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HomeMy WebLinkAboutNORTH SLOPE BLK 1 LT 3North Slope B10 k 1 Lot: 3 #050- 511- 30 Municipality of Anchorage Development Services Department Building Safety Division e „ 9 T On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www,ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW0303 30 PID Number. -_ 050-511-� Name: Wastewater System: ® New ❑ Upgrade Address - HN Prudhoe Say Ave..—EagleRiver. ABSORPTION FIELD Phone: Number of Bedrooms: Q Deep Trench d Shallow Trench O Bed ❑ Mound ❑ Other: LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: 0.8 GPD/Fe O. S Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 1 3 North Sloe 0 Ft. 0.5 FL Township: Range: Section: Fill added above original grade: Gravel Length: 2.67 — 3.17 Fl- 115 Ft, Well: Gravel width: Number of lines: Distance between lines: New F-1 Upgrade 5.0 Ft. 1 1 NA Ft. Classification (Private, A. 8, C): Total Depth: Cased to: Total absorption area: Pipe Material: Private 94Ft. 94 Ft. 575 Fe F810 & Sch40 Driller:Date Drilled: Static Water Level: Installer. Date Installed: Sullivan 17/23/03 69 Ft. Dirtworks 9/4/03 Yield: Pump set at, 5 GPM unknown Ft. as ng Height Above Ground: 2 TANK FI SEPARATION DISTANCES ® Septic O Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private _95—nu ac urer: From Tank Field Station Tank Sewer Line Anchorage Tank Well 100'+ 100'+ NA NA 25'+ Material: Steel Surface Water 100'+ 100'+ NA NA LIFT STATION Let une 5'+ 10'+NA NA ¢e•k1lanulac urer. Gal. Foundation 5'+ 10'+ NA NA 'Pump on' level at: *pump otr lover at: In. h Curtain Drain NA 50'+ NA NA Pump Make 8 Model Electrical Inspections performed b Remarks: Original permitted design installed BENCH MARK Top 2' excavated and 1.5' sand added Location and Description: Top of sana tube Tank & field insulated 0 Other. paculy: 1000 Gal. mber of Companr 2 Assumed Elevation: 100 Ft. Engineers Stamp • ,�p�E• OF Inspections performed by: KND Engineering, Inc Dates: 1St9/ �;e�fn •'.��r� e •• .•eoo•••e•ee ecce 2nd 9/6/03 • •• •...••.• ...• •.. Developme a es Department Approval 3"A /t%%u3 � ; Ke •-•: ,• B s CE 7116 ;'��� Reviewed and approved by: Date: ! JL ���Eq •.e .••' v� d' (RT,. tzroo) Q� ROFESSIfl�1* 4wr� In. AS -BUILT SYSTEM DETAILS/SITE PLAN NORTH SLOPE LOT 3; kO': CK 1 ApOk�C K N D �� I TH03-04 ��L '9IL 3 ro NOVSE r-- DECK-.� A B --- E M C EXISTING 1000 D GAL TANK �S C pR/M'9 COSTING SPUTTER Ry- o�, R�s��F sys�M F sys�M 0 TH03-03 A -C=47.0' 84.60 B -C=53.5' A -D=51:5' B -D=58.0' 8 A -E=63.5' o B -E=99.0' A-F=101.5 o G, B -F=92.5' TOOO ANKSEPTIC AW�`��' �01* TH� /... ......... ,1.........� 1 CE -71 wa e A4%; 1 \ �F'ESS1��P� � 33.27 FINAL GRADE TH03-1 Permit SW030130 PID#050-511-30 z 1"=50' NSULAM)N VARIES SEWER ROCK OX 115' PREPARED FOR: LEE'S CUSTOM DESIGN 11517 OLD GLENN HWY EAGLE RIVER. AK 99577 694-8565 FIELD BOOKS COMPUTED: BOUNDARY: DRAW vBG. STAKING: CHECKM: KMD ASBUILT: DATE 12/17/0,' D'C' ME. CRD: SE703 ACRD FlUE` 03008.DWG '108 No.: 03008 SCALE: NTS 66.0 Mew LblgV Lul) ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 01/01/1999 00:01 6882259 SULLIVAN Certtfleb � tri n by DOC CO, dW SULLIVAN WATER WELL OWNER OF S S CCo!JrP.Oi. BOX 670272 , VGIAKi ALASKA 967 • TELEPHONE 88.2750Ta^4804'Eslf LAND: ADDRESS: LEGAL DESCRIPTION: nj. 04-rN 5z -L0.-'& $ 46 ! 4 a` • - DATE: PERMIT NUMBER: 1W a Date of Issue. - - TAX IDENTIFICATION NUMBER: —IT"/ ll Is well located at approved permit location? *mss •J No Method of Drilling: Gefrotary LI cable tool Dopth of well; Casing Type,� Af- WalhThlckness • Inches Diameter -._� inches, depth �f feet Liner Type: 4b.4JE Casing Stickup Above Ground: �� feet Static Water Level: % 9 feet Recover Rate: ,1 qpm Method of Testing: A 112 - Well Intake Opening Type; s7z n end U open hole J Screened; Start feet Stopped feet 1ZI Perforations Start feet ped feet Grout Type:1�E�7o"i' i Volume me' d O Les Depth: from U feet, to a feet Well Disinfected Upon Completion? �„s 'a No Method of Disinfection: _0_a4 04C .,.4 T 5-6 1�4.ot l Comments: PAGE 02 C 4 i..t6 S?I*c,xUP y S,�Fs n die jjr'o..' 4:.4 Y 6�e•+.�f.E r,. - Driller's Name ATTENTION: It is the responsibility of the.propeny Owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Heakh & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of EnvIrOnmental Conservation. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial �1Ll� 03 s �r7 �am, rz,1dC Date Issued: May 14, 2003 Expiration Date: May 13, 2004 Permit Number: SW030130 Parcel ID: 050-511-30 Legal Description: NORTHSLOPESUBDIVISION-BLOCKJ---LOT3, Design Engineer. 0070 KND Engineering Site Address: NHN PRUDHOE BAY AVENUE Owner Name: SCOTT & JENNIFER KLUEVER Lot Size: 123318 SQ. FT. Owner Address: NHN PRUDHOE BAY AVENUE Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER, AK 99567 - This permit is for the construction of. ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ 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. g//;-/0 3 S 6F T tiG /Wr,6je Is 4M670V12EF19 pF3716dv A# 78P Received Issued By: 8//t/03 AIl�1U1F1 Date: V/ y O 3 Date:5-114- 03 KND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 August 14, 2003 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Design Modification SW030130 - North Slope Lot 3, Block 1 Gentlemen, On July 31, 2003 an additional testhole (T-H-0-3--4*)' was performed for the proposed system modification. The results of this test are attached. Water was encountered at 10' during excavation and the testhole was dry during monitoring on August 7`' and 13`x, 2003. Also the previously. excavated TH03-3 was deepened to 14', with groundwater being observed at 135. On August 7'and 13'groundwater was monitored at 11.9' (TH03-3) and at 5.88' (TH03-1). Due to the natural soil conditions, a deeper groundwater table exists in the area of TH03-3 & TH03-4. We are therefore modifying our design, please see attached. All other previously permitted design elements remain the same and we do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111 /FAX 696-8111. Respectfully submitted, MID Engineering, Inc. lenneth M. Duffus, P.E. Attachments: Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN NORTH SLOPE LOT 3, BLOCK 1 K . . D 1LL 2 NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. /* f ..gam .. ...... KENNETH M. D S / CE -7116 AW \�FESSIOTZ�' DESIGN DETAILS 3 BDRM X 150 GPD = 450 GPD 450 GPD/0.8 GPD PER SQ. FT. (7.87 MIN/IN.)= 563 SQ. FT (563 / 5' (W)) x .88 (RF) (1.0' GRAVEL) = 99.1 FT. TRENCH USE 1 TRENCH — 100' (L) X 5' (W) X 1.0' (D) Total depth of system is 3.0' from original grade. Total depth of gravel below distribution pipe is 1.0' . NOTES: 1. INSTALL 1000 GALLON SEPTIC TANK & INSULATE IF < 4' COVER 2. INSULATE TRENCHES WITH 2" HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. PREPARED FOR: LEE'S CUSTOM DESIGN 11517 OLD GLENN HWY Scale: 1 100 EAGLE RIVER, AK 99577 694-8565 PAGE 1 OF 2 nmD BOOKS COMPUTED: BOUNDARY: DRAWN: dV ENGINEERING STAKINC: CHECKED: KMD 20441 PTARMIGAN BLVD. AseimT: DATE: 8/14 03 EAGLE RIVER, AK 99577-8736 DWG' IFIL:: GRID: SE 703 ACRD FILE: 03008.DWG Me Nm: 0300 (907)696-6111/FAX 907)696-8111 WASTEWATER DISPOSAL SYSTEM DETAILS NORTH SLOPE LOT 3, BLOCK 1 169, ON 15' � co RopoSE TH 0 �. 9TH. KE M. S -/ CE-71 �4 Af FESSIOt;Q ./ PNPOSED 1001 GAL. PREPARED FOR: LEE'S CUSTOM DESIGN 11517 OLD GLENN HWY EAGLE RIVER, AK 99577 694-8565 FlELD BOOKS COMPUTED: BOUNOARY: DRAW STMONO; CHECKED: KMD ASSUILT. OATS: 8/14/ DwO. nm CRID: SE 70. AOAD nLZ 03008.DWG " No.: 03008 45' S . T. Scale: 1"= 30' PAGE 2 OF 2 M -ANI LW ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 KND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 dw .,c A. 11. SOILS PERCOLATION TEST �l! 9F0 ''•••••••'' �``� �� ROFESSOX�dft- Performed for: Lee's Custom Design Date Performed: 07/31/03 Project: North Slope Lot 3, Block 1 TEST HOLE # 03-4 1- 2- 3- 4- 5- 6- 7- 8- 9- 10-, 11- 12- 13- 14- 15- 16- 17- 18- 19- 20 - Depth (Feet) SEE ATTACHED SITE PLAN Org/OL FOR HOLE LOCATION GM/SM seeps B.O.H. HOLE PRESOAKED PRIOR TO TEST Was Ground water encountered? YES What depth? 10' Depth to water after monitoring? DRY Date? 8/7/03 & 8/13/03 Reading Date Gross Time Net Time Depth to Water Net Drop 1 8/7/03 1:00 - 6" - 2 1 1:30 30 min 214/16" 3 2/16" 3 * 1:31 - 6" - 4 2:01 30 min 3" 3" 5 2:02 - 6" - 6 2:32 30 min 31/16" 215/16" *I Water I Added Percolation Rate 10.20 (min/in) Perc Hole Diameter 6" Test Run Between 3 feet and 4 feet I. Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Municipality of Anchorage i' •� Development Services Department Building Safety Division On -Site Water and Wastewater Program" 4700 South Bragaw St. r`TY 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. 050-2571-30 Permit Number SW O 30/ 30 5c07T "k TENNIFER kLUEVER Property owner(s) Lee's Custom Design Day phone 694-8564 4 gaddress (1) NOV FRU PHOE BAY AVENUL- Mailing address (2)E_fiG-L E 121 VL P, , l4k Zip Code % Legal description (Lot, Block.& Sub'd) North Slope, L of 3, Block 1 Legal description (Section, Township & Range) Lot Size % Z3 Z3,318 Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ❑ Sewer and Well ® Water Storage Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ 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. (Sig46ture of property owner or authorized agent) Permit Fees: 45750 Date of Payment: 153 Receipt Number: - 6_ D 6 (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: KND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 May 3, 2003 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New sewer/well permit — North Slope Lot 3, Block 1 Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot. On March 3, 2003 we performed three testholes for the proposed system. The results of these tests are attached. The general. slope of this lot is from north to south at various grades of approximately 7-25+%. We have designed our system utilizing the existing testholes that were excavated for the proposed 3 -bedroom house. The lot will be served by an individual well, located on the northern portion of the lot. We propose to install one 5' wide shallow trench. Water was encountered during the excavation and monitoring at 5.5'. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111 /FAX 696-8111. Respectfully submitted, XMID Engineering, Inc. f d r Kenneth M. Duffus, Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN l NORTH SLOPE LOT 3, BLOCK 1 NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. OF AZ �. /���'1 ' '• CE -7116 � AW 1 \ ssto-0' i DESIGN DETAILS 3 BDRM X 150 GPD = 450 GPD 450 GPD/0.8 GPD PER SQ. FT. (7.87 MIN/IN.)= 563 SQ. FT (563 / 5' (W)) x 1 (RF (0.5' GRAVEL) — 113 FT. TRENCH USE 1 TRENCH — 113' �L) X 5' (W) X 0.5' (D) Total depth of system is 0.5' from original grade. EXCAVATE TOP 2', REMOVE ORGANICS & INSTALL 1.5' MOA APPROVED SAND Total depth of gravel below distribution pipe is 0.5' . NOTES: 1. INSTALL 1000 GALLON SEPTIC TANK & INSULATE IF < 4' COVER 2. INSULATE TRENCHES WITH 2" HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. PREPARED FOR: LEE'S CUSTOM DESIGN 11517 OLD GLENN HWY Scale: 1 ��= 100 EAGLE RIVER, AK 99577 694-8565 PAGE 1 OF 3 nMD BOOKS COMPUTED: BOUNDARY: DRAWN: MID ENGINEERING STMNQ "'O"E" KMD 20441 PTARMIGAN BLVD. ASEULT: DATE: 7 MAY 03 EAGLE RIVER, AK 99577-8736 DWO. FILE GRIO; SE 703 A AD F LE' 03008.1)WG 'MOB No.: 0300 (907)696-6111/FAX (907)696-8111 I ©OUP Lei WASTEWATER DISPOSAL SYSTEM DETAILS NORTH SLOPE LOT 3, BLOCK 1 ZABEL SPLITTER TH 03- 03 F14 �* 49TH *# 0 . ........... .. �... -I CE -7116 ,, "ESSIOti�' PREPARED FOR: LEE'S CUSTOM DESIGN 11517 OLD GLENN HWY EAGLE RIVER, AK 99577 694-8565 FIELD BOOKS COMPUTED: BOUNDARY.' DRAW STAKING: CHECKED: ASBUILT: DATE: DNC. FILE: GRID: (N°/ ACRD FILE° 03008.DWG1 ''DB Na: 03008 TH03-1 Scale: 1"= 30' PAGE 2 OF 3 ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 696-6111/FAX (907)696-8111 KD WASTEWATER DISPOSAL SYSTEM DETAILS NORTH SLOPE BLOCK1, LOT 3 4" MONITORING TUBE 4" CLEANOUT PLAN VIEW LEACHFIELD DETAILS 4" MONITORING TUBE OPE MAX F`NA` GRp,DE 3.1 Sl BRACING AS NEEDED PLYWOOD BARRIER AROUND TRENCH ORIGINAL GRADE 1.5' TO 2' DEEP — REMOVE ALL ORGANICS & LOAM 1-4" CLEANOUT ':? —INSULATION 2' MIN COVER ;;:: y<; :4iti _s. vim-:,:.,: ::: �i ;�w'•'.� ��:.�:,.: FINAL GRADE SEWER ROCK 1.5'+ MIN M.O.A. APPROVED 5' WIDE -i SAND FILTER PROFILE VIEW LEACHFIELD DETAILS NOTE: BOTTOM OF SEWER DRAINROCK MUST BE 4+ FEET ABOVE GROUNDWATER AND 6+ FEET ABOVE BEDROCK. PREPARED FOR: LEE'S CUSTOM DESIGN 11517 OLD GLENN HWY EAGLE RIVER, AK 99577 694-8565 FIELD BOOKS COMPUTED. BOUNDARY' DRAWN: J SG STAKING: CHECKED: KND ASBUILT: DATE: 7 MA) DWG. FILE` Cwo: SE 70 ACRD FILE 03008.DWG JOB N°'' 03008 SCALE: NTS PAGE 3 OF 3 l4S1V ZJ ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)896-6111/FAX (907)696-8111 Z �e���� p �' 0� �'q 1,80 � lL�l ENGINEERING, INC. w .•' •'•:r'r,91 20441 PTARMIGAN BLVD. m : 4 7NWe EAGLE RIVER, AK 99577-8736 io R+ ; Kenneth M. Duff:•Y de, CE 7116SOILS PERCOLATION TEST ��FF••'�;e�y P90FESSI�NP.�� .� Performed for: Lee's Custom Design Date Performed: 03/03/�'�'a-'`'�"�' Project:_ North Slope Lot 3, Block 1 TEST HOLE # 03-1 Depth (Feet) SEE ATTACHED SITE PLAN ORG/OL FOR HOLE LOCATION GP-GM/SM firm density"w/ silt & moisture increasing w/ depth -cobbles to 8" B.O.H. 11- 12- 13- 14- 15- 16- 17- 18- 19 - HOLE PRESOAKED 20- PRIOR TO TEST Was Ground water encountered? YES What depth? 6' Depth to water after monitoring? 5.5' Date? 3/14/03 5/1/03 Reading Date Gross Time Net Time Depth to Water Net Drop 1 3/4/03 1:00 - 7" - 2 1 1:10 10 min 11/16" 6 5/16" 3 1:11 - Tf - 4 1:21 10 min 14/16" 62/16" 5 1:22 - 7" - 6 1:32 10 min 15/16" 61/16" 7 * 1:33 - 7" - 8 1:43 10 min 14/16" 6 2/16" 9 1:44 - 7" - 10 1:54 10 min 14/16" 6 2/16" 11 1:55 - 7" - 12 2:05 10 min 15/16" 61/16" * Water Added Percolation Rate 1.65 (min/in) Perc Hole Diameter 6" Test Run Between 3 feet and 4 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. OF KND ENGINEERING, INC.�.. •• •:r IV I 20441 PTARMIGAN BLVD. �'� r 9TH �. •...• e•u•• eees EAGLE RIVER, AK 99577-8736 N•• rc+ Kenneth M uuRF•• , 0,J,:� CE 7116 ' SOILS PERCOLATION TEST 0 �F •'•• ••'' �' R" 4��R0FESS0- Performed for: Lees Custom Design Date Performed: 0 Project: North Slope Lot 3, Block 1 TEST HOLE # 03-2 Depth (Feet) 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- ORG/OL SEE ATTACHED SITE PLAN FOR HOLE LOCATION GP-GM/SM firm density w/ silt & moisture increasing w/ depth -cobbles to 1' B.O.H. HOLE PRESOAKED PRIOR TO TEST Was Ground water encountered? YES What depth? 4' Depth to water after monitoring? 4'& 5' Date? 3/14/03 5/1/03 Reading Date Gross Time Net Time Depth to Water Net Drop 1 3/4/03 1:00 - 6" - 2 1:10 10 min 14/16" 1 5 2/16- 3 1:11 - 6" 4 1:21 10 min .13/16" 5 3/16" 5 * 1:22 - 6" - 6 1:32 10 min 15/16" 51 /16" 7 1:33 1 - 6" - 8 1:43 10 min 15/16" 51/16" 9 * 1:44 - 6" - 10 1:54 10 min I 1" 5" 11 * 1:55 - 6" - 12 2:05 10 min 1" 5" * Water Added Percolation Rate 2.0 (min/in) Perc Hole Diameter 6" Test Run Between 2 feet and 3 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. I --'` OF q I JW ��Q'CE•........ q4, 1 •' A LJ ENGINEERING, INC. �* 1q TH •' IV 4 20441 PTARMIGAN BLVD.• ••• • •• ••.•. ...q. . EAGLE RIVER, AK 99577-8736 •....... • Kenneth M. L uffv. •. s �a eo SOILS PERCOLATION TEST @aF�Fop''••••••'''p�``? Performed for: Lee's Custom Design Date Performed:_ 03/03/03 Project: North Slope Lot 3, Block 1 TEST HOLE # 03-3 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20 - Depth (Feet) SEE ATTACHED SITE PLAN Org/OL FOR HOLE LOCATION GM/SM — med dense brown w/cobbles to 8", density & silt decreasing at 6'-gp/sp moisture increasing w/depth seeps B.O.H. HOLE PRESOAKED PRIOR TO TEST Was Ground water encountered? YES What depth? 8' Depth to water after monitoring? DRY Date? 3/14/03 5/1/03 Reading Date Gross Time Net Time Depth to Water Net Drop 1 3/4/03 2:00 - 6" - 2 2:30 30 min 2 3/16" 313/16" 3 * 2:31 - 6" - 4 3:01 30 min 2 3/16" 313/16" 5 3:02 - 6" _ 6 3:32 30 min 2 3/16" 313/16" * Water Added Percolation Rate 7.87 (min/ in) Perc Hole Diameter 6" Test Run Between 3 feet and 4 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. K V LJ ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907) 696-6111/FAX (907) 696-8111 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: GENERAL: North Slope Lot 3, Block 1 1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a single-family residence on the referenced property as delineated on the attached Municipality of Anchorage (MOA) permit and site plan. 2. Construction shall be in accordance with the approved site plan and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. KND Engineering, Inc (KND) assumes no responsibility of the accuracy of the as -built survey .provided by the owner or.owner's representative. 4. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or use of dwellings on or adjacent to property, nearby public wells, etc. 5. The contractor shall be responsible for locating any necessary underground utilities, easements, property lines and surface water. The owner and/or contractor shall ensure, if deemed appropriate, that a registered land surveyor prior to construction flags all setbacks. 6. The contractor shall be responsible for verifying all pertinent separation distances and component layout. 7. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 8. The MOA Development Services Department On -Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK / HOLDING TANK / LIFT STATION INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent damaging, settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade. 4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. Page 1 of 3 Reference: North Slope Lot 3, Block 1 Date: 05/01/03 Page: 2 of 3 7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy forces in high -groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed -up) before gravel (sewer rock) placement. 2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of '12 inches above final grade. The portion of the -.. monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturer's specifications and MOA requirements. MINIMUM MATERIAL SPECIFICATIONS: 1. A MOA approved septic tank manufacturer must construct any septic tank proposed for installation. 2. The following pipe materials are MOA approved for use in septic system installations: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. If deemed necessary, a sieve analysis should be performed. 7. When sand is being used as a filter material, its gradation specification must conform to current MOA or DEC requirements. I M Reference: North Slope Lot 3, Block 1 Date: 05/01/03 Page: 3 of 3 INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached MOA permit. All materials, components, and construction practices shall comply with the MOA's and the State of Alaska's latest ordinances, regulations, or policies regarding wells and septic systems. The failure of the,inspecting engineer to notice a material or construction non-compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing between the contractor and KND Engineering, Inc. KND shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the MOA. KND shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. KND's inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGES HAVING READ AND ACCEPTED THESE SPECIFICATIONS. Owner: Driller: Contractor: • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 s n e r Certificate of On -Site Systems Approval Parcel I.D. 050-511-30-000 Expiration Date: / - 6-/4 1. GENERAL INFORMATION Complete legal description North Slope Block 1 Lot 3 Location (site address) 30800 Prudhoe Bay Ave. Current Property owner(s) Scott & Jennifer Kluever Day phone 696-3444 Mailing address 3911 Eastway Lp Anchorage, AK 99504 Real Estate Agent Sabra Gilliland Day phone 720-7404 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) E P E F-1DuplexL Per Rll@C23,t0.tU4. E ❑ Multiple Dwellings (Single Family and/or Duplex) SEP 112014 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DEPOSAL: Individual Well FX71 Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by:,, XI A ,�`k r"��`rt" � E° t� � ; r: Utz -j -i �, � Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 6Ja� ` Date of Payment _1111 Itf bL Receipt Number I%b'l�1 COSA# 05CA4 M -1S Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-si' -Ater supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and Sty...= codes, ordinances, and regulations in effect at the time of installation. Name of Firm Alaska Rim Engineering, Inc. Address 9131 E Frontage Rd. Palmer, AK 99645 Engineer's Printed Name Charles A. Leet, PE Phone 745-0222 Date 9/5/14 6. DSD SIGNATURE ,1 System #1 Approved for bedrooms „ I °ig r System #2 Approved for bedrooms Disapproved C°in=fin Conditional approval for bedrooms, with the fotCowing=stipulations: BY i r'� • Original Certificate Date: P -/ 6 Th unf•i li Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r , c 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: North Slope Block 1 Lot 3 Parcel ID: 050-511-30-000 A. WELL DATA Well type Private Date completed 7/23/03 Total depth 95 ft. Date of test Static water level Well production If A. B, or C provide PWSID # N/A _ Sanitary seal (YIN) Y Cased to 94 ft FROM WELL LOG 7/23/14 E. 5 WATER SAMPLE RESULTS a 9 - p.m - Well Log (Y/N) Y Wires properly protected (YIN) Y Casing height (above ground) 24 in. AT INSPECTION 8/29/14 30.2 ft 1.5 g.p.m. Coliform __�_colonies/100 mL Nitrate mg/L Arsenic N 0 ug/L Date of sample: Collected by: �rO_AL �- I_ ie5 B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Date of pumping 5/17/13 C. ABSORPTION FIELD DATA Date installed 9/6/03 Length 115 ft Date installed 9/4/03 Cleanouts (Y/N) Y Depression over tank (YIN) N High water alarm (YIN) N/A Pumper JR's Pumping, Home has been unoccupied since pumping date. Soil rating (g.p.d.fle or fflbdrm) 0.8 System type Trench Width 5 ft. Gravel below pipe 0.5 ft. Total depth 3 ft. Eff. absorption area 575 ftp Monitoring tube Y Depression over field N Date of adequacy test 8/29/14 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Elapsed Time: 190 min. Final fluid depth 0 Water added 469.7 gal. New depth 0 in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N in. Absorption rate >= 469.7 g.p.d. If yes, give date N/A 19 Date installed "Pump on" level at in. Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot > 100' Absorption field on lot >100' Public sewer main >75' Sewer /septic service line >25' Animal containment areas >50' alarm level at in. Meets alarm & circuit On adjacent lots > 100' On adjacent lots >100' Public sewer manhole/cleanout >100' r Holding tank >75 Manurelanimal excrete storage areas > 100' SEPTIC/HOLDING TANK ON LOT TO: r Building foundation Property line r r Water main >1 Water service line >10 Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: r r Property line >1 Building foundation >10 Water Service line >10, Surface water >100' Curtain drain none known Wells on adjacent lots >100' F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that i have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Chafles A. Leet, PE Date 9/5/14 COSA brown sheet 10-10-12.doc r Absorption field Surface water >100' Water main >10' Driveway, parking/vehicle storage >25' OF.:^kgttr! yM. V W � Z... : •.. °W �, G� •• �harle A. feet .� Sj. a CE70680 2'ti Municipality of Anchorage . Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING - Parcel I.D. 0 S 0-51 13 0 HAA #--0 y✓!� Expiration Date: 1. GENERAL INFORMATION Complete legal descriptio S0° Location (site address or directions NISI- Prudhoe Bay Ave., -Eagle Rover, AK 99577 Current _Property, owners) - Scatt & Jennifer Kiuever - Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent .professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system., DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. A. B. C. :rr Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4 h6 4ft: 700 Sout ragaw St. , P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ' NORTH SLOPE, B1, L3 Parcel ID: 050-511-30 WELL DATA Well type N If A, B, or C provide PWSID # Well Log (Y/N) Y Date !completed 7/23/03 Sanitary seal (Y/N)—Y--Wires properly protected (Y/N) Y Total depth` 94 ft. Cased to 94 t. Casing height.l(above ground) 2 ' FROM WELL LOG AT INSPECTION Date"of test " 7/23/2003 Static�water level 69 ft. ft• Well ;production 51 g.p.m g'p-m- I WATERsAMPLE RESULTS: l Colifdr' ; 0 colonies/100 ml.Nitrate . 0:1 mg./I.Other bacteria 0 colonies/100 ml. Arsenic:, ENA mg./l. Date of sample: 01 /07/2004 Collected by:_KND Engineering SEPTIC/HOLDING TANK DATA Tank ,Type/Material SEPTIC/STEEL Date installed 9/4/03 Tank size 1000 gal. Numb 'er!of :Compartments Cleanouts (Y/N) Y Foundation cleanout (Y/N) Depression over tank (Y/N) N_High water alarm (Y/N) N Date of'p�mping NA..—..new tank Pumper 4 ABSORPTION FIELD DATA i l 'l (f �. 2 2 � Date ;installed 9/6/03 Soil rating (g.p.d./ft or ft /bdrm) 4,$ System type TRENCH Length'115 ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth',.5 ft. Eff: absorption area 575 ft Monitoring tube Y , Depression over field N , l� is Date of adequacy test NA — new system Results (Pass/Fail) PASS For 3 bedrooms - Fluid RRpdepth tin absorption field before test ` in. Water added gal: New depth in. Elapsed Time: min. Final fluid depth in.. Absorption rate >= g.p.d. An reJuvelnation treatment (Past 12 mo.) (Y/N & type) `If yes, give date ! :I' I g ilii � i i 1-15-04;12:35PM; SCS Rcf.# 1040219001 Client Name KND Engineering Project Name/# North Slope, B1, 13 Client Sample ID North Slope, D1, L3 Matrix Drinking Water ;907 5615301 x 2/ 3 w All Dates/Times are Alaska Standard Time Printed Date/Time 01/15/2004 7:12 Collected Datc/Time 01/07/2004 12:45 Received Date/Time 01/07/2004 13:57 Technical Dire� Director � Ste C. Ede Released y ��'' Sample Remarks: Allowable Prep Analysis Parameter Results PQM, Units Method Container ID Limits Date Date Init Waters Department Nitrate -N 0.100 U 0.100 mg/L EPA 300.0 B (<=10) 01/07/04 JMP Microbiology Laboratory Total Coliform 0 col/100mL SM18 922213 A (r1) 01/07/04 DKC ASBUILT I' HEREBY CtRTIFY THAT I HAVE SURVEYED THE +! FOLLOWING DESCRIBED PROPERTY= AND THAT NO E NCROAC4 ENTS EXIST EXCEPT AS INDICATED. IT! IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT 'APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD SEWARD & ASSOCIATES LAND SURVEYING 6 SCALE: / li_sw i DATE: GRID: SE 7a T FB: .... se �Duane Merl Seward •'� ANY DATA HEREON BE USED FOR CONSTRUCT)ON /off- 0 7 �. '• LS - a91 a • � :� OF FENCE LINES,' OR'FOR ESTABLISHING BOUND- I ARY LINES. DRAWN:�f o��r _J -0829