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HomeMy WebLinkAboutTRAILS END BLK 2 LT 8Trails End Block 2 Lot 8 #015-191-22 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page ( of 10 ON-SITE WASTEWATER INSPECTION REPORT c� Permit Number: 0*6)'ii1 (i( a/ PID Number: 19(1;—(Ri-22 Dwelling: �fsingle Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: n New 7� Upgrade M r &I Number of Bedrooms z Range Section 'u From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Well 014 I loo 19— Total absorption area 3?0 Ftp W/ 0 I't 5- Surface Water Manufactr{rN !, ��� r / //AAF !/��//OYYh fp Capacity /5V 0 Gal. Material t/I' �% � <yq 4e- Number of compartments Z Lot LineIl- NA Foundation �� -e 1) y- Zdr4 Curtain Drain /q Remarks Pi( �_ 'o tu.{ -u �J Installer NffGteA 4ATr4.eniPE, 3SORPTION FIELD ``�� ❑ Deep Trench El Shallow Trench D34 ed ❑ Mound 7, O GPD/SF (/ a Ft. Depth to pipe invert from 6o/�r�figinal grade V, 3 Ft. Gravel depth beneath pipe i%, Ft. Fill added above original grade 2 Ft. Gravel length !o Ft. Gravel width / �Ft. Beds: Number of Lines ,j Distancebetweenlines J Ft. Total absorption area 3?0 Ftp Number of trenches Dist. between trenches / Ft. TANK ❑ Septic D�S.T.E.P. ❑ Holding ❑ Other Manufactr{rN !, ��� r / //AAF !/��//OYYh fp Capacity /5V 0 Gal. Material t/I' �% � <yq 4e- Number of compartments Z Inspector d i, f SLrr JB Inspectionn Lo dates: '140 7/ 2n __(06W-5/ /'Z -- 3rd 4th COMMUNITY DEVELOPMENT DEPARTMENT nal Approval: .l%07-rlZ0 (c,00 Gal Imp on level at Pump off level at High water alarm at -5D in. 3 iP in im make and mod EI trical Insp�coons pe¢�iormed pby . � 300S�PF2bCJ q�af+`/�%te, Et esfity, �511 lav IPE MATERIAL Housetotank *to Tankto 3&.3t drain k to Drainfeld 3013 cOlMT 3&34 ENCH MARK (Assumed elevation) 1010 It cation and description l7Ara C_ 5l 4rJr APPROVAL Engineers Stamp OF z}b;'-�i Date -- ° j9�T"H�j'� cam^' MICHAEL N. ANDLRS:N <o` CE 9'�9 Date Permit No. OSP111019 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 8, BLK 2, TRAILS END S/D PID No.: 015-191-22 MA I I A B c c01 / 95 65 MA K/ A B c c01 / 95 65 CO2/ 21 10 cod 20 11 CC}Is 3 29 C 5 322 30 H 40 35 H## 42 40 65 M65 T/2 82 82 � A I I I I ® 11 I I 1 ® I I 1 I 1 V 1 \ \ BENCH, CONCRETE SLAB / —I I g I r CO2 J 03 � � L SCO -B/ 1500 GALLON TANK �MT1 \\i �V/ AX -20 POD EXTERNAL PUMP BASIN �\ \ 1H#R —z{$�t11Crt———— — — — — —— SEPTIC SECTION N.T.S. :RPEE ��\\i • � • SIL^/ ILL i �" 49TH iP /.............. .. •• ... ...•••.•••• 0, c.MICHAE N. ANDERSC ���•., No. C,9 69 ����I�ESS = � Municipality of Ancliorage n"..r' Dmartme*it Ils-tle-tion Report, . ElecFirt ARPLICA7KIN NO. Ell-iQC� , 5 Pernih. P;pi;: Nsemw . .. . ......... . . �77 J On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111019 Tax Code Number: 01519122000 Work Type: Septic Upgrade Permit Effective Dates: September 19, 2012 to September 19, 2013 Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING Subdivision: TRAILS END Site Legal Address: TRAILS END BILK 2 LT 8 G:2641 Owner/Address: WALTERS KATHARINE MELAINE 13209 BRANT WAY ANCHORAGE AK 995154021 Site Mailing Address: 8400 LONGHORN ST, Anchorage Lot Size in Sq Ft: 27000 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: Permit includes waiver OSP121309, allowing the drainfield to be 5 feet minimum from the east property line. Received Issued By: Municipality of Anchorage P.O. Box 196650 0 4700 Elmore Road Anchorage Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 htti)://www.muni.orgiOnsite Development Services Division On -Site Water and Wastewater Program Y' P apartment **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP121309 COSA#: Permit#:OSP111019 PID#: 015-191-22 Legal Description: Trails End, Block 2. Lot 8 Engineer: Mike N. Anderson Applicant: Katharine Walters Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the 25% or greater slope has been approved. The approved separation distance is 35.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. .........................................................000.........0......... Waiver is Granted: X Waiver is not Granted: Date: Approved by: ame of Reviewer ...................................... .,.......... 0000.. ......... ............... Rec#: 157023 Amount: $200.00 Date Paid: 9/19/2012 **** VARIANCEIWAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE I Community Development Department \ Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor flan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I. D. 0 15 - ! 9)- )1 Property owner(s) VA r h -e Wa l � CS Day phone Mailing address Site address ci Ll U D L Gy Legal description (Sub'd., Block & Lot) 1 L9 - Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms y 11, goo THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Initial F1Absorption Field F] Upgrade Septic Tank Renewal ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling ark ,in accordance with applicable Municipal Codes. property owner or authorized agent) Permiy-Rush Fees: Date of Payment:' 1 i Receipt Number: Permit No, C� 5 Waiver Fees: �St o a Date of Payment: 9 Receipt Number: !(S } 23 Waiver No. C)s P la 130q G:\Building\On Site\Forms\Client FormsTermit App_010411.doc (Rev. 1/11) Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 Feb. 21, 2011 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Trails End Subd. Blk 2, Lot 8 To Whom it may concern Attached is an application for a Advantex septic permit on the above referenced lot. An Advantex system was permitted by KND Engineering but during the installation, high ground water was observed so the Advantex system was cancelled and a 4000 gallon tank was installed. The property has been foreclosed and the new owners want to remove the holding tank and replace it with the Advantex system per the plan. A new test hole was excavated in Sept on the higher east property line area, away from the old area KND used for their leach field. The soils log showed poorly graded sand (SP) down to 6 feet then a stiff tight silt (ML) to the bottom of the test hole at -11 feet. The pert rate was 3 minutes per inch at elevation 3 feet in the test hole. No water was observed during the excavation or after the 7 day monitoring period. It is my opinion that the seasonal high water run-off is trapped at the SP/ML interface and is the water documented by KND. The slopes on the lot runs west to east at about 3 to 12 percent, see plan. The proposed new system is a 4 bedroom design. This is also my request for a lot waiver on the east side. Due to all of the existing well radius' and the small lot size the separation distances leave only a few locations for a leach field. The wood shed will also be removed to allow construction of the new leach field. Justification for the waiver is we have few options except a holding tank or the Advantex system along the east property line as shown on the site. None of the neighboring lots will be impacted by this new installation and no slopes greater than 25% exist within 50 feet of the proposed leach field. If you have any question please call me at 727-8864. Sincerely Michael N. Anderson, P.E. Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 Aug. 14, 2012 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Trails End Subd. Blk2, Lot 8, REVIEW COMMENTS To Whom it may concern: This test hole has been monitored for 2 years. The owner has been remodeling the house and didn't need the system installed until now. Over the past 24 months the water level has not raised above 9 feet and the new system is elevated above the old area proposed by KND. The plan has been revised to show new and existing pipes and the hold tank has been referenced to be removed on the site plan. The pere test was done to the 1/16 of an inch and will be revised and the total depth of the design and plan has been corrected. This is also my request for a lot waiver on the east side. Due to all of the existing well radius' and the small lot size the separation distances leave only a few locations for a leach field. The wood shed has been removed to allow construction of the new leach field. Justification for the waiver is we have few options except a holding tank or the Advantex system along the east property line as shown on the site. A- l„ @i Ore r e q v. f 1„^`J 0, < (^"° S { 3- z 1 vv+1 1p, L_ . None of the neighboring lots will be impacted by this new installation and no slopes greater than 25% exist within 50 feet of the proposed leach field. If you have any question please call me at 727-8864. Sincerely Mie act N dderson, P.E. col Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 Oct. 29, 2012 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Trails End Subd, Blk 2, Lot 8, CHANGE ORDER. To Whom it may concern This is a request for a change order to the existing permit. During the excavation of the 5 wide trench, small water seeps was discovered and excavation was suspended. A new test hole was excavated in the back of the lot, see site plan. The soils consisted of mixed organics and gravel (0 to 4') then silty sands (SP) similar to test hole #1. No water was observed during the test hole excavation or from KND Engineering who perced the area back in 2007 with a rate of 48 minutes per inch. The new design consists of removing all of the top four feet of mixed soils down to the original SP, then backfilling with MOA approved gravels to 1.5 feet below grade. This proposed bed (15' x 26'), will be the same as the original 5 wide trench in elevation, see design. The west side of the lot has a slope greater than 25 percent therefore a 35 foot waiver is requested from the minimum 50 foot setback. Due to weather conditions please expedite this permit change order. If you have any question please call me at 727-8864. Sincere] Michael N. Anderson, P.E. DESIGN CRITERIA:/ MOUND OVER -GRADE (TH#2) (TH#1) o / 4 BDRM X 150 = 600 GPD FILL/ORG ORG 0 5 FILTER FABRIC SOILS = 600/3.0 = 200 GPD 200 GA 15 = 26' -1.0 1. INSULATION / -1.5 1.25"0 PIPE 4.0 Sp -4.0 (1) BED SP SEWER ROCK 1s.O' 1.5' DEEP I 0.5' EFFECTIVE 6.0 6.0 MOA FILL 15.0' WIDE ML ML 26' LONG 10 11 SEPTIC FIELD SECTION -L0NGHbRN STREET\ PROPERTY LINE i I \ + i EXISTING WELL WELL WELL II 100' RADIUS, TYP / - -- I I EXISTING HOUSE II EXISTING WELL ,_r-- 75' RADIUS, TYP / WELL EXISTING WELL 100' RADIUS, TYP f� PROPOSED ADVANTEX TANK W/ PUMP BASIN EXISTING / GARAGE =; TEST HOLE RADIUS PROPOSED DRAINFIELD TRAIL'S END )TND I '- '� •}' i TRAIL'S END TRAILS END TRAIL'S END BLOCK 2 LOT 6 \L�LOC CK I\ L ": � I BLOCK 2 BLOCK 2 BLOCK 2 LOT 9 LOT ID LOT 11 \ EXISTING OOD ' SHED HAS BEEN ' REMOVED EXISTING ADVANTEX SYSTEM Septic Design Prepared for KATHRINE WALTERS q�%4S�.♦♦ TRAIL'S END, BLOCK 2, LOT 8 _.pP��.OF ;• Anchorage, Alaska ■ s 49 H /............................................. ■ ♦♦C�+*MICHAEL N.ANDERSON. i Michael N. Anderson, P.E. DATE: 10/29/2012 ♦Vj�% 4661 NATRONA AVE. DRAWN: DJR No. C 94 9 ♦��' ANCHORAGE, ALASKA 99516 a PH 345-3377 / FAX: 345-1391 SCALE: 1"=100' �1��t,5`'a��•� v v r I \\ \ LONGHORN STREET - r r \ i WELL WELL i �00'!y� If r NOUS � J 00.�, i `l rEgOl i F r US r ---------- --------WELL AC PAVING --+ ----- r WELL EXISTING SEPTIC " i .. 5' UTILITY EASEMENT CLEANOUTS EXISTING HOLDING TANK TO BE REMOVED EXISTINGPIPE FROM GARAGE '109.HOUSE ' /-T50- - AJC+ & i / 'fS /S TERNAL PUMP \\1` BASIN 1 -\--------------- r %r 3y�h J � �. PROPOSED DRAINFIELD, LOT Y U TH#2/ j *PERTY LINE / LINE WAIVER REQUESTED m d SHED HAS BEEN REMOVED Zrj % > <\ a •:. - r 109 5/or C> /D 25 rLi N\ I \—'^� 0'& 2 35' - TRAILS END BLOCK 2 TRAIL'S END BLOCK 2 LOT MT �: ---------- Lor s — — — — — — — — — — Lor m — — — --- 10' UTILITY EASEMENT 35 FEET MIN. FROM SLOPE, ,- WAIVER REQESTED ' Septic Design Prepared for KATHRINE WALTERS �•���E �F q< �b TRAIL'S END, BLOCK 2, LOT 8 �i Anchorage, Alaska;`. 49T" • ...................... Michael N. Anderson, P.E. DATE: 4661 NATRONA AVE. DRAWN: ANCHORAGE, ALASKA 99516 PH 345-3377 / FAX: 345-1391 SCALE: 10/29/2012 DJR 111=40' Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci_anchorage.ak. us (907) 343-7904 Soils Log - Percolation Test Performed For: K q r key , Date Performed: Legal Description: 7V or74. ='rld Township, Range, Section: _ Slope t De th p P2.tL tz r� S � 1 `vr7s,c-, COO, c� S P 5- 7- 8- 10- 11 o 6(0-, O� 12- 13- 14- 15- 16- 17- 18- 19 - COMMENTS WAS GROUND WATER Date Gross Time ENCOUNTERED? D Net Drop / IF YES, AT WHAT DEPTH? e :3 CE -94:;9 i Soils Log - Percolation Test Performed For: K q r key , Date Performed: Legal Description: 7V or74. ='rld Township, Range, Section: _ Slope t De th p P2.tL tz r� S � 1 `vr7s,c-, COO, c� S P 5- 7- 8- 10- 11 o 6(0-, O� 12- 13- 14- 15- 16- 17- 18- 19 - COMMENTS WAS GROUND WATER Date Gross Time ENCOUNTERED? D Net Drop 5 IF YES, AT WHAT DEPTH? 61 If L Depth to Water After D R Monitoring? eµ.e. E .y 1 Date: 4 9 /O e, EMENIMMEMEM MENOMONEE MENOMONEE Reading Date Gross Time Net Time Depth to Water Net Drop 61 If 311 �A (0,r 31' TJ 6P r` 3 " If PERCOLATION RATE 3,33 (minuteslinch) PERC HOLE DIAMETER (o TEST RUN BETWEEN 2 FT AND V FT 2 PERFORMED BY: myr(nOrc (_t4� ic**1 n I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: -1/// 7- / // ALASKA WATER & WASTEWATER CONSULTANTS, INC. 1 SOIL LOG - PERCOLATION TEST I LEGAL DESCRIPTION: TILS END SUBDMSION: LOT 9. BLOCK 2 PERFORMED FOR: JOHN WEAVER A&vxct,n j �d DATE PERFORMED: ea7ES7 HOLE #4 1 ORGANICS T - -AND FlLL PA 3 =--- ORGANICS 4 SW/SP 5 V �'i •'�' SID GROUNDWATER 6 %10/91 699 11 ML O B.O.Fi BOTTOM 12 OF HOLE 13 14 15 16 17 16 19 20 6' DATE PERCOLATION RATE (MIN./INCH) PERC. HOLE DIA. (INCHES) TEST RUN BETWEEN FT. AND FT. COMMENTS: UNSUITABLE FOR ON—SITE SEPTIC SYSTEM. PERFORMED BY ALASKA WATER do WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFQRVED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON %10/91 oley0p "no j111111111 om 111111111 ryry11p/�/�//i�� A%", • 6' DATE PERCOLATION RATE (MIN./INCH) PERC. HOLE DIA. (INCHES) TEST RUN BETWEEN FT. AND FT. COMMENTS: UNSUITABLE FOR ON—SITE SEPTIC SYSTEM. PERFORMED BY ALASKA WATER do WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFQRVED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON Municipality of Anchorage Development Services Department Building Safety Division - On -Site Water and Wastewater Program, 4700 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: SW070293 PID Number: 015-191-22 • Steve & Carmella Younq Wastewater System: ❑ New © Upgrade Address 8400 Lonqhorn St., Anchoraqe ABSORPTION FIELD Ph" 346-2581 NahDrd aeappme 4 0 Deep Trrrn 0 Shahs TrenlT o eat 0 Mand Dom", LEGAL DESCRIPTION 6° Ital'° Taal DeM span Ullpalel Qydp f.PDd'ts Ft. eack2 Ld 8 swwe.bn Trail's End Dedh b poe m lmo eom o ano dew Gravel depth hawam Pp' Ff. FI lr r sh0 Rrge Sadm Fe atwt so,we arg" dads Gravel Lendh Ft. Ft. ❑ New Well: [3 Upgrade Gr with Nunwrd rtes Dutaloa ttatween frets Ft. FI Ctes0catm (I'Mal.. A. B, C) Taal Dapm Geed m Tael awagm r« Pp MoarW Private-Existinq Fl. FI FII D3034 Drub Doe polled Stro Wor Level kuulbr Doe M"114 FI A+ Home Services 11/19/07 Yetl Pump Soo Ca..y Nada Aoove Gaa,t TANK GPM FL FL SEPARATION DISTANCES ❑ Septic 0 Holding ❑ S.T.E.P. ❑ Other. To 1 Septic Absorption Lift Holding ublic?nvale aaar •Feely Fram Tank Field Station Tank Sewer Line Anchoraqe Tank 000 Gel Wee NA NA NA 75'+ 25'+ Materul Steel Nunoer d caeprmede 1 NA NA NA 100'+ LIFT STATION NA NA NA 5'+ ala Gel adorer FO OB m NA NA NA 5'+ 'Poop ori frvel M •Pump dt' bust el Mph eater abm el in in �•^ NA NA NA NA ak• Q Mato P.P 11,10"aam Ekct," Yupes partonnet firb�^•^ Remark. Documented &undocumented wastewater BENCH MARK Loulm.rq DsWiplm system abandoned in place per code. A/C driveway @ corner of shed Holdinq tank installed due to shallow starred Mv"7 100 FL qroundwater and poor soils. Engineer's Stamp Inspections performed by: ArcTerra Dates: 1' 11/06/07 2ne11/19/07 �Q(F;•O»•.Qt 4s II) Development Services Department Approval a�:•'e••1 Pa * '*49L •'�'���� Conditional Approval Date:.Je ......... ........... A p.. s ..•. - ... .. Reviewed and approved by: Date: �7 0 PRea ,1 `- (R.v (111%)t Ser. inee•r le-µ OFE SS er, e r. 6 AS-BUILT SYSTEM DETAILS/SITE PLAN Permit SW070293 TRAIL'S END S/D, LOT 8, BLOCK 2 PID 015-191-22 AC KEYBOX,® .. .. `.DM'..:'..,,t- :::�::, LOT 9 M£LL 00 to BLK 2 Eli CONNECTED TO EXISTING`', '_'�' .:SER, LINE LOT 7 ` , Ix N BLK 2 Ar ..•.. 11.1 C Ac 9P o o/W LL, I qcF I w L0 x4.7' II In CK x 'cf 75, N 13.2' < N KZLlII O NEW CO RAOIU$ OO HOLD INC TANK •'„'V �,'' AG X1 Z ix p :.``.'c TBY ri 't,' .'B 14.0 I 7.8 LOT 8 w BLK 2 Q N O' VI 8.8 10' UTKITY EASEMENT S89'53'34"E 89.72 SCALE- 1• = 40' N89'55 30 E 90.00 (R) SWING TIES a 98'3 FINAL GRADE A-C= 21.6' - B-C= 42.9' 'a A-D= 37.1' d 4.4 94.4 T B-D= 44.8' 4000 GAL I a HOLDING 4r TANK I 1e• � low �► `� SCALE- NTS u i��� OF ALgs , PREPARED FOR: o fr-cTE STEVE 6 CARMELLA YOUNG ` R R 4554 HOMER DR. STE. 400 ANCHORAGE, AK 99503-7501 346-25811 J ' KENNETH R: FF / FIELD BOOKS cou rn. i •e C: CE-t8 ba oaAouen- prAw,: MW sr..nc ocam KM0 a •V 0 1 . l t DAM: 01 14 08 `r'" ♦ �E: AS&•`' o tEssloN�� n s L x <B o a rXF: 2641 4.vD00N ACAO lXE: .108 Nw: 'L u[ ,vflr'�l) 07081 N October 14, 2008 Deb Wockenfuss rin CIERRA ENGINEERING AND SURVEYING, INC Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Trail's End Block 2, Lot 8 — }folding Tank Deb: We are in receipt of the On -Site Sewer/Well Submittal Comment Sheet dated, September 23, 2008. The previously existing septic tank was abandoned in place per code as stated on the inspection report. The testhole monitoring tube had no observed water levels and the holding tank was installed due to periodic seeps and varying non -percolating soils encountered during system construction. These seeps seem to be traveling through the property and the holding tank has functioned properly with adequate fill through two high -groundwater periods with no known buoyancy issues. The holding tank alarm is plugged into an outlet in the attached garage. If you have any other questions, please contact me at 868-3791 / FAX 868-3793. Respectfully submitted, AreTerra Engineering & Surveying, Inc. enneth M. uff E. Attachments: On -Site Sewer/Well Submittal Comment Sheet MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water 8 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: Oct 25, 2007 Expiration Date: Oct 24, 2008 Permit Number: SW070293 Parcel ID: 015-191-22 Legal Description: TRAILS END BLK 2 LT 8 Design Engineer: 0070 ARC TERRA ENGINEERING & SU Site Address: 008400 LONGHORN ST Owner Name: STEVE & CARMELLA YOUND Lot Size: 27000 SO. FT. Owner Address: 4554 HOMER DRIVE #400 Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99503-7501 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. -NEED MAINTENANCE AGREEMENT SUBMITTED WITH INSPECTION REPORT. Received By: Date: Issued By. _� I� Date: ° 5- 10-1 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. oi'�- Property owner(s)Steve & Carmella Young Day phone830-9600 Mailing address 4554 Homer Drive #400, Anchorage, AK Zip Code 99503-7501 Site address 8400 Longhorn St., Anchorage, AK Zip Code 99516 Legal description (Sub'd., Block & Lot) Trail's End, Block 2, Lot 8 Legal description (Township, Range & Section) Lot Size all . DO d Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field 0 Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 4 THIS APPLICATION IS AN: •I Initial ❑ Upgrade 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. & Survevino. Inc. /l (Signature of property owner or authorized Permit/Rush Fees: ' qbo _ Waiver Fees: Date of Payment: 1 c`2gIJ7 Date of Payment: Receipt Number: i 0l' %0 Receipt Number: (Rev. 11/05) October 24, 2007 ARCIERRA ENGINEERING AND SURVEYING, INC. Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Upgrade—Trail's End Block 2, Lot 8 Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot to upgrade the existing failed system that was inspected by your department with the issuance of a Notice of Violation. On October 11, 2007 one testhole was performed for the proposed system. The general slope of this lot is from west to east at a grade of approximately 3-1270, with a steeper slope greater than 2570 on the adjacent property as shown on the design drawings. We have designed our system utilizing the recent testhole (TH07-1) that was excavated for the existing 4 -bedroom house. Water was not encountered during the excavation or during monitoring. The lot is served by an individual well, located on the northern portion of the lot. We propose to install one 2' wide deep trench with an AdvanTex Orenco Package System. This system will be manufactured by Anchorage Tank & Welding to meet Orenco Systems, Inc. latest design criteria and in accordance to MOA requirements. The Drainfield Design is based on the following: • 4 -Bedroom Design Flow: 600 gpd • Percolation Rate: 48 min/inch • Category III Allowable Application Rate w/out time dosage/pump: 1 gpd/sf • Designed Application Rate: 1 gpd/sf • Minimum Absorption Area: 600 sf • Effective Absorption Area: 600 sf (4' deep by 75' long) • Effective Depth Below Distribution Pipes: 4' • Effective Depth Bottom shall be 8' below original grade RE: Trail's End 132, L8 October 24, 2007 Page 2 of 2 There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system, except as noted and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868-3792/FAX 868-3793. Respectfully submitted, ArcTerra Engineering & Surveying, Inc. Kenneth M. Duffus, P.E. Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Tests Owner/ Contractor Specs 20441 FTARNIICAN BLVD • EAGLE RIVER, AK 99577-8736 • PI1(907) 868-3791 • FAX (907) 868-3793 WASTEWATER DISPOSAL SYSTEM DETAILS / SITE PLAN TRAIL'S END SUBDIVISION LOT 8, BLOCK 2 \� LONGHORN STREET 1W .. -7 WELL WELL 1I1 TAI S- DESIGN DETAILS - 4 4 BDRM X 150 CPO 600 CPO I GRAPHIC SCALE - \ EXIST. APPLICATION RATE 1 GPD/SO .FT. / 30 � 60 , is 4 BDRM �\ HOUSE I MIN. ABSORPTION AREA - 600 CPo / (1 E,PD/SO.fT.) .600 SOFT. 4' \ 600 SOFT. / (2 1). Rock) - 75' TR�N/CH SALE: 1"e 60' \ \ I USE 1 TRENCH 75 L R 2' W a 4' D. TOTAL DEPTH B'/FROM EXISTING TE �110LE GRADE. \ i \ :LOT8. BLK 2 AOT 9 BLK 2 LOT 7 BILK 2 \� NCO PACKAGE SYSTEM - ORECK WE - ` �+III �1. INSTALL 1500 CAL SEPTIC TANK W/ INTEGRATED ADVANTEX I _ I SYSTEM. 2. INSULATE TANK, EXCEPT T1'P BELOW ADVANTEX PADS TO ALLOW EXISTING 6E x I HEAT TRANSFER. I 14V TO ,� JS ABANDONED ,II 3. NO AIR LINE REOUIREO. 4. TANK WALL BE SIZED PER ANCHORAGE TANK FOR A 4 BDRM P I RESIDENCE. 10' UTIUTY EASEMENT PACE 1 OF 4 ,dP OF ALq 141 1 * 49TH* * // 0 KEN F CE- t8 tol is w i \� PREPARED �bfEsstON�— NOTES: INSULATE IF<4' OF COVER. INSULATE ALL LINES. SYSTEM COMPONENTS, TRENCH AND TANK WITH 2' HD BURIAL FOAM. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REWIRED. THE CONTRACTOR SHALL HAVE THE SYSTEM LAYOUT STAKED BY A REGISTERED LANO SURVEYOR PRIOR TO CONSTRUCTION. THE CONTRACTOR SHALL VERIFY ALL SEPERATION & SETBACK REOUIREMENTS PRIOR TO CONSTRUCTION. SITE PLAN FOR: CARMELLA YOUNG 8400 LONGHORN ANCHORAGE. ALASKA FIELD BOOKS sou"DARr. NA STARK - NA ASDUTAT. 0703 / Dao nL ACRO FIE: COMPUTED, DRA"n KI CNECRED, KMD CAM 10/23/ aw: 2641 'I06 ""' 07-091 ABBREVIATIONS' BOH . BOTTOM OF HOLE CO - CLEANOUT FCO - FOUNDATION CLEANOUT OF - LINEAR FOOT MT . MONITORING TUBE MH . MANHOLE '1. 5WAViR. ltltzR Ak 99171-1jj, – —w of AWym Kiruna Lnu ouu"xmxa lXLol 0\U.–VOI irons LRD V4 lo–NPnC–M9T9n 0r 594.OW9 WASTEWATER DISPOSAL SYSTEM DETAILS / SITE PLAN TRAIL'S END SUBDIVISION LOT R Ri nrk 9 I / 1 FCO? CONTRACTOR SHALL VERIFY k INSTALL IF NECESSARY. LOT 7 BILK 2 KE WELL GRAPHIC SCALE 0 20 40 SCALE: V- 40' STAKE`MEL RADIUS PRIOR TOS INSTAL 1500 CAL. CONSTRUCTION- ADVANTE% A%-20 5. sEPnc 3 APPROK �x NEN 751.2'w 'D - LEACMFIELD TRENCH SYS. PACE 2 OF 4 -or `t�' �F - 4,, KENNETH UlFlu \� �I fE3stoNN\' i S:\WELL h SEPTIC - F-Wd BY LpRI\Tro:H EM AC DWELL COMIPUTED, BOIIIIDMr NA DRAM: KI STAKM NA CHEGIED: KMD � ASBNLr. 0703/65 1 , D"G IMAD. \ \ EMST. 'IDB "A: 07-081 \ A BORIA �%- \\ HOUSE DECK LOT. 8 ��BLKTa.-,.Bi \. \ o%YIN Tll If GARAGE DECK / INSTALL CO / AC '. 2 C SMT D/w . o �x 2 A. y TNOT-] � YAlu7u,.. I N �I jlx F� nY MT —5 —+ — IV UTIL ESIT VACANT PREPARED FOR: CARMELLA YOUNC 8400 LONGHORN ANCHORAGE, ALASKA / /LOT 9 BQ5 /2' / / SEPTIC APPaox FIELD BOOKS COMIPUTED, BOIIIIDMr NA DRAM: KI STAKM NA CHEGIED: KMD 1. ASBNLr. 0703/65 DATE: 10 07 , D"G IMAD. DIAD: 2641 ACAD FILE: 'IDB "A: 07-081 I\Blx" 2\LOI 8707-081 Tro:N FM R7 IR 4..,:.._0..:.. ABBREVIATIONS: BOM - BOTTOM OF HOLE CO - CLEANOUT FCO - FOUNDATION CLEANOUT LF - LINEAR FOOT MT - MONITORING TUBE MH - MANHOLE A-1-50.16 B-155.17 A-2100.05 B-2102.82 A-3-141.67 B-3-145.10 A-4-115.01 B-4-120.14 A-5-189.53 B-5-189.64 TRENCH PLAN •e v v11!!�%� •. WASTEWATER ABSORPTION SYSTEM TRAILS END SUBDIVISION LOT 8, BLOCK 2 FROM ADVANTEX V* MONITORING TUBE 4" CLEANOUT f iiiiiii 4" DISTROUTION LINE PLAN VIEW LEACHFIELD DETAILS 2' PACE 3 OF 4 OF •4Lq �1 PROFILE VIEW LEACHFIELD DETAILS PREPARED FOR: CARMELLA YOUNG 8400 LONGHORN ANCHORAGE, ALASKA NO GROUNDWATER ENCOUNTERED -zBM 14.3' O.G OG ^•.nnTSTn M. A+UA Ip CE -9116 o 4r 11 Ioh,�/sTAw `� pe ` 1\� "wESS10N Aw r¢W ll 11 CCN TED: � saRculr. NA DRAW: KI - NA acaEn KMD W N= yy "CAD RE: ,loe Na: 07-081 F tt l WFINISHED '---I GRADE (ADD UNCLASSIFIED FILL) DRG IMMID "' E1.500CAL FILTER FABRIC do INSUL ha -L— w SEWER ROCK I 75' TRENCH PACE 3 OF 4 OF •4Lq �1 PROFILE VIEW LEACHFIELD DETAILS PREPARED FOR: CARMELLA YOUNG 8400 LONGHORN ANCHORAGE, ALASKA NO GROUNDWATER ENCOUNTERED -zBM 14.3' O.G OG ^•.nnTSTn M. A+UA Ip CE -9116 o 4r 11 Ioh,�/sTAw `� pe ` 1\� "wESS10N Aw r¢W ll 11 CCN TED: R , �y� 04k 4.yD stfi• d°,, 4 Ak 00577-1111 saRculr. NA DRAW: KI - NA acaEn KMD 0703/65 DAX 10/23/07 DWG nmD7ro: 2641 "CAD RE: ,loe Na: 07-081 HELL k SEPTIC - Red B7 1.0901 rob EM SuDO\Block 2\L01 B\07-081 S..t� 1UC— n.ma e,.,. o..:.- — INLE AdvanTez Treatment System AX 20 Series -Mode la TRAILS END SUBDIVISION LOT 8, BLOCK 2 INLET PACE 4 OF 4 PLAN VIEW ADVANTEX FILTER AwQ�: OF .4Lq , 9 TH*1 SECTION VIEW PREPARED FOR: CARMELLA YOUNC 8400 LONGHORN ANCHORAGE, ALASKA I, KENNETH I�. U�qU r FlELD BOOKS cawrza 1 C``E-,71 1 v ���/� earoutr. A oa..c KI b1k1� 2 / s.wwc NA dam KMD ' Air. 0703/65 DArz' 10/23 Or- n , oero 2641 AM Mr: 07-081 IETURN FILTRATE A. TANK DIA. RISERAID DISCHARGE FILTRATE /8"/FT.) ABOVE GROUNDWATER AND 4+ FEET ABOVE BEDROCK. BIOTUBe PUMP - ..,.­� — .11w os cno w.\D�MK I\wt o\tro—vet x0ue wmgn—oatoa Zona NeWeeO.e•q ACIERRA ENGINEERING AND SURVEYING, IN SOILS PERCOLATION TES' Performed for: Carmella Young Date Project: TRAIL'S END BLOCK K 2 LOT 8 TEST HOLE a T11 07_1 Dcpth (rCC1) SEE ATTACHED SITE PLAN 15- 16- 17- 18 - FILL -- Org/gm/ollpt SSI— w/ ml lensc GiiMM - less dense/better material than SM above damp Q.O.11. HOLE PRESOAKD PRIOR TO TEST FOR HOLE, LOCATION Was Groundwater encountered? NO What depth? NA Depth to water after monitoring? NO Date? 10/18/07 Reading Date Gross Time Net Timc Depth to Water Net Drop 1 10/12/07 1:00 6- 2 1:30 30 min 5 2/16" 14/16" 3 1:30 52/16" 4 2:00 30 min 47/16" 11/16" 5 2:00 47/16- 6 2:30 30 min 3 13/16" 10/16" 7 8 9 10 1 12 Water Added Percolation Rate 48 (mien) Perc Hole Diameter_ " Test Run Between 53 feet and 6.5 feet I, Kenneth M. Duffus, certify that this test Was performed in accordance with all State and Municipal guidelines in effect on this date. AR(TERRA ENGINEERING AND SURVEYING, INC. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: TRAIL'S END BLOCK 2, LOT 8 GENERAL: 1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a single-family residence on the referenced property as delineated on the attached Municipality of Anchorage (MOA) permit and site plan. Construction shall be in accordance with the approved site plan and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 2. ArcTerra Engineering & Surveying, Inc. (ArcTerra) assumes no responsibility of the accuracy of the as -built survey provided by the owner or owner's representative. 3. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or use of dwellings on or adjacent to property, nearby public wells, etc. 4. The contractor shall be responsible for locating any necessary underground utilities, easements, property lines and surface water. The owner and/or contractor shall ensure, if deemed appropriate, that a registered land surveyor prior to construction flags all setbacks. The contractor shall be responsible for verifying all pertinent separation distances and component layout. 5. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 6. The MOA Development Services Department On -Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK / HOLDING TANK / LIFT STATION INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent damaging, settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade. 4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two TRAIL'S END B2, LS October 24, 2007 Page 2 of adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. 7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when them is not enough adequate soil cover to resist buoyancy forces in high -groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCWDRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed -up) before gravel (sewer rock) placement. 2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturer's specifications and MOA requirements. MINIMUM MATERIAL SPECIFICATIONS: 1. A MOA approved septic tank manufacturer must construct any septic tank proposed for installation. 2. The following pipe materials are MOA approved for use in septic system installations: Type of Pipes Perforate Eau Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PFI (907) 868-3791 • FAX (907) 868-3793 TRAIL'S END B2, LB October 24, 2007 Page 3 ora 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 37o passing the #200 sieve. If deemed necessary, a sieve analysis should be performed. 7. When sand is being used as a filter material, its gradation specification must conform to current MOA or ADEC requirements. INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached MOA permit. All materials, components, and construction practices shall comply with the MOA's and the State of Alaska's latest ordinances, regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to notice a material or construction non- compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing between the contractor and ArcTerra. ArcTerra shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the MOA. ArcTerra 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. ArcTerra's inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGE HAVING READ AND ACCEPTED THESE SPECIFICATIONS. 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577.8736 • PH (907) 868-3791 • FAX (907) 868.3793 GPrNTER ANCHORAGE AREA BOROtl`'H HEALTH DEPARTMENT :. D 153 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 ,N INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING 3�5! NAME DAA oeAZ EZ 4--2' ADDRESS.QnXL��4 "Jul 'l PHONE:��uS i LOCATIONl-Uf�i� �l'//1�l'`f LEGAL DESCRIPTION LDT�/�IXZ._ T.,('A/L.I B✓y. Sc Y.. SEPTIC TANK: UMBER OF DISTANCE FROM WELL ,.91,7 / MATERIAL Gc-"'I/e15 COMPARTMENTS / LIQUID CAPACITY �-s�tn GALLONS. INSIDE LENGTH %/0 // INSIDE WIDTH le // DEEPTH ! // SEEPAGE SYSTEM: SEEPAGE PIT: / NUMBER OF PITS / OUTSIDE DIAMETER— OR WIDTH �s , LENGTH �'� , DEPTH F' Y ' G/A�'T.c7✓ / q c LINING MATERIAL ��'/✓��' f �'�l� . DISTANCE FROM WELL f�-3 , BUILDING FOUNDATION � NEAREST LOT LINE o�0 � 70TAL EFFECTIVE ABSORPTION AREA (WALL AREA) _Z6'o S0. FT. TILE DRAIN FIELD: DISTANCE FROM NUMBER OF ABSORPTION AREA BETWEEN LINES SO. FT. LENGTH OF EACH TOP OF TILE TO FINISH GRADE DEPTH OF FILTER WELL• LOT LINE DISTANCES: 70TAL LENGTH NEAREST LOT LINE , OF LINES TRENCH WIDTH TOTAL EFFECTIVE IN. ABOVE TILE /. DISTANCE FROM / WATER TYPE-4<//�DEPTH_9 -,BUILDING FOUNDATION. SAMPLES, NEAREST / NEAREST SEPTIC / SEEPAGE / /OTHER 4— � , SEWER LINE .TANK_, , SYSTEM, CESSPOOL , SOURCES_ DIAGRAM OF SYSTEM 4 . W,1410 I .i DATE ''a APPROVED �'�"` HEAIIH AU IHONI IY (ter) 7J" 17 6v' L7'1. �,�0,-�i�-fi 6ia.w.G�s �.C+�.i-�.di-,si .aLi�`l'c'� ./.�:��s+� s✓�.-✓-97�.Ni J _ e ceee-++o-z GREATEN ANCHORAGE AREA L3ROUGH Case No. HEALTH DEPARTMENT ✓ 327 Eagle St. Anchorage, Alia a 99501 _ 27C9\- F 11 V � .. il SEWAGE DISPOSAL SYSTEM,=APPLICATION & PERMIT . ., 3Uq-ag4o NAME OF APPLICANT ,Z241_D,d�� MAILING�ADDRESS -091 PHONE N0. ) RESIDENCE ADDRESS LOCATION OF INSTALLATION LEGAL DESCRIPTION Tra LLS EMD SUhd APPLICATION TO INSTALL: SEPTIC TANK SEEPAGE PIT ''� , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH 6f L F TO BE INSTALLED BY /sL�BAN'n'P 2�Liir .t/o 1XQ PERCOLATION TEST RESULTS AIA ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS AR 1 PA /51' E K , PERMIT TO INSTALL A'Y e� AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED h&_t-z!1 STEL oG /,SX/.S TYPE SEPTIC TANK SIZE 20 TYPE SEEPAGE AREA DIAGRAM OF SYSTEM DISTANCES: ukLL_ 1D - 1T,+NK- so' 2)0M18—I06' Health Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28-68 and that the above described system is in accordance with said code. 1____7 DATE "d1�/� APPLICANTS SIGNATURE Municipality of AnchorageAP On -Site Water and Wastewater Program M z (907) 343-7904 5 E Certificate of On -Site Systems Approval Parcel I.D. 015-191-22 1. GENERAL INFORMATION: Expiration Date: /'/ 1-1_2 C)2-?-- Complete )2Z Complete legal description TRAILS END; BLOCK 2, LOT 8 Location (site address) 8400 Long Horn St. *Anchorage 99516 Current Property owner(s) Joe Saxton Day phone 350-0423 Mailing address Real Estate Agent 2. TYPE OF DWELLING: © Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -550 Date of Payment i %' 2 - Z l Receipt Number COSA# 10SG211736 Waiver Fee $ Date of Payment Receipt Number Waiver # 0 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or 4_7 Ur �4`�' encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, / groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and •.""' "'. .... .. """"' ^' are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of . • • . • • • • . • • • • • . • the well or septic system. GEG makes no representation whether an alternative well or septic system I ' _J F r,a /� A. cr ess., can be installed on the property in the event either of the current systems fail to perform adequately in Q�9. CE—53 ••' G` the future. The content of this report is for the sole benefit of the person/party that retained GEG to Q sr perform the evaluation. Reliance upon the information provided in this report by any other person orP^ party (including subsequent property purchasers) is not authorized, nor will it confer any legal right 4�Oc a�ofess%O, whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: Original Certificate Date:_ ZQ Z Z 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_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other C wiredis Legal Description: TRAILS END; BLOCK 2, LOT 8 Parcel ID: 015-191-22 if more than 1 septic system on lot: COSA Checklist # of Structure served by this system g L DATA C9log is filed with Onsite (or attached) Date drilled UNKNOW Total depth *97 ft Cased to *40+ ft ❑Q Sanitary seal is functioning correctly On Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 12/2/21 Static water level at beginning of test 45.5 ft. Comments *RECIEPT IN MOA RECORDS DATED 11/20/12 B. TANK DATA Age of tank(s) 9 years Tank type/material SEPIIGFIBEF Measured operating fluid level in septic tank Al Standpipes/foundation cleanout per record drawing Date of pumping SEE ATTACHED MAINTANENCE D. ABSORPTION FIELD DATA Well production at time of test 2.3+ Spm Water storage tank volume 6011(2x31111) gallons Well disinfected for coliform test? ❑ Yes No FEI Coliform bacteria is Negative Nitrate 2.89 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑Q Arsenic less than MRL (ND) Collected by GEG Date of Sample 12/3/21 C. LIFT STATION ❑W Required maintenance completed Age of lift station 9 years Lift station material FIBERGV Comments: ADVANTEX ALSO HAS PVC PUMP VAULT Which system tested (date installed) 10/31/12 Adequacy test date 12/2/21 01 ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade 4.83 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade ft (min) Water added 610 gal n N/A —pressurized field New depth 2 in n Monitor tubes go to bottom of effective. If not, state Elapsed time 20 min depth into effective' � Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) N/A Gallons introduced gallons If yes, enter date N/A Comments/Deficiencies.- `MONITORING TUBES SET TO THE SAME ELEVATION - BENCHMARK NO LONGER EXISTS COSA Checklist yellow sheet NONE V 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 ❑✓ Yes *501+ Sewer Manhole/Cleanout > 100' Wells on Adjacent Lots: ❑ Yes if No ft 7 Yes if No ft Neighboring Tank > 100' ED Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No *50t+ ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' *AWWTS 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 *50'+ 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 *501+ ft Water Main > 10'✓❑ Yes if No ft Community Wells > 200' 0 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' 21 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' M Yes if No ft Private Wells > 100' ❑ Yes if No *50.+ ft Water Service Line > 10' Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water> 100' ❑ Yes if No *50+ ft F. ENGINEER'S COMMENTS *AWWTS G. ENGINEER'S CERTIFICATION / certify that / 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. COSA Checklist yellow sheet C-): q !, �! J f . y ess,' 9• ' , CE— 953' v���p�e f ession°ao ,IAECC884 MAN) 05/10/2021 09:20 8686770 0510612021 11:11 Am ihome Tank ■ so ■■■ ■ as ■■■■ A■ ■ on won ■ ■ ■ APLUS 411 435 ■ ■1M1A1•■■■ ■■■■N ■ ¢AX)907 277 371 S on ■MON M R ■ ■ 1 trr � ■ ■ � A � as PAGE 04 P.0011001 Ivan1'kW Field Maintenance Repack AnchorageTank Start -lip SL mmary Report 907-2723543 Properly Dwnadt ftbk;rp N —Oporotar----•��-- I Inkwo Joe & Shanel Sa.ton Larry Betts l Sita AAr)maa Rln.l-ltu Onin K 8400 Longhorn ::reet, Anchorage AK 99507 RTU126269 � Phvnn Numbvr Pnrmlta MOtln ;;Rdwamt ocaupanls orrupanny Dalt. (907) 350-0423 C rlhergiess E) othbr Mnnuractu2�r:_ . Mode 1 B 3 II using a seosr8tp,,Ser c Tank ctnd Racirc Tank, complete Lho foliowinft: ❑ $oplicT®nk(^ _gal.) ... . CDn'ltrll.tion - - n Concrete �_ Fibelplatrs ❑ or}ter M9,iufoctaror:— - - pocippor/enpinnar phono lnntalar Phvno Michael Neal An erson, P.E. 907-343-5229 Michael Ideal Anderson, P.E. 907343-5229 Ch-ouit txreAar» areon anti trol panel is latched. AllvnnTnr annIN Pham 2723543 FIrwotiniM Phnna Anchorage Tank :Linc. (907) 4n. •in. Primary 11realm erl . Panc(iD (ftrlJ or UL S) It using a 21ep3R Procez ingTantc, cemplete the folbwing: C Pruce99ing Tank RTU126269 0 0 Sepl.ic MAime (_ , _ a l.) Recirc Volume ( _ W1.) C=alntadon -❑ CO3,vrGje., C rlhergiess E) othbr Mnnuractu2�r:_ . II using a seosr8tp,,Ser c Tank ctnd Racirc Tank, complete Lho foliowinft: ❑ $oplicT®nk(^ _gal.) ... . CDn'ltrll.tion - - n Concrete �_ Fibelplatrs ❑ or}ter M9,iufoctaror:— - - I_ ReCirc Trmk (— ._ gat.) construction []Concrete CFiborgloss ❑oilier Ch-ouit txreAar» areon anti trol panel is latched. ,ForSPrviCh Coll -lapel with +,Alone A was affixed 1c. panel, M� Hatlao+rvner P{ ckagP �Nas reale C Pump Modal• C FlnaM cet praper(t At -in. 4n. •in. Secondary TYeatn =ant FiSV setting: �, � Win. Residual heed me :anorient Pod ki „5-7— -iil, Pod vp . -irl. Pod 43 n:acharg[:Tank/r3: :in ( oti.) Construction ❑ Concrete I„ . Fiborpinas ❑ PVC (Basin) MAnufactutvr— f_ Pump Model: _ f Flon(i set properi; at -in. -in -in. 47�zl •In. Discharge pump f nv rata (driwdoWn teat): ( __ ppm, (•_ Diseha,ge pump c .ts-: volume: (�gatJtloo<:} Comments __----_-, ] Control Panel Panc(iD (ftrlJ or UL S) "on' T'mterSetting Off" Tiny Styling RTU126269 0 0 Filter Pods Pod k1 Serial No. Pctl Y2 Serial No. Pad 03 Sema( No. 415389 Other System Components � IJ Dlsinfeotion ogtaprncnt (manufectlrer)t ❑ t}ispersal systom (tYp:; �xQ: ao'e 5tort-Up Protc:dul+: xras ionawech „� • FOo QM secured. ,� Ch-ouit txreAar» areon anti trol panel is latched. ,ForSPrviCh Coll -lapel with +,Alone A was affixed 1c. panel, M� Hatlao+rvner P{ ckagP �Nas reale CJ Buaarr an dale) � __.... ❑ Reslderr�(data) The system ii ready for �eje �l Yes ^I NO (explode) �'ax pleted irolli1<I to 1-1366-$84-7404 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this -7Iq Day of bFXC-mBEg- of 20 al , by and between _8R-Firab0`j A NtitvNAN D"Oe-- , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced 4'Vastetivater Treatment Svstems, The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AN A©uANT6K SFpT« SyTrf &A located at (legal description) S`{00 t 4"c, !4Oe4Q s 1?1?S07 2. Maintenance. Repairs and Alterations. (Owner is required to read, understand and initial each section) t_3b Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically 5400 to $600). igh Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Pagel of3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. _ b Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC I4.60.030. 6b Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. 81) Owner agrees that any sate or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. JjD Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guideiines for the construction, maintenance and repair of the Owner's AWWTS. -Bb Owner agrees to maintain remote monitoring of the AWWTS as required by the AW VTS approval. 3. Term.. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title_, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver, The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shalt be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By:_. i3" n` (signature) Date: 1917lp-! BeAt'i bory (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this -11"" day of Qom, 20Li , by JCSSI v5 Hjj �'�G I�^�UTARY PUBLIC FOR - SKA __� A...... ' V y Commission expires: i i V-2-02[ ��✓• NOTgRy•'��rk�', '; q -,P r'UBLIG CV. 0 " S C— . MUNICIPALITY•'`,,��i �••' "•.5 Q`r o a • / �cExpires• . -- (signature) Bate: �Z (print name) Title: (rev. 05/18/2018) Page 3 of 3 • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D.r 1. GENERAL INFORMATION Complete legal description Expiration Date: J Location (site address) AVC90 L-one. �v ryj Current Propertyowner(s) 0 a,rtie ww/ -r4-5 Day phone Mailing address 'Real Estate Agent Day phone 2.TYPE OF DWELLING: Single Family (w/wo ADU) Duplex 171 Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Full individual a Individual Water Storage Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ I loom Received by: a/l� Ii C off- r/ Date: o ��s .COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ v WaiverFee $ Date of Payment f/ / Ot /e2 C�c, Date of Payment Receipt Number 00 16 5' or Receipt Number COSA # V ✓(-' 10 l 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 m �r(� K i rW4- 0, C. Phone .3 us 31 Address h( J ra ,&, rr�. Engineer's Printed Name Mr e �r t / �t c� -V4641 Date (to / 6. DSD SIGNATURE System #1 Approved for --q bedrooms. System #2 Approved for bedrooms. Disapproved. Conditional approval for OF, OW 00* 49Tr+ /.... .............. MICemihNDERSGN i' ' CE 46 bedrooms, with the following stipulations: By Original Certificate Date: Th unicipality 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 COSA blue sheet9-1-12doc If more than I septic system is on the lot: COSA Checklist # . of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: 7'✓oJ4 Pn (3 2 LvFit Parcel ID: Gl ui-(4 (^ 2 Z A. WELL DATA Well type it IV 01 G If A, B, or C provide PWSID # Well Log (Y/N) Date completed uNkkwwyi Sanitaryseal (Y/N) Wires properly protected (YIN) Total depth CUD ft. Cased to f NO ft. Casing height (above ground) min. FROM WELL LOG Date of test Static water level ft, Well production g,p.m, AT INSPECTION ro3d�2� 2 g.p.m. WATER SAMPLE RESULTS: Coliform _0—colonies/100 mL Nitrate (21 -2"S-/L Arsenic __0_ ug/L Date of sample: /I LJ41 71 Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material �, �? r4 l o S Tank size (( �t9. gal. Number of Compartments 'L - Foundation cleanout (Y/N) Depression over tank (Y/N) IU Date of pumping A( Y tA9 Pumper Date installed / J ' WI - Cleanouts (Y/N) High water alarm (Y/N) V C. ABSORPTION FIELD DATA Date installed _106 I i Soil rating (g.p.d./ft2 or ftZ/bdrrn) lir 4 System type wan -i!: K Length 2 L ft. Width t ft. Gravel below pipe 0, ft. Total depth_ ft. Eff. absorption area 1?0 fl? Monitoring tube Y Depression over field Date of adequacy test J �� ti� Results (Pass/Fail) / For ( bedrooms Fluid depth in absorption field before test —� in. Water added gal. New depth in. Elapsed Time: --- min. Final fluid depth min. Absorption rate >= /�' g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) i If yes, give date D. LIFT STATION Date installed "Pump on" level at TO in. Datum RO&1uvrk E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot _ Absorption field on lot Size in gallons ('s 44) "Pump off" level at Z r ( in. Cycles tested Public sewer main 1`( 1//, Sewer /septic service line S:� 0 1 Animal containment areas r' UO 4- Manhole/Access, (Y/N) V High water alarm level at `3 !o in. Meets alarm & circuit requirements? Y_ l� On adjacent lots On adjacent lots _ d 14— Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas l UO 6 SEPTIC/Hq;OWG TANK ON LOT TO: Building foundation y f Property line Z J Absorption field Z&) _'f - Water main Water service line /JD Surface water lV U r -- Wells on adjacent lots Iy U 1 �— ABSORPTION FIELD ON LOT TO: Property line 7 r7 14— Water yLWater Service line ly U 14 -- Curtain drain Ln hwvwA . F. COMMENTS G. ENGINEER'S CERTIFICATION r Building foundation 7 .(- Surface water (0 d r �— Wells on adjacent lots t rid t� IF 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 onthisdate. Engineer's Printed Name n/Tt 74 a; -e' l ,k(Xi tl �r 1P&4 Date 114, 6(//( y COSA brown sheet 10-10-12.doc Water main Driveway, parking/vehicle storage ZJ 1 O F. A (� a. Ak � VA 04 49 ;0.1.. gf+ MICHAEL N.. ANDLRSGN .A N pt N O i gCHQZ 0 0 m� P$0 �3 (R) N W z z O 107.0' N max Fn a N � 0 �� Z � A 01 �zz I 00 N 30' 30' I (n N00°02'45"E z W x 298.68' 300.00' (R) z z O 107.0' N max Fn Cfl L� D Z � A 01 0000 CO CO N \O F n j m C'ON V/ cn q a�� x J 7 0 11.0'9 C CO T CA 0 • ���.. w =o, 18.3' p _ CD " C hI FTI fel QO z �� r r O O ti 36.9' C � y o� pco O� o C) Q pooco (� C� N 00 Nol _ N rn ' �j 5' UTILITY EASEMENT X—X—XX— W_ 42.7' I 1 rn N00°02'45"E 299.36' 30 .00' (R) I —I ED F- 00 ®m n � iv AAROW PUMP & WER SERVICE, LLC k/ j]IfV I'll0 F, Cl P.O. Box 110496 Anchorage, AK 99511 0� NO. 9621 Office: (907) 346-9355 • Fax (907) 345-0202 4.2 Eagle River: (907) 622-9335 CUSTOMER JOB SITE L J L.._ . ---� INVOME DATE WELL UU-E�Pin I 8wl DILL 0eirvA; EO PUMP DEPTH SALESPERSON 3Y rf t OUANTrrl PRICE AMOUNT / jDESCRIPTION' ''.aC%Z✓✓� ._ P7t/�-a�-.._.6 ...G9t;...,/ ._.la/s�!;7 f.G.l _._ -. 1�•-�Q_>+� - __.. __! �1 ,_._.;.d./. _.G✓/,.'='.'s..tJ e:5 .6 i.R>CfY?G£C'ij� ? C7! YiCY CYG3T`, (jAS TCl T�i � r✓ Y �Lr? fZ. e . e cr n LABOR HOURS RATE AMOUNT TOTAL MATERIAL /Z /6 J 06s TOTAL LABOR z j. oy-1� WORK ORDERED BY DATE COMP. TOTAL LABOR PAY THIS AMOUNT Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above Work is not paid for in 90 days I agree to allow Aarow Pump & Well Service., L.L.O. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS.