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HomeMy WebLinkAboutBERNARD BLK 3 LT 11Bernard Block 3 Lot I I #060-321-32 Municipality of Anchorage '�- Irl ' - Development Services Department _11q j jt Building Safety Division ,. . Onsite Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW030185 PID Number: 060-321-32 HMn'Wastewater MaEy Anne Tipton System: ® New E]Upgrade Actress 18687 Hiland Rd., t River. AK 99S77 ABSORPTION FIELD pl 0 N• W of 8ea 11 SCIS-111077 I 17 Dep Twich 10 Sn Tr O Bed O Mand O Other LEGAL DESCRIPTION sd RMrq Taal Dsgnrpm Mp.vY pals 1.2 cpoiFt' 6 Ft. Bbck'. Lor SWdndan: Depth b P" Baan earl agnM 9r Gra depth M hp" 3 11 Bernard 3 Ft. 3 A Tp q RMpe: Swim: FJ added MIMa aproi pM» or" Urgth. Var. 0.18-0.52 Ft. 60 Ft. Well: ® New ❑ Upgrade G,a wart 5.0 NunpM a flea 1 DnMea UMwsan Pres. Ft. Ft. Cmf.M"M (Pimme, A a, C): Taal OWN Cased to: Taal ab,"Mee. Pp MMenM. Private Ft. 44 FI S17 Fr D3034 & F810 Drabr. DMB Dr SIMK WMM L" h Iw DMe Iro w Sullivan F, RPC 6/12/03 Y,.a Puny Set M Cn+q HepM AD Grand TANK cPM unknown Ft. 2 Ft SEPARATION DISTANCES 0 Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Lift Holding PublrjPnvat .w.KturM. ap• y From Tank Field Station Tank Sewer Lina Anchorage Tank 1000GM wee 100' 100'+ NA NA 25'+ M.'.1 Steel Steel maaa. 2 SadapewatM 100'+ 100'+ NA NA LIFT STATION WL. 5'+ 10'+ NA NA Se. K.w Fa 5'+ 10'+ NA NA ump °" M Ma u pa NvM •1 yn welts awmM ndetm h in in Dr.n NA *50'+ NA NA Punp Mah•BMWM Ekarcal lropwa ,iid a by C~ BENCH MARK no *none known aatm and wenn. Absorption field parallel to slope Top of sana tube Assumed EN Wan 6LO SYsiewl ABAa0Lh2�Q IN Pt/KL PM cCPZ . 100 Fl IEL40 tat+ MM WA'{2TLl )"1Z S Engineers Stamp OF 1� A4 moo00 Inspections performed by: KND Engineering Inc.Dates: 1st 6/12/2003 2 nd 6/13/03 • .ew•• ,•, K. oath M. Duff y Development Services Department Approval a 8110106 W I� s ;� 1 Date: %'2' D Ij; 9�c0••8•'�Fi��' Reviewed and approved by: �,` (Rw 12m) OFE AS -BUILT SYSTEM DETAILS/SITE PLAN BERNARD S/D BLOCK 3, LOT 11 N — INYS63(fE 2oLLo0' 1. — — 'RESERVE LOT 1 II I K 'FIELD I I1 I / _ FIE D COARY 1 / MT xF _ I TH03-01 C /l H CbF�SFM�TF e—i \ 0 60' GRAPHICS SCALE SCA E: 1:60 A -C-71.57' B-Cs47.63' A -D=75.09' B -D.49.33' A -E-87.97' B -E-71.24' A-Fs43.61' B -F=68.77' A -C-114.52' B -G-84.55' A -H=109.1' B -H=79.57' Permit SWO30185 PID#060-321-32 18 � _�D—� M11f� ANT � rI i �0 \�TH03-02, TBM I / HOUSE I I I OUS G VEL / �I 5.8 9.1 FINAL GRADE FILTER FABRIC 1000 GAL SEPTIC 5.6 TANK SEWER ROCK r OF AL qs�'1 PREPARED FOR: MARY ANNE MPTON 18687 EAGLE RIVER. AK 99577 (907)696-8077 -8 " '/ FIELD BOOKS come Tm: /V / ba / B0uN0"" . FLEMING GRAM. rsIT1 11\ („/O_ -0, sTMWM INECKED:KMD 0 rl40�0 AST' SCHULLER DAR` 04/12/1 �bFEsslo�p= owa FXE, CM: SW253 AGO BLE: JOB ` 03-017 WELL & SEPTIC — Fled By Legol\BERNARD SUBOIN9DN\Block 3\LOt 11\Owg\03017 csb.Awg c -i VARIES 0.5' SCALE: NTS PAGE 1 OF 1 !.E D ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 868-3791/FAX (907)868-3793 r-' ... 1... ...•+rr•y..... .. s--..+-..-...-a.--ax.....,....��....,«.=-r.,w�..v�+sM'...wt..n........-.....-T.,a-,�--..v, �:�.+.:w na v+c+.-^":.'+ee':. Certifteb �rttthlg K09 by Me co. ow SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 688.275 OWNER OF LAND: �%%'� R!J! J Ti r� TO, ADDRESS: LEGAL DESCRIPTION: tF A,j ! ''DATE: "PERMIT NUM, BE O �o [ ` S Dade of isSut -1 3L3 ICX IDENTIFICATION NUMBER: 01, 0 — ls well located at approved permit location? es J No `» 4. Method of Drilling: it rotary U cable tool Depth of well: /L Casing Typezlr• r Wall Thicknessy inches Diameter , / inches, depth feet Liner Type: Casing Stickup Above Ground: feet Static Water Level: P feet Recover Rate: gpm Method of Testing: Well Intake Opening Type: J open end U open hole 'J Screened;-.; ,Start feet_. Stopped feet, (� erforations Start leet Stopped feet crfl`, 7�L/3t. Grout Type: Volume Depth: from feet, to J feet Well Disinfected Upon Completion? C.Pres :1 No Method of Disinfection: QI-e L r ,,.,,= o .� /,f Comments: Driller's Name /7 r . r.-----�' ATTENTION:. jt is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. 06/05/2008 09:27 FAX 907 Jia 7997 _ ON SITE 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 995196650 www.ci.anchorage.ak.us (907) 343.7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To NK D ENG Legal description: BERNARD BL3 LT1t Q001/001 The attached paperwork has been reviewed and is being returnedt� ingreasons, G- ® -TAX RECORDS INDICATE PROPERTY HAS A DUPLEX. (/� -HAS THE EXISTING HOUSE ON THE SITE PLAN BEEN REMOVED? AND IS THERE AN OLD SEPTIC SYSTEM ON THE SITE PLAN THAT STILL NEEDS TO BE PROPERLY ABANDONED? NEED SEPARATION FROM SEPTIC SYSTEM TO WATER LINE. PLEASE INDICATE REQUIRED MINIMUM SEPARATION FROM WATER LINE ON SITE PLAN. .S,!�9l7 7-IC411 io"f 15ZO*t Lr/,! t�K G/n E ET �*�T • % Name of reviewer. !OE Date: January 17,2007 & 7,2007/ please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK - / 2 /G �j "� � / ri IJGf 7 7J Dr'�E 4 Nil h4,cEb CoM�+eivT' Snt�E j 03- 0 r-7 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 ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number: SW030185 Legal Description; BERNARD BLK 3 LT X11 Design Engineer. 0070 KND Engineering Owner Name: Mary Anne Tipton Owner Address: HC 85 BOX 9241 EAGLE RIVER. AK 99577-9401 Date Issued: Jun 12, 2003 Expiration Date: Jun 11, 2004 Parcel ID: 060-321-32 Site Address: Lot Size: 53000 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 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. Received By: Issued By: Date: Date: 2 - Municipality of Anchorage .a Development Services Department Building Safety Division .� On -Site Water and Wastewater Program " 4700 South Bragaw St. `" "' P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 RUSH ON-SITE SEWER/WELL PERMIT APPLICATION i; sif FOR A SINGLE FAMILY DWELLING Parcel LD060-321-32 Permit Number;sW030/85' Property owner(s) Mary Anne Tinton Dayphone 269-4871 Mailing address (1) 24100 Rambler Rd., Chugiak, AK 99567 rUa" address (2) /868% N/LAND gong lip Code 99567 Legal description (Lot, Block & Sub d) Bernard Rlock 3 lot 11 Legal description (Section, Township & Range) Lot Size 53000 Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms Sewer Only ❑ Well Only ❑ Sewer and Well ® Water Storage El Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi Q 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. of property owner or authorized agent) Permit Fees: Date of Payment: &r/Z/,03 Receipt Number: 3(oI(o (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: 1KINID ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 June 12, 2003 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New septic/well permit — Bernard SID, Block 3, Lot 11 Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot. On April 23, 2003 two testholes were performed for the proposed system. The results of these tests are attached. The general slope of this lot is from south to north at a grade of approximately 15-25+%. We have designed our system utilizing the existing testholes that were excavated for the proposed 3 -bedroom house. The lot will be served by an individual well, located on the northern portion of the lot. Adjacent lots are served by a community well. We propose to install one 5' wide shallow trench. Water was not encountered during the excavation or monitoring. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111 Respectfully submitted, T211 J Engineering, Inc. enneth M. Duff , Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test Excavators/Owners Specs WASTEWATER DISPOSAL SYSTEM I BERNARD S/D BLOCK 3, DETAILS/SITE PLAN LOT 11 1-113 STAMO: 4 ASuEr. 187.96 DRO. rBE- aw. CW7SS 3A o 0 $ 0 0 �? 'W $ 124.59 150.00 938' 585.00 72-80 20' Alley Ig Op S89'56 20G.D0 & 6 N7 6 S, i W ! VACANT r 12 1 (92-89) 1ptp, -108) 8 s 10 h ® R Z (91-106) Rh Un ERrrt S89361301w 200.00 ,r. 200.00 yY-T -W 187.81 ly 36 w '+S89'5636*W 120158 71 41 NO PUBLIC 1011E MMM 207 Or PROPOSED EYSTOL NO PRIVATE MLS HYMN 207 Of PROPOSED SYSTOA EXCEPT AS NOTCD. NO WPM EYSMIS MMN 207 Or PROPOSED RE1L EXCEPT AS NOTEA Rn OF %TH A z j -"A+•E33tOt� DESIGN DETAILS 3 BDRM X 150 GPD - 450 GPD 450 GPD/1.2 GPD PER SO. FT. (2.54 MIN AN.)- 375 SO. FT (375/5'(W)) X .58(RF) (3.0' GRAVEL) ee 44.0 FT. TRENCH USE 1 TRENCH — 50' (L) X 5' (W) X 3.0'(D) Total depth of system Is 6.0' from original grade. Total depth of gravel below distribution pipe Is 3.0' . NOTES: 1. INSTALL 1000 GALLON SEPTIC TANK. INSULATE TANK IF <4' COVER. 2. INSULATE TRENCHES WITH 2" HD BURIAL FOAM AND 2' COVER OR ADDITIONAL FILL WILL BE ADDED TO ACHIEVE 3' COVER IF REQUIRED. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS k SEPTICS, LOT LINES, AND OTHER REQUIRED SETBACKS. PREPARED FOR: MARY ANNE TIPTON 24100 RAMBLE RD. CHUGIAK, AK. 99567 (907)269-4871 FIELD BOOKS I Camulm a1OlXmMM.puha: STAMO: tN<a� KMD ASuEr. DAM' 11 NO DRO. rBE- aw. CW7SS "AD F L' 03017.DWG I •°B "" 03017 Scale: 1"= 100' PAGE 1 OF 2 ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 1 WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN BERNARD S/D BLOCK 3, LOT 11 20' Alley 200.00 00.0 78.26 KD ~ PRIM FIELD sEPncui � Fk'st�9 O cA1. sr. �0te� sas 32 s g0i N sit ftP W 0 1-108) O M PROPOSED 16 O 1 O M 3 DDRM HOUSE E7p5(1NO N HSS O R u0 LJ 108) N M o ••�•�ja 0 200.00 0"W 200.00 91.105 S 05 �1 6'36"W 120 — S89'56'36"W 1203.88 71 93 i OF ALgs 1 PREPARED FOR: MARY ANNE TIPTON 24100 RAMBLE RD. Scale: 1'= 50' CHUGIAK, AK. 99567 PAGE 2 OF 2 (907)269-4871 >�Hxerx y D HELD eoacs � m END ENGINEERING sas+o•nr. m•w CE —7118 � / 1, 20441 PTARMIGAN BLVD. sr, c C"' ®- KMD AW SStOTLN' I EAGLE RIVER, AK 99577-8736 ,mar. DAV--JUN ................ mr.e anu SW253 AO ° "18 03017.DWG 0B "" 03017 (907)896-6111/FAX (907)806-8111 RUNID ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 y J'•., CE 71 SOILS PERCOLATION TEST Performed for: Mary Anne Tipton Date Project:_ Bernard Lot 11, Block 3 TEST HOLE p 03-2 Depth (Feet) 15- 16- 17- 18- 19- 20- ORG/OL SEE ATTACHED SITE PLAN FOR HOLE LOCATION GP/GM firm density, damp w/ silt and cobbles to 18" B.O.1 f. HOLE PRESOAKED PRIOR TO TEST Was Groundwater encountered? NO What depth? NA Depth to water after monitoring? NO Date? 5/1/03 Reading Date Gross Time Net Time Depth to Water Net Drop 1 5/1/03 1:00 6" - 2 1:10 10 min 13/16" 413/16" 3 1:11 - 6" - 4 1:21 10 min 14/16" 412/16" 5 1:22 - 6" - 6 1:32 10 min 17/16" 49/16" 7 1:33 6" - 8 1:43 10 min 18/16" 48/16" 9 ' 1:44 - 6" - 10 1:54 10 min 19/16" 47/16" 11 1:55 6" - 12 2:05 10 min 19/16" 47/16" ' Water I Added Percolation Rate 2.25 (min/in) Perc Hole Diameter 6" Test Run Between 3.5 feet and _ 4.5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. MD ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for. Mary Anne Tipton Date Project: Bernard Lot 11, Block 3 TEST HOLE a 03-1 Depth (Feet) CE 7116 ORG/OL SEE ATTACHED SITE PLAN FOR HOLE LOCATION GP/GM firm density, damp w/ silt and cobbles to 18" B.O.H. 15- 16- 17- 18- 19 - HOLE PRESOAKED 20- PRIOR TO TEST Was Groundwater encountered? NO Whatdepth? NA Depth to water after monitoring? NO Date? 5/1/03 Reading Date Gross Time Net Time Depth to Water Net Drop 1 5/1/03 1:00 - 6" - 2 1:10 10 min 18/16" 48/16" 3 1:11 - 6" - 4 1:21 10 min 111/16" 45/16" 5 1:22 6- 6 1:32 10 min 113/16" 43/16" 7 ' 1:33 - 6" - 8 1:43 10 min 2" 4- 9 1:44 6" 10 1:54 10 min 2" 4" 11 1:55 6" - 12 2:05 lOmin 21/16" 315/16" " Water I Added Percolation Rated (min/ in) Perc Hole Diameter 6" Test Run Between 4 feet and 5 feet 1, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. 1L,ND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 696-6111 /FAX (907) 696-8111 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: BERNARD BLOCK 3, LOT 11 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. 2. Construction shall be in accordance with the approved site plan and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. KND Engineering, Inc (KND) assumes no responsibility of the accuracy of the as -built survey provided by the owner or owner's representative. 4. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or use of dwellings on or adjacent to property, nearby public wells, etc. 5. The contractor shall be responsible for locating any necessary underground utilities, easements, property lines and surface water. The owner and/or contractor shall ensure, if deemed appropriate, that a registered land surveyor prior to construction flags all setbacks. 6. The contractor shall be responsible for verifying all pertinent separation distances and component layout. 7. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 8. The MOA Development Services Department On -Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK / HOLDING TANK / LIFT STATION INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent damaging, settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade. 4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. Page 1of3 Reference: Bernard B3, L11 Date: 06/12/03 Page: 2 of 3 7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy forces in high -groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed -up) before gravel (sewer rock) placement. 2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturers 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 Pip -c Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. If deemed necessary, a sieve analysis should be performed. 7. When sand is being used as a filter material, its gradation specification must conform to current MOA or DEC requirements. Reference: Bernard B3, L11 Date: 06/12/03 Page: 3 of 3 INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and eleanouts, but before the placement of the silt barrier, insulation, or any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached MOA permit. All materials, components, and construction practices shall comply with the MOA's and the State of Alaska's latest ordinances, regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to notice a material or construction non-compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing between the contractor and KND Engineering, Inc. KND shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the MOA. KND shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. KND's inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGES HAVING READ AND ACCEPTED THESE SPECIFICATIONS. Owner: Driller: Contractor: MUNICIPALITY OF ANCHORAGE 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. 060-321-32 Legal description Bernard BLK 3 lot 11 Site address 18687 Stonehill Dr Current property owner(s) Ellis-Wouters Lesli Expiration Date: 10-27-22 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: BY w Original Certificate Date: 7-27-22 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUMCPAUTY OF ANCHORAGE Development Servicesr Department � ��r' Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 06032132 Complete legal description Location (site address) BERNARDBLK 3 LT 11 18687 STONEHILL DR Current property owner(s) ELLIS-WOUTERS LESLI 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 227-6142 3. TYPE OF WATER SUPPLY: ❑® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 19 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑e Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 5 50 Waiver Fee $ Date of Payment r7 Zc+ Zt) 2,2— Date of Payment COSA # 0 5C :), d 13 (o b Waiver # COSA Application—June 2022 COSA Checklist Legal Description: BERNARDBLK 3 LT 11 Parcel ID: 06032132 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Date drilled 9/8/03 Total depth 180 ft Cased to 44 ft ❑Q Sanitary seal is functioning correctly H Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 6/14/22 Static water level at beginning of test 37 ft. Comments Well production at time of test 6+ gpm Water storage tank volume0 gallons Well disinfected for coliform test? ❑ Yes ❑■ No FNI Coliform bacteria is Negative Nitrate 2.11 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑Q Arsenic less than MRL (ND) Collected by NRimEng Date 6/14/22 B. TANK DATA C. LIFT STATION Measured operating fluid level in septic tank 50 ❑ Required maintenance completed Date of pumping 6/28/22 Age of lift station years ❑ Required maintenan e-aom�ste �IAWWaTS Lift station material Comments: —� L Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 6/12/03 ❑■ ALL standpipes present per record drawing Total measured depth from grade 10 ft (max) Measured depth to pipe invert from grade 6.5 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑■ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) no If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Adequacy test date 6/14/22 Results Q Pass Fluid depth prior to test 13 in Water added 450 gal New fluid depth 15 in Elapsed time 30 min Final fluid depth 13 in Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 36 Effective depth used 13 in Effective depth remaining 23 in in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot 2: 100' on Yes if No ft Community Sewer Manhole/Cleanout > 100' Q Yes if No ft 0 Yes if No ft Neighboring Tank> 100' 0 Yes if No ft Private Sewer/Septic Line > 25' FMJ Yes if No ft Absorption Field on Lot > 100' Yes if No ft Holding Tank> 100' Fm]Yes if No ft Neighboring Absorption Fields > 100' Animal Containment � 50' On Yes if No ft g Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main> 75' MwYes if Na ft ro-1 Yes if No ft R N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' r0_1 Yes if No ft Surface Water> 100' E Yes if No ft Tank to Property Line > 5' on Yes if No ft Field to Property Line > 10' [E Yes if No ft Water Main > 10' on Yes if No ft Water Service Line ?110' E Yes if No ft F. ENGINEER'S COMMENTS Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' F0_1 Yes if No ft nE Yes if No ft If tank or field is under driveway comment below G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm NorthRim Engineering Phone 694-7028 Engineer's Printed Name Steve Eng Z�� — COSA ChecklistJune2G22 Date 7119/22 �a�� of ,��s�� Ar 0A AF TH Steve Eng Q:0 —62 P,A U'l CE .56 7/ 1,9 JRs Septic Pumping and Excavation PO Box 773415 Eagle River, AK 99577-3415 (907)694-6454 Billing_ Information_ ID# 20121 Lesli & Troy Wouters 18687 Stonehill Drive Eagle River, AK 99577 (907) 406-0353 !Job Site Information Troy 18687 Stonehill Drive Eagle River, AK 99577 (907) 622-4716 406-0353 Additional Location Comments Grey - 2 Story Home Has An Switchback in Dw Septic in back down steep slope Service Type Septic Sery 1000g Discount Job Description: 1000g P.O. Number: 24 -Jun -2022 Terms: Net 30 Salesrep: Steven Map Book: Cross Streets: Hiland Road Mobile Phone: (907) 406-0353 Job Comments: Work Order Number: 056447 Order Date: 24 -Jun -2022 Service Date: 28 -Jun -2022 Technician: Gary Tax %: 0 Job Type: Repeat Map Grid: 128- - Troy Last Sery *03 -Jun -2021* 1000g Do Tuesday PM tank normal c/o no backflush 'i Diagram: S:\Diagrams\20031.bmp Gallons Planned: 1000 c/o tank H DW Qty Price Each 1 $295.00 1 ($10.00) Gal. Actual: c/os Hose Length: 4+stinger Double Tank: ❑ Pump System: ❑ Baffles Inlet: ❑ Baffles Outlet: ❑ Tax? Extension Actual No $295.00 No ($10.00) NonTaxable Total Taxable Total Tax Total Grand Total Estimated Charges $285.00 $0.00 $0.00 $285.00 Actual Charges: Customer agrees to the terms and conditions shown. THIS IS A BINDING AGREEMENT. Signature and Title of Customer Representative Date Accepted by JRs Septic Pumping and Excavation Date Accepted For your added convenience we accept; Discover, Visa and Master Card payments over the phone. Payment is EXPECTED within 30 Days from date of SERVICE. Overdue Accounts will accrue late fees. A NSF fee of $35.00 for returned cl 0 Municipality of Anchorage On -Site Water and Wastewater Program PM (907)343-7904 NOV 1 Certificate of On -Site Systems Approval Parcel I.D. 060-321-32-000 Expiration Date: 1. GENERAL INFORMATION Complete legal description Bernard Block 3 Lot 11 Location (site address) 18687 Stonehill Dr. Current Property owner(s) James Tipton Mailing address Real Estate Agent 46737 Wincester Dr. Sterli _ Day phone_ VA 20164 Laney Stapley - Day phone 865-6549 2. TYPE OF DWELLING: E Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water Systema ❑ Public Sewer ❑ Waiver/Variance request for: Received by: Release to Laney StaplKy f %-w Date: COSA to be released to the engineer, unless otherwise reque ted the engineer. COSA Fee $ Mo Date of Payment it Receipt Number Ir f �a`�g19L &t% COSA# CJS CI415 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Alaska Rim Engineering, Inc. Address 9131 E Frontage Rd. Palmer, AK 99645 Engineer's Printed Name Charles A. Leet 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Phone 745-0222 Date ' t0 Conditional approval for bedrooms, with the following stipulations: A Original Certificate Date:4, /n—/���z of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval ( OSA) 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f , - If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Bernard Block 3 Lot 11 A. WELL DATA Well type Private If A, B, or C provide PWSID # N/A Date completed 9/8/03 Sanitary seal (YIN) Y Total depth 180 ft. Cased to 44 ft. FROM WELL LOG Date of test 918/03 Static water level 38 Well production 6 ft. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 2.27 mg/L Arsenic :N n ug/L Date of sample: 10/23/14 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL ANCH.TANK Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping Pumper Parcel ID: 060-321-32-000 Well Log (YIN) Y Wires properly protected (Y/N) Y Casing height (above ground) 26 in. AT INSPECTION 10/23/14 37.7 5.0 ft. Collected by: Brandon Jones Date installed 6/12/03 Cleanouts (Y/N) Y High water alarm (Y/N) N/A C. ABSORPTION FIELD DATA Date installed 6/12/03 Soilratin d./ft?orft%drm) 1.2GPD SHALLOWTRENCH 9 (g•P� System type s Length Arrta.r.;,`s: 1t, Width 5 ft. Gravel below pipe 3 ft. Tota62iApth Habsorption area 517 Monitoring tube 2 Depression over field N Date of adeq'uacy'tesf%14 Results (Pass/Fail) PASS For 3 bedrooms Fluid,dgpth in absorption NIZ14before test 0 in. 5 ElapsedTyne 0180 rii)A. Final fluid depth 0 Water added 603.1 gal. New depth 44 in. in. Any rejuven6ti0nst1i?t Ment (past 12 mo.) (Y/N & type) N/A Absorption rate >= 603.1 d g.p. If yes, give date N/A D. ION Date installed "Pump on' level at in. E. SEPARATION DISTANCES WELL ON LOT TO: level at in. Cycles tested Meets alarm & circuit Septic tankilift station on lot > 100' Absorption field on lot >100' Public sewer main >75' Sewer /septic service line >25' Animal containment areas >50' On adjacent lots > 100' On adjacent lots > 100' Public sewer manhole/cleanout >100' Holdingtank >100' Manurelanimal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5 water main >100' Water service line >25' Wells on adjacent lots > 100' ABSORPTION FIELD ON LOTTO: Property line >10' Building foundation >10' Water Service line >10 Surface water >100 Curtain drain NONE KNOWN Wells on adjacent lots >100' F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed N me Charles A. Leet Date COSA brown sheet -1 0-10-1 2.doc Absorption field > 10' Surface water >100' Water main >10' Driveway, parking/vehicle storage 25' LOT I-1BI LOT 3A LLOT 0 N 4 N89'56'30"E 200.00'(R) 200.42'(C) I cu'i c I I�a I .. I I LOT 19 > m I I 053,000 S.F. I1; I la -1 0 I I N LOT 10 3 e PLASTIC I n RISER (TYP.) S S \ \ \ o \ \\\ Z DECK C LEGEND, 37'i 326 x'1.7 U (C)=CALCULATED DATA CANT. DWELLING (M)=MEASURED DATA ® o (R)=RECORD DATA PER PLAT 4's 16 ohu=OVERHEAD UTILITIES CONCRETE o 6 N U.G.=UNDERGROUND ELEC.=ELECTRIC PAD CONCRETE TELE.=TELECOMMUNICATION N NAT. GAS ® PAD w/STEPS M NAT. NATURAL (TYP.)=TYPICAL WELL U.G. ELEC. P & TELE. c z ORl •moi 'TWA\ — — — — — — — — — — — — — — — ---—Y— ----- 15' UTILITY EASEMENT N89 -56-30"E 200:00'(R) 200.42 (M) BASIS OF BEARING `a ohu ohu ohu — POWER POLE STONEHILL DR. TRACT L-1 BLOCK 30 \ \ \ \ r5/8' REBAR —(-�=) ----- 1. EXCEPTING FOR GROSS NEGLIGENCE, THE LIABILITY FOR THIS SURVEY SHALL NOT EXCEED THE COST OF PREPARING THIS SURVEY. 2. THIS SURVEY REPRESENTS VISIBLE IMPROVEMENTS & CONDITIONS ON THE DATE OF SURVEY. 3. THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY & IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. 4. THIS SURVEY SUBSTANTIALLY COMPLIES WITH ASPLS MORTGAGE STANDARDS, 5. TIES TO PARTIALLY MONUMENTED OR UNMONUMENTED PROPERLY LINES ARE *1 Fr. 6. THIS SURVEY PERFORMED FOR JAMES TIPTON, R SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. REUSE OF THIS DRAWING FOR ANY PURPOSE NOT STATED ABOVE WITHOUT THE EXPRESS WRTTEN CONSENT OF ALASKA RIM ENGINEERING, INC. IS A VIOLATION OF FEDERAL COPYRIGHT LAW. EXCLUSION NOTE: IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. AS—BUT 49TH ................. Bert J. Farmer 10615—S p........ �FFSSIBNA� �;cC ALASKA RIM ENGINEERING, INC. 9131 E. FRONTAGE RD., SUITE 1 PALMER, ALASKA 99645 PH: (907745-0222 : FAX: (907)746-0222 EMAIL: akrim alaskorim.com : WEB: www.alaskarim.com W0: 1 A MORTGAGE )926 FB: 14-16 of 1 GRID: SW0254 " = 50' 1 FILE: 1400928AS 11PLAT No. 91-108, OI�tAGE. ALASKA. 2014. ©2014 Page 1 of 1 Crewdson, James A. From: Chuck Leet [chuck@alaskarim.com] Sent: Tuesday, November 25, 2014 2:47 PM To: Crewdson, James A. Subject: Bernard B3 L 11 Attachments: IMG_1600.JPG; IMG_1605.JPG Jay, thanks for taking my call Below is our response to your review. 1. Well Data - Arsenic: The laboratory results show it is M". Please revise the COAS Approval Check sheet to be in agreement. Per our discussion please make the write in ND 11WO„Ar,*ASbOi C4bkr: In Wd tion W the houffe, MQA to recortte'shW the re's a`(*M cii# the prepd: 4 tgnttat# thattrs been removed or revise the survey asbuilt. There is no longer a cabin only thing t 3. Survey Asbuilt - Septic Vents Shown: It appears two are shown about 40' from the east property line by 90' from the south property line. On -site's records do not show septic vents in this location. Please revise the asbuilt survey. See item # 2 4. Survey Asbuilt - Septic Vents Not Shown: The engineer's asbuilt shows a clean out in the line between the house and the septic tank that the surveyor's asbuilt does not. Please substantiate that the pipe is there and show it on the asbuilt survey. The clean out that is under the deck is labeled as CIO by the way please let Laney Stapley (Realtor) or Mr Tipton (owner) pick up the COSA Chuck 11/25/2014