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THE TABLELANDS BLK 4 LT 14
The Tablelands Block 4 Lot 14 #051-741-45 Municipality of Anchorage 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 of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW040387 PID Number: 051-741-45 Name' Troy Davis Homes Wastewater System: 0 New ❑ Upgrade Y P9 Address: 1451 E. Parks Hwy, Ste 207, Wasilla, AK 99654 ABSORPTION FIELD Phone: 357-9394 Number of Bedrooms: 4 ❑Dee Trench ❑ Shallow Trench Bed Mountl ✓ Other: p ❑ ❑ ❑ LEGAL DESCRIPTION Soil Rating: 0.8 Total Depth from original grace: 4.62 GPD/Ft' Ft. Block: Lot: Subdivision: 4 14 The Tablelands Depth to pipe bottom from original grade: Gravel depth beneath pipe: 0.62 Ft. 4.0 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 1.8+ Ft. 79 Ft. Well: [I New El Upgrade Gravel width: 5.0 Number of lines: Distance between lines: FL 2 10Ft, Classification (Private, A, B, C): Total Depth: Cased b: Total absorption area: Pipe Material: communitywell Ft. Ft, 750 Fe PVC Driller. Date Drilled: Static Water Level: Installer. Pete Installed: Ft Roy Brown Constr. 9/24/04 Yield: Pump Set et: Casing Height Above Ground: TANK GPM Ft. FL SEPARATION DISTANCES ❑ septic []Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ubliGPrivate Manufacturer: Capacity: From Tank Field Station Tank Sewer Line Greer 1,250 Gal. Material: Number a Compartments: Well na na na na na Steel 2 Surface Water na na na na LIFT STATION 1 Size: anufacturer: Lot Line 28' 10' obb na 280 Gal, Northwest Cascade Schault I 'Pump on"level at: "Pump of level at: High water alarm at: Foundation 12' 11.3' na 46 In. 42 in. 50 in. Pump Make 8 Model Electrical Inspections perfooneo by: Curtain Drainna na na na Goulds Blaster Rising Sun Electric Remarks: BENCH MARK Location and Description: Datum: Bottom of siding, SW corner of house. Assumed Elevation: 100.0 Ft. pal OF Inspections performed by: Mary Shreves, AK Rim Engineering, Inc. Dates: 1 at 9/24/04 *; TH .2na9/25/04 ... ... ... .................... ...... m n Developt Services Department Approval Mar L. Shreves : Q���� Reviewed and approved by Date:Ij''������ �Icr••• CE 9351 �i` "";;;`� LOT 13 / 9• D AK TH 1 (q? ti LIFT 6 STA (lc�0J c03j' GWMT#1 --- ' INSTALLED MT2 B 1,250 -GAL 8/13/04, 30 C01 SEPTIC TANK TS T 14 CO2 MT1 C05 CO3 5'WX4'EDX40' 5'WX4'EDX39' TRENCH SAS � TRENCH SAS �Q D" QQ' 40,000 S. F. ZABEL FLOW ��' p'I• ,� \SPLITTER A- �' rL o LOT 15 F cp TRACT B-2 Col CO2 \A48.8 A448.7 AC C 67.0 A116.6 A04 C4O9.5 A 6 .5 A5 Tl M1T7 / 14.8 B 19.4 B 32.6 B 36.4 B 31.0 B 29. B 6.6 / �'`�_✓1 C57.4 C 65.7 C 57.1 — — C 76.5 C 56.1 — — / 00 \ XCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER OR BUILDER, PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED 3UILDING GRADE RELATIVE. TO FINISHED GRADE AND UTILITIES CONNECTIONS, AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ````�����►UUI�/I SITE PLAN A.�k SA K�, P.O. BOX 2749 OF Atq9645 AS BUILT ENC CEEr� ,INC. PHONEPALME: (907)7459 0222 f.: ;' mC✓� :* % FAX: (907)746-0222 ...,s.�.a�,c-•,••�9••••••••rl•a•.��.••�••�> W.O. 0400121 DATE 9/27/04 SCALE: 1" = 50' 1 FILE: 0400121_wwas i L. Shreves •• sg" LOT 14, BLOCK 4, TABLELANDS SUBDIVISION, PLAT No. 00 ROFESS\�N���EASEMENTS F 2DIDISTRICT, O RECORD OTHER5, ANCHORAGE RTHOANTHOSNG ESHOWNN ONTHE III%xvit RECORDED PLAT ARE NOT SHOWN HEREON. S' STA 7' CO Q. A C C04 45' �0 MT2 LED B 1,250—GAL 0 -� /04. 3 SEPTIC TANK C01 TS T 14 CO2 M T1 sC05 CO3 5'WX4'EDX40' 5'WX4'EDX39' TRENCH SAS TRENCH SAS 17�1 Qv 409000 S, ZABEL FLOW SPLITTER s� LOT 15 � SEPTIC SYSTEM PLAN VIEW ZABEL FLOW SPLITTER FINAL GRADE 99.0 ft. 2" PVC MT2MT1 CO CO FINAL GRADE 9932 ft. CO ORIG. GRADE 97.52 ft. LIFT _ SToV o o` 97.30ft. 1,250—GAL STEEL % o _ 6.90 ft. SEPTIC TANK 92.32 ft. 4' 88.90 p77'6 96.90 ft. 92.90ft. 6' 86.90 92 90 t. DATUM: BOTTOM OF SIDING, SW CORNER OF HOUSE, 100.0' GWMT#1: GW AT 85.68', 9/22/04. INSULATION OVER ALL COMPONENTS FROM THE SEPTIC TANK OUT. SEPTIC SYSTEM PROFILE ``�����N►111�/� At // AS BUILT � Sa K P.O. BOX 2749 RIM PALMER, ALASKA 99645 OF ,X� ...... /j SEPTIC ENG NEE r , INC. PHONE: (907)745-0222 cj 9 �j� FAX: (907)746-0222 *:,ATH k., % W. 0. 0400121 DATE: 9 27 04 SCALE: 1 " = 30' FILE: 0400121 _WWAS ....... -..... r 9 ' Mar . Shreves j ri y ate_ CE 9x51. LOT 14, BLOCK 4, THE TABLELANDS SUBDIVISION, Zzsr. •., ��G�S PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA `` /,It..PROFESSO RARERDOOTSHOWNHHEREON.THOSE SHOWN ON THE RECORDED PLAT Sep 29 04 09:32a Troy Davis HM moo/ 622 67717 September 28, 2004 Troy Davis Homes 1451 E. ParkS Hwy, Ste. #207 Wasilla, AK 99654 FAX # (907) 3579395 9073579395 09/26/64 09I54A P.00Z 1215ing -50111 Electric. Inc, 1,4916 MoodLand Prj,,,. QagL- 'Z'Ver. 41�� 99577 (907)622-6777 Re' Lot 14 Block 4 Tableland Dear Natalie. The lift station at the above referenced and State/Local codes. and has been wired in accordance with NEC Thank you. Sincerely, )J �JAAA4441,11& eXO,0�7?, )6kr�� Kevin 'Hombuckle, owner AdminiStratlon License Number 1284 Specialty Contractor License Number 27285 .2 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 Upgrade Date Issued: Sep 17, 2004 Expiration Date: Sep 17, 2005 Permit Number: SW040387 Parcel ID: 051-741-45 Legal Description: THE TA5LE f_ANDS'BLK 4`Ll'14 Design Engineer: 0032 Alaska Rim Engineering Site Address: 23210 WHISPERING BIRCH DRIVE Owner Name: TROY DAVIS HOMES Lot Size: 40000 SQ. FT. Owner Address`. 1451 E PARKS HIGHWAY, SUITE 207 Total Bedrooms: 4 Permit Bedrooms: 4 WASILLA , A 99654 - 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. dna sHall be removed'from existing trench. Trench'sh"atf6e filled with filter sand from 9.5 to 5.25 feet urface. The new drainfield system will be placed in existing`trench in accoradance with attached -On-Site Water and Wasterwater Program shall be contacted 24 hours prior to construction of new drainfield. Received By: Date: C//2'1 /' z" �itrn ` engilneekEng, gine. Phone (907) 745-0222 - P.O. Box 2749 _ - Fax (907) 746-0222 - - Palmer, Alaska 99645 akrim®rogershsa.com - - September, 16, 2004 Ms. Julie Makela, P.E. Municipality of Anchorage' Development Serviee,Department Building Safety Division On=Site Water and Wastewater Program �PO Box 196650 Anchorage, AK '99ItTo=$5,50--'7777-7', .__ - .,.. , RE'. Lot 14, Block 4, The Tablelands Subdivision Amended On Site Sewer Permit Application AK. Rim .Engineering Ref:`4 00121 Dear Ms. Makela This letter, is, to, provide you with the proposed changes to the existing onsite soil absorption system at the above referenced site. The groundwa,ter monitor tube (GWMT) adjacent to the dralnfield was robed b me on 9 � ' , and groundwater was detected p Y at 11.25 feet BGS. Based on this it appears the bottom of the existing (but unused) soil absorption trench_is, Y: Mea aye groundwater_ and therefore oes nat meet the �. w required separation distance of 6 feet to groundwater We are proposing to raise the trench components -,(sewer rock, filter fabric, pert pipe, cleanouts, monitor tube) 4:25 feet, and replace the 4,25 _feet of depth with filter sand. Due to site constraints we propose to reinstall the trench in the same location with the _,.w addition, of an Anchora' ge� an 500 -gallon lift station add Ron (see a�f acliecatalog � information_sheetj. Trench Design (Amended) The following is a summary of the amended design of the trench SAS,: Percolation rate:_. _ _ 12.3 minutes/hnch „ . , Soil application rate: 0.8 gpd%sgft Number of bedrooms 4 Daily wastewater flow 600 gpd �.. �. . Drainfield: , 5 -wide type drainfield Septic tank: 1,250 gallons _ Minimum. absorption area: 750.soff Total depth (max): 5.25 ft Effective depth. 4 ft Width: 5 ft Reduction factor:0.50 Engineers • Planners • Surveyors Ms. Julie Iv *44 MOA Page 2 September 16, 2004 _ Minimum length: 75 ft Effective' rption area: 750_sgft If you have any questions regarding this report or its recommendations, please feel free to'contact,me,, , Sincerely, ALASKA RIM ENGINEERING, INC •y� Mary L. Shreves ...... �.. Professional Engineer Ma . Shreves CC: Troy Davis Homes • CE 9351 °�0� AK Rim Engineering File No 04 001 a _ . Attachments: • Septic System Site Plan (Amended) • Septic System Details (Amended) • Anchorage Tank Lift Station.Catalog Sheet / / C i ii i i 5'WX4'EDX75' _ TRENCH SAS GWMT#1 --� INSTALLED 8/13/04. 1 " = 50' \ M T1 3 1 TS TH LOT 15 USION NOTE: IT IS THE RES DING GRADE TO Fl� COVENANE COVENANTS, OR RE9 OF gq�ooDDOp�q_ _ - *r° 49TH e* �°•, Mary . re es PQ��F�Eo CE 9351 ° ��V1gdd LOT 13 Vol AK TH 1 s. os, 6 �36 GG3�,. / 1,250 -GAL SEPTIC TANK 500 -GAL. ANCLFT"STA. NK 40,000 S.F. SIBILITY OF THE OWNER OR BUILDER, P ED NAHDTIEA MOSWHICDONOTPERNT CONNECTIONS, TRACT B-2 d &I :TION, TO VERIFY PROPOSED THE EXISTENCE OF ANY ISION PLAT. SITE PLAN ALAS P.O. BOX 2749 AMENDED1 C'RIM, PALMER, ALASKA 99645 'ENG NEE I INC. PHONE: (907)745-0222 FAX: (907)746-0222 W.O. 0400121 DATE: 9 16 04 SCALE: 1 " 50' FILE: 0400121 LOT 14, BLOCK 4, TABLELANDS SUBDIVISION, PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, AIRS EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. °aoT Pvc�p44 75' t 0 I d WIDE DRAINFIELD perfareted PVC bro=h 4=)a Nate 1: �w,%°`en on'rfl°o- d.� a U.) PLAN VIEW SECTION X -X `p aro etertile -� � N� TRENCH DETAIL Note 2: Note 9: N; l-"— amnvntton ehefi be ne more 10 feet. Note 4: Not used OF o �S�° �9d� * e ` 49TH *' .,..... . L.°Shreves. CE 9351QQ..... �o I I ELEV. 100.0' removeable asp argued surlroe sever ra coupu� 4' ettrotive depth I 04'* MONITOR TUBE TRENCH SECTION DETAIL o P�� pVi.perforeted eav ternnoaattokse DETAILS #ASK P.O. BOX 2749 AMENDED) RIM PALMER, ALASKA 99645 ENC EE INC. PHONE: (907)745-0222 FAX: (907)746-0222 W.O. 0400121 DATE: 9 16 04 SCALE: nts FILE: 040ot2t_ww_t LOT 14, BLOCK 4, TABLELANDS SUBDIVISION, PIAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. at eed ef Bch perforated 4' "C roe Note 1 instal cleemut at eed of drefe pipe 1 -foot 2/4' to d' sev' rock /// /// /// / / 0 G��B�o00 q, 0 0\` X o� Co 000 000 00 0 .mac 0 \\\ 00 \\\ �` 5' 0 oC \ 01 o p o ` O .O o X 0 o °aoT Pvc�p44 75' t 0 I d WIDE DRAINFIELD perfareted PVC bro=h 4=)a Nate 1: �w,%°`en on'rfl°o- d.� a U.) PLAN VIEW SECTION X -X `p aro etertile -� � N� TRENCH DETAIL Note 2: Note 9: N; l-"— amnvntton ehefi be ne more 10 feet. Note 4: Not used OF o �S�° �9d� * e ` 49TH *' .,..... . L.°Shreves. CE 9351QQ..... �o I I ELEV. 100.0' removeable asp argued surlroe sever ra coupu� 4' ettrotive depth I 04'* MONITOR TUBE TRENCH SECTION DETAIL o P�� pVi.perforeted eav ternnoaattokse DETAILS #ASK P.O. BOX 2749 AMENDED) RIM PALMER, ALASKA 99645 ENC EE INC. PHONE: (907)745-0222 FAX: (907)746-0222 W.O. 0400121 DATE: 9 16 04 SCALE: nts FILE: 040ot2t_ww_t LOT 14, BLOCK 4, TABLELANDS SUBDIVISION, PIAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. Lift Station Add -On MiMrM. "1111© � 4q FIBERGLASS LID W/2" FOAM 24" m PVG RIBBED MANHOLE 2" URETHANE FOAM (SHOP APPLIED) WITH TNEMEG 46-465 TOP GOP FLOAT ASSEMBLY FLANGF_D, 6A5KCTED GONNEGTION 5" OD 4" HU5 (TYP.) ORENGO SYSTEMS, INC. SIOTUSE PUMP VAULT 1/2 H.P. 5 YR NAPRANTEED UL. LISTED EFFLUENT PUMP END VIEW (DUPLEX PUMPING SYSTEM SHOWN) AFAT AF& • 500 gallon steel tank constructed to the requirements of the Uniform Plumbing Code. Watertight connections prevent seeping of groundwater. Coated inside and out with coal tar pitch. Orenco Systems®, Inc. effluent pumping system designed for Alaskan conditions. • Detailed Installation, Operation, and Maintenance Manual. GrensaSyae�ismtia' Inctx'�erdr�l r#j# S TO CONs/DER: Lift Station add-on tanks are designed to be attached to an existing septic tank. It is imperative that the existing septic tank is water tight to avoid pumping ground water into the drainfield. If the existing, septic tank is older than half its usable life, a combined unit lift station (as described on the following pages) is recommended. L*J ` Anchorage Tank & Welding, Inc. (907) 272-3543 FAX (907) 277-3715 M NEMA 4X JUNCTION BOX I" CONDUIT L5 - I" PVG CONDUIT RETRIEVAL ROPE Lift Station Add -On MiMrM. "1111© � 4q FIBERGLASS LID W/2" FOAM 24" m PVG RIBBED MANHOLE 2" URETHANE FOAM (SHOP APPLIED) WITH TNEMEG 46-465 TOP GOP FLOAT ASSEMBLY FLANGF_D, 6A5KCTED GONNEGTION 5" OD 4" HU5 (TYP.) ORENGO SYSTEMS, INC. SIOTUSE PUMP VAULT 1/2 H.P. 5 YR NAPRANTEED UL. LISTED EFFLUENT PUMP END VIEW (DUPLEX PUMPING SYSTEM SHOWN) AFAT AF& • 500 gallon steel tank constructed to the requirements of the Uniform Plumbing Code. Watertight connections prevent seeping of groundwater. Coated inside and out with coal tar pitch. Orenco Systems®, Inc. effluent pumping system designed for Alaskan conditions. • Detailed Installation, Operation, and Maintenance Manual. GrensaSyae�ismtia' Inctx'�erdr�l r#j# S TO CONs/DER: Lift Station add-on tanks are designed to be attached to an existing septic tank. It is imperative that the existing septic tank is water tight to avoid pumping ground water into the drainfield. If the existing, septic tank is older than half its usable life, a combined unit lift station (as described on the following pages) is recommended. L*J ` Anchorage Tank & Welding, Inc. (907) 272-3543 FAX (907) 277-3715 M Irispe`ofion Findings:. pityoAncahuniciTage Building Safif Division On Site Water& Wastewa#e , rograrri Field Audit Report ����e� _ `Time: Y Doonmenffiype: is5 ./r.. Kirin 4m x�az+W Lsn�"++."°�III, MINOR! ����,� Excavator's. II k, jjFi Irispe`ofion Findings:. 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: Apr 01, 2004 Expiration Date: Apr 01, 2005 Permit Number: SW040040 VF TA OL Q174105 Parcel ID: 051-801-08 Legal Description: ,7a;:_ � g 4 L 14 - Design Engineer: 0032 Alaska Rim Engineering Site Address: 23210 WHISPERING BIRCH DRIVE Owner Name: TROY DAVIS HOMES Lot Size: 40000 SQ. FT. Owner Address: 23210 WHISPERING BIRCH DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 CHLIGIAK , AK 99577 - 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. 1/46(i G �tk� dm"o& #eat 1\• c13' b�S z pproX • I : � `azo c � �rc�m t1-1 9•' '�D�411'Y'�\�4c5�r \oUMii dco.:cl.kc`�, �4p _"Oxc.ar tAletsl�o.ek�nd a`C�o� 1AOl Received By: Issued By: Date: Date: G¢ _�A(Y'\ 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.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel l.D. C5-1-921-08 Number SW 04oO4D Property owner(s) Troy Davis Homes Day phone 357-9394 Mailing address (1) 1451 E. Parks Suite 207 Mailing address (2) Wasilla AK 212/0 w �(► s pLRrN(� $� Legal description (Lot, Block & Sub'd.) Lot 14, Block 4, The Tablelands Subdivision THIS Su*O, CureRa.ATLY CI9LL*V Legal description (Section, Township & Range) aLEu/y ViFw ESTArA-1 NCRTf/ TR f Lot Size 40,000 sgft Acres/Sq.Ft. THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Number of Bedrooms 4 El Well Only ❑ ❑ Water Storage ❑ 13 E3 Jacuzzi ❑ ❑ Water Softening Unit ❑ 17 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 authorized agent) Permit Fees: 4 a Waiver Fees: Date of Payment: ?/?s- y Date of Payment: Receipt Number: %}S Receipt Number: (Rev. 12100) �,4Qasfea �iaut �'tngiafeelcitng, gate... •--- Phone (907) 745-0222 P.O. Box 2749 Fax (907) 746-0222 Palmer, Alaska 99645 akrim@rogerahsa.com _ March 24, 2004 Mr. Dan Roth Municipality of Anchorage P tY e Development Service, Department Building Safety Division On -Site Water and Wastewater Program PO Box 196650 Anchorage, AK 99519-665'10 RE: Lot 14, Block 4,, The Tablelands Subdivision w On -Site Sewer Permit.Application AK. Rim Engineering Ref. No. 04-00121 Dear Mr. Roth: The owner of the above referenced lot is proposing to construct a 4 -bedroom single family dwelling (see attache '� o an`� "Theproposed dwelling is to be served by a community water system and a private septic system. With this letter we are requesting plan review and a permit to install an onsite septic system to serve the proposed development. DESIGN SUMMARY Soils A test hole was excavated, on February 25, 2004, and a monitor tube installed. A e5iio^Incati0n on the DrOpel'tV on February 26; 2004. The attached septic oystem riot rnai I D1 IUVVO -- AK TH #1 The soilsyweerrb rated in the field as SM silty sane un e'r ain by poorly graded sand The percolation slina opercolatwn rate of 12.3 minutes per inch which translates to a wastewater application rate of 0^8 gpd/sgftIn addition we have enclosed To per a nsiesf°hole�logs, labeled TS TH13 and TS TH14 The w __ .. _":,__ Fec4 hniee the Trench Design The following is a summary of the proposed design of the trench SAS: Percolation rate: 12.3 minutes/inch Engineers • Planners, • Surveyors Mr. Dan Roth, MOA Page 2 March 24, 2004 Soil application rate;__ , _0.8 gpd/sgft Number of bedrooms 4 Daily wastewaterflow; _ „ 60 99d Drainfield: 5 -wide tyype dramfleld Septic tank: 1,250 gallons Minimum, absorption area _ ,_ 7Wsgff Total depth (max): 8 ft Effective depth: 4 ft Width: 5 ft Reduction factor . ,-,0 50 w ...... Minimum length`. ft' Effective absorption area: 750 sgft Topography The topography of this,lot.is,relatively flat on the north half, but then steeply sloping to the southeast on the south half. There is adequate usable area on the north half for an onsite septic system and rep(acem`Un system. SurfaceWater . There are no surface waters within 100 feet of the proposed septic system._ Su"rrounding Properties This property and the parent subdI'llivision will be served�by community water system We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. if you have any, questions regarding this report or its recommendations, please feel, free „ to: contact me. GINEERING, IN Sincerely, ALASKA RI,M EN ChT, DIF Atq z�• w yy,, X� • It i� *• Mary L. Shreves ... + — Professional Engineer Shreves 0'r CC: " Troy Davis Homes_ _ r10. sce 9351 AK Rim Engineering File No. 04-00121 ��jt� jti;"rSSk .. Attachments:. ; • MOA On -Site Sewer / Well Permit Application Form , • MOA Soils LogPercolationesf�Forrf` • Septic System Plot"Pian ! Sepfic System Details 5 • Test Hole Logs (2), Tobin Spurkland ai PERMIT NUMBER PID NUMBER �z� Y �� 60.9g � 0.35 f . ,o\\59 s LO 13 9 TSTH 13 O. / ,+ ,SF R 7.5 i � ti�� � � "� ,Tpq 30� SET LATH 56.0 MENS \ , TYP. 'O. /SET PK SFQ 59.77 TYP. pG` �/q Ss3 z`° % yr TH 1 °• 2c 2 Q. 5 a PROPOSED RECOVERED 11.1 ,•� z, •� TWO STORY 5/3" REB.C. ^ DWELLING q MARKED �'7,Y�b � MARK D z BESSE ENG. •,p 56.4 111111 TYP./' 14 \,. 12 0%ALLOT SEPTIC TANK 40,000 S.F. LOT 15 TRACT B-2 °'�°� • goo BLOCK 4 1" = 501\ 15.29 / EXCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER OR BUILDER, PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED GRADE AND UTILITIES CONNECTIONS, AND TO DETERMINE THE EXISTENCE OF ANY BUILDING GRADE RELATIVE TO FINISHED EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. `e�a���1�11111 SITE PLAN �AyASKy P.O. BOX 2749 tEERIM OFA*- ALASKA 9 � ,�,, - f ENC INC. PHONEPALMER (907)745, 0222 CO..* 9 ��� 6— FAX: (907)746-0222 TH :* W.O. 0400121 DATE: 3/22/04 SCALE: 1" = 50' FILE: 0400121 .L 0 Ma hreves _�� �i`'s '•• LOT 14, BLOCK 4, TABLELANDS SUBDIVISION, CE 9351 ;' ,o PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA `#)IPR FES50��` EASEMENTS OFPLARECORDOTHER THANSHOWN ON THE RECORDED ARE OHEREON.THOSE SHEET 1 OF 3 PERMIT NUMBER PID NUMBER i, t U monitor tube of and of trench perfineted 4• PVC mataIl claenout of sea Nota 1 mad of drain P1pa 1—foot 3/4- to 2• ewer rock R" X VAA �'tt \ vvv vv 5'14 f \\\ \\ X \ e°lAr we Bob. 0 75' t WIDE DRAINFIELD parlmetad PVC ho Note 1: juda on (witbla 0.01footnadr.l�u) PLAN VIEW SECTION X—X ound surf." ELEV, 57.0' — ramoranbla Oup earth b+sulntlon. 8 tasclntlon, N used ou a .°t ground surface Po rmeable eea Nota 2 gootesElle 8 ELEV. 53.0' J.— r von—peornted � PVC above � ease. rook is k '`.i :• ,`� t'ry a - 4e PVC drain PEPe w/ hales down coupling C� k iewm rook J. 4 aCebttve depth — < 9/4 SO 0 v { 4, P7C yerim�ated s e• htm rooktmvals W .a ELEV. 49.0' TRENCH DETAILnadehmbed , ..rtn 243�O 2:plme n me quivelof Nebe tubatiEuted Sm one fmt o1 "crib Dover grauaewntmPtcNota 3: Neamum emsvetioa shall baor. Dn able e Note d: Not mod — MONITOR TUBE TRENCH SECTION DETAIL `���x\%%111If SITE PLAN r P.O. BOX 2749 �� OF A(gs!1��� ENC EEIM INC. PHONE: (907)745, ALASKA 9 0222 �y4j� FAX: (907)746-0222 *% 9T!i '' W.O. 0400121 DATE: 3 22 04 SCALE: nts FILE: 0400121 ..:........................� L. snreves LOT 14, BLOCK 4, TABLELANDS SUBDIVISION, �'srFA. CE 9357 ���PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA '''It�j1FESS�``w` EASEMENTS AN THOS RECORDED PLAT FRECORDOOTHER TH HEREON.E SHOWN ON THE SHEET 2 OF 3 PERMIT NUMBER 1 " = 40' .7 /V' .55 / ob"o ' A "^ �G\ TH 1 2 s\ �T SET PK TYP. OF qj; arVL. Shreves ?� CE 9351 � .g4' PRO FESSION'XINN�� E 12 SEPTI N PID NUMBER 13 PROPOSED TWO STORY DWELLING rs�r LOT 14 SEPTIC SYSTEM PLOT PLAN oepped db l .1 e mt eoD eeptla nbeorpaoa t=k eyntem (see Design Sheet 2) SEPTIC SYSTEM PROFILE casiC P.O. BOX 2749 SEPTIC RIMPALMER, ALASKA 99645 ENC EE INC. PFAXE(907)7465002222 N.O. 0400121 DATE: 3 22 04 SCALE: 1" = 40' FILE: 0400121 LOT 14, BLOCK 4, TABLELANDS SUBDIVISION, PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA EASEMENTS OF RECORDED RECORD OTHER T N THOSE SHOWN ON THE LAT SHEET 3 OF 3 Municipality of Anchorage Development Services Department Building Safety Division Pram �``vaa\\atgi� OF A tb �• •(ENGI EALj �� * • On -Site Water and Wastewater rog '9 : Mar�L. Shreve5 •%�W= • 4700 South Bragaw St. rn , P.O. Box 196650 Anchorage, AK 99519-6650 �j c/ ••, CE 9351 ��'� www.muni.org/onsite (907) 343-7904 Soils Log - Percolation Test Troy Davis Homes Date Performed: 2/25/04 & 2/26/04 Performed For: y Legal Description: Lot 14, Block 4, The Tablelands Subdivision Township, Range, Section: Depth 3- ON 5A nd w' ( ravel) j4/+_ 5- 6- e _6-'SallC� wl3rstVe� 7- 0((A4o't w t� 1 1 • WAS GROUND WATER C%Q 1 wl 5114- mtd ENCOUNTERED? NO 5 • y°YVWG ) yy pG1 p� PMI�YES, AT WHAT DEPTH? 0 tt 44t� Depth to Water After p C7fi%AIt4 Ll -r Y11d1 Monitoring? tioNE E • /����i 5m) Data 3/3/04 G21 �-f'N 6d w'[ iw/ yYaell V00 , d {+'�if / Reading Dale Gross Time VY191''+1 3/3/04 1157 (,rpm) / __ 1208 1 TIt 2 16- to � 3 1219 17 I 4 1230 18- 5 __ 1241 19- 6 1252 Net Time 10 min 10 10 10 10 10 Depth to Water 7 10/16 in. 78116 76/16 77116 75/16 75/16 PERCOLATION RATE 12.3 tminweshrch) PERC HOLE DIAMETER bin. TEST RUN BETWEEN 4.0 Fr AND 5.0 FT Net Drop 1 2/16 in. 1 14/16 15/16 13/16 13/16 PERFORMED BY: Kent Sheets, ALL STATE AK Rim Engineering, Inc. I Mary L. Shreve5, P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH AND.MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 3/11/04 'lar eb u4 uel: iba Ircy Lav19 HM Mar 25 04 08:43a Rick UU'/3 b 7 f3 J y5 .907-357-9641 %SCsned For /7A�CGI1C`/ DEvGo /�--'1 .L�; D�,alle�pPerformed: ?alOEscnat:an: (7 LA., rl V l C W N�IC+I R70vre5nlp'R�gp'.-Sdcl,on 4` LO t 14 Z K 5 r > —t 1—i 1 4- IDew o(Feel) ' ... PR -4 /�N1Ls Municipality of Anchorage DeOm Io water ; .:f<NGwEeasseA�y Development Services Department o2 ,: Z ,` Building Safety(Wsion r 0 +.r On -Vie Water and Wastewater Program ' 47O0SwIh Bragaw SL P.O. Bo: 19WSO Anchorage. AH 99519.6650 I Li I -c— .ci.anohorooe.ak.us I d T 1907)3431904 I —5v Soils Log - Percolation Test '- %SCsned For /7A�CGI1C`/ DEvGo /�--'1 .L�; D�,alle�pPerformed: ?alOEscnat:an: (7 LA., rl V l C W N�IC+I R70vre5nlp'R�gp'.-Sdcl,on 4` LO t 14 Z K 5 r > —t 1—i 1 4- IDew o(Feel) ' ... PR -4 /�N1Ls Coss Time Net Time DeOm Io water Net oro. FILL o2 �t l2E O/{ Lr�l �YVJ'4-C aorto c oL t{D1._L` .r' WAS CROUNO MACER ENCOUNTERED? ND S I IF TES.ATWHAT DEPTH? 0 I 1 Deprh m Wrrer Aher � p 4.onaarlmj? E I Dale Lj1tjJt L ReaRng Date Coss Time Net Time DeOm Io water Net oro. FILL o2 �t l2E O/{ 1,4j '55 LCL I I Li I -c— all —3O 55A I —5v 3:t5 3D la 3 V PERCOLATONRATE 10 tma .m PERO HOLE CIA:FETER b 4 r Esr AURaErwEEN� z FT AND _rT EY 1 . S. 1 1. S. CERTIFY THAT TH:5 TES° vi:5 'EPFOR>REO:N ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE 3 —.27`o2- ••mar 2b 04 U9316a Troy Davis HM 9073579395 P.3 Mar 25 04 Oec43a Rick 307-357-9641 P•4 �. Municipality of Anchorage 4 (NGMEER'S SEAl')7s Development Services Department ` '] I Buiding safety M sion On -Site Water and Wastewater Progam ":' •- , 'I 4700 Sough Bragaw St or E•,,, P -O. BoR 196650 Anchorage, AK 99519-6650 f! .,Ci anehMace ak.us .- � (907)34-7904 _ C. Soils Log - Percolation Test ^rmne0 Fc. ARCG 1 G Calc PeAmmed: �`�•. �';`. ref c l� 1 }� cQ . 1cd: DeScipt:Dn 0L l n1 v I I_ W KI�rG.t l+TowOytl,p�R gec C �%•-. T 6/el2.dS S �_ LO l $I�o �Gon Siie Plan !3 t3 K ( ..�r—r� IOem1:j .j O �( oR.6AN rCS :. ✓��41 d SaKd..1 S,Fk ..j I � .gr4J•GJL ML WaSGn OVV'o'NFTER ENCCCNTEREO? j �— i irrES.ATViHATDEPTH? i DFpM rP Wamr Ana D E 6<pNloring7 ENj i Dae: YI% z 3o��owt OF= NaLL Reading Date Gross Time Net Tire DeO:n to Water No: Droo lLLS4 �z ll_ov IR: 3J 30 1.o'c7 30 3 60 �ewOVUnUN RATE f9 p.vaA;ynnl PERC HOLE 0 I.ETER TESTRUNBETWEEN 7j FT i,.D q_FT rE FOnr,hEt) 3Y 1 - S tiOIN ACCORDANCE WITH ALL STATE AND MUNICIP )•S CERTIFY THAT 7y�$ TEST 11;,S At- GUIOEUNES IN EFFECT ON THIS CATE. CATS 3 - 27-07- '"Mar 25 04 09:16a Troy Davis HM 9073579395 Mar 25 04 08:42a, Rick 907-357-9641 I Dare G,=Time Net Time Dell+10 Water i Municipality of Anchorage z lo 04 0 1 �" Development Services Department Buildup Safety U\iskel • �-d Cn-Site Water and Wastevoter Program I I '0 110 I I rl21 4T00 SaM 8rn9aW SL P.O. Ba 196650 Archord9e,A( 9951--66--0 y�y wvv ti.anchaaoe.ak.us I 14o 'H 07j 311700/ i Soils Log - Percolation Test Perfom,edFor: Besse Engineering, Legal Deserip�en: LOC1S, B1Dck4;Tablelands Sub( Depth J I {Feet} �rl;ani cs 1_ 2- 0 .� 3- 4- 5- 6- .0 j I 7 �r.M 20. f i C0.�1alc. ITS I i H 6 y P.5 P.2 19 ; RDBERT C WWAH �<Q C£-8801 ,1`^-d PIC me :02/10/0 ✓ ft2fflp on / S&S # J SEE SITE PLAN ws G"yJ)a \vara — E::C0u:r2=_0> No n a a IF YES. AT \NN10EP)11) E OepOvb\Yde:Q(t<r E abnnFrMq? Dry E I Reading Dare G,=Time Net Time Dell+10 Water Nel DrcD z lo 04 0 1 �" I j I fo �;A- 3' I I '0 110 I I rl21 Y I -� I 10 1 e v1 411 y�y I 14o 'H ', I i L121 l� r J I 10 P: ?pII PATE l�. _ir::,.�eesr.C,1 /( FERC Kc!-DL::.rri 6" Rt S_T!F=.1 FT, I:ID-FT S&S Engineering IAobert C. Cowan C--.fFTTe:;TTr:IST 1ve^.5 ACCOP.C::ICc911TH oil STAT:Ati')I.IDaICIPALGWD3blES+IEFF-CTOpi TiilSDA7E. UATE: 2 7Z' 0• Development Services Department On -Site Water & Wastewater Section Certificate of On -Site Systems Approval Phone: 907-343-7904 Fax: 907-343-7997 Parcel I.D. 051-741-45 Expiration Date: —7, z - Z c9Z Z 1. GENERAL INFORMATION Complete legal description THE TABLELANDS BLK 4 LT 14 Location (site address) 23210 Whispering Birch Dr Current property owner(s) SCHMIDT Mailing address Real estate agent Andrew Warner 2. TYPE OF DWELLING: [71 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 982-4223 Day phone 982-4223 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System 0 Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 912. -5-0 Co V 19 Waiver Fee $ Date of Payment R-12 -7—OZO Date of Payment Receipt Number 0 1 q flu Receipt Number COSA# 05CWP-�2y 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 f:4unicipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance %vith all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknovledge that On -Site staff may visit the site to verify the information submitted. Name of Firm NorthRim Eng. Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 7/17/20 6. DSD SIGNATURE s stm r Off CE -ease ix System f,1 Approved for bedrooms ��+1 7/17/v System 1'12 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: 1TYtn�����i� -s pr wAT E AST% , ATER o M J���i��SERVIC�sv ,`. By. Original Certificate Date: 9 I LI 2.a2b The Niunicipality of Anchorage Developrnent Services Division (DSD) issues Certificates of On -Site Sysioms Approval (COSA) based only urn the representat Ions given In paragraph 5 by an irxlependens professional civil engineer registered In the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional encineer's %kvrk. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory VVell Flow Advisory Other C0&% 0 pr:rlyi blue sw•, Legal Description: THE TABLELANDS BLK 4 LT 14 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments Public Water B. TANK DATA Age of tank(s) 16 years Tank type/material se„cst"' Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping 6/29/20 D. ABSORPTION FIELD DATA 9/24/04 Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade 6 ft (max) Measured depth to pipe invert from grade 2 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 051-741-45 Structure served by this system Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station 16 years Lift station material Plstic Comments: Riser Reconnected W/ "Grade -Ring Insert" Adequacy test date 7/2/20 Results Q Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 600 gal New depth 2 in Elapsed time 30 min Final fluid depth 0 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) unk If yes, enter date 191 z U& &WI ff 9; V From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' M-, Yes Community Sewer Manhole/Cleanout > 1001 [] Yes if No ft 0 Yes if No ft Neighboring Tank > 140` 7 Yes if No ft Private Sewer/Septic Line > 25' 7 Yes if No ft Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' F-1 Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' n Yes if No ft ❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft n Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' CD Yes if No ft Surface Water > 100' 3 Yes if No ft Property Line > 5' M-, Yes if No It Wells on Adjacent Lots: Absorption Field > 5' Yes it No ft Private Wells > 100' Yes if No ft Water Main > 10' Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' Yes if No - ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' EJ Yes if No ft If absorption field is under driveway comment below Property Line > 10' a Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' ID Yes if No Water Service Line > 10'Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' Yes if No ft F. ENGINEER'S COMMENTS P. OF JrC0 or G. ENGINEER'S CERTIFICATION A I certify that I have determined through field inspections a Jor of Municipal records that the above systems are in confo 258 Pmr, MOA COSA ouidefines in effect on this date. 2 0 Off r - ft ft - -.. .... ..,. - tHU•11746-0222 P.2 OT 12 / /�P�/ (C)=CALCULATED DATA .� / •f �� I/ (W)-MEASURED'DATA YYY (R)-RECORD DATA \ / ~" �•G FOUND YPC'YELLOW PLASTIC CAP \ ` ' 5/8' REBAR ASPHALT DRIVEWAY LOT 13 ' \ \ f / WA ) `rS� BASIS OF BEARING DERIVED 9 FROM THE PC LOT 13, BLOCK 4 TO THE NW CORNER LOT 17, �-UTILITY PEDESTALS j ,a 2?F` BLOCK 4. SSS'12'34'W 508.35'(R) �• 'Ds 2�6 508.22'(M). ' TWO STORY FOUND 5/8 DWELLING ti ti tr.Q / REBAR w/YP 4094-S `s r• CLEAN OUT NATURAL DECK GAS S UNDERGROUND TYPICAL UTILITI�$(J 1 1 SEPTIC LOT 14 RISER 40,000 S F` ti TYPICAL 1 � a � LOT 1 � ��BLOCK4Q � � z TRACT B--2 4A � v \ 1 • ; 50• / LOT 10 RECERr NOTE: REn1C.VF.D OLD SEPTIC RISERS, ADDED NEW SEPT[C RISERS HIS DATE: 3/29/ 04 w NOTES: 1. ?. THIS SIS UkV'�S'vSFCp,RESDENRY AiS sirISLE MPRCTY vt.ENTSY&TCO•NCInONS ON THE LATE O✓• SUP.�EY. v THIS DCCUMLNT DOES NOT CONSTITUTE A BOUNDARY $URVEv <5 SUBJECT TO ANY ;N.4CCURACIF.S THAT A StBSEGUF.N7 9OUN�ARY SURVEY }LAY DISCLOSE. EXCLUSION NOrL: IT IS 711( RESPONSiIIIL:TY'O" THE OWN ER TO DETERMINE THE EXISTENCE Or ANY EASEMENTS. COVENANT- OR RESrROlIICNS wH;CH DO NOT APPEAR ON THE RECORDED SUBDIVISION AM.PLAT.Y DATA H,R!7fEf USED FOR CONSTRUC'S"UNDER NO CIRCUMSTANCES SHOULDUUARY OR rENCE LSNES. IIF AS—BUILT AW4 P.O. BOX 2749 PAGE 1 off11 'IF A<y xrr 1 PALMER. ALASKA 99645 SSP ••• �..:�¢ ENCOE • rxc PHONE: (907)745-0222 —' irt4C}TFi •:rJ FAX: (907)746-0222 F.B. 04-14 —` W.O. 0400121 DATE: 9 1 04 SCALE: 1. = 50` FILE: 04-00127AS .....•.•_..• t HEREBY CERTIFY THAT i HAVE PERFORMED A MORTGAGE 10, Rob t�� d- Former : INSPECTION ON THE FOLLOWING DESCRIBED PROPERTY: 1p 10515—S LOT 14, BLOCK 4. THE TABLEANDS SUBDIVISION. �Q�d.,• : s PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, AK CssioxiLt*+° EASEMENTS OF RECORD OTHER -THAN THOSE SHOWN ON THE RECORDED ' PLAT ARE NOT SHOWN HERE(?N. DATED AT PALMER, ALASKA, THIS 8th DAY OF SEPTEMBER, .2004. Lift Station/Pump Vault Maintenance Log ` Owner C�MN La Street Address �j�b� � -Sludge level inches -Pumping: require e no •Pu pin completed no Lift station: � (��� *Pump basket cleaned VAL no *Effluent filter cleaned no ,,Control floats cleanede no -Proper float settings confirmed no *Operation satisfactory no Alarm System: *Dedicated electrical alarm circuit e no •Audible and visual alarm inside dwelling no -Alarm system operati tisfac not satisfactory Manhole Riser *Ground water intrusion at riser to tank connection yes *Ground water intrusion around pipe penetrations es n *Weep hole functional e no Manhole lid: Function e no Insulated no Properly Securedno Other Septic Tank: *All manufacturer required inspections and maintenance completed no Comments: Qualified Maintenance Provider: Technician Company Signature Date of maintenance Date Parcel I.D. 051-741-45 4-L" Municipality of AnchorageOn-Site Water and Wastewater Program(907) 343-7904 s Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: 4 - a — e G Complete legal description The Tablelands, Block 4, Lot 14 Location (site address) 23210 Whispering Birch Drive Chugiak, AK 99567 Current Property owner(s) Nicolas & Melisa Yale Day phone 632-5968 Mailing address 23210 Whispering Birch Drive Chugiak, AK 99567 Real Estate Agent 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Waiver/Variance request for: Four El El 11 zltw.. Day phone "Ay 19 2014 � TYPE OF WASTEWATER DISPOSAL: Individual 0 Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: /r"" Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $%'// Date of Payment 5 -hem t/ ([�u Receipt Number 60N-CA COSA # 65L1 `{ 12QZ 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-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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 6. DSD SIGNATURE System #1 Approved for A bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms Phone 522-7773 Date 5/19/14 bedrooms, with the following 4017 4-44t # 49TH � 4 E ANDERSON GE -4381- By: Original Certificate Date: Theunicipalit of chorage 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 forerrors or omissions in the professional engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet :., 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: The Tablelands, Block 4, Lot 14 A. WELL DATA Well type If A, B, or C provide PWSID # Date completed Sanitary seal (Y/N) Total depth ft. Cased to ft. FROM WELL LOG Date of test Static water level ft. Parcel ID: 051-741-45 Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) in. AT INSPECTION Well production g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA ft. Tank Type/Material Septic/Steel Date installed 9/24/04 Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping 6/3/13 Pumper Sanitary Pumpers C. ABSORPTION FIELD DATA Date installed 9/25/04 Soil rating (g.p.d.e or ff/bdrm) •8 GPD/SF System type 5' Wide Length 79 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth 5.8 ft. Eff. absorption area 750 ftp Monitoring tube Y Depression over field N Date of adequacy test 4/2/2014 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 4 in. Water added 630 gal. New depth 17 in. Elapsed Time: 60 min. Final fluid depth 4 in. Absorption rate >= 600 g p d Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed 9/24/04 Size in gallons 280 Manhole/Access (YIN) Y "Pump on" level at 46 in. "Pump off' level at 42 in. High water alarm level at 50 in. Datum Bottom Of Tank Cycles tested 3 Meets alarm & circuit requirements? Y E. SEPARATION DISTANCES �JO W WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots >46&— Absorption field on loth On adjacent lots Public sewer main —14A.— Public sewer manhole/cleanout Sewer /septic service line ' Holding tank 44*— Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation >51 Property line >51 Water main N/A Water service line >10' Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: Property line >10, Building foundation >10' Water Service line >25' Surface water >100' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS Lot is served by AWWU water system. 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 Michael E. Anderson, P.E. Date 5/19/14 _ COSA brown sheet_W-10-12AX Absorption field >5' Surfacewater >100' Water main N/A Driveway, parking/vehiclestorage >10' 0 MICHAEL E. -ANDERSON •,4, CE - 4381 . 'tea, 8is_PRttFESS10�� 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.muni.org/onsite (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING t5l-`74l- "4,T Parcel I.D.- HAA # Expiration Date: 1. GENERAL"INFORMATION—T- Complete legal description Lot 14, Block 4, The Tablelands Subdivision, Plat No. 2004-25, Anch. Recording District Location (site addressor directions) 23210 Whispering Birch Drive, Chugiak, AK Current Property, owners) Troy Davis Homes Day phone 357-9394 Mailing address' 1451 E. Parks Hwy, Ste. 207, Wasilla, AK 99654 ;C: Lending agency AK USA Day phone 352-8302 Mailing address 851 USA Circle, Wasilla, AK 99654 Real Estate Agent Laura Hamilton, ReMax of Eagle River Day phone 696-0357 Mailing Addressg 16600 Centerfield Drive, Ste. 201, Eagle River, AK 99577 Unless otherwise requested, HAA 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 A Well Q Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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 sita `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 AK Rim Engineering, Inc. Phone 745-0222 Address PO Box 2749, Palmer, AK 99645 Engineer's Printed Name 5. DSD SIGNATURE Approved for Disapproved. L. Shreves bedrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Q 1 (� Q� Original Certificate Date: f. rn. (R�.01102) t`1JJ 5e)165-7 o /nay b,cf Mxyl\ Sep 29 04 04:33p ALASKA RIM (907)746-0222 p.2 / w\ AN 41 FOUND 5/6" REBAR LE m- (C)=CALCULATED DATA (M)=MEASURED DATA (R) -RECORD DATA YPC=YELLOW PLASTIC CAP R 4 / 5•`1' 7( \ ASPHALT V 6� DRIVEWAY Eti /R > \ VALVES'S3F `UTILITY / PEDESTALS a yTWO STORY FOUND 5/8 OWE LU -G CLEAN OUT sem, °LOT 14 SEPTIC RISER 40 ,000 S.F. TYPICAL LOT 15 1' 50' / LOT 16 / LOT 13 LOT ]2 BASIS OF BEARING DERIVED FROM THE PC LOT 13, BLOCK 4 TO THE NW CORNER LOT 17, BLOCK 4. S6512'34"W 508.35'(R) 508.22'(M). �1 VD �o 'M R1 rfV dl,� •'L0 a •ry6 s c� / TRACT B--2 4A ,69 /\ / l \ 1 O¢ RFCERT NOTE: RFMOVI:D OLD SEPTIC RISERS, ADDEC NEW SEPTIC RISERS THIS DATE:9/29104 /Qo NOTES. ^7 I . THIS LOT I'SERVICED BY 4 COMMUNITY WATER SYSTEM. 2. THIS SURVEY REPRESENTS '»IBLE IMPROVEMENTS & CGNDITIONS 01, THE DATE Or SURVEI'3. THIS . MUNT A NTSBOUNDARY 1N, SUBJECT TO ANYINACCURACIES tAT SUBSFOOES NOT CONSTITUTE FBOUNDARYSURVEXfDISCLOE EXCLUSION NON: IT 5;: Tu( RESPONSIBICTY O�- THE OWNER TO DETERMINE THE EXISTENCE OF OR RESTRICIICNS WHICH CO NOT APPEAR ON THE RECORDED SUED 51 PLAT. JNDER NO CI ANY DATA HFRLUN BF US4.D FOR CDNSTRUCTfoN x eu VCTAQ ie..:..,- __ ___ -- AS—BUILT 9T-" eft J. Former � ILOT 14,E tObtS-5 PLAT No. m P.O. BOX 2749 PAGE 1 of 1 ALMER, ALASKA 99645 HONE: (907)745-0222 FAX: (907)746-0222 F.B. 04-14 DISTRICT, ANCHORAGE, SHOWN ON THE IATED AT PALMER,