Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
HomeMy WebLinkAboutGLENN VIEW ESTATES NORTH BLK 2 LT 4Glenn View
Estates North
Block 2
Lot 4
#051-811-48
Municipality of Anchorage
Development Services Department af.
6
Building Safety Division
On-Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Pagel of 2
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW070027 PID Number: 051-811-48
Name:
avl hn n
Wastewater System: [I New ® Upgrade
Address: /"`/ z3 �o L () �, �u�- ))ABSORPTION
/1C_J
FIELD
Phone: Number of Bedrooms:
❑ Deep Trench ❑ Shallow Trench ® Bed ❑ Mound ❑ Other:
LEGAL DESCRIPTION
Soil Rating:
0.5
Total Depth from original grade:
1.2
GPD/Ft'
Fl.
Block: Lot: Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
2 4 GLENN VIEW ESTATES NORTH
.7 Ft.
0.5 Ft.
Township: Range: Section:
Fill added above original grade:
Gravel Length:
2.8-3 Ft.
81 Ft.
Well: [_1New ❑ Upgrade
Gravel width:
Number of lines:
Distance between lines:
15 Ft.
3
5 Ft.
Classification (Private, A, B, C):
Total Depth:
Cased to:
Total absorption area:
Pipe Material:
PUBLIC WATER
Ft.
Ft.
1215 Fe
ASTM-3034
Driller.
Date Drilled:
Static Water Level:
Installer:
Dale Installed:
Ft.
GUARANTEED SERVICES
10/15/2007
Yield:
Pump set at:
Casing Height Above Ground:
�{
TAN K
GPM
Ft.
Ft.
SEPARATION DISTANCES
® Septic ❑ Holding ® S.T.E.P. ❑ Other:
To
Septic
Absorption
Lift
Holding
ublic/Private
Manufacturer.
Capacity:
From
Tank
Field
Station
Tank
Sewer Line
EXISTING
1250 Gal.
Material:
Number of Compartments:
Well
..
..
..
..
..
L
2
Surface Water
+100'
+100'
'-
LIFT STATION
Lot Line
+5"
+10'
-'
'-
Size:
Manufacturer.
Gal.
Foundation
'+'S
+10,
-'
'-
"Pump on" level at:
"Pump off" level at:
High water alarm at:
in.
in.
in.
Curtain Drain
+50o
+50,
'-
-'
Pump Make & Model
Electrical Inspections performed by:
Remarks:
DEPTH OF FIELD MODIFIED PER WATER TABLE MEASURED IN
BENCH MARK
OCTOBER, 2007. FIELD IS COVERED WITH VERY SILTY
Location and Description:
FENCE POST NEAR NW CORNER OF FIELD
ORGANIC SOIL AND HAS BEEN SEEDED.
Elevation:
Assumed105.8
Fl.
Inspections by: FRES Dates: 1St 10/15/2007
.:p�amp = ,
performed
2nd 10/16/2007
Development Services Department Approval
Conditional Approval Date:
f�
• • �,`
(
............................................. W
�'. CHRISTOPHER R. WOOD
C .10337
• 5
i�'
Reviewed and approved by: � � / L � ci-� Date: " L��
I
�,�Fo' (2...0 . •\•�
(Rev. 04/06) /{✓SSIO�PL
8
Permit No. SW070027
Page 2 of 2
Municipality of Anchorage
DEVELOPMENT SERVICES DEPARTMENT
ON—SITE WATER & WASTEWATER PROGRAM
4700 ELMORE ROAD P.O. BOX 196650, ANCHORAGE, AK 99519-6650
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description: GLENN VIEW ESTATES NORTH BLOCK 2 LOT 4
051-811-48
I
° / +H_1
u>�
% TH' 2
/ k 80. o
<:
41 RJE. Al MILL RUM
SCALE 1"=40' f DIVERTER VALVF_
SWING TIES
I 11
A B
C 128' 110.5'
/ l6
�f
.1250 rGAL.
15' 'T&E ESMT
R=50.00'
L=46.17'
PI wnTlnnlc
I iOUSE /
TOP OF FENCE POST AT CORNER
ASSUMED ELEVATION = 105.8
ORIGINAL GROUND
LEVEL AT: 100.0
TH-1
-0-99.3
94.75
BOTTOM OF T.H.
0 - CLEANOUT
- WELL
- MONITOR TUBE
10/20/2007
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water & Wastewater Program
l�
4700 South Bragaw Street
D
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Apr 02, 2007
Expiration Date: Apr 01, 2008
Permit Number: SW070027 Parcel ID: 051-811-48
Legal Description: Glenn View Estates North
Design Engineer: 0003 S & S ENGINEERING Site Address: Unknown
Owner Name: STEPHEN & ROBIN FREE Lot Size: 51224 SQ. FT.
Owner Address: PO BOX 670191 Total Bedrooms: 4 Permit Bedrooms: 4
CHUGIAK , 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.
5. The following special provisions.
-DURING CONSTRUCTION, NEED A NEW TEST HOLE WITH PRECOLATION & A 7 -DAY GROUNDWATER
MONITORING THROUGH HIGH GROUNDWATER PERIOD. THE RESULTS OF GROUNDWATER TESTING
MUST BEAR ORIGINAL SIGNATURE AND STAMP OF ENGINEER.
-NEED TO SUBMIT MAINTENANCE AGREEMENT WITH INSPECTION REPORT.
T e 41 l6 R;v,-rt E;j"Ve'F/` >Esicl�J chA"If 'PWM -0 'yj'2'5/'07 i ZW
Received By:
Date:
Issued By: %": Date:
Municipality of Anchorage
,..� Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEPTIC/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D.
Property owner(s)Day �D hem 'p Pcp l�rr�l phone 7 Ul
Mailing address
p Code X56
Site address, C)0 6h"'l W 5o' -L t Zip Code
Legal description (Sub'd, Block & Lot)
Legal description (Township, Section & Range)
Lot Size J51, AIM Sq. Ft.
THIS APPLICATION IS FOR (®all that apply):
Absorption Field
❑
Septic Tank
❑
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
6/et4o V4,010 F
Number of Bedrooms Ll
THIS APPLICATION IS AN:
Initial
❑
Upgrade
9
Renewal
❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or au7fronzed agent)
Permit/Rush Fees:
Waiver Fees:
Date of Payment: &111,51-0 71e Date of Payment:
Receipt Number: 6J'14 _1 Receipt Number:
(Rev. 11/05)
Eagle River Engineering Services
Christopher R. Wood, P.E.
10421 VFW RD. Suite 201
Eagle River, AK 99577
August 28, 2007
Dan Roth
Manager, On -Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Glenn View Estates North Lot 4 Block 1
Narrative & Permit Application
1-�110=T _ • i1
(907) 694-5195 tel
(907) 694-3297 fax
Eagle River Engineering Services (ERES) was contacted by the owner of the property noted
above to design a septic system upgrade. It was determined that the leachfield was surcharged,
and a new leachfield would have to be installed. Two test holes and soils percolation tests have
yielded silty sand & gravel, GM, with percolation rates of 9 and 12 minutes per inch. The water
table was noted to be 6.3 feet after our 7 -day water monitoring, and appears to have risen to 5.3
feet after several days of rain during mid-August. We propose to install a 15' X 80' bed over 3.2
feet of imported MOA approved sand to achieve 6' of separation distance above the measured
water table after all organics and silty topsoil have been removed. The proposed 4 bedroom
leachfield is located on a relatively flat bench of less than 10% slope with a 20% slope located
approximately 40' downhill from the bed location. This bed is located more than 50' from any
slopes steeper than 25%. To our knowledge, there is no surface water within 200' of the
proposed system.
The proposed septic system upgrade will have very limited impact on adjacent properties for the
following reasons:
1. The surrounding lots are all connected to public water, so there is room for
primary and reserve sites on neighboring lots.
2. Immediate neighboring septic systems are all +20' distance, and no private (or
community) wells within 200' of the proposed septic system.
3. Drainage will not be affected and is not a major consideration in our design.
\2003\07-080BEDUPGRADESEPTICNARRATIVE
Installation of this 4 bedroom septic system upgrade, to our best available knowledge, will not
adversely affect the septic systems or reserve areas on adjacent lots. If you have any questions
please call our office at 694-5195.
Sincerely,
EAGLE RIVER ENGINEERING SERVICES
Christopher R. Wood, P.E.
Principal
\2003\07-080BEDUPGRADESEPTICNARRATIVE
Servicem
Eagle
•' •
Christopher 1b 1
10421 VFW RD Suite 201
Eagle River, AK 99577-3294
(907) 694-5195 tel
(9o7) 694-3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM — MOA CERTIFIED INSTALLER
LEGAL: Glenn View Estates Lot 4 Block 2
August 28, 2007
A. GENERAL
1. The proposed septic upgrade plan is for a 4 bedroom single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Building Safety, On -Site
Department, requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi -family wells. A licensed surveyor should locate any utility easements and exact 100'
radius from the existing and neighboring on-site wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. Any remaining open test hole excavations shall be filled and monitor tube removed.
B. SEPTIC TANK
1. This septic system upgrade will utilize the existing 1250 gallon septic tank.
2. A Bull -Run type diverter valve shall be utilized to keep the existing trenches "online" for possible re-
use in the future.
C. BED
1. The contractor shall remove approximately 2.5 feet of soil in the footprint of the bed to expose the
free -draining GM material beneath.
2. Approximately 3.2 feet of MOA approved sand shall be utilized to bring the bed footprint up to 0.7'
ABOVE existing grade.
3. The bottom of the bed shall be level, plus or minus 1.5" prior to placement of sewer rock
4. A six inch layer of sewer rock shall be installed above the sand layer. The effluent lines (3) are to be
4" perforated ASTM 3034 pipe, and leveled to within 0.03' on top of this 6" gravel layer
5. Another 6" layer of sewer rock is to be added, so that the effluent lines are surrounded by sewer rock,
with 2" of rock above the top of these effluent lines.
6. The bed gravel is to be covered with typar fabric material.
7. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed
over the bed. Mounded side slopes not to exceed 3:1.
8. The bed shall be covered with 6" topsoil and seed, and is a mandatory part of this design. This
work shall be completed before the MOA will "sign off' on the inspection documentation.
9. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
10. The effluent line from the existing septic tank and down -gradient of the bull -run diverter valve
requires special bedding to ensure that it does not settle and/or freeze. The effluent pipe shall be
bedded carefully on sand or pea gravel, after having all topsoil removed from the trench. The effluent
pipe shall be insulated where it will be buried less than 3. Please see the site plan and cross-sections
for this detail.
\2003\07-080Bed-lift- spec
Continued:
LEGAL: Glenn View Estates Lot 4 Block 2
RECOMMENDED LEACHFIELD DIMENSIONS:
BOTTOM OF GRAVEL LAYER = 0.7' Above Grade at monitor tube
BOTTOM OF FILTER SAND LAYER = 2.5' Below Grade at monitor tube
GRAVEL THICKNESS = 6" under pipe, 2" over pips for 1.0 feet total
BED LENGTH = 80' BED WIDTH= 15'
SOIL RATING = 0.5 GPD/ft5 BEDROOM CAPACITY = 4
SEPTIC TANK = re -use existing 1250 gallon tank
EFFLUENT PIPE = 4" ASTM 3034, insulated where buried shallower than 3', or where mounded
Twenty-four (24) hours notice required for all inspections
Additional Charges will be incurred for the 3 required inspections and preparation of septic
system as-builts. Inspections on weekends and evenings after 5:00 PM are double normal rates.
\2003\07-080Bed-lift- spec
1. NO KNOWN SURFACE WATER +
2. NO KNOWN CURTAIN DRAINS�
3. NO SEPTICS WITHIN 30' UNCES
4. NO WELLS WITHIN 200' UNLES'
5. LOTS IN AREA SERVED BY PU6
LOT 5
/
/ SEPTiC + 30'/
/ /
AT R
N WELL +200' = SEPTIC
SEPTIC +30' AREA
VOKO
l ` \ BED WELL +200'
/ TH-1 --®
/ ® TH-2
DIVERT NEW BE LL RUN
/ LOT 4
USE
1 /
o
EXISITNG SYSTEM TO REMAIN
FOR POSSIBLE FVTURE USE
T 3
KE SEPTIC AREA
WELL/SEPTIC SITE PLAN
LEGAL: GLENN VIEW ESTATES NORTH BLOCK 2 LOT 4
OWNER: ROBYN FREE
CONTRACTOR: UNKNOWN
JOB# 07-080 DATE:8/15/2007 I SCALE 1 "=40'
EAGLE RIVER ENGINEERING SER VI CES
10421 VFW RD. SUITE#201
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX. (907) 694-3297
LOT 13A
® — TEST HOLE
® — MONITOR TUBE
a — SEWER CLEAN OUT
¢ — WELL
— — — EASEMENT
PROPOSED LEACH FIELD
EXISTING LEACH FIELD
o — DRIVEWAY
OF
®
t io
fV� 'CHRISTOPHER R. WOOD.'
`® J, CE-10387\2�'®
T6��F 4'a
441111%P86FESSIONP ®o®�
'A VA w��
�. ®®®•fie' ra®�®®
Air 00
�,' 3
ojor
10
®I �ao
At
Ar
vlO
(� � N
v 1pp
�� w
~ m Z
z J W
00
Lo Ctf
� ee
N 0000 W
0 W e .
o0o0o0W
J
000
0000 •. ..:. Q
000
0000 - U Q
000 �.. -. Y
0000 U Q
000 000C -
o Vi
Y 000
U
p c�o o W
0 0
�o 0 0
W o o o F—
000
00 0
LLJ
0 0 0
ooN rte,
W o o °
oor
U ootz LLJ \
LL o o Z ' ' co
°° Z
W o oz z
000
(!% O w
C�
z _J
°0 0
.O .
.:..
LLJ
to c�?QQ0oo
o o
'
/VJO�J
'
c.) (z)
w�w
O
cn ooQoo�
oo°° w°
000 P CLd
Nm0o
°0z'
W °0�b C/)
U) 0
°°
Lid 0 0 o Lo
Q °° W 0c)0
°° ry \
0000
d 000
°°
0000000 000
0000
000
0000
000
0000
oo CDooh •00 0)
CL rj
CJ�CJ�
Ar
:o b
O 3 >®®
W 0 o in
LL -
W
>X �O In
. o W i
ry
(� cn 411,
n 0 !y
v I W �
0 ry:z TM
o O co So
�moz J ° N
(� z y CIO'WQD 4 t� J I N
m V,� z
00
DUU ..
LL- En LLJ
�J z foo U Q
.nmU Un o
N
-�
U M
'CIO,
� W --�
r z ry
J - < opo
rq
Ld W�
�z
Q
n
o
wows
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 06-052
Calculated By: CB
Date: 08/15/2007
Legal: GLENN VIEW ESTATES NORTH BLOCK 2 LOT 4
SINGLE FAMILY 4 BEDROOM RESIDENCE
Bed Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 600 gallons
Percolation rate = 12 minutes per inch
Wastewater application rate = 0.5 gallons per day per square foot
Required absorption area = 1200 square feet
Bed width (W) = 15 feet
Gravel depth (D) = 0.5 feet
Required length = Required absorption area / Bed width
Required length = 1200 / 15
Required length = 80 feet
Total Excavation Depth = 2.5 feet
Use 1.5' sand below leach rock
CHR,1SToPNER i. Va _,
�;'•. CE.70387
07-080.x1s 1:58 PM08/15/2007
OF
EAGLE RIVER ENGINEERING
10421 VFW RD, SUITE 201 l cl)
EAGLE RIVER, AK. 99577 0 * I
(907) 694-5195 FAX: (907) 694-3297 " " ' • • • . ..• • • • .
f /
SOILS LOG - PERCOLATION TEST �I CHRISTOPHER R. WOOD.' ���
�J, CE -10387 \� �
i
Aw
pROFESSIOtA P'w+�
PERFORMED FOR: ROBYN FREE DATE PERFORMED 8/14/2007 ��r�w.�.�w♦
LEGAL DESCRIPTION: GLENN VIEW ESTATES NORTH BLOCK 2 LOT 4 TOWNSHIP RANGE SECTION T15N, R1 W, SEC.3
TEST HOLE # 1
DEPTH
(FEET)
1
2 ORANGE—TAN SILT
3 0
TAN//GRAY SANDY GM
4 SANDY GRAVEL
5
5.3 r DAMP TAN/GRAY GM�
6 SANDY GRAVEL �.
7 177
TAN/GRAY DAMP SILT
9
10
11
12
13
14
15
16
17
18
19
20
21
COMMEN
WATER TABLE DATA
DATE WATER LEVEL
08/06/2007 7
08/14/2007 6.3
08/24/2007 5.3
SITE PLAN NOT TO SCALE
LOT 5 a n
P
g
t� z
12
N
2
LOT 4
y
xarg ti� a
�p'I p9
LAT 3
PERC TEST RESULTS
SLOPE
READING
DATE
GROSS TIME NET TIME
DEPTH TO WATER
NET DROP(IN)
1
08/08/2007
3:36
0:00
3'
2
1/2
0
2
08/08/2007
4:06
0:30
3'
6
3 1/2
3
08/08/2007
4:07
0:00
3'
2
1/2
0
4
08/08/2007
4:37
0:30
3'
5
3/4
3 1/4
5
08/08/2007
4:38
0:00
3'
2
1/2
0
6
08/08/2007
5:08
0:30
3'
5
3/4
3 1/4
PERCOLATION RATE= 9 (MIN/INCH)
TEST RUN BETWEEN 3 FT AND 4 FT
PERC HOLE DIAMETER=6"
SOILS L GE 6 CHRIS OPER WOOD PERCOLATION TEST BY: CHARLES BALZARINI
I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE
AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7I 2_ U?
EAGLE RIVER ENGINEERING = P�� )F t'+
10421 VFW RD, SUITE 201 ,mw ��
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694-3297
f
SOILS LOG - PERCOLATION TEST 0- •CHRISCEH10387WOOD. \_��
�F �6r1
pRCFPERFORMED FOR: ROBYN FREE DATE PERFORMED 8/14/2007 X11,\►r0��''
LEGAL DESCRIPTION: GLENN VIEW ESTATES NORTH BLOCK 2 LOT 4 TOWNSHIP RANGE SECTION T15N, R1 W, SEC.3
TEST HOLE # 2 SLOPE
0
1
2
3
4
6
7
DEPTH
(FEET)
ORGANICS/ROOTS
ORANGE SILTY TOPSOIL
0
••o.
TAN/GRAY GM
SANDY GRAVEL
TAN SILT
9
10
11
12
13
14
15
16
17
18
19
20
21
22
COMMEN
WATER TABLE DATA
DATE WATER LEVEL
08/06/2007 DRY
08/14/2007 DRY
08/24/2007 DRY
SITE PLAN(NOT TO SCALE
(� z
TRi2
0
N
2
LOT 4
�9
House Leh
LOT 3
PERC TEST RESULTS
SLOPE
READING
DATE
GROSS TIME
NETTIME
DEPTH TO WATER
NET DROP(IN)
1
08/08/2007
3:40
0:00
4'
2 1/2
0
2
08/08/2007
4:10
0:30
4'
5
2 1/2
3
08/08/2007
4:12
0:00
4'
2 1/2
0
4
08/08/2007
4:42
0:30
4'
5
2 1/2
5
08/08/2007
4:43
1 0:00
4'
2 1/2
0
6
08/08/2007
5:13
0:30
4'
415/16
2 7/16
PERCOLATION RATE= 12 (MIN/INCH)
TEST RUN BETWEEN 4 FT AND 5 FT
PERC HOLE DIAMETER=6"
SOILS L G HRIS PHER WOOD PERCOLATION TEST BY: CHARLES BALZARINI
I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE
AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Zaikv-
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.cl.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
a, •;.
• 11e
Al •
To: SUS ENGINEERING
Legal description: GLENN VIEW ESTATES NORTH BLOCK 2 LOT 4
The attached paperwork has been reviewed and Is being returned for the following reasons:
1. -NEED A NEW TEST HOLE WITH PRECOLATION AND GROUNDWATER MONITORING, FOR ONSITE PROGRAM
TO REVIEW.
2. -NEED TO DO GROUNDWATER MONITORING THROUGH MAY 15TH. THE RESULTS OF GROUNDWATER
TESTING MUST BEAR ORIGINAL SIGNATURE AND STAMP OF ENGINEER.
Name of reviewer. JOE Date: March 21, 2007
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
e...-.
* S&S
c Einneeenlnq
i4
IEALTNAUTNORIV
APAIOVALS
SEWERS WATER
/MIN E%TEISIONS
SEWERS WATER
INSPECTION
ENGINEERING STUDIES
ANO REPORTS
WELL INSPECTION
S ROW TEST
SITE PIANS
ROADOESION
SOIL TEST
PERCO(AT1a
TEST
STRUCTURAL S
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
ROBERT C. COWAN, P.E.
ROBERTA. SHAFER, P.E.
March 28, 2007
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
REFERENCE: Lot 4; Block 2; Glenn View Estates North Subdivision
CML ENGINEERS
(907)694.2979
FAX(907)694.1211
It is requested that you issue a permit to Install a new septic system upgrade to serve
the existing four bedroom dwelling on the referenced property.
A test hole was excavated and a percolation test performed. The approximate location of
the test hole is located on the attached site plan. At the time of excavation 1/14/02, ground
water was not found. After monitoring, ground water was found at 4.5 feet. Percolation
rates shown on surrounding properties indicates that a significant amount of drain field
would be required. Therefore an IDSF (Intermittent Dosing Sand Filter) has been selected.
The existing absorption area was installed in October 2003. These drain fields are over
saturated at this time, we believe as the result of over use.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you requ onal information, please contact us.
Enclosure
afer, P.E.
I` Y
SITE—PLAN
Crslo c
DESIGN
1" = 40'
zze
Cep
x
Co
0
0
01
0
CAD
0R44,
4)-
0
D
-4 in
D 0
r
- 0
PaO
. n
Cr-
> C0
-0, Z
OZ O
N m O
A M
O 0
C -4m
1/1
r Z N
0 1 0
2 X
m
O
0
1
Y :%!
�—
iVAC=
1-3C
o
vr.mT 7
z S t CA
c cf)
x i
v
xim
m-4
Dn /
L
co
0
-4
V
SEI -PLAN
S +
DESIGN
N: S
INTERMITTANT DOSING SAND FILTER
MBIA HQIS
rit
|||
§41
5
P
9
/
q
\
IP 0 E
trigplb sa
!
oz 0
gt
on Pl
!
±
/
9
0
r
0
0
w
Q
r
2
2
c
2
@
w
»
w
Cr]
2
0
�
SITE -PLAN
SCAT F
DESIGN
N.T.S
c
•
n u
Q CPI >x
AZz
fa E N"•q
7 cv
-FA vog
appZ ,;-..i
.Y2
•
0 tn
Co
yp C
CJinc
a i S
r
i
N
V
w
1
A
rn
VI
- 0 •
od
0E' w Vl
p .
oo " .MI a�
O'
Z n 0
o
vN O
rri
~.yam
•S a w
?0o0 -
c>73aC
x1
om�'ti y
czgo
Eact? 0
C>
Ztim Cn
O 0 IG
0 C (n
o 'V ►3
rn
A r
Ft0n
O A CO O
xi 5PZ
ti 0
0 y H
'<
� K N
x0
nnm
a
.c -c
N m
0
O
.'••• ,
F
W
NJ
NJ
CO0
V
t-
0
O
CrJ
z
CT]
VI
—3
-3
rL�
Vl
z
0
tik
, * S&S
CLQ inneeennq
IEALTNAUTICRTY
APPROVALS
SEWER&WATER
MAN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
a
FLOW TEST
SITE PLANS
RDAs DESIGN
SOL TEST
PERCOLATION
TEST
STRUCTURALS
MECHANICAL
ONSITE
WASTEWATER
DEPOSAL SYSTEM
CESIGN
ROBERT C. COWAN, P.E.
ROBERT A. SHAFER, P.E.
CML ENGINEERS
(907) 694-2979
FAX (907) 694-1211
INTERMITTANT DOSING SAND FILTER SPECIFICATIONS
Lot 4, Block 2, Glenn View Estates North Subdivision
March 23, 2007
GENERAL STATEMENT OF WORK
The work and plans covered by these specifications consist of furnishing all labor,
materials, tools, transportation, and equipment necessary to complete an Intermittent Dosing
Sand Filter system as described herein and on the attached drawings.
All work under this project shall comply with current Municipality of Anchorage (MOA)
Regulations.
4 Bedroom House 600 GPD
Use 18' x 20' Bottomless Sand Filter
Sand filter to be constructed on accepting soil with all organics removed. (bottomless
only.)
SITE INVESTIGATION
The Contractor must carefully examine the project documents, have full knowledge thereof,
have investigated the site, and be satisfied with the conditions affecting the work.
Conditions include, but are not limited to those bearing upon transportation, disposal,
handling and storage of materials, availability of labor, water, electric power, roads, and
uncertainties of weather, physical conditions at the site including all underground utilities,
the conformation and condition of the ground, the character of equipment and facilities
needed preliminary to and during prosecution of the work. The Contractor must be satisfied
with the character, quality and quantity of surface and subsurface materials or obstacles to
be encountered. Any failure by the Contractor to become acquainted with the available
information will not relieve him/her from responsibility of performing the work as stated in
these specifications and drawings.
Location of utilities will be the contractor's responsibility.
Page 2
Lot 4, Block 2, Glenn View EsLN. 5/D
March 28, 2007
SEPTIC TANK / LIFT STATION / AIR COMPRESSOR
A. General
The work under this section consists of the performance of all operations pertaining to
furnishing and installing the septic tank/lift station, air compressor and piping to the sand
filter.
13. Materials
1. Esisting
2. Lift Station Tank (Fat Albert)
a. A Fat Albert Tank shall be capable of being equipped with the following:
1. A junction (Nema 4x) box or equal, bonded or
attached to the pump basin.
2. UL listed electrical cord grips, installed in the J -box.
•
3. Effluent Pumping Assembly, Controls, Alarm & Piping
a. Effluent pumping assembly shall be of approved materials, including the following:
1. A 110 volt or equal U.L. Listed effluent pump.
2. High-density PVC cylinder housing the pump, with
level controls and screen, serving as a baffle to prevent the
screen from clogging.
3. All piping shall be PVC or other non -corroding
material.
b. Pump controls and alarm system shall be an approved system with the following
options consisting of:
1. Event counter
2. Elapsed time meter
3. Program timer
Page
Lot 4, Block 2, Glenn View Est.N. S/D
March 28, 2007
4. 10 watt heater
5. Remote alarm panel option with a minimum of 80 DB
sound pressure at 24", operating temperature 30AC to
65AC, continuous sound to be located in the home.
6. Oil -tight visual alarm with push -to -silence feature.
Automatic audio -alarm reset.
7. 15 amp motor rated toggle switch, double pole, double
throw with three positions; manual (man), automatic
(auto) and center (off) (H.O.A.).
8. Nema 4x -rated, fiberglass, or equal, enclosure with
hinged cover.
9. All controls to be installed as per manufacturer's
recommendations.
10. Control panel to be installed on outside wall of home
within sight of septic tank/lift station.
c. Piping from the septic tank to the sand filter is to be 1 1/4" PVC schedule 40 solvent
weld piping properly bedded as described in Materials Specifications and sloped to
drain back to the lift station. Insulation board 2" thick and 2' wide centered over pipe
is to be placed where soil cover is less than 4' depth over pipe.
d. The airline from the house to the filter is to be HDPE arctic insulated pipe 3/4"-2"
SDR -11. The compressor will have a gauge (0-10 psi) and be extended into the
living area or garage for easy monitoring by home occupants.
4. Air Compressor
a. Air compressor shall be a THOMAS LINEAR SERIES model number 5060-A or 5070V -
A or M.O.A. approved equal. ..
CONSTRUCTION SEQUENCE
In order to insure proper installation, the system is recommended to be installed in the following order:
Page 4
Lot 4, Block 2, Glenn View EsLN. S/D
March 28, 2007
I. Sewer line from house to tank
II. Septic tank/lift station
III. Sand filter
IV. Leachfield bed (if required)
V. Final grading
CONSTRUCTION
1. Construction Instruments
Contractor shall provide instruments such as transits, or levels, for establishing proper
elevations and levelness of pipe or materials.
2. Pipe Laying
All pipe shall be laid with material free of large or sharp rocks and organic matter.
Each section of pipe shall be handled carefully and placed accurately. The spigot end
shall be fully inserted pointing in the direction of flow and glued in place to make a
water tight seal.
Each section of pipe shall be properly supported to insure true alignment and an invert
which is smooth and free from roughness or irregularity.
At all times, when work is not in progress, open ends of pipe and fittings shall be
closed so that no undesirable substance will enter the end of the pipe or fittings.
3. Bedding of Pipe for Sewer Lines
The pipe should be bedded with materials free of large or sharp rocks and organic
matter, compacted. Native materials may be used as back fill material above the pipe,
provided it is free of large rocks and organic matter.
All lift stations shall be installed in accordance with the manufacturer's
recommendations and standards. Electrical installation is to be in accordance with the
National Electric Code (latest adopted edition) by a licensed electrical contractor, with
M.O.A. inspection where required. If MOA inspection is not required, a licensed
Page 5
Lot 4, Block 2, Glenn Vlew Est.N. SID
March 28, 2007
electrician is to provide a letter to the Engineer stating that the system meets or exceeds
all applicable codes.
4. Excavation
Excavate to proper depth to allow gravity flow, install tank level, tolerance 0.05 foot,
on undisturbed or compacted classified sand fill material.
Create a level sand surface over the tank and add 2" burial foam +35 PSI directly over
tank. Mound unclassified soil over tank with a minimum of 2 feet of cover and anti -
flotation weights that maybe required in areas of shallow ground water.
5. Connections
All connections to be as per MOA requirements, PVC 3034 piping with Caulder or
equivalent couplings for inlet riser pipes.
All tank connections are to be completely water tight.
SAND FILTER
The work under this section consists of the performance of all operations pertaining to furnishing and
installing the sand filter.
A. Materials
1. Sand Filter
a. Liner (if required - not required for bottomless sand filter) - OSI Model LI or
equivalent. 30 mil PVC cut and fabricated to provide water tight enclosure
of filter sand volume. Seams to be permanent as per Manufacturer's
recommendations. All connections, such as boot flanges, through sand filter
to be permanently bonded to the liner.
b. The Contractor shall provide a washed sand to meet ASTM C-33 Concrete
Sand Specifications with the additional requirement that all but 1% of the
materials passing the #100 sieve be removed. All aand shall be approved for
use by the Municipality of Anchorage (M.O.A.). If the sample does not
meet specifications, all sand will be removed and replaced.
Page 6
Lot 4, Block 2, Glenn Vlew Est.N. SID
March 28, 2007
c. The Contractor shall be responsible for providing pea gravel that shall be a
washed material containing no fines (0% passing the #100 sieve) and a
maximum size of 1/4" diameter. • •
d. The Contractor shall provide the manifold assembly. The manifold
assembly shall be of approved materials with orifice shields and flushing
assembly. All drilled holes to be cleaned of buns and pipes flushed, prior to
assembly. Flushing valve to include riser to finish grade. Lateral
distribution piping is to be laid level (@ ± 0.05').
e. Sidewalls and top of the filter box to be insulated with 2" direct burial polystyrene
f. The Contractor shall be responsible for providing filter fabric.
g. Air coil in sand filter to be geoflow WF16-4-24 150 LF placed 6" above
bottom of sand.
Construction of Sand Filter
The sand falter construction is to follow procedures as outlined below, as applicable to
this design.
Pea gravel and filter sand are to be hand leveled to proper depth (tolerance within 0.05
feet) in filter, taking care not to allow mud or fine soil material into the filter or gravel
layer. This would include any soil material picked up by excavation machinery buckets
while loading specified material. The Contractor should estimate filter material volumes
such that allowance is made for wastage of material in contact with the ground at site.
The area over the sand filter to be finish graded with a minimum of 2 feet of cover
and to prevent ponding of surface water run off. Side slopes shall not exceed 3:1.
The Engineer will reject any sand or pea gravel that does not meet specifications or is
contaminated in transit or while handling. If such material is placed in the filter, all soil
material maybe required to be removed and replaced with new material.
CONTRACTOR / INSTALLER
Municipality ofAnchorage et.,it•••`
Development Services Department -
Building Safety Division
-•�
""
On-Site Water and Wastewater Program. 4700 S. Bragaw St.
P.O. Box 196650 Anchorage. AK 99519-6650 Page'
www.d.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: 61/J030 330 PID Number: 05/ — .eii -1-/69
of
Name:�/tle��
I` 1'ilC1r (e) ill `'? l�
Wastewater System: Er New
y cal
■ Upgrade
P9
Address:
PO 20x 34 89 P41Wier,Q,r qq,4 VS—
ABSORPTION FIELD
Prone:7 ii '"--r� Number of Bedrooms: V3
0 Deep Trench 1(5habwTrench 0 Bed 0 klornd 0 Other:
LEGA - IPTION
Soil Rani;
GPOIFI=
Taal Depth tan original grade:
Da 5 Ft.
Block:a Lot: i / subdi, sion: 1
�-/� Glenn dewE5 k J�f
Depth to pipe bosom from original grade:
0 FI.
Gravel depth beneath ppm
Ft.
Township: Range: Section:
Fill added above onsinal (rade:-2 ✓ .
• Ft.
Gravel Lenpei j //jj
50 t -�
00 Ft.
Well: ❑ New ❑ Upgrade
Gravel width:
Ft.
arses
1
Distance betwir lines:
FL
Classification (Pnvate. A. G. D):
L 1/Yly/', , y taller
Total Depth:
Ft.
Cased to:
FL
Total absorption area
500 Ft'
/�j �/j� /[' /�
'i -1 V_YJ�/ T g' D
Omer._ /
e Dolled:
Static Water Level:
hstaller.
Date Installed:
Fr.
Tu e n& e-
/„/
/0 �3
Yield:
GPM
Puna Ser at
Ft.
CasinirnembLkaove Grp:
FL
TAN K
SEPARATION DISTANCES
0Septic 0 Holding • S.T.E.P. • Other:
To
From
Septic
Tank
Absorption
Field
Lift
Station
Holding
Tank
public Peva. to
Sew�errune
Manufacturer:
Q 4 ,-4 ♦
Capac1OG�
1 �'OGal•
Well
Vl/
WI
1C�0 .
...�
.�.
•J f
a�+
w a:ee
.••-dCompartments:
'
Surface Water
j06 _it
�j 3
fVV f
a
LIFT STATION
Lot Line
C.i;
e J 8'
10
Size:
• nu -• etGal.
Foundation
J O 1
el]
({J� / /1 (
1
F
A
'Pump on' level at
'Pump .
h.
High water alarm at:
in.
Curtain Drain
Pump Make & • - -
Electrical kispectors performed by:
aneenoAin
, i -
m
Rearks:
BENCH MARK
Location and Descnpoon: p ,/
DOltOrn of sGtir ,1a
. e N t.r Assumed evauon:
po;o I ! DU FL
Zrnit��O F
Zzi;s�
014
S & S ENGINEERING
Inspections performed b ;'17034 Eagle River Loop Road, No�04 st
ales: 1 D t p �n3
yE.
�; ��.-',, '‘...8.7 `'
r I. ,
;;�•• • .• ..« ....••...a-Ittte S
,! ,: , . _...-i ?9577
2nd
1 1j 1 1
r
r'.. .. ...... .
�� ROBERT ,
Development
Reviewed and approved by: I
Services Department Approval
Date:
CCOWAN r ��
Iras
: CE-8801 ,,r•�4- r�
.••••';� c'Z' "'.
It trf4cv ••••...............
^ ••••••
i
RRr% ._001
% t P n .tn-
PERMIT NO SW030330
PAGE 2 OF 3
Municipality of' Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 *Anchorage, Alaska 99519-6650 • Te.lep hone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 4, BLOCK 2, GLENN VIEW EST. NORTH P.I.D. NO.
051-811-48
LOT 5
DBL1 & DBL2
NEW 1250 GALLON
SEPTIC TANK
FCO
CO1
MT1
CO3 MT3
TH
FS (FLOW
SPLITTER)
MT4
C04
ST2
ST1
NEW
TRENCHES
CO2
MT2
TBM
SCALE: 1"
= 40'
SHADOWY
SPRUCE
DRIVE
KEYBOX
LOT 3
PERMIT NO SW030330
PAGE 3 OF 3
DEPARTMENT OF Anchorage
SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 'Anchorage, Alaska 99519-6650 • Teel'ephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 4, BLOCK 2, GLENN VIEW EST. NORTH P.I.D. NO.
051-811-48
FINAL GRADE
ST1 ST2 , 92.2'
88.1
NEW 1250
GALLON
SEPTIC TANK
87.8'
c01 CO3
MT1 _ CO2- MT2 IC01 = 89.0'C04
CO2 = 88.5' MT3-
��FINAL GRADE-
SR
MT1 = 84.7'
A
B
FCO
12.0'
24.0'
ST1
32.5'
44.0'
ST2
40.0'
52.0'
DBL1
48.5'
62.0'
DBL2
51.0'
65.0'
C0 1
72.0'
81.0'
MT1
73.0'
82.0'
CO2
84.0'
109.0'
MT2
83.0'
108.5'
CO3
88.5'
100.5'
MT3
89.5'
101.5'
C04
103.5'
128.0'
MT4
104.0'
128.0'
FS
82.0'
101.5'
INSULATIONN
_ CO1 = 85.2'
CO2 = 85.2'
-MT2 = 84.7'
MT3 = 83.5'
_ MT4
SR
WATER FOUND @ 79.5'
74.0' B.O.H.
CO3 = 87.5'
C04 = 87.7' •
CO3 = 84.1'
C04 = 84.0'
MT4 = 83.5'
N. T. S.
...,,i,1,1-RilfZqi,v,
* (''+
41/ t
Or
1'' -, s RO ERT C. COWAN 14. j
+` Cj•� CE -8801 - �'�!'
s •(
tZ cp •............•• , - ..,,
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 PERMIT
Initial
Date Issued: Aug 25, 2003
Expiration Date: Aug 24, 2004
Permit Number: SW030330 Parcel ID: 051-811-48
Legal Description.!lenn View IE:StateS NOrth :: $i 0e;'27, ;(0T4
Design Engineer: 0003 S & S Engineering
Owner Name: The Turner Company
Owner Address: P.O. Box 3489
Palmer , AK 99645 -
Site Address: Unknown
Lot Size: 51224 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
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.
dee12
Received By: Date'
Issued By:
S194/0 3
(-451 Date: 8/23-103
MtIHHicipaiit7 of Ailciiuthge
beveiciphieht Set-Vicb bepat-thneht
SUiidind Safety division
On -Site Water and Wastewater Program
4700 South t3ragaw St.
P.O. Box 196650 Anchorage, AI< 99519-6650
www.ci.anehotage.ak.Us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
1OR A SINGLt i=AMILY NAIELLING
Parcel I.D. 1 1 — `1 tb Permit Number SW03d 530
Property owner(s) rJfI T Vit,ft✓A COrv+ Pon' i
Mailing address (1) P- 0 - i3 O% 3' 5-9
Mailing address (2) P R Lt''i (2 / 4 !k p Zip Code 9 9 YS`
Legat description (Lot, block & SUb'd.) L0-1- el, D'ocRL 021 (1')CI?n Vie. cc) &Idle TYA
Legal description (Section, ToWnship & Lange) Li' /I-
Lot Size 57) a a� Acre- Sq.�t. Number of Bedrooms T
THIS APPLICATION Is t=OR:
Sewer Only •
Sewer and Well
Sewer Upgrade
THIS PROPERTY CbNTAINS:
Not Tub
Swimming Pool fl
Therapy Pool ❑
Day phone 7 y S�— S3 3f
Well Only
Water Storage
Jacuzzi
Water Softening Unit
0
0
0
certify that the above information is correct. I'further certify that this application is being tnade for a
Single Family belling and is in accordance with ipglic tdn , al Codes.
17034 Eagle River Loop Road, No. 204
Eagle River, Alaska 99577
(Signature of property owner or authorized agent)
Permit Pees:
9 00, u a
bate of Payment: g / if /0 ' bate of t'ayment:
Receipt t'Jtimber: 0 3 C7 `) 4 Receipt Number:
(Rev. 12/00) t 1
Waiver l=ees:
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WEU. INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
ROBERT C. COWAN, P.E.
ROBERTA. SHAFER, P.E.
August 8, 2003
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
REFERENCE: Lot 4, Block 2, Glenn View Estates North Subdivision
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
It is requested that you issue a permit to install a septic system to serve the proposed
four bedroom dwelling on the referenced property.
A test hole was excavated and a percolation test performed. The approximate location of
the test hole is located on the attached site plan. At the time of excavation 1/14/02, water
was not found. After monitoring, ground water was found at 4.5 feet.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas or drainage patterns by the installation of the proposed septic system. The
construction of this system will not prevent any future development on any of the adjacent
properties.
If you require additional information, please contact us.
Sincerely,
Rofert C. Cowan, P.E.
RCC/bjj
Enclosure
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
1" = 40'
SCALE
DESIGN
SITE—PLAN
m=
fro
stnA
.OHO
C. -1Z
70zvn
Mz0
OP 01
N K
C
rn
0
z
rn V
D O
r•-•
X z
40
O CO
v V <
b
WV'
N IDID•pm
—IDB
r bv0
0
co
m
0
04,11,0
wqr
N
rn
'D
X/
0
�n o
r -lm O
rm- 0
� m
M m
--1 f7
n0 m
D
r
ZO O
7C Z C
Z
0
L-1 <
O m
r-
0
-o
m
CAD
0L/
sss
D
(n 0
o
L.'1
0 -
X1
O 2-5% Ino
Z 1
0 O
2 N
NIn
0
0 0
n n
D
1
N
m
0
O
O
y
2-5%
2-5%
I --
CO
CO / DN
mm
m -°
D� /
*moo
o'mo
• Z
oc2
>i
jE;'y
x r0 ao
n n m
>mC
--iNm
O o
Z
0
:L7
0
F
0
co
0
W
0
m
N
2
t-
0
H
to
0
z
z
L -J
U)
H
cn
0
H
I-+-1
t" = 60'
SCALE
DESIGN
SITE -PLAN
tV
tri
:5>7
u
>Orri+
SC
'2-
�<;
00
IOTA
V 0• A
emrZ
.0 V.0
1010
+VU 10
COV0
V >
0
0
1-3
w
11,
t
2-sx MO(10
vrio
ti
0
0
y
> >-
4-4
0
0
y
u u
22-5%
2=5x
2-5x
*1300
0MIm0
0 Z
• Z
>
O C y
l� N
Xoxi
Dmc
�NA3
z v
I 0
n
4
0
CO
N
O
m
0)
m
0
�I 1
z
n
rL
V f
H
tj
UJ
z
O
1 -LI
Performed Fcr:
Lecal Descripten:
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage. AK 99519-6650
www .ci.anchoraoe.ak.us
(907) 343-7904
(ENGINEER'S SEAL) .
Soils Log - Percolation Test
GLEN \l i E u N DRi Date Performed:
L di 41 .< � Township, Range. Section:
Slope
10-!1
CO>: VEN TS
S;14
s -/3o/0 a
Mat2E 1ZoC c
1-4'PAN
WAS GROUND WATER
ENCOUNTERED?
No
IF YES. AT WHAT DEPTH?
Depth to Water Aker
Monitoring?y
Reading
5
Date: 11Z.t102
8/I 10 3
Date
l
0
P
Gross Time
F C)A-1.
I /►ttJoz
:55
1 1
I I
PERCOLATION RATE , j (nunute,Anchi PERC HOLE DIAMETER
TEST RUN EETWEEN 3 FT AND y FT
Net Time
Depth to Water
Net Drco
cd.„/ I
30 Mt►. (1°( ( 0
3'O 111 ° ( b
3o I lo° 1 C�
t
6 it
=RFC''.',1ED BY.
S 1 I ' - CERTIFY THAT THIS _` TV
PERFOR'.1ED .N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. _S • ~�
1 1�B�aZ
f --
* * `.S & S
"NEngineeRing
m
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WEU. INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
ROBERT C. COWAN, P.E.
ROBERTA. SHAFER, P.E.
CML ENGINEERS
(907) 694-2979
FAX (907) 694-1211
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Lot 4, Block 2, Glenn View Estates North Subdivision
August 8, 2003
GENERAL:
1. The scope of this project includes the installation of a 1300 gallon HDPE
septic tank and new trenches to serve the proposed four bedroom residence
located on the referenced property.
2. Construction shall be in accordance with the approved site plan and design
drawings, Municipal permit with any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal Regulations.
3. The contractor shall be responsible for obtaining any necessary underground
utility locates.
4. Unless specifically agreed otherwise, the property owner shall be responsible
for final grading areas subsequently depressed from soil settling.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department for system installations. Owners installing their
own systems must also receive prior approval from the Municipal Health
Department.
SEPTIC TANK 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 to preventsettling or shifting of
the tank.
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
Page 2
Lot 4, Block 2, Glenn View Estates North Subdivision
August 8, 2003
3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
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 ft. from the tank. The first cleanout, in line,
shall be to clean toward the leachfield. The second cleanout 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.
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 excavation become
smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock)
placement.
2. Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced 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. Monitor tubes shall be of 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 (24) 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.
Page 3
Lot 4, Block 2, Glenn View Estates North Subdivision
August 8, 2003
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Type of Pipe Perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the inspecting engineer.
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.
7. When sand is being used as a filter material, its gradation specifications must conform to
current M.O.A. or D.E.C. requirements, which ever requirement applies.
Page 4
Lot 4, Block 2, Glenn View Estates North Subdivision
August 8, 2003
INSPECTIONS:
Typically there will be a minimum of 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 silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of 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. Thus, 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 contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be
the owner's representative and will inspect the work as stated above to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the M.O.A.
S & S Engineering 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. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR / INSTALLER
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650
Anchorage. AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. ()67-- pi- L/ $
cosA # o g o l trao
Expiration Date: .7 - / 171 '" 1 0
1. GENERAL INFORMATION
Complete legal description 6 Lt'iM VIEIJ CSMTES IUOaTtf BZ L b{
Location (site address) •' 223 90 S44_d0w7 Spy -Lite Dr-.
Current Property owner(s)
Mailing address
Lending agency 1 1.0415A d. sfe.. Day phone
Mailing address
Fn.d t e Paz..
Day phone
Real Estate Agent
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
JXSSe. Gtl-(Ize Day phone
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding Tank 0
Community On-site 0
Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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.
4. 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 ofoFirm i(//i}
Addre s ' ! 73C0 &i -at ggi'✓Gt r 4K 19 577
Engineer's Printed Name tT CRIS7plt6?a IZ, �,Ip�p Date S� 2 �O `�
Phone 2412-2717
5. DSD SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
:z
1 CHRSTOPHER R.WOOD j
CEM 4
bedrooms, with the following stipulations:
ti
1
Ars1/4 . • • •.
WATER AND ; m=
: WASTEWATER :
PROGRAM •
.
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: `t% / ,r-1/ Original Certificate Date:5--/171-09
da/6„..,
(Ra. 11/05)
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: GLfauN 1/1-611/4/ EST- MATH 13 2 L /
A. WELL DATA
Well type _ If A, B, or C provide PWSID #
Date completed _ Sanitary seal (Y/N) _ Wires props rotected (Y/N)
Total depth ft. Cased to ft. Ca eight (above ground) in.
FROM WELL LOG 1
Parcel ID: 0.5-/ -g1/ - ;is
Well Log (Y/N
Date of test
Static water level Q -NV" ft.
Well production g.p.m. g.p.m.
WATER SAMPLE R - . TS:
Coliform colonies/100 mL Nitrate mg/L Other bacteria colonies/100 mL
ic: ug/L date of sample: _ Collected by:
AT INSPECTION
8. SEPTIC/HOLDING TANK DATA
Tank Type/Material f}ntc* T4rJIC/ STICEt. Date Installed lDill) /03
Tank size f 7 SO gal. Number of Compartments _ Cleanouts©N) YFi
Foundation cleanout ON) VE -5 Depression over tank (Ye RIO High water alarm (Y&J RIO
Date of pumping SCt w'"^E&3Pumper t set Corn AI0
C. ABSORPTION FIELD DATA
Date installed 0/012w7 Soil rating (g.p.d./ft2 or ft2/bdrm) 0. 5 System type Erb
Length 'b f ft. Width /5— ft. Gravel below pipe O. ft.
Total depth Y ft. Eff. absorption area /2/S ft2 Monitoring tube y Depression over field f
Date of adequacy test ¥ tioWJE Results (Pass/Fail) P465 For 9 bedrooms
Fluid depth In absorption field before test W/4 -in. Water added 14/4- gal. New depth N/A- in.
Elapsed Time: WM- min. Final fluid depth N/A in. Absorption rate >_ A// ' g p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) Al I/}- If yes, give date N/A-
D. LIFT STATION
Date installed
'Pump on" level at _ in.
Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Size in gallons
'Pump cdetiel at
Cycles tested
In.
Sewer /septic service line
Animal con - areas
fSgholelActess (Y/N)
High water alarm level at in.
Meets alarm & circuit requirements?
On adjacent Tots
�J,OO�n adjacent lots
GtA ublic sewer manhole/cleanout
Holding tank
Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HetDiNG TANK ON LOT TO:
r
Building foundation t 5
Water main t
Property line -f 5
Water service line 4. /0
Wells on adjacent lots +to&
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
r
Property line IVO
Water Service line +ZS
Curtain drain 4- 5-0
Absorption field + /D
Surface water fi Icr0
Building foundation firDr
Water main
r
t 2.5
Surface water 4' /v0 Driveway, parking/vehicle storage 4 25"
Wells on adjacent lots 't-rvc
F. COMMENTS
NaJ Flab. 144-5 3EtA) UtM1/45cb 51*JGG cov5T2Action1 y i 2oo7 . ThtitG. "A5
P vv pet> hr r X & OF- cGw572 ienj 4 /fovASC if 45 13fl) V
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 CfRitS7r 12 . w'c.tb
Date 5 6/2 /o
COSA Fee $ 2.50 Waiver Fee $
Date of Payment ..5d " q Date of Payment
Receipt Number 0_65 8 (i Receipt Number
(Rev. 11/05)
HOUSE DETAIL
NOT TO SCALE
R=50.00'
L=46.17'
T=24.88'
SHADOWY SPRUCE DR.
I hereby certify thot 1 hove surveyed the following described property:Lot 4. Blk. 2. Glenn Yew Est. N.
Anchorage Recording District. Alaska. and thot no encroachments exist except os indicated.
It is the responsibility of the owner to determine the existence of any easements. Covenants,
or restrictions which do not oppeor on the recorded subdivision plot. Under no circumstances
should ony dots hereon be used for Construction of fences. or for establishing the boundary.
s 00'05'31"E
SCALE 1 =60'
oppcaep�
C� •'.57o
OtO
p �tP.• •.S,F,OA
,*; 49
OSA :• BRADFORD 3. RINCKEY
0 e• LS -11299
P
id
5-12 -oto ,
ACQ�aSSION/es'
NOTES
1. Easements of record other than those shown on the recorded plot
are not shown hereon.
HATTENBURG DILLEY & UNWELL
Engineering Consultants
• ENGINEERING
• SURVEYING
• EARTH SCIENCE
• PROJECT MANAGEMENT
• PLANNING
(901) 6642120
ww.HOLWske.00m
AS BUILT SURVEY
LOT 4, BL IC. 2 GLENN VEW ESTATES NORTH
PLAT #2003-9, ANCHORAGE RECORDING DISTRICT
ANCHORAGE. ALASKA
t 06-11-09
ImAl1l 131: BJR
Stilt l:
stAtt 1-a60'
uIlc,r_I u 11r: BJR
lou Nu.: 09-5001
Municipality of Anchorage
• Development Services Department
r o
Building Safety Division
a
On -Site Water and Wastewater Program s n r Y
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-811-48 COSA #
Expiration Date:
furl � ►` l��Ll_�.1.► I.7•1�� ►�i /�[�liL
Complete legal description Lot 4; Block 2; Glenn View Estates North Subdivision
Location (site address) 22390 Shadowy Spruce Dr.
Current Property owner(s) Stephen & Robin Free Day phone 688-5169
Mailing address PO Box 670191 Chugiak, AK 99567
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
4
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
✓❑
Individual Water Storage
❑
Individual Holding Tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑✓
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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.
4. 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 S & S Engineering
Phone 694-2979
Address 15861 S. Birchwood Loop Rd. Cu i k, AK 9956Z ?
Engineers Printed Name P V 4, Date, -3
.1 —1,- 1 p. b
�QJ g.. ti'6 JJ- fsd C:i Y.Op4C�a e'CO O �
ti� Oho 9v Co0oocn -a ee C{y^
5. DSD SIGNATURE
Approved for bedrooms.
Disapproved. Lf
XX Conditional approval for 4 bedrooms, with the following stipulations:
Money in the amount of 1.5 times the high bid of a minimum of three bids from approved
contractors shall be put in escrow to construct a new wastewater disposal system pursuant
to permit number SWO70027 attached. Money in escrow shall not be released until this
office has given final approval. Construction shall be completed no later than June 15, 2005.
Attachments:
COSA Checklist X Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineer's Report
Nitrate Advisory Other
By. Original Certificate Date:
(Rev. 11/05)
Municipality of Anchorage
ao-
• Development Services Department m
Building Safety Division
On -Site Water & Wastewater Program S A E T Y
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: ��i 17', "8LcC<,2j 6,1 -C -A ) 11CU-) 61-1, Parcel ID:
A. WELL DATA ,mrmoic;1Ty
Well type If A, B, or C provide PWSID #
Date completed
Total depth ft.
Date of test
Static water level
Well production
WATER SAMPLE
Coliform
Sanitary seal (Y/N)
Cased to ft.
FROM WELL LOG
ft.
Me=
colonies/100 mL Nitrate mg/L
ug/L date of sample:
Well Log (Y/N)
Wires properly prote6ed (Y/N)
ht (above ground) in.
AT INSPECTION
ft.
9—
p.m-
Other bacteria colonies/100 mL
Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Sc/ -i lc.-.- S-TeE Date installed f U
Tank size /v26i gal. �/ Number of Compartments o7 Cleanoutsisk
Foundation cleano (%) 1'eS Depression over tank (Y�-/��C� High water alarm
Date of pumping ''�4 114- Pumper_'7(-, f3f 'RD
D0426:4- SF_D,�- 0_Ptr Zii0f,
C. ABSORPTION FIELD DATA t
Date installed Soil rating (g.p.d. r ft2/bdrm) f - System type S�WUOtlL) 1 P145 :C 1-(
Length 160 ft. Width ft. Gravel below pipe C, C-> ft.
Total depth u fft. Eff. absorption area 5' ft2 Monitoring tube J Depression over field k)6
Date of adequacy test '3 /Z 0 /Fail Results (Pas 6+1L For bedrooms
Fluid depth in absorption field before test in. Water added 0 gal. New depth in.
11
Elapsed Time: () min. Final fluid depth _LZ- in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y& type) If yes, give date —
D. LIFT STATION
Date installed
"Pump on" level at
Datum
Size in gallons
in. "Pum
E. SEPARATION DISTANCES
Cycles tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer /septic service line _
Animal containment areas
Manhole/Access (Y/N
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots
On adjacent lots /
Public sewer manhole/cleanout /
Holding tank
Manure/animal excret storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation f Property line Absorption field -f
Water main ! Water service line tc) Surface water �G
/
Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
I© 1-t
Water Service line 104
Curtain drain AJG' X K4mcy
F. COMMENTS
Building foundation Water main L
Surface water/ Driveway, parking/vehicle storage
Wells on adjacent lots A�
G. ENGINEER'S CERTIFICATION
1 certify that / have determined through field inspections and
review of Municipal records t a the above s s ems e in
conformance with MOA COS gui linMin Jfflt ' n
9gs o
Engineer's Printed Name ��a' Yiaa� .-4:
u , a
Date 62
COSA Fee $ / �'J Waivef-Fee $ /- }
Date of Payment O Date of Payment
Receipt Number Receipt Number$
(Rev. 11/05)
in.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
.0. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING ._.
HAA# OLACA `1
Parcel I.D. 051-811-48
1. GENERAL -INFORMATION
Complete legal description • Lot 4, Block 2,
Expiration Date: g -- Q ir
Glenn View Estates North S/D
Location (site address or directions) 22390 Shadowy Spruce Drive
Current property owner(s) The Turner Company c/o A'iZ,1S.:turner- 907-745-8334
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Unless otherwise requested, HM will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
P.O.Box
3489, Palmer, Ak, 99645
Day phone
Day phone
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ' Well
Public Water System
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.
4. 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 Health Authority Approval Guidelines for this application, shows that the on-
site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage 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 S & S Engineering Phonc 907-694-2979
Address 17034 Eagle River Lp. Rd., Eagle River, Alaska 99577
Engineer's .Printed Name Robert C. Cowan Date
By:
2 / /37 /5 V
OF 41,11
5. DSD SIGNATURE.....%fp .
C. COWAN i i� f,
1- Approved for 1-1-
Disapproved.
-% bedrooms. +f��%.:..4i cE-asot ••, �����
I r,<„ , >�
Disapproved. �"
Conditional approval for bedrooms, with the following stipulations:
•
Additional Comments
`�Q. ••-yo��
?: . ON-SITE%.5"4-;;;-:_ _
• WATER AND : In,.
WASTEWATER :
PROGRAM
-d •
J$o NT SEw s
»),
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer's Report
Other
(Rev. 01/02)
Original Certificate Date: 14 - 02 ' - t it
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater, Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage; AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904'
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: '4
T Ca: 2Y' ��1�5 i Parcel ID: "405-/ ^ 8/ I —
/JorL1-Ft . s(
A. WELL DATA
Well type If A, B, or C provide!PWSID # Well Log (Y/N)'
: ,'
Date completed al (Y/N) Wires properly protected
Total depth"
o ' ft. Casing height (above g
'.' ft• �
AT INSPECTION:"
Date of testi
Static water level
Well production
WATER SAMPLE RES
Sanitary
FROM W
Cas
TS:
ies/100 ml.
t
LOG
g.p.m.
Coliform colo .Nitrate mg./I.
Arsenic: m' ./l. Date of sample:
SEPTIC!HOLDING TANK DATA
�'TL
Tank Type/Material
Tank sizer (Z5v I gal. ' • Number of Compartments 2
,Foundatroncleanout (Y/N) ' '7 Depression over tank (Y/N)
a...
Date of pumping r,'!''-' G w
C.' ABSORPTION FIELD DATA
Date installed (OI 11,03 Soil rating (
•r
Length 'i ft ,Width
J
Other b
Collect
ft.
( IN)
und)
g.p.m.
in.
teria colonies/100 ml.
•
d by:
Date installed 1 O I I
Cleanouts (Y/N)
3 1
High water alarm (Y/N)
System type 51-1 • ( (2-ErJI G tt
Gravel below pipe C. g ft.
Total dep r ft. Eff. ;absorption area =ft2, Monitoring tube Y/ Depression over field •J
vJ 'Results (Pass/Fail) � Ss For
bedrooms
Date of adequacy test 1,-) f% �
Fluid depth in absorption field before test -
Water added gal New depth in.
Absorption rat >_ g.p.d.
Elapsed, Time:min Final fluid
Any rejuvenation treatment (past 12 mo.)
If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at / in. "Pump off" level at in.
Datum 1 Cycles tested
Size in gallons
E. 'SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lifer-on lot
Absorption field on lot
Public sewer main
Sewer /septic service line
{
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
t MMU,/ / 7ti/
On adjacent Tots
On adjacent Tots -
Public sewer manhol- leanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/ROLDWG TANK ON LOT TO: - '
Building foundation 5/ .4— Property line 7.--/- Absorption
-f-
Absorption field
Water main f- r
Water service line (0 1- Surface water
Wells on adjacent Tots ^J / A
SEPARATION
Property line
Water Service
Curtain drain
F. COMMENTS
DISTANCE FROM ABSORPTION FIELD ON LOT TO:
0 if- Building foundation /0 If-
/,..,
- Surface water 0r /
0 .f-1-
A1o4/ nit Aid Wells on adjacent lots
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 HAAguidelinesin effect on this date.
Engineer's Printed Name /COQ g -Pt? C. CO
Date 2//a-7 /0'1
11 3 O. " ° - J75-- ,S` (...s y
HAA Fee $
Date of Payment
Receipt Number
(Rev. 12/01)
4
Water main
in.
/ 0 0 ! --:
D : 1 -
Driveway, parking/vehicle storage
/0 /1
R03ERT C'COWAN I ••••)7.3\
CE.=8801 /4- „g
Waiver Fee $
Date of Payment
Receipt Number
APR -28-2004 1153
S&S ENGINEERING
907 694 1211
Liu' aa1–aD'ti
P.02/02
P"1
0.
4..
7.3 x2.0'.
Cary.
is
3.0'
740.
sw
o-
ax
EXISTING
WOOD
FRAME
HOUSE
t.s
SECOND
STORY
DEC?C
P
tux: ss
cotERe0 PORCK
OUSE DETAIL
1'=30'
NOTES
TRACT C
t. IT SMALL 8L THE oesPoosiliure or THE BUILDER OR OWNER TO VH:R1rY
THAT OI.IL0d0 LOGAT ON SHOWN MEETSAM WSW'S/D 4 ODVENANTB
AND 2ONBIANCF.S.
3. MS THE itSPpftglBUTT OFTHE BUILOLRTOVEAIFYALLELEVATioNS
wrni Mtn ?TOALL UTR.rr1ES.
3. TM3 P.5.0U.• T REPResZNTS THE PARCEL. OF PROPERTY D€SCR1gCD BELOW
WEN 'ROA MERECORDED PLATDGSCRIBNO THATPARCEL
NSTAVLrENLL RECORDED PRIOR TO OR AFTER THE FILING OF INE RECORDED
PLAT ARE lid SHOW ON THIS A3-BIALT.
4. The BJFORAAT10r1 SHOwN ON Tr+IS AS8U4T IS FOR THE WE OF LEND/JD
NSTTMIONs $PECIFICALLYTO SHOW ANY CONFLICTS BETWEEN E ereNG
STRUCfl1AE ANO FLATTED LOT LINES DR EASEMENTS. THE AS.BULT IS
NOT TO BE l yE0 FOR POSITIONING AvornoNAL STRUCTURES OR FENCES.
5. THERE' ARE rod SRMEADLJTLITY>.NFSLOCATED1>NTMSPROPERTY.
49M
:F ichord L Buse
4094—S
Qop°ssArg"
SURVE'''OR'S CERTIFICATION
1 HEREBY OTRTiV THAT 1 HAVE BURVJ;YED THE
PROPERTY ON THIS AS.BNLT AND THE
1MPIi OVFJfE,'TS SITUATED THEREON ARE LOCATED
AS SHOWN L1 THJS ASBUG.T.
p Ft
DATED THIS 2*# DAY OF
aa
t5' TELECOMM. &—
ELEC. EASEMENT
0
/ •
/ 0 7
_,��
/
/
/ /
/ /
/ /
figa
/ /
/ • /
/ /
/ CCt
/
} fti
/ /
y �(Fmom LINK PENCE
4
/
/
/
/
/
/
/
/
eaolei
R= 50.00'
L= 46.1r
SHAEI5WY SPRUCE DRIVE
R
i
/
PI�N
/ PIPE
/ SEPTIC
SEPTICPIPE �RIDE
,1
SEE
HOUSE
DETAIL
PIPE
>a9
X43-
LEGEND
�•q1c) MN FOUND Z 12'ALCAp MON.
N‘43 • FOUND SIB' REOIAR
PEPTIC
PIPE
H�
NV
3
100°05'31"W 336.74'
SAMPSON /ESTATES
13A
14
OATEE
R1:C. PLT:
um' AREA
51.224 . Jt.
Fla sac.: Do1,2S
DWQ: L482GVNP.0WO
SUAVEYHI• 4125/04
DRAWN BY:
MIK
4R7N04
1"-W
=03.42
AS -BUILT
LOT 4, BLOCK 2
GLENN VIEW ESTATES
NORTH SUBDIVISION
LOCATED W1TH1N 53. TUN, R1 W.
PALMER RECoRDlNG DI8TRICT, ALASKA,
TOTAL P.02