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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 4 LT 9Mountain Park Estates Block 4 Lot 9 #017-061-28 Municipality of Anchorage ` On-Site Water and Wastewater Section - (907) 343-7904 gee 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 201159 PID Number: 017-061-28 lk 06, Dwelling: F Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑New Q upgrade Name Johnathon & Abby Storter ABSORPTION FIELD EJ Deep Trench El Wide Trench ❑ Bed ❑ Mound Site Address 13320 Ridgeview Dr ❑ Other Phone Number of BedroomsSoil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Mountain Park Est 4 9 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz Ft. Well 127,6 TANK Rfl Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1000 Gal. Surface Water 100+ Material Number of compartments Lot Line 39.8 NA . Septic/Plastic 2 Foundation 6,8 LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 Arctic Terra, LLC Drainfield CO/MT3034 Inspector Pannone Engineering BENCH MARK (Assumed elevation) 815.5 ft Inspdctio X51 6/16/20 6/23/20 Location and description z„d 3rd 4,h Bottom house trim at point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date ��0 At- N co - TH P, v>n �'.. ci nore tA r CE ala s <` Septic System Approved Date Vkl���� Note: this approval does not include well permit requirements. krCCv UO/ULI Ia) �K:cncmipv�=co CD �pr-OPX � m 'nzocmEjO Vt < 0 ''`zoZ=o�D _ -i rc�Ooc�Qo0 m CD mz (n M A (_) O z D O z O I z `L mm m D r -MU) mp D r n cm L� NOTES: RECORD DRAWING w vm� >n /\ � imp c�Ao O I; O -_ W g o� 11 x� �rn -< ci N mO 0cf,z a NOTES: RECORD DRAWING I w W- -Iz-oO' z0 /\ � fTl', _ z -_ W N (n �m;Q o -< ci N mO 0cf,z ID o m O M o D o .. n - U O m, O (A `oU) �p I- � I m0 D O , 0 --1 o' -P O W (IL CD N Lo K —i N I 0- 0 rn U) I w W- /\ � _ z -_ W (n I o m W ID o m o - I m, �p I- I m0 D O 0 o' -I N I Om I m� - - -- - - - - - - - - - - _ - - X _ — o z lo' Util Esmt, _ _W-- - co--, / O I N 00 \ �\ 00 I � � � r (n ' 3 \ m \ I 1 I 3 RIDGEVIEW Dr PANNONE ENG SVC LLC (C.I. 1088) """`t REVISIONS DATE t, P.O. BOX 1807 PALMER, AK 9645 _ gip. OF... ..6 REV1: 7 31 2020 8/5/2020 PHONE (907) 745-8200 FAX (907) 745-8201 / / SCALE MOUNTAIN PARK EST B4 L9 DRAWN MJL JOHNATHON & ABBY STORTER 13320 RIDGEVIEW DR SITE PLAN ANCHORAGE, AK 99516 a 1,. = 50' P.I.D. NO -_ 017-061-28 Steven Pannon PERMIT NO. +S� OSP201159 f art",,"E551 SHEET 2OF2 wow Lot I Lot 10 PLOT PLAN --- AS BUILT SCALE 1 40' GRID _ SW 2938 Project No.20-343/R1.... 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Long & Associates, inc. (907) 522-6476 Phone (907) 522-4625 Fax OF A Professional Land Surveyors ken0langsurvey.com jonothan0langsurvey.com �A I hereby certify that I have surveyed the following described property: LOT 9, BLOCK 4, MOUNTAIN PARK ESTATES SUBDIVISION (PLAT No. P-461) h-115)-* 49!-H Anchorage Recording District, Alaska, and that the Improvements situated thereon are""""" re within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed .. ..... WKNN�ETG. LIG premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. --.L�h 02.-' at Anchorage, Dated this the __-— 2—L— Day of __>J`,---_—__—, — — — — — — — — Alaska ....... . ID 'W,?"tS S 10 N A - 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 plot. AECC963 ( � MUNICIPALITY C}FANCHORAGE ' On -Site Water & Wastewater Program POBox 186650 4700 Elmore Road Anchorage, Alaska s851u'6Gon Phone: <9m1a4o'78O4 Fax: (9O7)a4x'7SS7 hop:6*^wwmvnivrg/nnsite On -Site Wastewater Disposal System Permit Permit Number: OSP201150 Effective Date: 8/102020 Work Type: SepbcTankUpgrade Expiration Date: 8/18/2021 Tax Code Number: 01708128000 Site Legal Address: MOUNTAIN PARK ESTATES 8LK 4 L 8 G:2938 Site Mailing Address: 13320 R|DGEV|EVVDR, Anchorage Owner: STORTER JOHNATHON A Lot Size in Sq Ft: 35000 Design Engineer: P/\NNONEENGINEERING SERVICES Total Bedrooms: 3 - .This permit is for the construction of: El Disposal Field 2 Septic Tank El Holding Tank El Privy 171 Private Well 0 Water Storage All construction shall boinaccordance 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 (18AAC8O) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development t Services Department per AMC 15.G5.Provide notification bycalling (887)343'7QO4(24/7' 4. From October 15toApril 15. a subsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Received B Issued By: Date: UMCIPA TY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program l ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-061-28 Property owner(s) Johnathon & Abby Storter Mailing address 13320 Ridgeview Dr Anchorage, AK 99516 Site address Same Legal description (Sub'd., Block & Lot) Mountain Park Est 134 L9 Day phone Legal description (Township, Range & Section) Lot Size 35,000 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank ❑X Holding Tank ❑ APPLICATION IS AN: Initial ❑ Upgrade ❑X Renewal ❑ TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings Privy ❑ (SF and/or D) Private Well ❑ ! t Water Storage ❑ ' THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST' FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: c9 ! I(P Waiver Fees: Date of Payment: Gr /-go Date of Payment: Receipt Number: �1 (���%% Receipt Number: Permit No. Waiver No. Permit App_-'-: - :'_, c COVID-19 ,257'o DISCOUNT /APPLIED IN Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201159, Rebecca Carroll, 06/11/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201159, Rebecca Carroll, 06/11/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201159, Rebecca Carroll, 06/11/20 Q Development Services ®eparrtraent Building Safety Division 2� Pump Intalke Depth Below Top of Well Casing: Vfeet 3 Iter > ®n -Site Water A Wastewater Program 4700 Elmore Road J P.O. Box 196650 ¢ "` Mark Begich Anchorage, AK 99507 Mayor www.muni.org/OhSit (907)343-7904 Pump �nsta aUon flog Well Drilling Permit Number: SW Date of Issue: Parcel Identification Number: U I'1- 0 b 1- 2� Legal Description Pro erty Owner Mame & Address: srlv�,f -4 \,-- �ti�o��� Es ,Je� L9 Pump Installation Date: ?/9 �� 2� Pump Intalke Depth Below Top of Well Casing: Vfeet Pump Manufacturer's Name:/Zed,- Pump Model: SZ Pump Size hp Pitless Adapter Burial Depth: ttz— feet Pitless Adapter Manufacturer's Name: /" e_,-- Pitless Adapter Installer: Well Disinfected Upon Completion? Yes ❑leo Method of Disinfection: Comments: Pump Installer Mame: ANCHORAGE WELL & PUMP SERV. 330 EAST 76T" AVENUE 4 ANCHORAGE, AK 99518 PHONE: 907-243-0740 AWPS.COM Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Municipality of Anchorage 9M. Development Services Department• Building Safety Division - On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page l of3 www.d.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. 51n1030 1 5 /IPID Number. N_ �e 1 Wastewater System: ❑ New fl Upgrade / 1 aO "&a4e 1/7qOan "44,o,- S�� ABSORPTION FIELD Ph011e / 'G ,-D ) 3 17 Dw TINtlt o Shiny Vwch )(9.d t7 MaM o o"W L.E.(GAL DESCRIPTION flool Ra" S -� 1 , ,Fl Bleck: Lo:$uEdd ' 0 C ` 0" b tiM boll m hon urigYul pwie� G," d" ENr•N plp•. M W7 0 ! 4 L� =i eJ Ft. • FI Town«WFargo: sectio: Fa ended abwe wow ped•: ^ i p_(JT FI. G," LNpar D Ft. Well: ❑ New ❑ Upgrade Gr" •idA[ Ik/riN dMwe: 3 DlNence bNw•n 1Fee: �j Ft, F,. Dbe« ( •. Ne c Tool D•pFl: cued to Tool eburpem Tee OFII Pva mol N: n �p ST tJ f Olo FI. Ft. DITN: a DraeQ. 5411 WNr LeM. baaaA. 1JYe Dole IoM~ V[ S Fl / r.la. Pwmpsetr: Grbmd c`oWg TANK GPM FLHe FL SEPARATION DISTANCES O Septic 0 Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Lift Holding PubBUPrival Mer" aoka r' a capeatr From Tank Fielldj Station Tank Sewer Line L �� �' ` `,r- MN.rw: umwr a cow- b at S: wall I _i IJ swKewNN 100+ LIFT STATION Lot Lir X01 I B .. MrMectuN , O, •Pimp en' InN N: 'Pimp arr HpI, NNN N.m N h Fo,oulaw 7 ti clN.:la.N f ND✓1e �V/ nh� Fu V MW 6 Elect," Nepcum poror-W by' "�` BENCH MARK Loralwwo..mp4m: . , d o n / . ;n7 t, Lt I Eh Nan FL 1X Engineers Stamp S & 5 ENGINEERINC, 17034 Eagle River Loop Road, No.R04'+ 5` etiq Inspections performed by: Dates: 1N —03 Ike - * ' :,,1. . x Z LLI• 2"d .�.e.:.:� . .,� bevelopment Se ices Departme t pproval PP Y Date: Reviewed and approved b : 6 Z^. • � . PERMIT N0. SW0301 54 PACE 2 of 3 Municipalit of Anchorage DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchornge, Alnsku 99519-6650 • Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 9, BLOCK 4, MOUNTAIN PARK ESTATES P.I.D. NO. 017-061-28 I I i LOT 8 I I J WF LL RA U 100 ATE LOC � ppROXIM I I I I I I I L RA0\�5 w rr,, WEL �IW I I ' I WI coo v I < i N O j DRIVEWAY (^, WI rco xm2 HI EXIST! NW oo , y I +oALLON M 000 TANK J'Ta • a I I [ TH/I I � I CLF:Houf COT IN I iov (orv[nT[n VALVE O °T CO MT• I (� W II O E 11 I TH#Z t�_Gp pp\ MT 1+�ZWELL R I I T2 C0. 100 I I o o: SC LE: t' • 40' y ^..: g,NCf. Sc1'A11P w 4P 40, I j* q .r• • s.• �t L_— reT . LOT 10 �1vw+voa� PERMIT No. SW030154 PACE 3 OF 3 Municipality of Anchoraqe 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 9, BLOCK 4, MOUNTAIN PARK ESTATES P.I.D. No. 017-061-28 A 8 DV 5.5 32.0 C01 22.5 17.0 CO2 59.5 71.0 CO3 56.5 70.0 MT1 32.0 79.5 MT2 55.0 71.0 96.4' 959 C01 MTI MT2 CO2 MOUND SLOPE NOT MOUND SLOPE NOT TO EXCEED 3:1 TO EXCEED 3:1 FINAL GRADE —III- iT- 93.0' 92.0' 92.0' 93.0' ORIGINAL GRADE NO WATER FOUND *,.� ^3y �' 80.0' B.O.H. 3.' ra. 14374 r ' l � Ti ��/ o o NcNORAGE ON SlT� GU�gFR vt Wf} 55 x wAr�x )PC) / Q6 .5.5'0 A iv CH, A k 99s/,7 �D 11VH0M I--rMA'/ 00 NC ER A/ : RRIA41 /1/fA�NKoU/eH kn+cn� -ho Pwr in ALAe new eO .Z,, --`C__ V f cl' �(�tr;��c,� Tn1z�k:,U 11 M�, FAiv W\ i s a re -A -f and ccY*iz'+� vizir, C.�C� WGL1 �t o i1Q. � k GC/l :;) C A i-LV-40tk5\-\ t %Ar G9y-/0/l I0'd L86b 902 ANkow WH 0i:40 £002—LI—Nnt Permit Number: SW030154 / ST T0VSPL�C7/CGµJ MUNICIPALITY OF ANCHORAGE �j Development Services Department t� y/0 3 0,00,0-4.. On -Site Water & Wastewater Program 4700 South Bragaw Street T I 1 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 61(7-101 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: May 27, 2003 Expiration Date: May 26, 2004 Parcel ID: 017-061-28 Legal Description: MOUNTAIN PARK ESTATES BLK 4 LT 9 Design Engineer. 0003 S & S Engineering Site Address: 013320 RIDGEVIEW DR Owner Name: Mark Machkovich Lot Size: 35000 SQ. FT. Owner Address: 11740 Cange St. Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99516 - This permit is for the construction of: Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 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: 01 2 �✓�. Date: P/)-; /d 3 D174• Date: z 7 Munlelliitllly of Andiot-4ge -- beVelopttiWit $ewtel?s bepartmetit building Salely blvision on -Site Water and Wastewater Program 4700 South bragaw St. P.O. box1966s0 Anchotage,Ak 99519-6650 www.tl.ohthofage.ak.U9 (907) 143.7904 ON-SITIE SIEVVEWWELL PrERMIT At3PLICATION rOR A SINGLt rAMILY bWELLING Parcel I.D. 01 7 — 0 6 1 — 28 permit Number SW O 30 /S4 properly owners) V/' I Q,,74 F u I h14),-,1 LkO V rC N bay phone qDq-a05o Mailing address (I i ,55 dO K r dAP-VI eW 4J!'I Ve Malting address (2) f%/)�L1A A/<1/ J ' / Legal description (Lot, block & Sub'd.) LO I c', RIO {O GIC' `6A Legal descriptioh (Section, Township & Range) Lot Size Acresl q.L'l THIS APPLTcAt�N Is tuft: Zip Code 995 161� Number of Bedrooms 3 Sewer Only ❑ Well Only ❑ Sewer and Well t] Water Storage ❑ Sewer Upgrade tills 11hOPr=RtY CONTAINS: riot tub ❑ Jacuzzl ❑ Swimming Pool ❑ Water Softening Unit ❑ therapy Pool ❑ certily that the above intormalioh Is correct. I further certify that this application Is being thigle ta)nlly tlwelling and Is in accordance with applicable Municipal Codes. S 3 S ENGINEERING 77034 Eagle River Loop Road No. 204 '+ Eaele Rlvar •f,,lce 99577 (Signalure of properly owner or sUlhorized agent) made for a Permll tees: ti� y !70 • Walver tees: bale of Payment: S- /I 9 to 3 bale el Payment: hecelpt Number: hecelpl Number: lRev. 12MO) HG W-ALTNALMDT•TV May 16, 2003 FIOBERT C. COWAN, P.E. ROBERTA. SHAFER PE. CML ENGINEERS (907)694.2979 FAX (907) 694-1211 APPROVALS MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 SEWERSWATER Anchorage, AK 99519 L" OMNSXM REFERENCE: Lot 9, Block 4, Mountain Park Estates SEWER 8 WATER RJSPECTM It is requested that you issue a permit to upgrade the septic system serving the existing three bedroom dwelling on the referenced property. EY0NEERMSrwIEs Two test holes were excavated and percolation tests performed. The approximate locations ANOREPORTS of the test holes are located on the attached site plan. At the time of excavation 8/31/99, groundwater was not found. After monitoring, no ground water was found. WELL WSPECTION We do not anticipate any adverse effects on neighboring wells, septic systems, reserve A PLOW TEST 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. 3"PWA If you require additional information, please contact us. Sincerely, PAADDES*N SMTEST Ro rt C. Cowan, P.E. RCC/bjj Enclosure PERCOUT)ON TEST WCHAN CAL WSPECTIOM ONsrTE WASTEWATER OGPOSALSYSTOA DEEM 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 1" = 50' DESIGN SITE -PLAN a n oaF ////�I�� QI�ON � Cz r9 0 xza '-u� C ZO+Im •4 naso `"rte frl—� r �' �mmv .� S: �.:> i u : Iw �'"•t DC7 vu �t: r- r 0 IKqt� o od ~' ----Z� �N -��J �n 0 W oy m c a -----ma0 _C/)------ - - O ;u----------= -C�rJ r O r--- — ..1--. II O•ii-7" � � 10' UTILITY EASEMENT - - - - - - - ---->----- in Ato �--------------- X ---- „ CO C7 O (•] .� 0-00 O c O O LI) Ln Q Cm1..y O A ~ Ln 1 1-- o. s n� �} EXISTING m m ✓� � 0 3 BEDROOM O C) c HOUSE o o 0 t- ft O .y t7' °°• 3r ,� p m'o n P y o, O c o f 00 •P9O m �I A f1 rn E I � O w v Y i � O F RID - — — o GEVI -- ------ A ----DRIVE m"Z o �c c N N o z V xas� i✓Gj O ''t �•+1 OCy 'V my O ti0 ✓ W `� iry ii (� •i it y q_ a;5 'EKG 1' "•� o � •� 61 ,ion i � /�t •C:� ,� ?•' =��'.� Municipality of Anchorage . DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 I SOILS LOG — PERCOLATION TEST PERFORMED FOR: / 11`;,C in< %'1 ALNKOV/GH DATE LEGAL DESCRIPTION: LCAT 7 . 73L%z 4 - Township, Range, Section: DEPTH Ovi4�rtt. (FEET) S 1 I Vi1+•/o -� S I L.T 3 413.o.N. 5 C 8 9 10 11 12 13 14 15 16 17 18 19 WASGROUND WATER ENCOUNTERED? S I 1 1-1- j AT WHAT L N 0 O P E er Aller N A g„c N�A IF YES. DEPTH? otplb to War Monitoring? SLOPE ROBERT C COMrAN SITE ■■■■.■■m■■I r W", Emo NE—VEt ■1©mm1■■■■mol ■LImmummmo©■mmommommommmmmmmmmmm' NMIN"N.01 71 ■■mm■m©a■■ ■■m■.mm0■■ mmommommom mummommmmm mommommomm 20 -{ UPERCOLATION RATE • Iminutevincftl PERC HOLE DIAMETER TEST RUN BETWEEN __ FT AND FT COMMENTS rCA. iatiiL(- ONLy — /Z 115,C4 A >O TN (3Y TNEone,cf 9„co44 cc '7 II -g/ C f=oA. S 41&J rNfo To 1'4 rvo C.Aovvo w471A � 5 b S ENGINEERING PERFORMED BY: -CERTIFY THAT THIS TEST WAS PERFORMED IN •y a ver p • o. / ACCORDANCE WITU RTvaI� All"IMp YXI. GUIDELINES IN EFFECT ON THIS DATE. DATE: - - /� � 72-008 (Rev. 4185) r W", Emo 20 -{ UPERCOLATION RATE • Iminutevincftl PERC HOLE DIAMETER TEST RUN BETWEEN __ FT AND FT COMMENTS rCA. iatiiL(- ONLy — /Z 115,C4 A >O TN (3Y TNEone,cf 9„co44 cc '7 II -g/ C f=oA. S 41&J rNfo To 1'4 rvo C.Aovvo w471A � 5 b S ENGINEERING PERFORMED BY: -CERTIFY THAT THIS TEST WAS PERFORMED IN •y a ver p • o. / ACCORDANCE WITU RTvaI� All"IMp YXI. GUIDELINES IN EFFECT ON THIS DATE. DATE: - - /� � 72-008 (Rev. 4185) ROBERTC. COWAN. P.E. ROBERTA. SHAFER P.E. ON-SITE WASTEWATER DISPOSAL SYSTEM CMLE (907)69 44-2979 S CONSTRUCTION PRACTICES FAX(907)694-1211 and MATERIAL SPECIFICATIONS IEKTNAWHORITY APPROVALS REFERENCE: Lot 9, Block 4, Mountain Park Estates May 16, 2003 SEWER 8 WATER UNNEARNSIGFS GENERAL: 1. The scope of this project includes the installation of a new bed to serve the existing three bedroom residence located on the referenced property. SEWERSWATER "KeTTON 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 ENCINEERMSnXIES ANDKFaRS Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. WELLINSPECTION S FLOW TEST 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all SITE PLANS 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 RWO DESIGN 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. WILTEST SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. TTEEST�`AT�' Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. STR1c AMA WCKVW_ . "SFEOTIONS 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. ONSITE WASTEWATER DISPOSALSYSTEIA DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99571 Page Z Lot 9, Block /, Mountain Park Estates May 16, 4003 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 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. 8. A mound system is to have the upper six inches of top soil and be seeded for vegetation. Page 3 Lot 8, Block I, Mountain Park Estates May 16, 2003 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: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (IIDPE) 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 therewill 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. 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. Page Lot 9, Block I, Mountain Park Estates May 15, 2007 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 Municipality of Anchorage ::4. � Development Services Department Building Safety Division �- On-Site Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 99519{650 Page I of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Perrmit Number: S 9 103 4 7 PID Number. 0 -' 061 - Pf /W Name /4'j *,r k / ' I A e-Ako V ` Wastewater System: ® New ❑ Upgrade Aft". 1 7 go Cane 51,nc g5/ ABSORPTION FIELD Ptvr •� / I �— / 1 %-'. / NumDH a B.aooinr 3 V/ L�• •✓L O Deep T .dl O Snes-Tm Ptew O m..w O ourc LEGALL DESCRIPTION SodNaolq: O,5 TOW Depth fan m(pMl qW a p ,p Ft. 010&,4La s�aiviuorey / Et0.T� Dom"p"ealan fan H"wW 7r Graves depm frnem P": Q.SFI. NA1 ArA r a'i Ft. Toenan-p: Range: S*Cb= H added alwve anghW IFada: OXFI. Gr" L&Vn: L �t V t+ FI. Well: New ❑ Upgrade Gravesw l5 Numf 007: Ddtance Dat een Ines: 5 FL . FI. CteaHficatwn Pnvat,. A B, C' Ta Deem: % 60L Cased b Tai afaerPaen wa: //��/�� P" mateenal 1 /� Q. Ft. VI LJO , W Fl J I 0.a to Dnw. me rn DHe DNW: SWIG WHH IevH. 55 YWaller. Owned- Date lnsa '. l0'a�q nI1 —/3-00 FL Yw 8 P'Tw set at U.lknOWPj Cal" Hog" A TANK GPM FI. FL SEPARATION DISTANCES IRSeptic ❑ Holding ❑ S.T.E.P. ❑ Other, To Septic Absorption Lift Holding PublWPdvat M•'aa•raa•n .—. T cWauy. From Tank Field Station Station Tank Sever Line 4410/A Q4 WM D C4 ! 00 ` ^ �� a3`-I- /e $Mwenat.'. fe / NulMar p C s: e 11 svd.cewme, 106+ loolt I LIFT STATION ` i1 ` Sao anulwvH. La Lim O Gm . an 'Poop a; MvN w •Poop etr r. H,gh wales Halm M. I!LFounds n N. Cuttrn Dai n�� None Know Pump Make a Ete r" nspxfau penanned fy Reark.: BENCH MARK Lora4m and D",,W n: To cM u D re.L Nsumed E,..awn: 01e A IDO FL Engineer's Stamp 4 O k 2 /'r�4 r Y:�" i 11 5 8 S ENGINEERING. 17034 Eagle River Loop Road, No.204 ^� qq H Inspections performed by: Dates: 1 —oC 7- 1 1 • S ',Eagle 00 .. v j%. •+..wows. �A 00. Developme SOrvlc s Depa ent Approval ROBERT C COWAN fQ Reviewed and approved by: Date: 2'23-0/ �.. CE -8801 1+ fr :+ '*0 c PERMIT NO. SW990347 PACE 2 OF 3 Municipalit of Anchorage DEPARTMENT OF HEATH 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 9, BLOCK 4, MOUNTAIN PARK ESTATES P.I.D. NO. 017-061-28 8 LOT I I �I I 100' WELL RADIUS 1 I �I I W 11000 GALLON C I j� I L' I SEPTIC TANK W I O OLj I Q �-Cr A AR•y� 4 I W I FCO LJ m S A y I5T1 Fr- w I I ST2 B M D 1 I J DBL1 h DBL2I TH/jl � I / • • C01 IMT1 I I N O11, �l 4x2 �o I MT2 �� 0 CO2 � 1 SCALE: 1• - 4 ' LOT 10 • z� y� ' f•; It BERT C. COWAN /� S PERMIT No. SW990347 PACE 3 of 3 Municipalityof Anchoraqe DEPARTMENT OF HEATH 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 LECAL LOT 9, BLOCK 4, MOUNTAIN PARK ESTATES P.I.D. No. 017-061-28 99.1' FINAL GRADE STI ST2 NEW 94 9 1000 GAL SEPTIC 94.7' 72.5 TANK - 96.5' 6.0' C01 MT1 —7 MT2CO2 INAL GRADE 92.5' 1.7' 91.9' 2.7' ORIGINAL GRADE N. T. 5. A STI - - 14.0 11.5 35.5 41.5 ter, ST r'` •,M......... • �. S DBL1 - 11.5 50.0 • DBL2 - 10.5 50.0 At Cot a5.5 6a.5 - NO WATER FOUND i FT _1 54.5 74.0 - 79.7' B.O.H. /:M�/' CO2 FT -21 78.5 59.0 - T ROEERT C. COWAN !? ftp � ��R• � 72.5 49.5 - FEB -08-2001 THU 07:09 AM KING CAREER CENTER FAX N0, 907 278 6559 F. 02/03 Municipality of Anchorage Department of Health and Human Services 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom IMtp /AWAN.ci.uKh0rW.0 US Mayor 4:i'a'= Permit Number. *SW99034 Date of Issue: 9-22-99 Parcel Identification Number. 017-061-28 Date Started: 9-12-00 Date Completed: 943-00 Is well located at approved permit location? IS Yes ❑ No Legal Description: Mtn Park Est Blk 4 Lt 9 property owner Name & Address: Mark Machkovich 11740 Cange St. Borehole Data: Soil Type, Thiclmess & Water Strata stick-up gravelly sift silty cobbly gravel gravelly silty sand sandy gravelly silt silty cobbly gravel & bldrs gravelly silt silty water sand & gravel water sand & gravel APE JJ.710 Depth (ft) From To 0 2 22 80 95 181 239 245 259 2 22 80 95 181 239 Method of Drilling ® air rotary ❑ cable tool Casing type: steet Wall Thickness: .025 inches Diameter: 6 inches Depth: 262 feet Liner Type: Diameter inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 155 feet Pumping level: 262 feet after 245 2 hours pumping 8 gpm 259 1 Recovery Rate: 8 gpm 262 Method of Testing: airlift Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Startfeet Stopped feet ❑ perforations Start feet Stopped fat Crout Type: :Rentnnire Of R Volume: Depth: Start 0 feet Stopped + fact Pump: Intake Depth feet M Afmn size hn Brand Name N Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: Comments: Well Driller: Alpine Drilling & Enterprises P O Box 110496 Anchorage AK 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the property n vruw ro 1b m.il A.:11.. cl.ell n.nv:A� f w.11 lnn 1n fh. Tlanf nP t7.elr6 Rr human C�nrinw nnfl.in rn Alm nr nnn,nlnfinn Qt,uvlt?�(- 1r1S�"a�� • MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343.4744 IPM yom �r • /2/-77 ��✓ vp ONSITE WASTEWATER DISPOSAL SYSTEM ) WATER SUPPLY PERMIT(— Renewal ERMITRenewal oo-y9 Date Issue ep 1999 Permit Number: SW990347 Expiration Date: Sep 21, 2000 Parcel ID: 017-061-28 Legal Description: MOUNTAIN PARK ESTATES BLK 4 LT 9 Design Engineer. 0003 S & S Engineering Site Address: 013320 RIDGEVIEW DR Owner Name: Mark Machkovich Lot Size: 35000 SO. FT. Owner Address: 11740 Cange St. Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage , AK 99516 - This permit is for the construction of: ❑-7 Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑✓ Private Well ❑ Water Storage 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 (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: q->2 -g9 Date: Z S& ROBERT C. COWAN. P.E. ROBERT A. SHAFER P.E. CML ENGINEERS (907)694-2979 FAX(907)694-1211 September 3, 1999 HEALTH AMHOPoTY APPROVALS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 SEWER& WATER Anchorage, AK. 99519 MNNDRENSIONS REFERENCE: Lot 9, Block 4, Mountain Park Estates SEWER&WATER INSPECTION Request you issue a permit to install a well and septic system to serve the proposed three bedroom dwelling on the referenced property. NEESSTUDIES � Two test holes were excavated and percolation tests performed. The approximate location of the test holes is located on the attached site plan. At the time of excavation, 8-31-99, no water was found. After seven days of ground °H L water monitoring, the tube was dry. OPST 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 SITE PLANS construction of this system will not prevent any future development on any of the adjacent properties. ROADDESIGN If you require additional information, please contact us. SOILIEST /Sincerely, Robert C. Cowan, P.E. PERCOLATION RCC/bjj TEST Enclosure STRLICTURAE& WCHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 rRFgTV- OEN — -- 10'iIYIU*v f�SF wFNi —�_ G� GE IVGE EW� r O N �y -----/j------ -------- 10 Z 1" = 100' DESIGN SITE -PLAN v NOW Orm � W y NII S' u S,F II Oto II Z Oi -•ON d ions 00Lnp O C (AOC) 000 c Ln 0 sZ iyz A 0 �* f'l a i u� O f'7 i F �z �1rd w m � tl�i oMma Ap"Z qq JCASA = rRFgTV- OEN — -- 10'iIYIU*v f�SF wFNi —�_ G� GE IVGE EW� r O N �y -----/j------ -------- 10 Z sn� iY=.SCMCNI _ _ _ r O co r O N-3 51, o v NOW Orm � W sn� iY=.SCMCNI _ _ _ r O co r O N-3 NOW Orm � y NII m C) II Oto II Z N A 00Lnp O (AOC) 000 Ln A 0 a i O F �z 03 w 7 I t to oMma Ap"Z qq JCASA = F = �y lr�^J D OCy O A r vl ti r X Q A '� n 1 ; W ��/^ Vo, Z O Vl O 1 q' DEIGN SIE -PLAN Y/ oM� {•RRm k 'n ) o §� � AMm \ m� UT LG Y EA EM N _ f _ — — ( �a m � � ;u\ LJ -0 \CD:0 e\)\\ n d §y0 \k�\� rl \7 ►} � ) � % C / lVE GEVIEW D � — - - \ � O « Ln ma c ! �— 0Ln0 7 » •„2 �m 7 6 io \ ° � G � CA 0 . 0 m §f$ k 3 in t b 4 m o2 _ - > w �, E \ w � O �2 .g 7 » 7 z G � » m *Von w §m E : w q » w )2 ® m }tea -N. T. S. DESIGN DETAIL 11, Al I gaF f C) O N r �0�a m O II 7 ON Ili Ci xz ���0 3 L ID N A O d r C Ln O 0 �v -n o�un � v>• < O 000 Z :E m ua�a O � '+7 m m'0 C) E5 vm tee"p •'"I 1--I Z7 > g rsy m � iS�pqq �5}aaai t7 O (7 Don m g'�Oc E+1 o a O w rH 7 m ►[�ry]y V N +^ < N 1.� N r.- m C ym m 1-- �.•.� z zs E+ l�J C/a nti AKN 0 ti G7 O,o A D EN FM `/-�J Dmn V/ Z �Z a xc Z o N no m� y Z v I� mom K0 � a z z 4• MIN. TO GROUND WATER aGA� L 1 to 2 Z no C Z vo mONr on r O o Z � \1 O y yr NO 00 n m C O z no 0 mr6 O r6 41� r z O H c H S; ti +O En O� 0—CO f C) g r ;0 N 11 m O II 7 L 11 0 L ID N A C Ln O Ino C) 000 O � '+7 •'"I 1--I Z7 > g rsy m ,Z7 J0 t7 O (7 Y7 t1 1 w rH 7 I to ID V 1.� N r.- pvon AmO JpcAZ Y F �.•.� z zs E+ l�J C/a >=!oc Zyt AKN 0 m r 'q O,o A D EN FM `/-�J Dmn V/ Z 0 0 Municipality of Anchorage . DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 I SOILS LOG — PERCOLATION TEST PERFORMED FOR: /-147L K M404kQVICH DATE PER PERCOLATION RATE � • tmmutevinthl PERC HOLE DIAMETER .L LEGAL DESCRIPTION' tiC—ONL 4 - Township, Range, Section: /I DEPTH l7 •L(,4Mlts (FEET) t �7T7,�,vo S r t_T 2- 45s74- 5- 6- 7 8 9 10 11 12 13 14 15 16 17 18 19 IF YES, A DEPTH? Depth to Wte MeniWring? x leoeezT c cdm.. 70 fz k ■.■■.■■■■■ tem 20 IL PERCOLATION RATE � • tmmutevinthl PERC HOLE DIAMETER .L JI COMMENTS FOR OG '7 1#-7 1 j C tiC—ONL wz� #"Do A of W"Um'm Sa1�J 1NFo To 114 tArj . No C.Aeu.✓o wAr4A 5/3 S & S ENGINEERING PERFORMED BY:.—ag Irer P C CERTIFY THA THIS TEST WAS PERFORMED IN 17034 J. 20 IL PERCOLATION RATE � • tmmutevinthl PERC HOLE DIAMETER .L JI COMMENTS FOR OG '7 1#-7 1 j C tiC—ONL . TEST RUN BETWEEN a FT AND 3 FT y REFkA TO TN 13y THEoao,tj #"Do A of >`0A Sa1�J 1NFo To 114 tArj . No C.Aeu.✓o wAr4A 5/3 S & S ENGINEERING PERFORMED BY:.—ag Irer P C CERTIFY THA THIS TEST WAS PERFORMED IN 17034 J. ACCORDANCE WITBm%U RiVel; ALQh&RgMXL GUIDELINES IN EFFECT ON THIS DATE. DATE - 72 -008 (Rev. 4/85) e r Municipality of Anchorage . DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502.0650 SOILS LOG - PERCOLATION TEST 02, PERFORMED FOR: H&?t tC A1,4CH/G.O✓/GH DATE PERFORM LEGAL 1ff'&(_4A1i CS j2EObISH-S"N 11 ;F 00 �( LT36.o.P. 12 E 13 Depth to wmer Aller T Monimring? Date, N ' r1111 4- 5- 5 S tC 6- 7- 8 7 8 9 Section: 10 WAS GROUNDWATER ^/^) ENCOUNTERED? ` 11 S IF YES, AT WHAT L DEPTH? AI A O 12 E 13 Depth to wmer Aller T Monimring? Date, N ' r1111 14 15 16 17 18 19 20 COMMENTS F0 A P E A c, O w 4 =mmm ���r'Ofiti�0 PERCOLATION RATE (minutestinctt) PERC HOLE DIAMETER T EST RUN BETWEEN �' FT AND 3 FT PERFORMED BY: S d S ENGINEERING �',�— I CERTIFY THAT7 IST ST WAS PERFORMED IN 17034 a9 rver oop Road No. 204 pl �, 79 ACCORDANCE Wgj�*;tW*j%"j49¢, "AL GUIDELINES IN EFFECT ON THIS DATE. DATE: ?2-008 (Rev. 4/851 a S&SN ROBERTC.COWAN, PE. EnGlneexlnG ROBERT A. SHAFER PE. CMLENGINEERS (907)694-2979 -FAX(907)694-1211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES TNAUNoan HEALA"WNALS and MATERIAL SPECIFICATIONS SEWERS WATER MANOMNSIOM REFERENCE: Lot 9, Block 4, Mountain Park Estates September 3, 1999 GENERAL: SEWERSWATER NSVECTION 1. The scope of this project includes the installation of a 1000 gallon septic tank and an absorption bed to serve the proposed three bedroom residence ENGMEERNOSTUDIES located on the referenced property. ANDREPORTS 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit or ADEC Authority to Construct with any WELLNSPECTION special provisions or conditions, and all applicable State and Municipal SFLOW TEST Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground STE PVNS utility locates. 4. Unless specifically agreed otherwise, the property owner shall be for final grading areas subsequently depressed from soil settling. ROADresponsible �`' On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. SOIL TEST 5. Contractors installing wastewater disposal systems must be certified by the 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. PEi400L,,TM TEST SEPTIC TANK INSTALLATION: STRUCNRALS 1. A septic tank is to be constructed by a certified septic tank manufacturer. CHANIM NPE Construction shall include two 4" cleanouts for pumping access. CTIONS.S 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. ONSITE WASTEWATER DISPOSN.St9. TEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 Page 2 Lot 9, Block 4, Mountain Park Estates September3,1999 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. ! � �Ir:Ly 1! t11 �111t71� 1►1.�! t/ \ 11 ri V t! t �]�H 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. Paye 3 Lot 9, Block t, Mountain Park Estates September3, 1999 8. A mound system is to have the upper six inches of topsoil and be seeded for vegetation. MINIMUM MATERIAL SPECIFICATIONS: 1 M 3. 4. 5. 5 7 Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) O • •i ' • • 1 Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 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. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 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. Paye 4 Lot 9, Block 4, Mounta/n Park Estates September3, 1999 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 municipality - P.O. L i 196650 s ANCHORAGE. ALASKA 99519-6650 01 `` (907) 264== 4744 Anchorage 44 - TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 9, 1987 Hank Peck 12305 Wilderness Drive Anchorage, Alaska 99516 Subject: Lot 9 Block 4 Mountain Park Estates Subdivision #1 On-site Sewer Permit #860293 A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1986. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as -built inspection report (three part form) must be sent to this office for review and approval, and for documentation. If there are any further questions, please call this office at 264-4744. Sincerely, R.W. Robinson Program Manager On-site Services RWR/ljw enc: copy of permit MIJI�7I C I f�f1L I TY DF= ANCI-1(-7fzfaGE t DEPARTMENT C*"�'HEALTH AND ENVIRONMENTAL '-4'.ITECTION 825 L STREET, ANCHORAGE, AK 995U1 264-4720 UtRt—S I TC S1=WEF2 r -E -=RM I T PERMIT NO: 860293 ENGINEERED DESIGN/!/�'�lTlx°? DATE ISSUED: 08/19/86 APPLICANT: HANE: PECK ADDRESS: 12305 WILDERNESS DR. ANCHORAGE, All' 99516 CONTACT PHONE: 279-9611 LEGAL DESCRIF: SUBDIVISION: MT PARK EST. LOT:.9 _ BLOCK: 4 SECTION: 26 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 35000 (SQ.FT. OR ACRES) I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the MUnicipality of Anchorage (MOA) and the State of Alaska. 2. I will inst.11 the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED _5 --------------- ARPLICANT. HANK PECK ISSUED BY _�1�1//w�� �,- "�sysc 7e';r4/ e amyl' z . So// u..�t i� zol DATE: DATE: --p ���--- n Lot 9, Block 4, Mountain Park Estates On—Site 4—Bedroom Wastewater Disposal System SPECIFICATIONS 1. Septic tank to be 1250 gallons and Municipally approved 2. All pipe and monitor tubes to conform with Municipal requirements 3. Soil absorption system to be a "bed" built on in—situ sand stratum located 2.0 feet below ground surface. In construction the surface organic strata are to be stripped off and the surface brought up to level with imported sand, as approved by the inspecting engineer. 4. Gravel dimensions shall be 25' by 36' by 0.5' beneath the perforated pipe, with an additional 0.5 feet around the pipes and covering them to a depth of 2". 5. Perforated distribution piping shall consist of 5 runs of 30 feet each separated 5 feet apart, with perforated connecting pipes at each end of the lines. Cleanout pipes shall be installed at each of the 4 corners of the distribution piping, and a free standing monitor tube near the center of the field extending to the bottom of the gravel. 6. The bed shall be covered with an approved permeable silt barrier and 2" of direct burial type insulation, with two feet of soil cover above. The septic tank and all portions of the wastewater line with less than 4.0' of cover shall also be insulated' with 2" of direct burial type insulation and have at least 2.0' of soil cover. 7. A gravity flow system is intended. Any lift station would require an engineered design and prior approval from the Municipality. �'4�_OF A '� C 04 �'. THEODORE F. MOORE '� :��.CE - 3589.pis K SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Ha" k PCC f. DATE PERFORMED: -7 /17 (86- LEGAL gGLEGAL DESCRIPTION: L.O� Bf6Cr Y.0 moun/6171 Park 5c{a/rl rn—F-5771 Aj. SLOPE SITE PLAN -r r I O[ Reddub o7alk sWf z 3 S P Frne Sand ice) yrA?45 4 ISO C1r/Bohm 5 6- 7 S t f �r Sund s SM Densefr packed 9 Wifh oCCCCllonul Jensel V� clean sand 10 11 WAS GROUND WATER ENCOUNTERED? No Vented- 7/2y /g6 t2 IF VES, AT WHAT DEPTH? 13- 14 13. A 15— Date d& -alt F. OF Net Time Depth to Water .......... 0TH •,9 17 �..::a9.—. ...........:.*.� 18 ,. �� ............. i 1HEODORE F. MOORED '•.• is P CE -3589 ,(dam /���P�o/essloaa���•�+ MENESONNNE Date Gross Time Net Time Depth to Water Net Drop ONMENEENNO .■■■NOMMEN Immigri ■■■■%7■■■■ NNN"NUMN NEE13010mi ■■■ .EE■E Reading Date Gross Time Net Time Depth to Water Net Drop 20 \ • •; P..PRCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT 1 COMMENTS tfortl4f rn.(AIffOC 7A AOiG Renn'w'/yzoe 6eoC (vcc"•yc er PERFORMED 72-008 (6/79) F I E D 8V: IJ2_041-•e- F 7`4"w- DATE: 49I6I196 I A I (•, r� --___--- Flattop Technical SeiviCE'$ 14530 Echo Street Anchorage, Alaska 995IG (31.06 K VACANT 2 VAC A N T x,(FA PPROK ,�. SEvrlc s HSE 1 i IL/ / �+ ;Rase,_ � of- w2ac`, `f VACANT oR S�PT(c •� ✓ . SYSr Few Ar DHNS i \ PRoP \, ;PRov ; -- i ARrA �� ' NSE L~ I AvdmijeFe - - - 0 ' FOR oRii \ for ,o [-� 5� CC o O,r sE.nc f Srst-Hv i ' CO.'A SC'H-t wee.L ISE"- H P M D U N overall fcend :e a s7o `•�OF.A� ��' S I T E PI -A N tcn0ll io wi1 /' ,W* " ••� � � LOT 9� .13 LOC h �, TH r*. X19— *• ([nits/ o�/een oflot� /•i• . .•••..••.•..•••.:••. 0 %e-- y MOUN TAIN PK ESQ THEODORE F. MOORE; / 1/' tii l Foy Isu so71 6000 a' �.'....CE-3589rD / SGA► -F_ I"= ico OWN. TFr mhon t �0`\\r�=�a����` 16,0 oa' a AIICCyle C>CJe 8//1 /66 Municipality of Anchorage ;• -� Development Services Department Building Safety Division On -Site Water and Wastewater Program C} • 1J 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. of? -d6 /-,19 COSA# 0.4hg010g Expiration Date: 1. GENERAL INFORMATION Complete legal description _ fqo,,.j r i.. PaA)lZ i=a}A�F.; C31xiC 4 (.,o+ 9 Location (site address) 13320 Rtd,,-yic.a Drive - Current Property owners) MJ,— W hcs l er Day phone 868 — 277 to Mailing address Lending agency Day phone Mailing address Real Estate Agent lel, Q AEa. Day phone 261- - •SoS Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ( Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered In the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family cn-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation, based on procedures outlined in the 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 installafion. Name of Firm Address Engineer's Printed Name S. DSD SIG ATURE l SIG for 3 bedrooms. Phone Z11-3116 Date z o r r Till i w-" rn Disapproved. \��"if� Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: �v' Original Certificate Date: 14 (Raw 1IMS) Municipality of Anchorage Development Services Department j Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON—SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ('1« i, , ILVI £51465 Bl -,k 4 Lo} 9 Parcel ID:D/ 7— D 6 A. WELL DATA Welltype PLiJJe If A, B, or C provide PWSID # Date completed Sanitary seal (YIN) Total depth UZ I. Cased to 262 ft. FROM WELL LOG Date of test Static water level 155 ft. Well production 8 g.p.m. WATER SAMPLE RESULTS: Coliform _colonies/100 mL Nitrate 7.2 mg/L Arsenic: /y`D ug/L date of sample:4 0l 0y B. SEPTIC/HOLDING TANK DATA Tank Type/MaterialAnAor4TAn�� Tank size 1000 gal. Number of Compartments 2 WeII Log (Y/N) Y Wires properly protected (Y/N) '- Casing height (above ground) 2Y in. AT INSPECTION 2,_+ g.p.m. Other bacteria .0—colonies/100 mL Collected by: LAe5 Date installed I of z/ 9T Cleanouts (Y/N) i Foundation cleanout (Y/N) _j` _ Depression over tank (Y/N) // High water alarm (Y/N) /V Date of pumping 1110101 Pumper T S aAL`s Puw :, Se rvtc-r C. ABSORPTION FIELD DATA Date installed &11103 Soil rating (g.p.d./ft2 or 0bdrm) 0.5 System type t3e� Length 40 ft. Width 15 ft. Gravel below pipe O's ft. Total depth —I— ft. Eff. absorption area 90 ft= Monitoring tube �_ Depression over field A/ Date of adequacy lest 4 13 Results (Pass/Fail) Post, For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 5CO gat. New depth I in. Elapsed Time: 10 min. Final fluid depth 0 in. Absorption rate >= 9 50 g.p.d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NO If yes, give date -- D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on' lev at—in. 'Pump oft" level at In. High water alarm Iev t in. Datum Cycles tested Meets alarm gedkrcuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >100 r Absorption field on lot >100, Public sewer main /V 1 Sewer /septic service line )15 Animal containment areas > Sol On adjacent lots /00 r On adjacent lots % /co r Public sewer manhole/cleanout Holding tank Nl^ Manure/animal excrete storage areas >1001 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 7 Sr Property line ---5' Absorption field .5 Water main 7lo I Water service line 10 t Surface water N.O. Wells on adjacent lots 7100 t SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 710 t Building foundation 10' Water main to Water Service line X101 Surface water IV- 0• Driveway, parking/vehicle storage is r Curtain drain N.O. Wells on adjacent lots 7100 r F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and A-LA' TH�rtii review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date._�VUnKLA50 .: Engineer's Printed Name nur a Z�, flot Date q174 0. FE 0 �~ ce COSA Fee $ ���— Waiver Fee $ Date of Payment 4127109 Date of Payment Receipt Number Receipt Number (Rev. 11!05) SCS Rett 1091261001 Client Name Tobbcn Spurkland P.E. Project Name/# MPE B4.L9 no.. Aa.w Client Sample ID MPE B419 Matrix Drinking Water Sample Remarks: X0 6. 4.*hke" BI Lq Printed Date/rime, Collected Date/rime Received Date/time Technical Director 04/142009 15:25 04'012009 9:20 04/012009 10:55 Stephen C. Ede L.S. Allowable Prep Arulysis Panameter Results PQL Unita Method Container ID Limits Date Date Init Metals by ICP/14S I lardrim as CaCO3 179 5.00 Waters Department Total Nitratc.R4itrite-N 210 0.100 Private Individual Jlnalvsis mg'L SM -PO 2340B C mg/L SN120450ONO3-F B 04/08/09 04 09 09 NRB 04/03/09 JD7. Aluminum ND 20.0 ug/L EP200.8 C 04/08/09 04.'09.'09 NRB Antimony ND 1.00 ug/L EP200.8 C (<6) 04/08/09 04 09 09 NRB Amenic ND 5.00 ug/L EP200.8 C (<10) 04.08 09 04/09/09 NRB Barium 8.48 3.00 ug/L EP200.8 C (0000) 04/08/09 04.'09.09 NRB Cadmium ND 0.500 ugt EP200.8 C (<5) 04'08'09 04,'09,'09 NRB Calcium 55200 500 ug/I- EP200.8 C 04 08 09 04/09109 NRB Chromium ND 2.00 ug/l. EP200.8 C (<100) 04/08/09 04 09 09 NRB Copper 9.39 1.00 ugL EP200.8 C (<1300) 04'08'09 04;09,09 NRB tron 335 • 250 ug/L EP200.8 C (<700) 04.08!09 04.'(x)'09 NRB Lead 0.353 0.200 ug,1. EP200.8 C (Q5) 04/08/09 04'0909 NRB Magnesium 10000 50.0 ug/L EP200.8 C 04 08 09 04/09/09 NRB Manganese 25.8 1.00 ug/L EP200.8 C (<50) 04/08,'09 04.'09.09 NRB Chloride 16.3 0.100 mgt EPA 300.0 D (<250) 04'06.'09 04/06/09 JDZ Fluoride ND 0.100 mg/L EPA 300.0 D (<2) 04 00,01) 04/06/09 JD7_ Selenium ND 5.00 ug/L EP200.8 C (<50) 04/08/09 04 09 09 NRI! Sodium 3660 500 ugL EP200.8 C (<250000) 04'08.09 04.'09,09 NRB Silver ND 1.00 ug/L EP200.8 C (<I00) 04/08109 04.'09.09 NRB Thallium ND 1.00 ug'L EP200.8 C (<2) 04/08/09 04 09 09 NRB Sulfate 12.9 0.100 mg/L EPA 300.0 D (<250) 04 06 09 04/06/09 JU7. Zinc ND 5.00 ug/L EP200.8 C (<5000) 04;08;09 04'09.'09 NRB SCS Ref.# Clieut Name project NameN Client Sample ID Matrix 1091264001 Tobben Spurkland P.E. MPE B4,L9 MPE B4,L9 Drinking Water Printed Date/Time Collected Datelrime Received Date/time Technical Director 04/14/2009 15:25 04'01/2009 9:20 04/01/2009 10:55 Stephen C. Ede Allowable Rep Analysis Parameter Results PQL Units Method ContainerlD Limits Date Dale Init Private Individual Analvsis Total Dissolved Solids Nickel IICO3 Alkalinity Conductivity PH Alkalinity Colony Count Total Conform Fecal Coliform 194 10.0 mg(L SN1202540C D (<500) 04/01/09 ACF ND 2.00 ug/L EP200.8 C (<100) 04/08/09 04.'09/09 NRB 127 10.0 mg/L SN1202320B D 04/13/09 WAW 348 1.00 umhos/cm S%120251011 D 04!01/09 RJT 7.80 0.100 pl1 units SM20 4500-11 D D (6.5-8.5) 04.01-09 RJT 127 10.0 mg(L SM202320B D 04/13/09 WAW 0 col.'IOOmL SX1209222B A 04.'01/09 DLC 0 col/IOOmL SM209222B A (<I) 04.O1,09 DLC 0 col/100mL SM209222D A 04/01/09 DI -C Municipality of Anchorage 0. 6� A a\, Development Services Department Building Safety Division •.�;. ✓_ On -Site Water and Wastewater Program s e r 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519"6650 www.ci.anchorage.ak.us (907) 343-7904 ' ERDFiCATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING -7 RU9% AF AN Parrcl i.D. 017-061-28 HAA:, Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 9; Block 4; flountain Park Estates Location (site address or directions) 13320 Ridgeview Dr. Current Property owner(s) Mark Machkovich _ Day phone 929-2050 Mailing address same Anchorage, AK 99516 _ Lending agency Day phone _ . Mailing address Real Estate Agent _ _ Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pick p. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: ' TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site El Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Aulhcr y Approval (HAA) based only upon the representations given in paragraph 4 by an incependent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the trnsfer of titre (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells er a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my Investigation and Inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. "tamcpf fir,n S & S Engineering shone 694--2979- Address 17034 94=2979Address17034 N. Eagle R;ver Loop Ste. 204 Eagle River, AK 99577 Engineer's Printed Name 5. DSD SIGNATURE _L� Approved for ?_ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments ` ; V14 -011c m= WASTFWATER Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory _ Supplemental Engineer's Report Well Flow Advisory Other By: - W. Original Certificate Date: -6-,/7-03 45��Ire�lv 41111/ (RM. 01102) Municipality of Anchorage Development Services Department ��.�^-� °•'=°'°: Building Safety Division ' ,i On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.8k.us (907) 343-7904 HEALTH AUTHORI T `i APPRO`v', L CHECKLIST Legal Description: Lm T °) Q l oc �c Mdan740 ✓ PRR*C .65747/1Parcel ID: d) % — 06 / - a K A. WELL DATA Well type ERrv4rA- If A. B, or C provide PWSID # = Well Log 1' N) Date completed q BOO Sanitary seal &N) Wires properly protected (ON) Yf J Total depth oZ 6 is ft. Cased to a 61 ft. Casing height (above ground) 15+ in. FROM WELL LOG AT INSPECTION Date of test 9/13/o0 Static water level )S—S— fl, a K a ft. Well production $ g.p.m. _ �. `7 9— p.m-WATER SAMPLE RESULTS: Coliform 'O colonies1100 ml. Nitrate )-a! mgJl. Arsenic: gRf� Date of sample: r�ry/o 3 B. SEPTIC/HOLDING TANK DATA Tank Type/Material $1P7'1c- / $ eCL Tank size 1 0 ay gal. Number of Compartments -2:- Foundation cleanout &N) YC f Depression over tank (Y.4Q ^' 00 Date of pumping 013 / 0 3 Pumper ROTO /10c r" C. ABSORPTION FIELD DATA Date installed 6141lo 3 Soil rating g..d./ft2 rft'Ibdrm) ©•S - Other bacteria O_ colonies/100 ml. Collected byS i 5 ENGINEERING 17034 Eagle River Loop 1150ad No. 204 Eagle River, Alaska 99577 Date installed Cleanouts&N) `!E -S High water alarm (Y4Q ^' 0 System type 13 6 D Length 6 O ft. Width ) S- ft. Gravel below pipe 0,91 ft. i Total depth 3 s fl. Eft. absorption area °)00 ft2 Monitoring tube YES Depression over field Date of adequacy test 1✓I4 - A, K •✓ Results (Pass/Fail) For : bedrooms Fluid depth in absorption field before test Elapsed Time: _ min. fluid depth _ in. added_ gal. New depth_ in. Absorption rate >= g.p.d. Any rejuve reatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed Size in gallons _ "Pump on" level at _ in. "Pump off" level at Datum a� me1u1 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank lift station on lot 10 O r f` Absorption field on lot — /00 r'f Public sewer main A) 1.4 Sewer /septic service line ')-S- r4 Manhole/Access (Y/N) in. alarm level at in. Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout N 1.4 Holding tank rV14 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: r � � Building foundation 7 Propertyline yO Absorption field �� f Water main N /A Water service line /0'+ Surface water lO0 14 i Wells on adjacent lots i 0 t) SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ) O Building foundation )O / Water main A) )A r r Water Service line D 'f' Surface water /00 f Driveway, parking/vehicle storage / 0 4 - Curtain drainAld-E kv(:Lv�v Wells on adjacent lots .104)4 F. COMMENTS 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 HAA guid ' es in effect on thi date. Engineer's Printed Name Date ry h.4 /0 3 HAA Fee Date of Payment Receipt Number (Rev. 12/01) V I Waiver Fee S Date of Payment Receipt Number A. SWO JAVA I N (03ti) 00'001 3.00,14.fo 5 /S p0'bLl 3.flAf.f6 S \ tW) inn +1.e a "*1IW3AUU101--------------- ------ F --- y li u co O O IIA as 9 V 0 V p I.L' CYII. MA / 7 ky( EXISTING b G4 o G FOUNDATION 6A z Z 0 �m � •m 0 z z b'Be @'j g Q"4 b V p 10.0 241 t0 O _ r OO =gE _ i�p Nppj rA ¢rR • H t ("1 w �a r �^ I g O <fa r E (W) ,Ze•1L 1 .....3 S >R (a) ooyto 3.00.Ib.fO S W O jam._ rJAIda M31MOG18 %r- CD CD qo ir .r 00 0 • I(^o ii A fa Municipality of Anchorage ) • �; Development Services Department ' Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-061-28 1. GENERAL INFORMATION q Complete legal description Lot X, Block yY HAA #_ NA 01 OO r/ Expiration Date: 3--23-01 rlountain Park Estates Location (site addressordirections) 13320 Ridgeview Drive Current Propertyowner(s) (lark Plachkovich Dayphone 345-4456 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Day phone Day phone Unless otherwise requested, HAA will be held by DSD for pickup. f� .1 /;)� 7 /o r 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well © Individual On-site ❑ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sever ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representalions given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C we!I and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid ureter samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system Is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect d th& "ryUjV46 lion. 17034 Eagle River Loop Read No. 204 6,1 y _ 7 q Name of Firm Eagle River, Alaska 99577 Phone Address Engineer's Printed Name Robert C. Cowan, P.E. Date J`�: • ON-SITE WATER AND WASTEWATER 5. DSD SIGNATURE V PROGRAM ?? J Oct•- � Approved for �Lbedrooms'�i%4o, Disapproved. ����JJIIJJ)))111111 Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By:zai� Original Certificate Date: 2 — 23 —01 (Rev. RCO) Municipality of Anchorage Development Services Department Budding Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99518.6650 www.cl.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST s �Wp: prR•Y� Legal Description: Loi y B1- K I f4go y 7A .,W P•4Aa ' ES7, Parcel ID: 017 —06/ —,) g A. WELL.DATA ' Well type PR uATt If A, B, or C provide PWSID # = Date completed 9/13/410 Sanitary seal 10/N) y's J Total depth a`} ft. Cased to a -C x ft. FROM WELL LOG Date of test Static water level 1 S'S' ft. Well production `� g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Date of sample: 'A - to /0 f B. SEPTIC/HOLDING TANK DATA ' Well Log &N) Yf J Wires properly protected ('N) YA1 Casing height (above ground) 1 f i in. AT INSPECTION ft. g.p.m. Nitrate • GG mg.A. Other bacteria 0 colonies/100 mi. Collected by. i 8 S ENGINEERING Eagle17034 River Loop Road No. 404 1-4 k; River, Alaska 99377 Tank Type/Material 9 E P i's c- / s T E i. L Tank size 1660 gal. Date installed /0 /?/q 9 Number of Compartments '?— Cleanouls ON) Yf J Foundation cleanout &N) YE J Depression over tank (YAY N-) High water alarm (Y/Q Date of pumping N 44 — N'Ef✓ Pumper C. ABSORPTION FIELD DATA Date installed /0 )./qts Soil ratio g.p. , fe bdrm) _L - Length 60 ft. Width NU System type B LAO Gravel below pipe 0, s ft. Total depth _/ ft. Eft. absorption area 0100 fF Monitoring tube Y LJ Depression over field ^ 0 Date of adequacy test N A — N E a/ Results (Pass/Fafl) For 3 bedrooms Fluid depth in absorption field before test _ in. Elapsed Time: _ min. Final fluid Any rejuv ent (past 12 mo.) (YM 8 type) Water added_ gal. New depth_ in. rate >= g.p.d. If yes, give date D. LIFT STATION Date installed Size in gallons Manholei Ni 'Pump on" level at _ in. `Pump o1P level at High water alarm level at In. Datum des tested Meets alarm 8 dreuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankflBt station on lot ___L14 r I" On adjacent lots /0() f Absorption field on tot /0,11 'f" On adjacent lots /oa f Public sewer main N /A Public sewer manholeideanout N /,q r Sewer /septic service line S f Holding tank /✓ Q SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 7 / Property liney 0 Absorption field S �t Water main N A Water service line / 0 '+ Surface water 10 0 Wells on adjacent lots /00 r+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line I Building foundation a �' Water main N A � � r Water Service line % 0 -4 Surface water f 0 0 + Driveway, padcinWvehide storage Curtain drain N C r E K ecw✓ Wells on adjacent lots) 0 0 4 F. COMMENTS G. ENGINEER'S CERTIFICATION�t I certify that I have determined through field inspections and t {t ,` review of Municipal records that the above systems are in r,, 49 w conformance with MOA NAA guidellnes in effect on this date. 0. ' N' RgBEar C. COW4.,w Irai L.cc Engineer's Printed Name �, CE - 8801 ± Z Date HAA Fee Date of Pe Receipt N (Rev. 12100) Waiver Fee $ Date of Payment Receipt Number