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HomeMy WebLinkAboutSCIMITAR #1 BLK 2 LT 18Scimitar #1 Block 2 Lot 18 #051-132-26 !\ Municipality of Anchorage ; = ; ='`: , • '�"� Development Services Department i jet Building Safety Division ' •' ' . On -Site Water and Wastewater Program. 4700 Bragaw St. P.O. Box 195550 Anchorage, AK 99519-6550 Page j of3 { www.ci anchorage ak.us (907) 343-7904 ` ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. 5WOM06 PID Number. _05/—1-3o_�—D6 "a"" Lew h + dolm Qc.5s ❑ Wastewater System: kNeW Upgrade 3 `j e_ 5 ABSORPTION FIELD Pron. Q�—�rJ G JV Nuroera B.aarm M o O D.aP Tnnt>t p SMllaw Tr«en VIBw O Maab O Oln« LEGAL DESCRIPTION B° Ra"° 0.7 GPDiFre Ta«D.pm hanPpmal,ga p O FI. 61p'iL La SI/WMLm ayye . ' sx DapihWPpatxxlpmhornmry v dwhb iiai, Pp. To.narxp Rana Sawn FJ asa.atl m71,u1 pas. G"Lan,ttr 7�? Ft. FI. Upgrade weu•�XiST - ❑ pg r...ah f5' Ft. NYnDq�MF•.Fs 3 F, Cusf/A�,-.a/pn lPnv.0 A�/1 y Taal D.an I�D Ca..0 to 7" os"Im«u "Matt" / "'a" G� I Q SJ GC Ft. Ft Flt . .%1 1 il« ` Dala ON" st«w IN l « M KK 7 FI t&re v / C OG/ Y.,d 6 GPM P « c.sry .q Mo . r/1 v vy /Ft. Ft 'TANK SEPARATION DISTANCES VSeptic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Lit Holding bliWnvate a"'« �, seaiu.y —n From TankStation Tank Sewer Line ��Q� Q/1 ,�iC/G+I Wanr� D-12'M««w /r f M 0Goff nuns s,1,�w«« 100+ Ebt,,o,n LIFT STATION La Im. �, .�.a�.« L 1 'Pure, ft Fa 'P W,n walw ««rrt ". Fa r.✓ I D w in Pump Mar ..Ael Eua(Ka hsPr�wn, patmnaC by Cul«n Dan o .s rl�W Ram.nn BENCH MARK Lxaum anp D..ap4m s, fnia o Ft FI 30 Engineedng Inspections performed by: 15861 S. Birchwood Lp• Rd. Dates: 1" Engineer's Stamp cNockXrois�Q 2 n Development Services Department Approval ,R Conditional Approval Date:A. �....... ........T 1111111111611111, Reviewed and approved by: J Date: (Rev bwb) / PERMIT No. SW070060 PAGE 2 OF 3 Municipalitof Anchoraqe DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchoroge, Mosko 99519-6650 • Telephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 18 BLOCK 2 SCIMITAR #1 P.I.D. No. 051-132-26 kso' k k 4 r4 bvc .� �'-,ti TO EXISTING HOUSE LOT 17 � gF,ol 1 • CO2 TBM MT2 Nfh- NEW 5 BEDROOM �1 ODBL2 ff0 ��� HOUSE FC 8 STI MTI n ST2 A ALT. S17 O1 / N NEW �.O.S.F%� ' IQ IGALLON SEPTIC TANK DRIVEWAY SCALE: 1' 0' ` NP SEPTIC AREA W 0 0 PERMIT NO. SW070060 PACE 3 OF 3 Municipalit 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 LOT 18 BLOCK 2 SCIMITAR y1 P.I.D. NO. 051-132-26 ST1 ST2 99.5' FINAL GRADE 96.2' NEW 1500 96.0' GALLON SEPTIC TANK C01=103.2'CO3=98.4' C01 A/T1 MT2 CO2 CO2 5.5 25.0MT2 FINAL GRADE ORIGINAL AND FINAL GRADE 20.5 f's? . CO3 30.5 26.5 2' SAND FILTER C01=95.6' 95.0' 95.0' CO2=95.6' CO3=95.5' A B C N. T. S. O 19.52.01 E � fP I -13.5505 2 - 23.0 56.5 DBL1 - 25.0 57.5 r DBL2 - 26.0 58.5 C01 66.5 - 93.0 .». + MT1 ... A. Mdw ffl--2 tMsa �Alpp� 63.0 92.0 CO2 5.5 25.0MT2 20.5 25.5 CO3 30.5 26.5 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Permit Number: SW070060 Legal Description: Scimitar #1 Block 2 Lot 18 Design Engineer: 0003 S & S ENGINEERING Date Issued: May 15, 2007 Expiration Date: May 14, 2008 Parcel ID: 051-132-26 Site Address: Unknown Owner Name: LEANNDRA 8 JOHN ROSS Lot Size: 48953 SO. FT. Owner Address: 19933 TULWAR DRIVE Total Bedrooms: 5 Permit Bedrooms: 5 CHUGIAK , AK 99567 - This permit is for the construction of: Q 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 specked 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: / Date: S S Q Issued By: S� warkpl"•n ti Date:I O% Municipality of Anchorage Development Services Department JBuilding Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.munl.orglonsile (907)343-7904 ON-SITE SEPTICIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. N5�- 13'9,- av 6 /� p Property owner(s) Leet o f1 d ra+ JDhYI RDSS Day phone 688-%96 Mailing address 19 g) 9 ful war &'ye Ltiva'l d Zip Code 99567 Site address Code Legal description (Sub'd, Block & Lot) L-Ofl et?, BloCk"'� 5«r";Li ^ #� Legal description (Township, Section & Range) Lot Size Sq. Ft. 4 8,953 THIS APPLICATION IS FOR (®all that apply): Absorption Field (� Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 5 THIS APPLICATION IS AN: Initial ❑ Upgrade ❑ Renewal 1 certify that the above information is correct. I further certify that this application is being made for a Single Family DweIIl9g-a-q_cTN.Ln accordance with applicable Municipal Codes. (Signature of property owner or Permit/Rush Feesl N60 Waiver Fees: Date of Payment: VZ 7 bate of Payment: 5A/°7 Receipt Number: /5?, -Cf )OmWAmW Receipt Number. 7 .rJ' qD 6 (Rev. 11105) S& IEALTHMAHOFM APPNWALS SEWER A WATER LUN F%TEW SKM SMUWATER MPECTION MNEERPgsTUMS ANOAEPORTS WELL16PECTICN S PLOW TEST SITE FLAB SOS TTEST PERCOLATION TEST STRUCTLIRALi ►EawacAL MPEcnoNs CNSTTE WASTEWATER C6P06ALS1STEM DESIGN ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CMLENGINEERS (907)694.2979 FAX(907)694-1211 May 2, 2007 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 18, Block 2, Scimitar Subdivision #1 It Is requested that you issue a permit to install a new septic system to serve the proposed five bedroom dwelling on the referenced property. Three test holes were excavated and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation (8-6-03) water was not found. After seven days of monitoring, no ground water was found. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Enclosure Shafer, P.E. w r- 1-4 E- O a O z 0 � N � W M 7 � 1 W�� 4 O X \/ 4 W z N o?< O,O �~W Z � O a uoa3 w r- 1-4 E- O a ;i x 5 co E- 0 a 0) 0) 14 E- 0 a FA •N-- � �.•'•w W L W V' ----------- oiu 3�,• !� WL l. O Z ySg 5 is a O N LO lV $�z ?, a Id)s NVId-311S NOIS30 ,09 = „l /0, N d Q LJ ;/ 7 / \/ W Q Z �+ pan W C:5 U 0 ^o0 o a FO Z II II X-_4a� m ��u^ mJ0 �o w P d6, � Q �N� a v . ca O o u y o� —Z -- ;i x 5 co E- 0 a 0) 0) 14 E- 0 a FA •N-- � �.•'•w W L W V' ----------- oiu 3�,• !� WL l. O Z ySg 5 is a O N LO lV $�z ?, a Id)s NVId-311S NOIS30 ,09 = „l w MIM F-' m s 1� 0 wj 0 N� o= tv ins Ha x� <.8 VQY SJ NDN oo 'Wwo O 'mm LJ 'W W LL: /O JypJh 4Q 3 O \ N "y N o U 000 LO o LJ + o a um Q Wm' J p L C^ Q /A Ln Nn Q: CS/ N z A a in n. .nn p W U ern Y a�+ u u Z LLJ LJ in z O W 3 J Otn In '04 �t6 n+ NVId-3115 NOIS30 m s 1� 0 wj 0 N� o= tv ins Ha x� <.8 3�YY I rl J tl�i r � I / OI �NF hl hl M QUO c �oK , , 4 W o w2'_ , / s M oF� �N :r rZ1'Y P H ^ OOM&O ~ a 0043 4 � 1 (n ^ O F I T F to r HI U o C4 6 o s ;! O o n — U of N � Z r; (L,�,va) N "a^ o C6 o0LJ U nno 0 y Z IIoII ;5a a I Q �l a C3 (n a W m_O xW Q Incnrn Y. NJ O o W e WE a gra W a > Sr �T, V n_ d O is�on �y+W O WOO 3 Fit yy.�� Q O"y�a LOC-4$7w :r3e` Q 06 O, n �a i IVJS 31Ij02id NOIS30 ,91 = ,I 11 onicipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 Si—:,32-Z to Permit Number SW Property Mailing Q Site ad phone (08' `96Z�0 Code kkk .. ' "!K � Legal description (Lot, Block 8 Sub'd.) tar A . OR 2 ) SClm4rir Slb �J Legal description (Section, Township & Range) Lot Size 953-Areres/Sq.Ft. THIS APPLICATION IS FOR: 'Number of Bedrooms A Sewer Only ® Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 1 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. z S i S ENGINEERING (Signature of property owner or authorized agent) ram" u9N Rear 6pl� 7 EaRive"5 River, Alaska 99577 Permit/Rush Fees: Date of Payment: / /3//o r Waiver Fees: 6b Date of Payment: ��a�o_J5_ Receipt Number: 0 6 1 .t .r y Receipt Number: (Rev. 09!04) S& January 28, 2005 ROBERT C. COWAN P.E. CMLENGINEERS (907)694-2979 FAX(907)694.1211 HE„LTM,MMOR11Y MUNICIPALITY OF ANCHORAGE APPROVALS Development Services Department P.O. Box 196650 Anchorage, AK 99519 SEWER { WATER WME(fENS1ONS REFERENCE: Lot 18, Block 2, Scimitar Subdivision #1 SEWER{WATER It is requested that you issue a permit to install a septic system to serve the proposed "ACTOR four bedroom dwelling on the referenced property. Waivers are also requested at one foot for the northeast and southeast property lines respectively as shown on the site plan. ENGWEF W40STLCIES "N0REPORTS Three test holes were excavated and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation (8/6/03), no water was found. After seven days of monitoring, ground water was not WELL H5PECTM found. { FLOW TEST We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The SITEPL" construction of this system will not prevent any future development on any of the adjacent properties. R0IDOESIGN If you require additional information, please contact us. Sincerely, 80{iEST Robert2;vanP.E� . PERcaATION RCC/bjj TEST Enclosure STALMI AL{ MEC/M OCAL PrPECTIONS ONSITE WASTEWATER MPOSALSKTEM DESIOR 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 100' WEI RADIUS t•] =] IWO] 7 0 C r C DESIGN SITE—PLAN 6O nZ 00 t= 0-m zmmrn X11; Z 1-3 „CII Z -ni�►�-� Dv m I--� L03 nV V -V C1 m �i Q0 (A C) N �C o D M M M y mm �,ys if l� p r C ,ep .O OM c'_� mo m=! Z 0 6O nZ ,ep .O OM c'_� mo m=! Z 0 1" = 60' I - DESIGN Mg8 VVNN� `w zomm c)mm-0 z `� SITE -PLAN O �Azg 9� r 00N0A C N C oi-n� G N ,am O CO V N O O \ 14-00 �a 0 C.) O .. f 0 in m r � 10 v a Z v c \ SITE -PLAN C3 o z ` -3 1-+ CZ S CO xl p a in A 0 (7 Q� co Ln C/) R= 11Hon O �Azg 9� r 00N0A C d C oi-n� G N ,am O CO V N O O \ 14-00 N 0 C.) Ln f 0 in o� o Zo 10 v C3 o z ` -3 1-+ CZ S CO xl p a in A 0 (7 Q� co Ln C/) R= 11Hon O �Azg r. C0 N ,am O \ P�o N o� o Zo \ \ 0 c o " m m p r \°i (1 v O C3 o z ` -3 1-+ CZ S CO xl p a in A 0 (7 Q� co Ln C/) R= 11Hon �Azg r. C0 N ,am O P�o N o� o Zo LL t 1" = 60' r 0 y ;✓ RADIUS r 0 �3 CD DESIGN SITE -PLAN T V 1 ? V C— ammo LTJ 9 yocn oa cn r II / m N II II z y cc CD o �� Z3 -� \ \ y \ o :, tt ' osb • :^ ro+ o x �a 40; momono � 4 J�"3 / Do N ammo i yocn / O N \ \ y \ o :, tt osb • ro+ o 40; momono sp E4 c�z w "= 40' DESIGN SITE -PLAN .s Ow � •" Er MF d VNC� d co fly O _ co /;. ra Zo*nm �, �mrnm z oil z 0� I. awe s /a C2 ASO y /�� / =� f �� ' ,a' awo/ (7 m od voO r- N >�azozo/ e/ D y 0 F� �y 0 m / V o N D Z >Y A )0' WELL r �0 RADIUS pGp�00�� O 1-3 co "O J ft'l\ �-- .s Ow � •" 4�y l <: /;. awe s /a C2 ASO y /�� / =� f �� ' ,a' awo/ o >�azozo/ e/ omits �mwm oAz F� VV / V �-- Municipality of Anchorage cNG.Ne Developmenl Services Department F.? BmTCngSafety Di IOM ' a„1 on -Site Water artd Wastewater Program • - y�r 1 - N 4700 South 8tagaw slIF P.O. Box 1966m Anchorage, AK 995196650 1110, >t ROBERT C. COWAN wdanclaa�e.akus wwC ti CE -8601 (S07) 343-7004f Soils Log - Percolation Test Performed For. V055 / .r7f� Dale.Performed: PerfoMd: Legal Description: Ivr/P3• *9i_i %�i�h% r!T .rV 5/- DepDl 2- O Gross Tune 3. 0 Net Drop - 4- e.d 6- 6- 7.0' 8-' o n- 3f GP 10-�° 11-°O 12- . '2 13. 0' ' 14. boy 16- 17- 18- THk / Pr:5 COUITTOMD VIATER zo? E::CC4-ITE?FO7 NO S IFYES.ATMATOEPTtti '�- T O Depth 91l Ptah Ager A 4lnnuEning7 {/llri0 E Datr��l, Q,3 Reading Date Gross Tune Net Tirne Depth to Water Net Drop 5 3f t FERSOLAIIC11P.An L I 0�4en1'.c+t PERC HCLE DILA_ TV TEST PLIN BSTYIEEN =: Ft AND5 FT co7.mFtrrs $ m_c E/Z D 0. A Ltt _.XOa/E /N ESs -All" K -S L PE tFOR1d=D RY:� 4 /-. j, /�,/ 60196- I —CERTIFY THAT THIS TEST yL\S _ P'cRFORMUr) In ACCO+'.D<SICc P6TH ALL STATE A>iD i.VIICIP GUIDEIIPIES IN EFFECT off THIS DATE. DATE: Municipality of Anchorage Development Services Department BtATding Safety Division a,.. Onsite Walet and Wastewater Program 470o South Bragaw SL P.O. Box 196650 Anchorage. AR 99514-6650 www d anchoraae.ak_us (L'47)3137904 ` Soils Log -Percolation Test Performed For: Legat Description: DepUr o&Ah(/GS 2- o.. 4 G�M a •. 7- PE,�� 8- ON�y 17- Is - 20 - J- 20- 7HZ COMMENTS 15 t -VA Date 5i v::S CROIRTJ Y/ATER EIC0VIT ZO7 NO 5 IF YES. AT TWAT DEPT)" r t O Depthtovlater An P Flonitaing7 E D:tc TJ/� D,3 :r T ROBERT G COWAN CS -8E01 Site Plan Readng Date Gross Time Net Time DepUr to V/aler Net Drop ¢Es-weo3 6" -- 5 3f t FERLOLuiclinus G 1 FERC ME DW.ir TER TEST PUNSETWEVI FT IM_5F7 PERFORMED BY: F -6v /I✓MAINI- I / N�-I��/L =CERTIFY THAT THIS TEST i PERFORMFO IN ACCO DANCE VAT H HALL STATE A\T77.!uncip L Gut=LIPIF.S IPI EFFECT ON THIS DATE. DAT_: Municipality of Anchorage Development Services Department Bu9dng Safety Division a.,. On -Site Water and Wmlewater Program 4700 Soutlr Braga SL A.O. Box 196650 Anchorage. AJC 995196650 not d.anchoraae.ak.us "T1343.7%4 Soils Log - Percolation Test Perfonned For: _sass Legal Description: t Depth (Feet) 020,-N166 ':a 20-1 1 THOS COMMENTS S �G1M1 YIPS G?(AI?TJYIATER ENCOPIT_?':D7 NO S IFYES.ATYAATDEPIN? L O Oept%to Ylate,Ane, /r wt,50 P 6bnnaing7 E Date: •n ROBERT G COWAN �C ;� CE-SGCI �� `' E, �'',,, .• late Performed; S rwn r— Reading Date Gross Tune Net Time Depth to Water Net Dfcp ¢EsD3 _ 5 EE i F"c R,:CLATICtmAI-C— I (.-tnlnfM) MIC HCLE DWJ=TER TEST RUN 9STYFE?t 47—FT no rr P7cRFOR?.IED BY: ���//rIEE/GI�� ! �d % .-+r'.� CERTIFY TI!AT THIS TEST WITS PERFORLIED IN ACCO 0AMCE V,111-1 ALL STATE AAD L!U?RCIPA GUIDELINES NI EFFECT ON THIS DATE. DATE: /S"�0� W L/ll�l/ICCKI/tL� ROBERT C. COWAN, P.E. CML ENGINEERS (907)894-2979 FAX(907)694.1211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES NEALTHAUTHMTY APPROVALS and MATERIAL SPECIFICATIONS SEWER&WATER REFERENCE: Lot 18, Block 2, Scimitar Subdivision 1 ' 'NW D(TEMK*& January28, 2005 GENERAL: SEWERS WATER WSPECTION 1. The scope of this project includes the installation of a 1300 gallon HDPE septic tank and an absorption bed to serve the proposed four bedroom residence located on the referenced property. ENCJNEERSNGSTUOIES AWREPORTS 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit or ADEC Authority to Construct with any special provisions or conditions, and all applicable State and Municipal WELL INSPECTION Wastewater Disposal Regulations. S FLOW TEST 3. The contractor shall be responsible for obtaining any necessary underground utility locates. SITE PLANS 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all AW DESIGN leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 5. Contractors installing wastewater disposal systems must be certified by the SOLTEST Municipal Health Department or ADEC if required, for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. PERCOMON TEST SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. STRUMIRALS Construction shall include two 4" cleanouts for pumping access. MECRAW- L ISPECTIONS 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. ONSITE WASTEWATER OtSPOSALSISTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 Page 2 Lot 18, Block 2, Scimitar Subdivision January 28, 2005 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts. These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. LEACIIFIELD BED INSTALLATION: 1. Excavate the proposed Bed Area to the depth shown on the design. The bottom of the excavation shall be within 2 inches of level. If the bottom of the excavation becomes smeared, it must be raked or scratched (ruffed -up) before gravel or sand placement. 2. If a sand layer is required, place sand over entire excavation to the required depth shown on the design. The top of the sand layer must be within 2 inches of level. 3. Sewer rock shall be placed uniformly throughout the entire bed. Perforated distribution pipe must be installed level with perforations down. Gravel depth below the perforated pipe shall be a minimum of six (6) inches. Gravel depth above the perforated pipe shall be a minimum of two (2) inches. The total gravel depth throughout the entire bed shall be a minimum of twelve (12) inches. 4. The perforated distribution pipes must be no more than six feet apart. The distance between the outermost perforated distribution pipes and the sidewall of the absorption bed must be no more than three feet. 5. Silt barrier material 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. 6. Monitor tubes shall be of four (4) inch diameter, installed at 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 depth shall be perforated six (6) inches below the bottom of the horizontal distribution lines. The monitoring tube should not extend below the bottom of the gravel surface. 7. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finished grade over the bed must be mounded to prevent the formation of a depression after settling. Page 3 Lot 18, Block 2, Scimitar Subdivision August 21, 2003 8. A mound system is to have the upper six inches of topsoil and be seeded for vegetation. MINIIIIUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type ofPipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, 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. 7. When sand is being used as a filter material, its gradation specifications must conform to current MOA or ADEC requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 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. Page I Lot 18, Block 2, Scimitar Subdivision August 21, 2003 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached MOA permit or ADEC Authority to Construct. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR / INSTALLER Alunicipality ofAnchorage p 0• 0' Y� • , P.O. Iktr 1�ifi50 • rinchorugc, :Unslot 7RS1J-fifii(1 • Tcicithunc ('.7)7) 31:i.&'101 • rlLC ((X)7): 43-820( 3701113agatc Street • Alnchomgc, Alaska 1X1507 a�t�c.nuutl.or{ Mayor.,fark Begich Buil(Iin(I Safcty Division July 27, 2004 Leanndra Ross 19919 Tulwar Drive Chugiak, AK 99567 Subject: On -Site Water and/or Wastewater Permit. Permit Number: S W030341 Legal Description: Scimitar #I Block 2 Lot 18 Dear Ms. Ross: An On -Site Water/Wastewater Permit, number SW030341, issued by this office for a single-family system, %%ill expire on August 27, 2004 This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee of $115.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 343-7904. Sincerely, ,�� 25_ - `Q Daniel Roth Program Manager On -Site Water and Wastewater Program Enc: Copy of permit C0111171uliity, Security, Prosperity MUNICIPALITY OF ANCHORAGE Development Services Department On -Site 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 Initial Permit Number: SW030341 Legal Description:, Scimitar #1 Block 2 Lot 18' Design Engineer: 0003 S & S Engineering Date Issued: Aug 28, 2003 Expiration Date: Aug 27, 2004 Parcel ID: 051-132-26 Site Address: Unknown Owner Name: Leanndra Ross Lot Size: 48953 SQ. FT. Owner Address: 19919 Tulwar Drive Total Bedrooms: 5 Permit Bedrooms: 5 Eagle River , AK 99577 - This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and dosed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. AREA AS SPECIFIED BY ENGINEER ON DESIGN PLAN TO BE FILL TO PROVIDE A SLOPE <25% A MINIMUM OF 35 FEET FROM THE UPGRADE SITE AND ORIGINAL SITE SHALL BE ACCOMPLISHED AT THE TIME OF CONSTRUCTION AND SHOWN ON THE INSPECTION REPORT PRIOR TO APPROVAL FROM THIS OFFICE. Received By. Issued By: -I�'I Z• /'•— Date: r; -/x a /0 3 a��Z Date: 8 z 8 O Millik-1111111 DoOtifiH16111 ! Oil-Sile th.U. box 196cro Ali, www.cl.dll (901) 01' AlIL-1161-1Igb Vlbbs bgjzIlUllblll bld0aw St. oldde.Ak 99si9-mmu ON -511 h 81=Wr_h/WLLL hthMit AhhLlcA'l 1olJ r -oh A SINGLE 1-AMILY bWCLLING harchl l.b. Cfl - 13Z- Z LQ ;' 4 J hermit Number SW 030 3� hlo)peflyowrlef(s) Lig ROSS baypbrnte Ivlallll,cd address (I) 1giq l q � 141WOLIrC)r Ivlallitid address (2) JEa5 le- R IVer Ak� Zlp Code 99 57 7 Leal desaq,ltor, (Lot, block k sub d.) Loi" QjoG . 6;m; Lbdal descilplioli Oc-choll. tomist1111 & hattye) LoI Slzd` 1 91Acfe. IScj. iJUrnber of bedrooms t111s AhhLIuAiIuM Is hfjh: Sewet 0111V Well Only Sewer wid Well (_) Water Slotaye (.1 Sewer UpcJfade 1J i1h H011thfY bfyl MHs: lot -1 Ub U Jacuzzl I J SW1111111111d hoof U Walet $ollmlin(J U1111 IJ 1lletapv Not LJ bbllil� 111A Ilie dbove 11110ftttalloll Is boffect. I 61116 eallily'lbal lbls appllcallon Is be.1110 Made lot d blilyla trimlly tMbllhit(dttd Is Itl dccofddlict Will obblIcable Municlrpal Codes. S& S ENGINEERING 1 17034e River Loop No. 20 Eagle River, Alaska 995777 4 (Sldlidlft of blopefly bMibf bt dUllpbfized ddhhl) helhdl fees: { .900. ° d=kes: f 15'0. °Y bale bf hoyinetll: ii % a 7 / 0 3 Wiebl bdyllphtd: (1-7 /a I(ebblplllUln6�l: oNo414 (tecblpl(IUIt1Lht: O y0 S a 3 (hev, Izmnl PEALTHALITHOPITY APPROVALS SEWERS WATER MANEXTENSIONS SEWERS WATER INSPECTION ENONEERMSTULXES ANOREPORTS WELL INSPECTION t PLOW TEST SITE PIANS 7_+a:I 500. TEST PERCOLATION TEST BTRIXTIPRAL S MECHANICAL BEPECTIM ONSITE WASTEWATER 06POSALSYSTEM DESIGN ROBERTC. COWAN, P.E. ROBERTA. SHAFER PE. CML ENGINEERS (907)694-2979 FAX(907)694.1211 August 21, 2003 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 18, Block 2, Scimitar Subdivision +0- 1 It is requested that you issue a permit to install a septic system to serve the proposed ftvebedroom dwelling on the referenced property. Three test holes were excavated and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation (8/6/03), no water was found. After seven days of monitoring, ground water was not found. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, ewe L_ Robert C. Cowan, P.E. RCC/bjj Enclosure 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 1" = 40' DESIGN SITE -PLAN CA,r 9�0 1 t � V O? d io n I Ada NN Z ' nNo f•1 O .>y oo''a z�m ZOT�Im�L.7y nm�s �qp s u+i O'er M > �D -J ii'C •.�+.kp �O'•a CD m C S 0 V N N Ln O 0 � 3 OOO CrJ A -- �in vn� .,u�� m O Dm II•� M ;q> )00'WELL CO o • p J V ONO �CA 3O�z I`' \g`'fOqz RADIUS c rQ PR moi 0 " N T°p°,�F ,Iz at 70Jn w C!' Omp n Cr a z �"•' M [ as N J 'Osz r>. y DO Mf+l ZM H.. � > m� -11' 0c O�Om ti 0 D,., / =O irA f] on/ llll./llllr Om K K 0 C)V O Ox N ti>m t NN XO, >�O m� ano N zO z <�c AZ n smp ONO O in n 4 00. {4Q0 > 1" = 60' DESIGN SITE -PLAN SCA, O a N i a� y N C' s� F_. yam• D Ort Mm sn.+ n� - �N ----------------- nn� s Ro D m A m r -------------------------- ----- --- 116 v o Or Iv C7 t"' 14 CA Ln O O o F D -� y N 00 0 v'� all J O O N m0J v O v D O N C. z n O O rn m s - i CD �„ O •ti yC� WELL �R� L� `� 0 DIUS v a+ a �y n pvort .-u WO z O a N i a� y N C' s� K.- O ifo n� nn� s Ro D m A O ✓ ..: �� y+ D as O aw raA$ pvort .-u WO z a Oymy sc N z - K.- O nn� s D m A Municipality of Anchorage �• �� ,irlclriE s�7F ccr�y Development Services Department Dung Safely Divkicrl :....—.»•// y,r OnSile Y/aler and Wastewater Program i N 1700 South Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 11 11•p� ROSERT C. COWAN i cr W+ ci ahorMi .ak us C.. - ` Bt701 rf ( -07) 043-70M �) t•� S ' Citi_`••. Soils Log - Percolation Test Perfomhed For: / i%ss Dale Performed: ��y.., Legal Description: LprJFi;.�t,OLK Z; �G1 MI7Ar- 5UN T / TT Depth OIZG,4N/C.5 COMMENTS k 6M 130H ?H # / Iran 1— V77S DrICU11) VIA7Ez ENCCUMR MDT NO S r IF YES, AT MAT DEFT117 I.0 peplhte P/alp Aller D�A r.IenilningT E / f P3 Vale: Reading Date Cross Time Ilet7ime Depth to Ylaler Het Drop ,¢Esdh � 13. 03 5 •• 3f t F'c'.CcLAllCaIRATE F.zC MILE DL'.;A=Q71. T-STP.UHSEMEN FT Rrp SFT PcRFOTIMSD RY:EFFECT Ort THIS D 5 � �r/n/E�R/NCr I � � c, ER7IFY TIIAT THIS TEST/yLTS 3_ rERFORrAM III ACCO DMICE VBTN A_L STATE AtiD LIUMUl' CUiO-LINE$ IrlDATE. DATE: 3-/�•J-/U 3 yr f1l �. •'' •� 6f1(iINEER'- IcAL� Municipality oiAnchorage ,• c�. , Development Services Department r=•G ° .�} Buoy ing Safety ";On On.Soe Wale, and Wastewater Program 4700 Sam Bragaw SL7P✓ P.O. Box 196650 ArOmge, Alf 995196650 ga ROlERT C. CDwAN /�Q• Ww Cj'0 cheraae.akus:� CE-SSO1 01 (!'97)117-790A �.%�„ ;-•. '.�.. t i• v /�% Soils Log - Percolation Test clti �--�=.;�-�-�"'� Performed For: Yy55 Date Pedo med: Legal Description: Gor / P3-- L- 5/7 Depot OA9A#1cs 5- &41- 8- 0/VGy 10- '11- 12- 13- 14- 15-1 M D- 11- 12- 13- 14- 15 - M 1 7- ip- 19 20- TH �Z CO1.IIdENTS L•1:5 GPDUID V!\TER E•':CCraiE=�D7 S .� IF YES, AT YnrAT DEPT117 t0 p.plh to P/alrr Pller D�P AlonilnrMR1 E Dalt Fll5 O Reading Date Gross 711ne net Time Depth to Water Net Drop ff FE?CDUTICIIP.AT9 L 1 (.rM.letbO) Pewe rczt uw.r_Ic:� _Y ZEST P.lR152TYlE.il rT AND 57 FT PL FORNIED RY: �r //y �/�/C��N� t / -fes_ — CERiffY TWAT THIS TEST WAS rERFOR`•ic'D IN ACCO DANCE WITH A.LL STATE AKD IAU�RCIP GUI ELINF.S IN EFFECT ON TIi15 DATE. DATE: Municipality or Anchorage C�, Development Services Department Building Safety Division ` Program e :L On -Site Water and Wastewater 5f 4700 Sloth B(agaw SL ••• �' P.O. Box 196650 Anchorage. AK 995196650 ww t d.andbrane. k;r (<'-07) 343-7904 i Soils Log - Percolation Test Pedonned For:y i%ss Date performed: Legal Description: Lvr I r-3.' '?t -o -vZ; 51D Z Depth 00tiNlI s 4• V 5- 0.0 COMMENTS G�M %H#: 5 E:.CCL:Ii E.?ED? NOS IF YES. ATI AT DEPTH? I 4 O Depth to V/ale, Arte, P AInnIlnrMgT �, E ERT C. CCWAH CE -8601 Sile Plan Reading Dale Gloss Time net Time Deplh to Water I Net Drop ,¢Es 81,E 03 5f f. 3 ' t Fc4CCLATIC?IP.,AT° G I (c4dttM) FESCVOLS OV,r.0-TE' TEST Mill 8ETNEEll=FT )IND_FT P E R F 0 R ?.IED BY: 5$�(I/ eerk/N[- 1 •��"n`� CERTIFY THAT THIS TEST Y, fn_s P'c RFORbIEDItl ACCO DA.nCEV71Tn A.LLSTAT?AgD 7!U?aCIPA GUID-UHF.SIPIEFFECTOtl TtilSDA.TE. DATE: 6 /V/0 _ ROBERT C. COWAN, P.E. ROSERTA. SHAFER, P.E. CML ENGINEERS (907)694-2979 FAX(907)694-1211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES IEALTHANTHOWTY APPR(NAES and MATERIAL SPECIFICATIONS � E "NSX)NS REFERENCE: Lot 18, Block 2, Scimitar Subdivision August 21, 2003 GENERAL: SEWER 6 WATER INSPECTION 1. The scope of this project includes the installation of a 1500 gallon septic tank and an absorption bed to serve the proposed five bedroom residence located on the referenced property. ENdNEETMNO SRAIES MAREPORTS 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit or ADEC Authority to Construct with any special provisions or conditions, and all applicable State and Municipal WELL TEST Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 617E PLANS 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all WAD DESIGN leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. S. Contractors installing wastewater disposal systems must be certified by the SOILT"T Municipal Health Department or ADEC if required, for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. PERCOUTION TEST SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. STRIXTWC " K` Construction shall include two 4" cleanouts for pumping access. "CTIONS 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. ONSITE WASTEWATER DMPCSALSYSTEIT DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577 Page 2 Lot 18, Block 2, Scimitar Subdivision August 21, 2007 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts. These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. LEACHFIELD BED INSTALLATION: Excavate the proposed Bed Area to the depth shown on the design. The bottom of the excavation shall be within 2 inches of level. If the bottom of the excavation becomes smeared, it must be raked or scratched (ruffed -up) before gravel or sand placement. 2. If a sand layer is required, place sand over entire excavation to the required depth shown on the design. The top of the sand layer must be within 2 inches of level. 3. Sewer rock shall be placed uniformly throughout the entire bed. Perforated distribution pipe must be installed level with perforations down. Gravel depth below the perforated pipe shall be a minimum of six (6) inches. Gravel depth above the perforated pipe shall be a minimum of two (2) inches. The total gravel depth throughout the entire bed shall be a minimum of twelve (12) inches. 4. The perforated distribution pipes must be no more than six feet apart. The distance between the outermost perforated distribution pipes and the sidewall of the absorption bed must be no more than three feet. Silt barrier material 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. 6. Monitor tubes shall be of four (4) inch diameter, installed at 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 depth shall be perforated six (6) inches below the bottom of the horizontal distribution lines. The monitoring tube should not extend below the bottom of the gravel surface. 7. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finished grade over the bed must be mounded to prevent the formation of a depression after settling. Page J Lot 18, Block 2, Sclmltar Subdlvislon August 21, 2001 8. A mound system is to have the upper six inches of topsoil and be seeded for vegetation. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Tyne of Pine Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, 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. 7. When sand is being used as a filter material, its gradation specifications must conform to current MOA or ADEC requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. Page Lot 18, Block 2, Scimitar Subdivision August 21, 2003 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached MOA permit or ADEC Authority to Construct. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to cant' out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER MUHMPAUTY 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. 051-132-26 1. GENERAL INFORMATION Expiration Date: —7r 12 —Z 2 Complete legal description SCIMITAR #1 BLK 2 LT 18 Location (site address) 19933 Tulwar Drive Chugiak AK 99567 Current property owner(s) ROSS JONATHON S & LEANNDRA Day phone Mailing address 19919 Tulwar Drive Chugiak AK 99567 Real estate agent 2. TYPE OF DWELLING: 00 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Private Septic ❑ Water Storage ❑ Holding Tank ❑ Community Well [] Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 5 Waiver Fee $ Date of Payment 'ZO 2 q Date of Payment Receipt Number 0 33 %06 Receipt Number COSA # _OSGZZ 112 ti 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. l further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Eklutna Engineering, LLC Phone 907.406.1058 Address 19162 Mountain Rd Chugiak AK 99567 Engineer's Printed Name Curtis Townsend, PE Date /--?p Z 6. DSD SIGNATURE System #1 Approved for �_ bedrooms System #2 Approved for Disapproved Conditional approval for 0�e_ C 1 S bedrooms TH 1K ............ Curtis L ............ g qtr •acrd o'• Date / -1 Z Fes' bedrooms, with the following stipulations: WATER A n►n l� By: I Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA Checklist blue sheet Nitrate Advisory Arsenic Advisory Other Legal Description: SCIMITAR #1 BLK 2 LT 18 If more than 1 septic system on lot: COSA Checklist # of Parcel ID: 051-132-26 Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test 4.7 gprn Date drilled 2000 Water storage tank volume 0 gallons Total depth 120 ft Well disinfected for coliform test? ❑ Yes ❑ No Cased to 101 ft ❑ Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate 6.16 mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) 24 in. Collected by Curtis Townsend Date of flow test for COSH 3/28/22 Date of Sample srM2022 Static water level at beginning of test 53 ft. Comments' No.,�ec�, well located on lot 17 to the east of subject property B. TANK DATA C. LIFT STATION Age of tank(s) 15 years ❑ Required maintenance complete Tank type/material septic Steel Age of lift station y Measured operating fluid level in septic tank 51 Lift station material ❑ Standpipes/foundation cleanout per record drawing Comment Date of pumping 3/30/2022 D. ABSORPTION FIELD DATA Which system tested (date installed) 2007 ❑ ALL standpipes present per record drawing Total measured depth from grade 7.9 ft (max) Measured depth to pipe invert from grade 7.4 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Adequacy test date 3/28/22 Results [ZPass For 5 bedrooms Fluid depth prior to test 0 in Water added 903 gal New depth 0 in Elapsed time 193 min ❑ Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate '750 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet 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' ❑ Yes if No 9 Community Sewer Manhole/Cleanout > ' Surface Water > 100' ❑Yes if No ft Yes if No ft Neighboring Tank > 100' Yes it No ft Private eptic Line > 25' ❑Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No ft Absortion Fields > Neighborin=Main Yes Animal Containment > 50' El Yes if No ft Yes if No ft _ Yes if No ft If septic tank is under driveway comment below Excreta Storage > 100' less than required) C�QManure/Animal unitYes 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 9 ft Surface Water > 100' Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No ft Private Wells > 100' Q Yes if No 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' ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10'✓❑ Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10'[]✓ Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' ® Yes if No It F. ENGINEER'S COMMENTS Syta.rf_A Well is located on lot 17 tank met separation from foundation requirement at time of install G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet i N EEp"'S Nitrate Advisory Certificate of On -Site Systems Approval # OSC 221126 Subdivision: Scimitar #1 BLK 2 Lot 18 A water sample revealed a nitrate concentration of 6.16 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Address P O Box 196650 * Anchorages Alaska 99519 6650 *www mum." From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening, or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address P -O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org .... �; � �A/ Zfy � qtr w \ 4Y� V V AS -BUILT I hereby certify that I have surveyed the following described property: o, R, Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not ~ ' ' overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises ,in question and that there are no roadways, transmission lines or other visible easements on said property ' sacvci3p • 1 ` a except as indicated hereon. 4'" "=�'"u' `' 1� �S ' Dated at Eagle River, Alaska, . this ' =Z day'of s 200 ROBERT C. JOHNSON:'" SCALE: Registered Land Surveyor No. 880 -LS Box 77-0456, Eagle River, Alaska 99577 Phone (907) 694-2543 PAGE 02/e2 - f~et f,*d E~;/..-/.../...E-/..OG ~u~.ooH "qnqoJel4 a,T~,/oe£ e/..,g:/-.O TO l~ qe..I