seepage Pit Drain Field -- C I Performed by: y kOFESSIO'� !.Jl.- DAIYrY OF ANCHORAGE ,,Ep'I. of HEALTH & EN`I;tC)NI kENTAL PROTEC ION 61987 J to Q N W: � �scEIVE Y (D cd i ¢_ W 7i -(• E` w p O O 8 ® O ® O O O O O w H 3 w c7 z O v ck. o 0 0 0 ® a a COL coa' 4w¢ a a d w w w w a c� � a a z Z.J % N J �i cc UJ n e m OC A 6 LL LL O �: •: [� [^ H H H H H H H H H H O O O O O O O O O O O O O ¢ o H vii A A d @ � � � Y �p p n w w O O O O O O O O O O O O Z &G CL CL CL WcoU CD kms] W W f W w w w w D z n w¢¢ z V Municipality of Anchorage • On-Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL �J -�rl I Parcel I,D. 051-132-02 Expiration Date: 1. GENERAL INFORMATION Complete legal description Scimitar #1 Block 1 Lot 7 Location (site address) 20344 Chugach Park Drive Current Property owner(s) Johnson Day phone 529-4660 Mailing address Same Real Estate Agent Keira Dreher Group Da • one 529-4660 ‹..36 1 8 9 ,,, Riffeet 2. TYPE OF DWELLING: ® Single Family (wlwo ADU) JUN 21 261/ ❑ Duplex A ❑ Multiple Dwellings (Single Family and/or Duplex) s. o' 68L9`^ 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class C Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Received by: Date: 7/7// COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 4)2-4.0 Date: Date of Payment (O 1 ) 1 Date of Payment Receipt Number 0 ca-74(o Receipt Number COSA# G11 125D Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm NorthRim Engineering Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 6/21/2017 Off. AtoPtZ 4• • y 6. DSD SIGNATUREc • ry `' ' :tet • System #1 Approved for `1 bedrooms. °� `' ' • ;4 System #2 Approved for bedrooms. b tr Steven Vr'. -Eng Disapproved. % cPE ° 56 •�Giprd' Conditional approval for bedrooms, with the following stipu�`Ati i°thFESS" k-Nti- ,y0 ON SITE WATER AND WASTEWATER t PROGRAM 4-17- I`.f `. By: L.11.. Original Certificate Date: [ '-7 _-1 The Municipality of Anchorage Devlopment Services Division(DSD)Issues Certificates of On-Site Systems Approval(COSA)based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory., Well Flow Advisory Other COSA blue sheet 9-1-12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On Site Systems Approval Checklist Legal Description: C/ ArreffZ [ $f I. 7 Parcel ID: QS7/3202 A. WELL DATA Well type T If A, B, or C provide PWSID# Well Log (Y/N) Date completed ////370 Z Sanitary seal (YIN) y Wires properly protected (Y/N) /y Total depth.3O1 ft. Cased to 7 5 ft. Casing height (above ground) 2 y in. FROM WELL LOG AT INSPECTION Date of test. ///341z CAI/17 Static water level ft. l P" /. 5 ft. Well production g.p.m. 571- g.p.m. WATER SAMPLE RESULTS: Coliform v colonies/100 mL Nitrate 1. 1/ mg/L Arsenic 1k b ug/L Date of sample: ,61.?/(/7 Collected by: Al (2, wt-1 - B. SEPTIC/HOLDING TANK DATA Tank Type/Material .SE177C_/S r.tL Date installed /CV,VOS Tank size/250 gal. Number of Compartments Z Cleanouts (Y/N) Foundation cleanout(Y/N) Depression over tank (YIN) /v High water alarm (Y/N) ( /V Date of pumping 2‘ Pumper -��r.� ( 7 ��t4(�-efJ C. ABSORPTION FIELD DATA ecp Date installed /Q//..OS Soil rating (g.p.d./t2 or ft2/bdrm) l System type Tfe Length 7C ft. Width 3 ft. Gravel below pipe T ft. Total depth 7 ft. Eff. absorption area(Ce ft2 Monitoring tube Depression over field/1/ Date of adequacy test C/ (/17 Results (Pass/Fail) P" For 17 bedrooms Fluid depth in absorption field before test in. Water added ‘00 gal. New depth /Z in. Elapsed Time: S G min. Final fluid depth in. Absorption rate >= Cad g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type)No If yes, give date D. LIFT STATION A./4 Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off" level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot / '6"i' On adjacent lots /Od 474' Absorption field on lot (60 't On adjacent lots /06 ,t Public sewer main /.6 ft Public sewer manhole/cleanout /D'G`t i Sewer/septic service line Holding tank /a 6 1- Animal containment areas 5-6 (e. Manure/animal excrete storage areas/o6 f SEPTIC/HOLDING TANK ON LOT TO: � lf Building foundation J5 i Property line /Q' f Absorption field ,5-'f Water main /G (f' Water service line /6 f Surface water /00(f Wells on adjacent lots 46 f ABSORPTION FIELD ON LOT TO: ( Property line /l6 "e Building foundation /0 t Water main / Water Service line /Q' ''f Surface water /00 (-f Driveway, parking/vehicle storage Z O Curtain drain 50 i Wells on adjacent lots (60 r1 F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of Municipal records that the above systems are in 6�•�, conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name C Date c/a/// 7 C12111 COSA yellow sheet_2-6-15.doc LOT 12Co cr'°" I TI4LGT 9 v.)S69°59'00'E 235.97 S89`59'00'E 332.11 WHALEY AVE. 1 44 ` T `-1 —— —` :• NY uTh_fr EASEMENT I f "� — r _______ _--- - -- el `ft �- Tom— to 0 30 I tl ` sib+n'"'rO LOT 7 $ d 110-1 / .o�'�" g d 141,964 sl. 2 3.258 sc. o g z cn S. N wre •ryhed S89°59'00'E 266.55 I 1 -- ! 30 ,"giro .t- ° ° 11 IS ' iti 115 d� Ig '.,,,- 31 6 /tt IZ ... CO- / \ LOT 6 ,as 1- /// N / \ o KO I- 3 / \ Q 5 // LOT 5 LEGEND O •- // (` • Fond 3'Aluminum Cap Monument b Z Q / ,at • Fours!71.7 Brass Cap Mo 1 Mw4 I- b / \yry's o Found 5!6'Rabat eel Yelice Ptae&Gap z vs Z / �a • Fpxs1 WE Regia W // \ 0 Set Yr Reba F- i 4 I- CO ./,‘./F/ o T. cn Z O /.:CA LOT 4 `.ti�\�kAS-BUILT ANO CORNERS SET THIS DATE J „,:so- �� '� 4 t nanbr e«rN Mr i new perror'red a MatyTagaat inavailal. 5 /As _ OF.4 1k i Q / r.t�• ',• •.- S 1 dtbe lolaw�q o«a,rw:;x -, t �i3OCX o /cc / ;* 4Q9'rH 1� / C./l •• Anchorage Raradmg Prec Aske,eM atilt H 1 / / `� ��+�/ Improvements situated thenen ere.W*1 t*pOdery Ines / ` / Fred Walaika j and oo not overlap or encroach or the proper,"lying /l � atllace n thereto,that no mcro.emeres on re winery M'9 // , ` It�� No 3255-S ! * cant Moat°encroach o ens menses n a.esedn and that Mere are no'oadesys,transmission%nee or other 1 / 1y' I ltll S! nide easernans on said pmKrry except as Mricit01 / LOT 3 !fie d u c.e;d 1t, ss +�=v' / o SCALE aII� ,�`.N.�•7`- ODM at Arrtfierene.Alaska / ,>� Its 27nd _ day o MAY .2039 EASEMENTS Of RECORD.OTHER TNAN FRED WALATIU&ASSOCIATES • a THOSE SHOWN ON THE RECORDED • PLAT ARE NOT SHOWN HEREON. FB 09-3. pg 37-4C BE (907445-Me) Engineers and Suwls,rs MUNICIPALITY OF ANCHORAGE -—" DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL P'Ra- iclns OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date February 4, 1988 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 7; Block 1; Scimitar #3 _ Location (address or directions) (b) Property Owner Alaska Housing Telephone: Home Business Mailing Address FHA - Centrust Telephone (c) Lending Institution P Mailing Address (d) Real Estate Company and Agent JACK WHITE COMPANY/Laurie Crowder Address 10928 Eagle River Road, Eagle River, Alaska Telephone 694-5500 (e) Mail the HAA to the following address: or: Check here 2;� if hold for pick up. List contact person and day phone number below. S & S ENGINEERING/694-2979 17034 Eagle River Loop Road, Suite 20-3 Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms 3 3. WATER SUPPLY Individual Well 12 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. Page 1 of 2 72-025 (Rev a,ae) From 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 Telephone Address — S & S ENGINEERING 17034 Eagle River Loop Road No, 244 Date _ Eagle-114ye+;4 .J _o �r rs y 6. DHHS APPROVAL Approved for bedrooms by Dated Approved b Disapproved Conditional Terms of Conditional Approval CAUTION 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. Page 2 of 2 72-025 (Rov B/W Bqck MUNICIPALITY OF ANCHORAGE (MOA) ~UNICIPALIT¥ OF ANQ.~.~i.H AUTHORITY APPROVAL (HAA) ENVIRONMENTAL SERVICEs DIVISI~CKLIST - FEBRUARY 1984 264-4744 B .1 8 ],988 Legal Description: RECEIVED WELL DATA Well Classification Well Log Present ~N) Total Depth ~ (.2L/ /_ Cased to Static Water Level _ /~ ~ Casing Height Above Ground Electrical Wiring in Conduit (..~/N) Separation Distances from Well: To Septic/Holding Tank on Lot -~-~. ~ If A, B, C, D.E.C. Approved (Y/N) Date Completed //-. ~' - ~.:~ 7._ Yield ~- ~- ~ Depth of Grouting L_//' Pump Set At ,-~ P_ '¢ Sanitary Seal on Casin (~N) Depression Around Wellhead (Y~) To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line /'J//~' Cleanout/Manhole Id/A Water Sample Collected by ~.% 4--~% ~7~/-.t L~l ~ I-~-"~ ~./c. Water Sample Test Results _/_.f~z;¢¢.~¢"o ~ // ./~'~')TQ~ ~.-,..,t Comments ~ t^)~z~_OL ~C'-L.-D~,¢ '~qrC/'Z~oY'6-~4~ / ~¢' / '¢ ; On Adjoining Lots /ccd/¢ ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ;Date _ B. SEPTIC/HOLDING TANK DATA Date Installed / 62 ~ 7._.~ -~.~ Size [ dp o No. of Compartments Standpipes (~N) Air-tight Caps f~N). Foundation Cleanout (~.N) Depression over Tank (Y~ Date Last Pumped -"~-- Pumping/Maintenance Contract on File (Y/N) h...{/ ~,, ; for To Water-Supply Well To Property Line To Water Main/Service Line Course Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Netdi~g Tank: /c~c~ /4- / Comments Temporary Holding Tank Permit (Y/N) To Building Foundation '~ ~ To Disposal Field ~ ~ To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026 IRev 8'861 Fron~ C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata g5 4232 'Type of System Design `M Date Installed Length of Field Z �r Width of Field 3 Depth of Field Gravel Bed Thickness T Square Feet of Absorption Area 3zL'_� Standpipes Present (&N) Depression over Field (Y/6f� Date of Last Adequacy Test Results of Last Adequacy Test �`- � sr-,r,-�;-O-q r 171 � ��� ung Separation Distance from Absorption Field: To Water -Supply Well oD To Building Foundation Lot ),I / (_ r To Water Main/Service Line r " -r To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons To Property Line ; On Adjoining Lots r -f To Existing or Abandoned System on 2;�'-)- To Cutbank (if present) r,Jl/-v Dimensions Manhole/Access (Y/N) 14,4 "Pump On" Level at .Pump Off' Level at Vent (Y/N) High Water Alarm Level at )� — — Pumping Cycles during Adequacy Test. Meets MOA Tested for Electrical Codes (Y/N) Comments ** 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. 5 a S ENGINEERING Signed _f7034_Eagte-Rivert00V-R0a I %4 _ Company'r • g a le River Alaska 99577 MOA No. Receipt No. 16o Z o012— Date U12—Date of Payment ineers'Seal r} Amount: $ Page 2 of 2 I" 72-026 (Rev 8'86) Rack 7 f f C,61 13 Z CHEMICAL & GEOLOGICAL LABORATORIES Of ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562.2343 FEDERAL TAX ID N 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 5180 Date Report Printed: FEB 16 88 8 14:07 Client Sample ID:LT 7 BLK 1 SCIMITAR #3 PWSID :UA Collected FEB 11 88 8 14:50 hrs. Received FEB 12 88 9 16:45 hrs. Preserved with :ICE Analysis Completed :FEB 15 88 Laboratory Supervisor :STEPHEN C. EDE Released By : Sd C'_ r4ec--� Client Name : S & S ENGINEERING Client Acct : SNSENGP P.O.# NONE RECD Req # Ordered By : R, SCHAEFER Send Reports to: 1)S & S ENGINEERING 2) Special Instruct: Chemlab Ref #: 9099 Lab Smpl ID: I Parameter Tested NITRATE -N Sample ROUTINE SAMPLE Remarks: COLLECTED BY J.P.M. Matrix: Water Result/Units 00.10) mg/I Allowable Method Limits EPA 353.2 10 1 Tests Performed # See Special Instructions --Above UA=Unavailable ND= None Detected na See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT=Greater Than S,j e�t e CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. o� TELEPHONE (907) 562-2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D.# [W PRIVATE WATER SYSTEM Analysis shows this Water SAMPLE to be: Satisfactory ❑ Unsatisfactory Marne S & S ENGINEERING Phone No. Ea-, iagle ❑ Sample too long in transit; sample should _ Mailing Address Eagle �a, a. 20� Rive r Alaska not be over 30 hours old at examination , 99571, - to indicate reliable results. Please send new sample via special delivery mail. Received City State Zip Code rnDate SAMPLE DATE: l Ly L Mo. Day Year Time Received SAMPLE TYPE: Analytical Method: Membrane Filter ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. ) ❑ Treated Water El Special Purpose El Untreated Water No. of colonies/100 ml. SAMPLE Time Collected NO. LOCATION Collected By Lab Ref. No. Result* Analyst 2 1 S c- r ,-,. < < ZdO uj 3 m 4 IBJ L��II I� ��M BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter: Direct CountCoilform/100ml BEFORE Verification: LTB BGB COLLECTING SAMPLE Final Membrane Flit r Resu _ Coflform1100ml Reported By _ �'"-� Date_ 0,1 / Time: _ _ a.m. TNTC = Too Numberous To Count OB = Other Bacteria ['ART I OF 2 REMAINDER TO FOLLOV!