HomeMy WebLinkAboutTHE TABLELANDS BLK 8 LT 6The Tablelands
Block 8
Lot 6
#051-801-46
MunicipalityAnchorage 1t
DevopmentService DepartmentServices
Building Safety Division
On-Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page of
www.cLanchomge.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW040123 PID Number:
Name' Troy Davis Homes
Wastewater System: New ❑ Upgrade
Morass: 1451 E. Parks Hwy, Ste 207, Wasilla, AK 99654
ABSORPTION FIELD
Phone: 357-9394 Number of Sedroomsi 4
[3 Deep Trench ❑Shallow Trench ❑Q Bed ❑Mountl ❑Other:
Sail Rating:
Total Depth from original grade:
LEGAL DESCRIPTION
0.3 GPafft°
3.78 Ft.
Block: Lot Subdivision: -
Depth to pipe bottom from original grade:
Gravel depth beneath pipe:
8 6 The Tablelands
3.28 Ft.
0.5 Ft.
Township: Range: Section:
Fill added above original grade:
Graval Length:
0.72+ Ft.
84 Ft.
Well: ❑ New ❑ Upgrade
Gravel wnh:
24
Number of lines:
4
Distance between lines:
6
Ft.
Ft,
Classification (Private, A, B, C):
Total Depth:Casetl
to:
Total absorption area:
Pipe Material:
Community Water System
Ft
FL
2,016 Ft'
I PVC
Driller.
Data Drilled:
Static Water level:
Installer.
Little Bear Construction
Date Installed:
11/1/04
Ft
Yield:Pump
Sedaf.
Casing Height Above Ground:
TANK
GPM
Ft.
Ft.
SEPARATION DISTANCES
0Septic F] Holding ❑S.T.E.P. ❑Other:
To
Septic
Absorption
Lift
Holding
ubliWPrivate
Mznurectumr.
Greer
capacity:
1,250
From
Tank
Field
Station
Tank
Sewer Line
Gal,
Material:
Number of Compartments:
Well
na
na
na
na
na
Steel
2
BuHace water
na
na
na
na
LIFT STATION
iza:
an acturer:
Let Line
40'
21'
na
na
Gal.
"Pump on" level at:
"Pump of ' level at.
High water alarm at:
Foundation
12'
42'
na
na
;n.
in
in.
Pump Make B Model
lileoncal Inspections performed by:
Curtain Drain
ria
ria
ria
ria
Remarks:
BENCH MARK
-
Location and Description:
Bottom of siding, NE corner of house
Assumetl Elevation:
00 Ft
yy �.Gr1
�•� q OF 4�
�;9���i
XE,......
Inspections performed by: Mary Shreves, Kant Sheets, AK Rim iingnesring Inc.Dates: tat 10/26/04 *:� TH •* s
f... �:
2nd 11/1104 ...... .....
. , ,.Shreves .a1
9 .,, Mar Q =
Development Services Department Approval F .
i •.
CE 9351
Reviewed and approved by: Date: OQU4�j Fy ••,,,• ••,,.• �0 ��
,,`/,'I
(Rcv. 13100)
I•��5���``,`````
UNSUBDIVIDED
S89'56'28"W 171.62'(R) _
N89'49'34"E 171.966(C)
33' SECTION LINE ESMT ----- -
1,250 -GAL
SEPTIC TANK
N
LOT 5
C012 CO3 C04 MT1 MT2
\ A 26.6 2 2 67.0 88.8 61.9 97.7
N N B 23.8
260 67.4 76.4 62.7 85.9
W C 35.0 36. 77.0 69.3 72.7 80.0
^=4o' 40,010 S.F. \
m
Lp
LOT 7
LOT 6
P1-7RO
�55p1'W
EXCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER OR BUILDER, PRIOR TO CONSTRUCTION TO VERIFY PROPOSED
BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITIES CONNECTIONS AND TO DETERMINE THS EXISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THS RECORDED SUBDIVISION PLAT.
�poOOOp SITE PLAN S P.O. BOX 2749
�o d�
AS BUILT RIA[ PALMER, ALASKA 99645
P (E°OF.:q<q�OD ENC EE INC. PHONE: (907)745-0222
P °•°°
� S�r 'f,9 d� FAX: (907)746-0222
* ¢ jTH •°° �r �0 W.O. 0400128 DATE: 11 /2/04 1 SCALE: 1 " = 40' 1 FILE: 0400128-WW_3AS
OQ Ma ShreveseAP LOT 6, BLOCK 8, THE TABLELANDS
RECORDING SUBDIVISION, DSTRIT, ANCHORAGE, ALASKA
Q s °.• CE 9351 do PLAT No. 2004-25, ANCHORAGE
PROFESSI�* d�' RECORDED PLATEASEMENTS OF RECORD AREE NOT SHOWN HEREON.THOSE SHOWN ON THE
T ••
AKTH2 /�3
O• -A�Z
.CO3
OMT
\ yy
F �Q
N�
NA
1,250 -GAL
SEPTIC TANK
N
LOT 5
C012 CO3 C04 MT1 MT2
\ A 26.6 2 2 67.0 88.8 61.9 97.7
N N B 23.8
260 67.4 76.4 62.7 85.9
W C 35.0 36. 77.0 69.3 72.7 80.0
^=4o' 40,010 S.F. \
m
Lp
LOT 7
LOT 6
P1-7RO
�55p1'W
EXCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER OR BUILDER, PRIOR TO CONSTRUCTION TO VERIFY PROPOSED
BUILDING GRADE RELATIVE TO FINISHED GRADE AND UTILITIES CONNECTIONS AND TO DETERMINE THS EXISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THS RECORDED SUBDIVISION PLAT.
�poOOOp SITE PLAN S P.O. BOX 2749
�o d�
AS BUILT RIA[ PALMER, ALASKA 99645
P (E°OF.:q<q�OD ENC EE INC. PHONE: (907)745-0222
P °•°°
� S�r 'f,9 d� FAX: (907)746-0222
* ¢ jTH •°° �r �0 W.O. 0400128 DATE: 11 /2/04 1 SCALE: 1 " = 40' 1 FILE: 0400128-WW_3AS
OQ Ma ShreveseAP LOT 6, BLOCK 8, THE TABLELANDS
RECORDING SUBDIVISION, DSTRIT, ANCHORAGE, ALASKA
Q s °.• CE 9351 do PLAT No. 2004-25, ANCHORAGE
PROFESSI�* d�' RECORDED PLATEASEMENTS OF RECORD AREE NOT SHOWN HEREON.THOSE SHOWN ON THE
T ••
=30'
VV SECTION LINE ESMT
SEPTIC SYSTEM PLOT PLAN
100.0oft. FINAL GRADE 97.65ft.
1
FINAL GRADE
95.5 ft.
94.78 ft.
ORIG. GRADE
1,250 -GAL
9 2. 8 ft. SEPTIC TANK
92.4 ft.
ft\9191.5 ft.
91.5 9 .0 ft..0ft.
DATUM = BOTTOM OF SIDING, NE CORNER OF HOUSE = 100'.
GW IN GWMT AT 86.53' ON 10/6/04.
2" INSULATION OVER WEST 30' OF BED.
SEPTIC SYSTEM PROFILE
g0000�ppp AS BUILT s- P.O. BOX 2749
qq ❑F• A� �TIt SEPTIC RIM PALMER, ALASKA 99645
•
p •• •• 9 ENG EE INC. PHONE: (907)745-0222
P SSP' •• rF9�d� FAX: (907)746-0222
•°•
49TH D W.O. 0400125 DATE: 11 /2/04 1 SCALE: 1" 30' 1 FILE: 0400125 -WW -1 -AS
°o��l...... ...�.
a • Mar L. Shreves • LOT 20 BLOCK 4 THE TABLELANDS SUBDIVISION
QPQ`il.° CE 9351 ° -* d PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA
EASEMENTS OF QQQ�� PROFESSIONP� dG� RECORD
RECORDED PLATARENOOTHER THAN SHOWN HEREON.
SHOWN ON THE
�d�0oo0od�"
- - - 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
Permit Number: SW040123
Legal Description. tThg"Tablelands Slock'8 L61-5
Design Engineer: 0032 Alaska Rim Engineering
Owner Name: Troy Davis
Owner Address: 1451 E. Parks Highway, Ste 207
Anchorage , A 99654 -
Date Issued: May 14, 2004
Expiration Date: May 14, 2005
Parcel ID: 051-801-46
Site Address: 22646 Sambar Loop
Lot Size: 40010 SO. 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.
Io/«Ict M A9 -,&d Avtiin �,bcn;�kf�d a„��b c�pcovad. Seim
Received By: " cv �7� �5 , / G. 441
Issued By:
Date:
Date: S Iq J
f
Municipality of Anchorage
pM�� ger
• Development Services Department
Building Safety Division ='
ZI
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 I.D. [251— i30I - q6 Permit Number SW
Property owner(s) Troy Davis Homes Day phone 357-9394
Mailing address (1) 1451 E. Parks Highway, Suite 207
Mailing address (2) Wasilla, AK Zip Code 99654
Legal description (Lot, Block & Sub'd.) Lot 6, Block 8, The Tablelands Subdivision
Legal description (Section, Township & Range)
Lot Size 40,010 sgft Acres/Sq.Ft. Number of Bedrooms 4
THIS APPLICATION IS FOR:
Sewer Only
0
Well Only
❑
Sewer and Well
❑
Water Storage
❑
Sewer Upgrade
❑
THIS PROPERTY CONTAINS:
Hot Tub
❑
Jacuzzi
❑
Swimming Pool
❑
Water Softening Unit
❑
Therapy Pool
❑
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees:
Date of Payment: 7
Receipt Number:
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
�4t�aslea .
�'utgiuteetcitng, gate.. �-_-
Phone (907) 745-0222 P.O. Box 2749
Fax (907) 746-0222 Palmer,Alaska 99645.
akrim@rogershsa.com
May 3, 2004 -
Mr. Dan Roth
RE
ty of Anchorage
ent Services Department
afety Division
later and Wastewater Program
96650
e, AK 9
9519-6650
t 6, Block 8, The Tablelands Subdivision
AK. Rim Engineering Ref. No. 04-00128
Dear Mr. Roth:
Attached Is an amended septic system plot plan for this project. The homeowner chose
to reverse the_tayouf of the.home«and so our drawings reflect the change and the
subsequent change to the septic system'layout. There are no other' cciandes fo our"
original submittal.
If you have any questions regarding this report or its recommendations, please feel free
to contact me.
Sincerely,
ALASKA RIM ENGINEERING, INC.oF At III
``�aeael\41ppt
Man,! cheves % f i
Professional Engineer i F t Mar . shreves w
9351
CC: Troy AK RDaEngineeeng File No. 04-00128, �BA.ipppn
\41e\1���`,`�w
Attachments:
Plot Plan (2pages)
Y'
�r
Engineers Planners • Surveyors
A
�y
efngineehiu g, one.
Phone (907)745-0222 P.O. Boz 2749
Fax (907)746-0222 - Palmer, Alaska 99645
akrim@rogershsa.com ..... ..... -. _. . _... ._
April 29, 2004
Mr. Dan Roth
Municipality of Anchorage
Development Service Department
Building Safety Division "
On -Site Water and Wastewater Program
PO Box 196650
Anchorage, AK 99519-6650
RE: Lot 6, Block 8, The Tablelands Subdivision
On -Site Sewer Permit Application
AK. Rim Engineering Ref. No. 04-00128
Dear Mr. Roth:
The owner of the above referenced lot is proposing to construct a 4 bedroom single
family dwelling (see attached Plot Plan). The proposed 'dwenrng is to'Ge-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 the ,adiacent lot, Lot 7, February 25, 2004, and a monitor
curing ine initial excavaqur, n WYrv7 oil aaiv r
was probed and groundwater was not detected._ 71
On April 21, 2004, two test holes were excavated within a 30 -feet radius of the proposed
onsite drainfield and replacement field (see attached Septic System Plot Pian) The first
test hole, labeled AKTH#1, was excavated to,a depth of 14 feet below grade.
Groundwater was not encountered during excavation. After a minimum 4 -hour presoak,
a percolation test; was conducted between feet and 6 feet in this test hole on April 22,
:.z..u:-�.. --... .:
2004. AKTH#1 1. was checked forgrour a on 4' 22 07 4 n e W'as c etec e The;°
second test hole (labeled XKt 2) was dug fora percolation test on April 22, 2004,
performed between 5,feetand 6 feet below grade.
The attached Soils Log -Percolation Test forms show the approximate location of the
d�a
test holes.. The soils were rated in the field as SM, sand with silt and gravel
Engineers • Planners • Surveyors
Mr. Dan Roth, MOA
Page 2
April N, 2004
For AKTH#1 the percolationtest indicates a soil percolation rate of 25.3 minutes per inch
which'translates to a wastewater application rate of 0.6 gpd/sgft. For AKTH#2 the
percolation test ,lndjcates a" soil percolation rate of 48 minutes per inch which translates _
to a wastewater application' rate of 0.45 gpd/sqft. We will apply the higher application
rate, 0.45' gpd/sqft, for this design. The proposed drainfield will be �designed'within the
30-feet radius of these tesfholes
Trench Design
The following is a summary of the proposed design of the trench SAS:
Percolation rate 48 minutes/inch
Soil application rate_ , 0.4 gpd/sg
Number of bedrooms: 4
Daily wastewater flow: 600,g pd
Drainfield: 5 wide type drainfield
Septic tank: 1,250 gallons
Minimum absorptionarea: 1334sgft
Total depth (max): 9 ft
Effective depth: 4 ft
Width: 5 ft
Reduction 'factor: '6'.` 50
Minimum length:
Effective, absorption area: 1340 sgft
Topography
The attached topographic map shows this lot to slope evenly from the southeast to the
northwest, with the contours perpendicular to the bong lot lines. The slope is
approximately 16% throughout the lof. There does notwappear to be any slopes 25% or
greater on the
Surface Water
There are no surface waters within 100 feet ofthe proposed septic system
Surrounding Properties
This property and the parent subdivision will be servg4 by community water system. We
are unaware.of any adverse impacts this installationwould have or adjacent wells or
septic systems; Development on this lof,wlllw not preclude development of wells and.
septic systems on neighboring lots in the future.
Mr. Dan Roth, MOA
Page 3
April 29, 2004
If you have any questions regarding this report or its recommendations, please feel free
to contact me.
Sincerely, �OF q ��y/�
ALASKA RIM ENGINEERING, INC. .� 1
_
��P,.....�5:�
TH
Mary L. Shreves �M : Miry Shreves w
Professional Engineer CE9asi
sl .%
CC: Troy AK Rim is HHomes ng File No. 04-00128
Attachments:
• MOAOn-Site Sewer /Well Permit Application Form
• MOA Soils Log — Percolation Test Form (2)
• Plot Plan (3 pages)
PERMIT NUMBER
1 /-i.bZ
_33' SECT
y AND BU
33.\ 3 R
�\ 0 -
PID NUMBER
__..._...----------
xi
ZABLE FLOA S LgTER OR EQUAL
9•ID Lp
20 l N
?-50- -Ill
N- �to BLOCK 8
46.E LOT 5
\on6i�,! t 46.29
PROPOSE 4
41.51 ww. DWELLING �F pr
c� 323 „?
44.25 �' „Zo 3 � c
LOT
LOT _7 4x.00 40,010 1s F. '�y
LID N
REVERSED BUILDING AND
SEWERLAYOUT THIS DATE5/4/04
1 OR\Vy G c�EjB �5°58 3�
1"=40'\ "=`0,\
'I IISION
NOTF: IT
° 491H
2 /
90
,5cl Q LYS
THE RESPONSIBILITY OF -
'E TO FINISHED GRADE Al
OR RESTRICTIONS WHICF
SITE PMN
sm
54.75
15' OT`�iT iS�M
J i -
6.21 "( LOO
R '.V/
d, TO VERIFY PROPOSED
iE EXISTENCE OF ANY
q PLAT.
AS P.O. BOX 2749
R7t[ PALMER, ALASKA 99645
E INC. PHONE: (907)745-0222
FAX: (907)746-0222
ATE: 4/29/04 SCALE: 1" ;;-4o' I FILE: 0400128
MarfL Shreves t° p LOT 6, BLOCK 8, THE TABLELANDS SUBDIVISION,
CE 9351 PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALA,
EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE
Q��PRpFEgoodd RECORDED PLAT ARE NOT SHOWN HEREON.
SHEET 1 OF
PERMIT NUMBER
PID NUMBER
33' SECTION LINE EASEMENT_
AND BUILDING SETS 1
EP X/ 1
SEP PG�MG P��� ZABLE FLOA S
3 R x a 200 1 N
5 0 Ian
c9 2 � 6� 1,250 T PNK �
J SEP (1G tC9
�� \ � s � zo �• 0 46' �
0�6 X33
PROPOSED
41.51 DWELLING
449
1"=30' SEPTIC SYSTEM PLOT PLAN
AMENDMENT: VL $'
REVERSED BUILDING AND
SEWER LAYOUT THIS DATE
5/4/04
SEPTIC SYSTEM PROFILE
000��44
CD4iux
SEP77C *ASA P.O. BOX 2749
ao pF
p AGy �p
PALMER, ALASKA 99645
CE.• °^
`` •`�Fq�O�
ENC EE INC. PHONE: (907)745-0222
�,�p°'
FAX: (907)746-0222
in 49TH•se•t �D
•
W.O. 0400128 DATE: 4/29/04 SCALE: 1" = 30' FILE: 0400128
.. ........aa ......... 0
ip,,; Mary L Shreves^� d
LOT 6, BLOCK 8, TABLELANDS SUBDIVISION,
s °• CE 9357 �` d
PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKF
��Q� �
THAN THOSESHOWN ON THE
OF RAREE
PRIiFESS16N��
EEONSE
RECORDED PLATNOTO SHOWN HEREON.
PERMIT NUMBER PID NUMBER
Ymta mmtN tube
at nd of trouob
peRmated 4• INC tnetell Naevout at
aea Nota I eeob eud of arf pfya 1-foot
3/4° to a-
sawsr rook rQr�� 0 0 0
\\\ O0
d-00 c00 0 X o
\\\ 0 0 0
\ 5' f
RR< o0 0 0
\\ $oo
0 0
\ 0 0 0 0 \Q
imUd 4• ABS. DIP.
m "c S.L 4d 2 ® 67'
WIDE DRAINFIELD p V
Note 1: Imteu ell veefonted PVC level PLAN VIEW h°I°° dt*
(wtbiu 0.0 font pf eame. nbnetton) SECTION X—X
ovd eurfeoe ELEV. 40.0'
pa,maabla funkutl if and cover �n�' k around eurfaoa
en Note 2 p
¢eotastBe
j ELEV. 35.0'
mck
7— .C^ ° :::se :e?'sY: 60 ven-4raloratad
� • •••••••�••°• PVC shoo
4 PVC drtiv . w Ldw dews +, }Y°•..:Y°6°•°
Pio» b:::e °:::l°='°p°•:� A � rouplim ,
qu
aNntive daWt04' PVC6' oak
EE:e+':?•✓:::::�i;Y; ELEV. 31.0 �p
00
0 0
TRENCH DETAIL md.W rbed ' 0 0
srW �7 �bp0
Note 2: Plme n neWmum of {-Seat of eertb cover0 0
(m oqulvetmt) mar ebeerptbu troneb. Ons o �
ivob of tastem °meultoem S (m aq.) me) 0 0
be nMlWted fm ew foot of esrN Dever �°°°°°v°t�
up to a maEmum of two inebae of Wulatloa arountlwalm Q�p oy
Note 3: N.Amum .mention eb-H b4 vo umro 7 feel. ELEV. 26.0' 0
Note 4: Na uesd sable 4 00 0
HOTTON TH
TRENCH SECTION MONITOR TUBE
DETAIL
��po�00pQ� SITEPLAN K P.O. BOX 2749
p �E °OF, A(���� RIM PALMER, ALASKA 99645
P SSP.•°° J��� ENC EE INC. PHONE: (907)745-0222
FAX: (907)746-0222
per 49TH •°e*dp
p•�••••••••• •••••••0 W.O. 0400128 1 DATE: 4/26 04 SCALE: nts FILE: 0400128
y L. Shreves:':Z�7 LOT 6, BLOCK 8, THE TABLELANDS SUBDIVISION,
CE 9351 °V~�d PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, AK
°°°°°°°°°peod EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE
ROFESSv
yOO�ood RECORDED PLAT ARE NOT SHOWN HEREON.,.
SHEET 3 OF 3
Tf,c?d'
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
Soils Log - Percolation Test
pF�
Mary l . hre
CE 9361
Performed For: Troy Davis Homes Date Performed: 4/21/04, 4/22/04 (AKTH#1)
Legal Description: Lot 6, Block 8, The Tablelands Subdivision Township, Range, Section:
5cLojwl6i14- aKA
lya ve,() D culrww
cobVi e? 1 10#Atotfvh,
VVI04PXwA"t)
WAS GROUND WATER
A4
ENCOUNTERED?
Date
IF YES, AT WHAT DEPTH?
Net Time
Depth to Water After
M
Monitoring? No
Date: 4/22/04
S
L
0
P
E
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
1
4/22/04
1130
30 min.
7-7/16
2
—
1201
30
7-1/4
3
—
1232
30
7-3/16
1-3/16
PERCOLATION RATE 25.3 (minuWsrir h) PERC HOLE DIAMETER &lochs, "
TEST RUN BETWEEN 5.0 FT AND 6.0 FT
COMMENTS Presoak rrin.4 hours
PERFORMED BY: Kent Sheets, AK Rim Engineering, Inc. I Mary L. Shreves, P.E. CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 4/26/04
-reh4-
OF Art c
Municipality of Anchorage�/'jpN"1NMM
Development Services Department a *; TH
Building Safety Division 4 f
On-Site Water and Wastewater Program •••^
• .. . ...........:........
4700 South Bragaw St. ... ... .. ....:.................
P.O. Box 196650 Anchorage, AK 99519-6650 �'•• Q
www.muni.org/onsite 'F Mary .Shreves e
351
CE
7) 343-7904
Soils Logt90Percolation Test ''OII'9PROFESS11 -114
oNP�`�``
Performed For. Troy Davis Homes Date Performed: 4/21/04, 4/22/04 (AKTH#2)
Legal Description: Lot 6, Block 8, The Tablelands Subdivision Township, Range, Section:
glnoa. _. Site Plan
4-
11 -
15-
16-
17-
18-
19 -
WAS GROUND WATER
Date
ENCOUNTERED? No
Net Time
Depth to Water
S
IF YES, AT WHAT DEPTH?
L
0
Depth to Water After
p
Monttoring?
_ E
Date:
Reading
Date
Gross Time
Net Time
Depth to Water
Net Drop
1
4/22/04
1140
30 min.
6.5/8 in.
2
--
1211
30
6-5/8
3
—
1242
30
6-5/8
5/8
PERCOLATION RATE 48 (minmeclinch) PERC HOLE DIAMETER 64mM.
TESTRUNBETWEEN 5.0 FT AND 6.0 Fr.
COMMENTS Presoakmin 4hours
PERFORMED BY: Kent Sheets, AK Rim Engineering, Inc. I Mary L. Shreves, P.E. CERTIFY THAT THIS TEST WAS
PERFORMED 1N ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 4/26/04
Oct 16 04 07:39a ALASKA RIM
Aagka
1p(tm
211giuteertir19, ,9ttc.
Phone (907) 745-0222
Fax (907) 746.0222
akrim®rogershsaxom
October 11, 2004
Ms. Julie Makela
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water and Wastewater Program
PO Box 196650
Anchorage, AK 99519-6650
RE: Lot 6, Block 8, The Tablelands Subdivision
Amended On -Site Sewer Permit Application
AK. Rim Engineering Ref. No. 04-00128
Dear Ms. Makela:
(9071746-0222 p.2
P.O. Box 2749
Palmer, Alaska 99645
Attached is the amended septic system site plan for this project. A groundwater monitor
tube (GWMT) was installed on this lot on 8113/04. On October 6, 2004, the monitor tube
was probed and groundwater was detected at 7. feet below ground surface.
$� yNi�ti r,L
Bed Design A 1UV00E1 i
The following is a summary of the proposed design of the bed SAS:
Percolation rate (AKTH#1 and #2):
36.7 minutes/inch
Soil application rate (bed):
0.3 gpd/sgft
Number of bedrooms:
4
Daily wastewater flow:
600 gpd
Drainfield:
Septic tank:
Bed
1,250 gallons
Minimum absorption area:,
2,000 sqft
Total depth (max):
3.86 ft
Area:
24 ft x 84 ft
Effective absorption area:
2,016 sqft
If you have any questions regarding this report or its recommendations, please feel free
to contact me..
Engineers • Planners • Surveyors
v4�as(¢a-
�'tngifneehiing, gine. ---
Phone (907) 745-0222 P.O. Box 2749
Fax (907) 746-0222 Palmer, Afaska 99645
akrim0rogershsa com
October 11, 2004
Ms. Julie Makela .
Municipality of Anchorage
Development Service Department
Building Safety Division
On-Site Water and Wastewater Program
PO Box 196650
Anchorage, AK 99519-6650
RE: Lot 6, Block 8, The Tablelands Subdivision
Amended On-Site, Sewer Permit 7fipplication
AK. Rim Engineering }def. No 04-00128
Dear Ms. Makela:
Attached is.the ,amended septic system site plan for this project. A groundwater monitor
tube(GWMT) was installed on,this lot on 8/13/04 On October 6, 2004 niton
the monitor tube
was probed and groundwater was detected at.77feet below ground surface.
Bed Design
The following is a summary of the proposed design of the bed SAS:
Percolation rate (AKTH#1, and #2)` 36.7 minutes/inch
Soil application rate (bed): 0.3 gpd/sgft
Number of bedrooms: 4
Daily wastewater flow: 600 gpd
Drainfield: Bed
Total u absorption
.: 2,000'gaffons
p
Mlnfmum.ab_sor tion area: 2,000 sgft`
P ( ) .86 ft
Area: 24 ft x 84 ft
Effective absorption area: 2,016 sgft
If you have any questions, regarding this report or its recommendations, please feel free
to contact me.
Engineers • Planners •. Surveyors
Ms. Julie Makela, MOA
Page 2
October 11, 2004
Sincerely,
ALASKA RIM,ENGINEERRING INC NN
SOF
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Mary L. Shreves' 00
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Professional Engineer �9� ; Mary L. Shreves
��, CE 9351
CC: AK R ma Engin vis qmee ng File No. 04 00128, , s��l���i;oF�ss
Attachments
• Septic System, Flot Plen (2 pages)
N89056'28"E 31 9
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CE 9351
42
ROPOSED
DWELLING
E X I I
NG SAS OUTLINE;
ABA N ONED IN
0
Q0 N% LOT
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VERIFY PROPOSED
ISTENCE OF ANY
S.
AML L) ' AS P.O. BOX 2749
SITE PLANwM PALMER, ALASKA 99645
ENC EE INC. PHONE: (907)745-0222
FAX: (907)746-0222
W.O. 0400128 DATE: 10/1 1 /04 SCALE: 1" = 40' FILE: 0400128_WW_3
LOT 6, BLOCK 8, THE TABLELANDS SUBDIVISION,
PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, ALASKA
EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE
RECORDED PLAT ARE NOT SHOWN HEREON.
Nodtor
jwesbte
tsrtW
ese Note d
BED DETAIL
Note & (pwWWvsti weOfebsorptlou trauoh. Oue
'b -O&M- Nesteen io�ultoem C mq
for en. loot o!
up to , m Berth cover
up to esljd mvm"ot tero moue of fosuletlou.
Note 9: Meslmum depth of azeevettem 7' N48...
ABSORPTION BED pedoreted M
W/ CENTER HEADER �@ewaur
PLAN VIEW
SECTION X -X
ramovsebls
surleae
IILV.. W.9p' oep
crowd surtme
.we 1wu1°4�, /// ///
N used Y8
1
' MONITOR TUBE
BED SECTION DETAIL
Led
�000O�Op�� AMENDED ALAS ' P.O. BOX 2749
C RIM PALMER, ALASKA 99645
PqE <g3,11pD DETAILS ENC IAV.PHONE: (907)745 -0222
FAX: (907)746-0222
r 49TH
.....a.... �....... � W.O. 0400128 DATE: 10/11/041SCALE: nts FiLE: oaooi2s_ww_s
L. Shreves : �� LOT 6, BLOCK 8, THE TABLELANDS SUBDIVISION,
9351°vq�d PLAT No. 2004-25, ANCHORAGE RECORDING DISTRICT, ANCHORAGE, AK
EASEMENTS OF RECORD OTHER THAN THOSE SHOWN ON THE
1FESSI�odd" RECORDED PLAT ARE NOT SHOWN HEREON.
a0000
''UFDATE'l� "[N FlEL6 SEP[iC RISER$ ONLY:` ANY ADDRIOty
NOTES. _ ...... ...... ..
t. THIS' SURVEY
z.
3. Mil
EXCLUSION NOTE: 1
OR RESTRICTIONS �
ANY DATA,...RER.., N.
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AS-SUtti" �.
BNGl�JEE ItrC`„`
MUMCWAU7Y OF AmCHORAGE
Development Services Department
Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 051-801-46
1. GENERAL INFORMATION
Expiration Date:
Complete legal description THE TABLELANDS BLOCK 8, LOT 6
Location (site address) 22646 SAMBAR LOOP, CHUGIAK, AK 99567
Current property owner(s) RICHARD & TAMMI FAGG
Mailing address
Real estate agent
22646 SAMBAR LOOP, CHUGIAK, AK 99567
Day phone
Day phone
2. TYPE OF DWELLING:
Z Single Family (w/wo ADU)
❑ Duplex
r_1 Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
El
Private Septic
z I
Water Storage
El
Holding Tank
El
Community Well
El
Community
El
Public Water System
Public Sewer
F-1
Waiver request for:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ _5�90 . , Waiver Fee $
Date of Payment 7 1 — Date of Payment
Receipt Number %7 0 3 15 Receipt Number
COSA# 05C_2_1j!5(qo Waiver #
Distance:
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. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Address 13030 SUES WAY, ANCHORAGE, AK 99516
Engineer's Printed Name CURTIS HUFFMAN, PE Date 91712021
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any estimate of how long a system will function satisfactory ��Q:• • . • •:1 �)
for current or future occupants or guarantee that no unseen encroachments, deficiencies or g•49
•
i..
•
discrepancies exist can be given by First Water Consulting & FWCS ' � * TFi •�* r
6. DSD SIGNATURE - *-CEM-99-1
Curtis Huffman • /
System #1 Approved for L bedrooms ����sT. •.�� �
��
System #2 Approved for bedrooms �1�\\ PROEWQOFESSIONP�'�
Disapproved
Conditional approval for bedrooms, with the following stip�G TTY OF,��c,�/rte
Ti` c,ki �.
WgST" tilvu—rt =V"AT
Jr Gf,.A o=
1))►t;,�11,s
r �
B . Original Certificate Date: ! "/ 6::,^21
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
Legal Description: THE TABLELANDS BLOCK 8 LOT 6 Parcel ID: 051-801-46
If more than 1 septic system on lot: COSA Checklist # _of
A. WELL DATA — PUBLIC WATER
❑ 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
B._ TANK DATA
Age of tank(s) 17 years
Tank type/material SEPTIC / STEEL
Measured operating fluid level in septic tank 50"
® Standpipes/foundation cleanout per record drawing
Date of pumping 8/25/21
D. ABSORPTION FIELD DATA
Which system tested (date installed) 11/1/2004
® ALL standpipes present per record drawing
Total measured depth from grade 3.3 ft (max)
Measured depth to pipe invert from grade 3_0 ft (min)
❑ N/A — pressurized field
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 _ years
Lift station material
Comments:
Adequacy test date 8/26/2021
Results Z Pass For 4 bedrooms
Fluid depth prior to test 0.5 in
Water added 600 gal
New depth 2 in
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective 3.6" OF THE 6" ED Elapsed time 15 min
® Code -required soil cover over field W/ INSULATION Final fluid depth 0_5 in
❑ System presoaked Absorption rate 600 gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N
date of test)
Gallons introduced gallons If yes, enter date
NESComments/DeficienciesNES
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
Community Sewer Manhole/Cleanout > 100'
❑ Yes
if No
ft
❑ Yes
if No ft
Neighboring Tank > 100'
❑ Yes
if No
ft
Private Sewer/Septic Line > 25' ❑ Yes
if No ft
Absorption Field on Lot > 100'
❑ Yes
if No
ft
Holding Tank > 100' ❑ Yes
if No ft
Neighboring Absorption Fields
> 100'
Animal Containment > 50' ❑ Yes
if No ft
❑ Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75'
❑ Yes
if No
ft
❑ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
® Yes
if No
ft
Surface Water > 100' ® Yes
if No ft
Property Line > 5'
® Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
® Yes
if 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'
® Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
® Yes
if No
_ ft
Wells on. Adjacent Lots:
Water Main > 10'
® Yes
if No
ft
Private Wells > 100' ® Yes
if No —ft
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
G. ENGINEER'S CERTIFICATION
l certify that l 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.
.. .......
V
.. .... .........
Curtis Huffman
�� �'c�G, • CE 128991
/IP,F�
kk 919121 4P
AW�PROFESSIONS'.�
Municipality of Anchorage
• Development Services Department e
Building Safety Division q a
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
Parcel l.D'.''oi,=i1401-4(e HAA#
Expiration Date: l•�-
1. GENERAL INFORMATION
Complete legal description Lot 8 Block 8, The Tablelands
iptibn
,. 22646 Sambar Loop, Peters Creek, AK
ESS o7 directions) p
Location (site adfir
Current Property, ow(a'I?r(s) Troy Davis Homes Day phone 357-9394
1451 E. Parks Hwy, Ste 207, Wasilla, AK 99654
Matlift�;ad<d�ss
Lending agency AK USA, Eagle River Day phone 689-3246
Mailing address 12155 Old Glenn Hwy, Eagle River, AK 99577
Real Estate Agent Audrey Mason, ReMax of Eagle River Day phone 696-3887
Mailing Address 16600 Centerrield Dr., 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
❑✓
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-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 AK Rim Engineering, Inc. Phone 745-0222
Address PO Box 2749, Palmer, AK 99645
Engineer's Printed Name Mary L. Shreves, P.E. Date
i nom ;� Mary t(. Shreves
5. DSD SIGNATURE VI�srF•.,* CE 935t
_►/ Approved for bedrooms. ,','$jj /%l ESS110
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments: JAM
HAA Checklist -
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: 6. Original Certificate Date: II IE 4 _
(Rw. OIN2) bkk l t'
