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HomeMy WebLinkAboutWALTER G PIPPEL ADDITION BLK 7 LT 5Walter G * P"Iel AddPPition Block 7 Lot 5 #050-124-08 Apr 16 13 11:51a Sullivan 1Naier Vdells 9Q7 688 2759 artttteb �Drttttug 'Log by (Y^C CO. dba SULLIVAN WATER WELLS P.O. BOX 670"" CHUGIAK, ALASKA 99567 • TELSPHONE 696.2759 OWNER Of- !AN:-):_�` �la�lf5 �.—__..---- ACCRES.S:-- LEGAL i PERMIT NUWBER! _J_e, 3,�`; Date of lss-PLS'_-._ __i_2f Tax IDENTIFICATION NL!MBE;.: Is well located at approvedoen-nitecati­,nl G i'Jo Mett)od of Drilling: i' rotary 1 carne tool Deoth of well: _ __!�d_---------�---- Casing Type s�/%£'' alThiCkness____.�irches Diameter— _lG�.�..jnCheS,depth Liner Type: _._ti �"'"!=__—_._-- Casing Stickup Static Winer Levet..—..- fees Recove, Rate:——qpm Method of le3ting: - Well Intake, Opening Type: .t or.en eia IJ oilerho e 1Sc'eened; Start __—.---feet Stopped ---- - ;eet t _ r`orat'ons Start._�-U. _feet Stoppedfeet Grout Type:, la iJ'�'�)'n'Vo I .._------ Deptn: from feet, to-------.--_-_ teet 4Wif Disinfected Upon Completion? �n-<s IU fjo Method of Cisinfectior.:sY� t7�? 1- —4 Commarts: Criller's Name:,_v� p%7. EN [ION: It is the respors bility of the prooerty owrner to subrr t a Copy of the v:cit log to the proper authority. Municipality of Anchorage; Ceparmnert or Health & : furnan Services an v+,ror Department of E-tvirormental Conservation. Matsu Borough: Derartmem of Environmental Conservation. ARCTIC PUMP & WELL INC. Jim Sullivan j{y�7 PO Box 770197 '�'m" Eagle River, AK 99577 (907)688-2510 (907)258-2510 (907)745-2510 aow(weci.net Pump Installation Log Well Drilling Permit Number: osp121325 Parcel Identification Number: 05012408000 Date Of Issue: 10/3/2012 Tuesday, February 26, 2013 Legal Description waft g pippel addition B7 L5 Property Owner Name Address: Paul Gibbs est of Lot: 5 392 N Eklutna St Block: 7 Palmer AK 99645 Pump Installaion Date: 2/25/2013 Pump Intake Depth Below Top of Well Casing: 55 Feet Pump Manufacturer's Name Franklin Pump Model: 10JS05P4-2W 115 Pump Size: 112 Pitless Adapter Burial Depth: 13 Feet Pitless Adapter Manufacturer's Name B-10 Pitless Adapter Installer: U1K Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: PumpinstallerName: Arctic Pump & Well, Inc. Tuesday, February 26, 2013 On -Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121325 Tax Code Number: 05012408000 Work Type: Well Initial Permit Effective Dates: October 03, 2012 to October 03, 2013 Design Engineer: Subdivision: WALTER G PIPPEL ADDITION Site Legal Address: WALTER G PIPPEL ADDITION BILK 7 LT 5 G:0252 Owner/Address: GIBBS PAUL N PO BOX 770445 EAGLE RIVER AK 995770445 Site Mailing Address: 16923 EASY ST, Eagle River This permit is for the construction of: N Disposal Field N Septic Tank N Holding Tank Lot Size in Sq Ft: 13500 Total Bedrooms: 1 N Privy Y Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: The well shall be drilled 100 feet minimum from the edge of both the septic tank and drainfield. Received Issued By, MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program C ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. o56-1ay- O$ Property owner(s) Esf4 )•-e t& Pw� n �A 5 Day phone 961,-07`f5 Mailing address 3 9 F -ml '+rlg S+ Pctjvvl /' /3' i Site address Easy Supe f E4 y1.- /Z;ev 1511 Legal description (Sub'd., Block & Lot) _,i ®IdXN+tr G• P��� �}1�' �i�k �) Lt J Legal description (Township, Range & Section) Lot Size q. Ft. APPLICATION IS FOR: (M all that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well 91 Water Storage ❑ Number of Bedrooms I APPLICATION IS AN: TYPE OF DWELLING: Initial ® Single Family (SF) (w/wo ADU) Upgrade ❑ Duplex (D) ❑ Renewal ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. 90-411n.y (Signature of property owner or G=�bbs �sfipt� Permit/Rush Fees: ILbo ` Waiver Fees: Date of Payment: nl Id511'3 GL4 100 Date of Payment: Receipt Number: 151 aOl­S Receipt Number: Permit No. o5eu lbas Waiver No. Permit App_9-1-12.doc 4d timed t [ a location of the structure(s)as 3 6 ' 1 � L s own on this record drawing . -- (a ui) co li 7itle2�f , At�C. By: t Pursuant to AMC 21[.�p.33f).B: I ` ti Dat Cp "Tbe total width of driveway g entrances to`a lot frog a street �a shall not exceed two fifths of o o the_frontage of that 11t on that streeY� y ivdaxiMUM width j24L IRI Loft 5 1692-3aC/n4 Ciiy VA'}'¢ ®r Sewer AS -BUILT I_hereby certify that I have surveyed the following described Anchorage Recbiding Precinct Alaska and that the unprave- - �,, w \ ments'sitirated thereon are within thepropertylines anddo not $y overlap or encroach on the property.3y g dj nt thereto; that .` no improvements ori property lying adjacent: thereto encroach on the premises in question and t%at there are no roadways, '• �� ,o. transmission 8ries .or other visible easements on said property . except as indicated hereon. '"s?"Dated at Eagle River, Alaska Fol.ertC ¢�firts�'n.° � - .m this-,! fi' <-;,/.`, . ... 9 , day of r 200 SCALE: ROBERT C. and Su JOHNSON " ;?r.' �y :. i,. _ Registered Land Surveyor ho 880 -LS -_C - Sox 77,0456, Eagle River, Alaska 99577 Phone (907) 694-2593 y (oma f �3 1 r 5 3 L I wore �j a C-wn � TSR -1'Y j s n b bit 1 n(ts of C+y Seuf, ®fL'_uny Con'Fctrngj- ny sore,, -.4 N V N fs S '1 �.� Municipality of Anchorage Development Services Department -_ Building Safety Division P.O. Box 196650 Anchorage, AK 99519 On -Site Water and Wastewater Program, 4700 Bragaw St fi650 page i D13 www.cl.anchorage Bk.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT N� I_I - rry ,�uneueC V:JS_l.-I aJC `/ ^(IrJ G Uf Wastewater System: ❑New ,Upgrade 1 ^ < < S ABS S/"),3 FIELD P"' V ) —�* [� NuMwdBModns �f J � O U•W Tr«rlr AShaMw TwrrUl O Bao O MdaM O OIMr LEGAL DESCRIPTION $W RNn° Tdn Dope hdndP Wpaw ,� 9ipck Ld r , D GPM' J\ �•PIn b DSM Dondn hdn dgrul usCe Gr&M dW I Eer Whh Tp"'^sMP Rnpa �i0^ ' Faa it mmprrnp _ --'J FL Z Grw«L«rpin /� ". Well: ❑New El Upgrade c a ""0tl N� co Wm as uM1 .I m tPnr«a•A B. C) Twa Depen Cnae b J FI. / •�- 1'J 5 .� tdd'hedq,on«u P Z/, prar DaTDieNC SIn4 W«« LhN F, V l'�Flr .71 I D�f� L ` M'n'« Ons h 11101 e 1/1 YNW PI«O 5«n F' ©to G 7— — Gaeq 1rs i GPM F,. n. TANK SEPARATION DISTANCES Of Septic ❑Holden To Septic Absorption Lift Holding ubeicVmate 9 S T.E.P. ❑ Other: From eu.« Tank Field Station Tanke"e1"^ G Sewer Line 'F U/M d we 1 � L � Mal«nl Hy'I�a' a cdro«rmem S.f. W«« 7 LIFT STATION Ld Lne 1 Q 1 us ecru« ^''�V�f Gel Fdne m L S / 1 .P�riP ai MvN n Yh.nP bwl ai _. h C~ Dr«nof �PurO MMs a ENdr,cel H . /'`l, epadrom pMamsdq AEX 1t r ll C BENCH MARK \ loulwn ane Dasoprwn \ (9111 .6� 1 11mac% i Fx�ly �f -5 W� e \\ h.ngn 1rn p IOOF, S i S KNOINEIRING Inspections performed by: 17071 L I� Rlwr L En y w esp Read, Ne.�s: 1" %'� %'�%l OF nd Eegb Rlwr, A u a 2-19-06 r ��`�r •••�qS Development Services Department Approval Conditional Approval° r Date: ° �_ p ROBERT G COWAN Q ev C: 66 1 Reviewed and approved ram aftr n FI PERMIT No. SW060144 PACE 2 OF 3 Municipalitof Anchorage DEPARTMENT OF HEAUH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 *Anchorage, Ataska 99519-6650 • Te�l'ephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION RVPORT LEGAL LOT 5, BLOCK 61 WALTER G PIPPEL S/D P.I.D. No. 050-124-08 (APPROXIMATE RADIUS LOCATION) SEPTIC C AREA LOT 8 LOT 7 10' M.N. ALT. SITE SEPTIC — — EA 4 SEPTI 1ARATH to, MIN. .AREA 00' WELL RADIUS NEW TRENCH APPROXIMATE LOCATION) C01 aCO2 OBL2 1 MT2� \ DBL1 / \ ST2 NEW 1000 GALLON STI SEPTI TANK TMT LOT 4 // TOM FED LOT 6 00 100' WELL RADIO I Fpm (APPROXIMATE LOCATION y / MIo� OBJ W mu QP ^ v DECK 3`v •DECOMISSIONED WELL oo �•'� POSSIBLE FUTURE WELL LOCATION SCALE V j EASY STREET ^`N �•.... qs 1 00' WELL RADIUS �' C) o••+' 1 APPROXIMATE LOCATION) r .j i• ••''.�'9 �,• ROIERT,C•AN C�p�yyJw \� LOT 8 E- so LOT 9A UNDEVELOPED PERMIT NO. SW060144 PACE 3 OF 3 Municipalit of Anchora e DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION hone: 343-4744 ON-SITE WASTEWATER6650 *DISPOSALAlaska SYSTEMIAND/OReIWELL INSPECTION REPORT LEGAL LOT 5, BLOCK 6 WALTER G PIPPEL S/D P.I.O. NO. 050-124-08 1 ST2 100.0' FINAL GRADE 97.0'X I NEW 1000 9 GALLON SEPTIC TANK MT2 = 92.2' CO1 MT2C0:'p',--FINAL CO1 = 100.1' �CO2 = 9 GR GRADE MTI = 92.1' NO WATER FOUND 86.1' B.O.H. N. T. S. ROBERT C COWAN CE -8801 f::r�..,l��•� Frown ?V "� n G'� 5—,f ^06 �0 m•th:";fdt(ity 4 /'1 Ajrg7t On s ►k D ;,/. inSfiz/��� 9 Se01�iL qS c7wtei 115fville. 4f -Tf" Wet) 11 Sfq 114d �j S4-5 �'�y,n¢er.hc� $Perms 1 O f�j f �ieS� o F Irl ql &)1--f. I ttichky For gi�owi�� r'Je �o �oiJS O4r5 6�- M 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 Upgrade Date Issued: Jun 08, 2006 Expiration Date: Jun 08, 2007 Permit Number: SWO60144 Parcel ID: 050-124-08 Legal Description: WALTER G PIPPEL ADDITION BLK 7 LT 5 Design Engineer: 0003 S & S Engineering Site Address: 016923 EASY ST Owner Name: PAUL GIBBS Lot Size: 13500 SQ. FT. Owner Address: 392 N. EKLUTNA Total Bedrooms: 3 Permit Bedrooms: 3 PALMER. AK 99645 - This permit is for the construction of: ❑✓ Disposal Field [?) Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. Received By: Issued By: B. Covered, sealed, and heated to prevent freezing. Date: Date: a 9141 Municipality of Anchorage .� Development Services Department Building Safely Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING N Property owner(s) Pa U�� gql GI 6bs ,/ Day phone!0 3-07q� Mailing address 3%� N� Fo;jiNa P l n"4.1 1� Zip Code y._ Site address Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Range) Lot Size 13 .50D Sq. Ft. THIS APPLICATION IS FOR (®all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Code CA5_1 q - K Number of Bedrooms 3 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 Dwelling�In accordance with applicable Municipal Codes. S & S ENGINEERING 17034 Eagle River Loop Rood No. 204 r -..i -or,... e1n.b.004;77 (Signature of property owner or authorized agent) Permit/Rush Fees: i DO � Waiver Fees: S Date of Payment: rJ� Dale of Payment: Receipt Number: Receipt Number: (Rev. 11/05) Junel,2006 ROBERT C. COWAN, P.E. ROBERTA. SHAFER PE- CMLENGINEERS (907)694-2979 FAX(907)694-1211 W.&TMALITHORITr MUNICIPALITY OF ANCHORAGE APR°'ALS Development Services Department P.O. Box 196650 Anchorage, AK 99519 SEWER i WATER M"MErSIONS REFERENCE: Lot 5, Block 7, Walter G. Pippel Subdivision SEWER&W TER It is requested that you issue a permit to install a new three bedroom septic system to serve the existing one bedroom dwelling on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of EWANEERNGSTUMS the test hole is located on the attached sitelan. At the time of excavation 5/25/06 "REPORTS P ,ground water was not found. After monitoring, no ground water was found. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve WELLNSPECTION areas or drainage patterns b the installation of the 4MUOWTEST g P Y proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. SITEPLANS If you require additional information, please contact us. Sincerely, ROADCESIGN Robert C. Cowanv! Pw E SOL TEST RCMjj Enclosure PERCOLATION TEST STA ICTLRALA MECNAMCAI WSPECTIONS ONSITE WASTEWATER OISP06KSTSTEM DESIGN 17034 NORTH EAGLE RMER LOOP • SUITE 204 • EAGLE MER, ALASKA 99577 1" = 30' DESIGN SITE—PLAN .'to 7,Al Ir sr 70 �« I • W N A V CE BRNOM eco wZ�Y a^� I "lb 00 Z�naC son AYhd I r Om C `n� a w zo Z O n m Clyy UT m m N N0C).� ti .\Lt O£ [rJ I m m ra"> owe z Km Omti o I _H iCA d O Tily^w fin \ .'to n sr 70 �« 4 Zpx CE BRNOM _'_ \ sm N II 0 e FA I I / A e / 10,fill` I / L N PEN Ln 0L4 'B?ALEL ORIVEWAr 1 EXISTING 0 F m ; 0 CE BRNOM '0o sm N II m M + O C l✓/ N'A V c) o Clyy UT LP - N N0C).� ti .\Lt O£ [rJ ON O0'p m O A Km Omti A A or _H iCA � \ O N90 s m �rn x0a O mj rN rin OAS m£ /° 1 O m Z C � nm yZr •-• O' 0Oc 0 O 0 n yD0 t R4O I C y ti ZA I a ` zco m I I I I I Rq H FA I I / A e / 10,fill` I / L N PEN Ln 0L4 a r 0 F m SNA � r sm N II m M + O l✓/ N'A V c) o Clyy UT LP - N N0C).� ^ wtVy W O0'p m O A OCy A A _H iCA O a m �rn x0a O m rn O m s O O n � f) r 0 3 G"'A a r En N I O) I M + O wtVy � m 0 O Z Y -! D A OCy _H iCA m �rn x0a O d m s O y m A O 0 G"'A A% Municipality of Anchorage d_tENGINE L Development Services Department W�It, Building Safety DivisionOnsite Water and Wastewater Program4700 South Bragaw SL C. COWAN P.O. Box 196650 Anchorage. AK 99519-6650 % Vic` CE -8801 i (907) 343-7904 til Soils Log - Percolation Test i''-�' Performed For. G 7 FSR, '—'5 Date Performed: ZS Legal Description: t-orr S LOn"MC'6-ToLwnshtp,Range, Section: Slope Site Plan Depth 2- 3- 4 5- 6- 8 10- a —01?6ATUIGS 6P-Kf MAL- - L- Mr -t M c — E,P . (ifIXT- 13- W414- 15- 19- COMMENTS PERFORMED BY: PERFORMED IN; WAS GROUND WATER A 1 ��, ENCOUNTEI li _ S IF YES. AT WHAT DEPTH? ^ L O Depth to Water After Monitoring? �� P E Date: 1 LIP -filliillYii11• al" ��, �,_■ENM�Vsl ©—■®Wlmval% l�ss��� . PERCOLATION RATE I 0-wtevLwnl PERC HOLE DIAMETER TESTRUNSETWEEN If FT AND FT S & S ENGINEERING CERTIFY THAT THIS TEST A 111031 E�y4 Div.r tp Rn.d Nn 10,1F £ G€r"fAi�sA4 �s AND MUNICIPAL GUIDIELINES IN EFFECT ON THIS DATE. DATE: G 11 /o 6 S& ROBERTC. COWAN. P.E. ROBERT/- SHAFFR. PF CML ENGINEERS (907)694.2979 FAx(907)694.1211 ON-SITE WASTEWATER DISPOSAL SYSTEM HEALMAUTHOO La CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS SEWERS WATER MAW D(TENSKM REFERENCE: Lot 5, Block 7, Walter G. Pippel Subdivision June1,2006 SEWER&WANSGECTONTER GENERAL: 1. The scope of this project includes the installation of a new 1000 gallon HDPE septic tank, and a new septic trench to serve the existing one bedroom RE ORIS aE5 residence located on the referencedro e P P rtY• 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all WELLMPECTICN &FLOW TEST applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. SITE BANS 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. ROAD DESIGN 5. Contractors installing wastewater disposal systems must be certified by the Municipal Development Services Department or ADEC if required, for system installations. Owners installing their own systems must also receive BOIL TEST prior approval from the respective agency. T'ERCC ATION SEPTIC TANK INSTALLATION: TEST 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. STRUCRSULS MECNNYGL MPECUM 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. ONSITE WASTEWATER CISPOSALSYSTEM CESIGN 17034 NORTH EAGLE RIVER LOOP - SUrrE 204 - EAGLE RIVER ALASKA 99577 fc I u 4-1 1.'; y E S "It-' )6 9 3 c.=may +>•-�`.�- AS -BUILT i 1 hereby certify that 1 have surveyed the following described property; L -C -f- S. �ioc 1 'T Mid l/Y/.f-�. 1'i/p i..'tai. ✓✓./ 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 tat there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska this 16r ` day of _A 200 G ROBERT C. JOMNSON • •N , . SCALE: Registered Land Surveyor No. g&s a 99 Box 77-0456, Eagle River, Alaska Phone (907) 6942513 — Page 2 Lot 5, Block 7, Walter 6. Pippel Subdivislon June 1, 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 (unless an effluent pumping system exists within the septic tank). 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. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Pago 3 Lot 5, Block 7, Walter G. Plppol Ubdlvl*lon Jun* 1, 2000 MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: TweofPine 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 M.O.A. or D.E.C. requirements, which ever requirement applies. Page 4 Lot S, Block 7, Waiter 0. Pippat Subdivision June 1, 2006 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. 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 M.O.A. permit. 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 and the M.O.A. 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 Aug. 0, 1570 Fedoral housing, Acministration 11.0. Box 130 Anchorago, Alaska ODS01 MULCT: Lot S. Block 7, Walter G. Pidq)le SubUdikision Lear Sirs: This Ucpartmcnt mado on inspection of the subject lot to determine whether or not 'the lot was large enough fur an individual on-site water supply and sewage disposal system, since the proposed building will be a miultifamily dwelling and somd-public distances for well protectieo radiussmust be mt. The lot Was determined to be large enough for these facilities althouph the present well must be abandonod as it would be im- possible to get semi-public distances for it. The sewer sys- tem. must bo located in the Northwest corner of the lot and the well in the Southeast corner. . It is anticipated that public sewers will be available to the subject lot in the roar future. Sinc:orely, CLIFFORD P. JUDKINS, R.S. Administrative Director BY: Jrdin R, Lket Re - T. -Sanitarian JRL:rn cc: John Vurecka 76 f'.. B4 1• '� Municipality of Anchorage = On -Site Water and Wastewater Program (907) 343-7904 < s , E Certificate of On -Site Systems Approval Parcel I.D. 050-124-08 Expiration Date: 746' - Lot 46O" 1. GENERAL INFORMATION Lot 5, Block 7, Walter G. Pippel Addition 6923 Easy Street Eagle River, Alaska 99577 Paul Gibbs Day phone 907-863-0745 PO Box 770446 Eagle River, Alaska 99577 Raney Hardman @ Re/Max Day phone I] Single Family (wlwo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 907-440-7257 3. NUMBER OF BEDROOMS: 1, 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual FX1 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNarianoe request for: Received by: Date: —00-1 COSA to be released to the en inee un ss otherwise requested by the engineer. COSA Fee $ 0 Waiver Fee $ Date of Payment (031 1 Date of Payment Receipt Number 1 b 1"/� t y Receipt Number COSA# 05C, INIlopWaiver# 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 Onsite Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pinard Engineering Phone 907-232-1347 Address PO Box 871347 Wasilla, Alaska 99687 Engineer's Printed Name Paul E. Pinard, P.E. 6. DSD SIGNATURE 2 I� System #1 Approved for 3 bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms Date 3/30/13 bedrooms, with the following stipulations: By: Pa—Original Certificate Date: ( 1&-1-3 The , nici ity A rage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: = ? COSA Checklist X Nitrate Advisory w ;_ X Septic System Advisory Arsenic Advisory Well Flow Advisory *they ~ h V o l U.0-1 COSA blue sheet r c If more than 1 septic system is on the lot: COSA Checklist # + of 1 Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Lot 5, Block 7, Walter G. Pippel Addition Parcel ID: 050-124-08 A. WELL DATA Well type Put If A, B, or C provide PWSID # Date completed 10/17/12 Sanitary seal (Y/N) Y Total depth 64 ft. Cased to 64 ft. FROM WELL LOG Date of test 10/17/12 Static water level Well production WATER SAMPLE RESULTS 35 ft. 20 g.p.m. Coliform 0 colonies/100 mL Nitrate 6.24 mg/L Arsenic ND ug/L Date of sample: 2/27/13 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 3/8/13 39.4 ft. 4 9 - p.m -Collected by: Pinard Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping 3/14/13 Pumper JRs Pumping Date installed 7/19/06 Cleanouts(Y/N) Y High water alarm (Y/N) NA C. ABSORPTION FIELD DATA Date installed 7/19/06 Soil rating (g.p.cl ftz or ft2/bdrm) 1.2 gpd/sf System type 5 Wide Trench Lengthy 40 ft. Width 5 ft. Gravel below pipe 4 ft. . Total depth ' 7 ft. Eff. absorption area 400 ft, Monitoring tube Y Depression over field N 4 A `e t$$if adequacy test 318/13 Results (Pass/Fail) Pass For bedrooms Fluid depth in absolution field before test 0 in. Water added 600 gal. New depth 0 in. El ed Tfine ' � 50 min. Final fluid depth 0 in. Absorption rate >= 150 + g.p,d. 1. •,,4ny rejuvenation treatment (past 12 mo.) (Y/N & type) None Known If yes, give date D. LIFT STATION tJA Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line, Animal containment areas Size in gallons_ "Pump off' level at Cycles tested 100'+ 100'+ NA 25'+ 100'+ SEPTIC/HOLDING TANK ON LOT TO Ii Manhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas NA Absorption field 101+ Surface water 100'+ Water main 25'+ Driveway, parking/vehicle storage 10'+ F. COMMENTS Well casing is perforated from 48' to 50', per the well log. G. ENGINEER'S CERTIFICATION 1 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. Engineer's Printed Name Paul E. Pinard, P.E. Date 3/30/13 COSA brown sheet 10-10-12.doc in. 10'+ 10'+ Building foundation Property line Water main 25'+ Water service line 101+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 101+ Water Service line 10'+ Surface water 100'+ Curtain drain None Known Wells on adjacent lots 100'+ Absorption field 101+ Surface water 100'+ Water main 25'+ Driveway, parking/vehicle storage 10'+ F. COMMENTS Well casing is perforated from 48' to 50', per the well log. G. ENGINEER'S CERTIFICATION 1 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. Engineer's Printed Name Paul E. Pinard, P.E. Date 3/30/13 COSA brown sheet 10-10-12.doc in. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tankllift station on lot 100'+ On adjacent lots 1001+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main NA Public sewer manhole/cleanout NA Sewer /septic service line 25'+ Holding tank NA>i tt't3 ri Animal containment areas 100'+ Manurefanimal excrete storage areas + /jrea SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10'+ Property line 10,+ Absorption field + Water main 25'+ " Water service line 10,+ Surface water 100,+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10,+ Building foundation 10,+ Water main 25'+ Water Service line 1 Q'+ Surface water 100,+ Driveway, parking/vehicie storage 10,+ Curtain drain None Known Wells on adjacent lots 100'+ F. COMMENTS Well casing is perforated from 48' to 50', per the well log. G. ENGINEER'S CERTIFICATION �.a��>�ttttUtry 1 certify that I have determined through field inspections and ` ?, OF -A ,i t review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. = t}� Engineer's Printed Name Paul E. Pinard, P.E. _:....i 4.L....... -t{._ 3/30113 ....... ............................_...._.. Date PAUL E. PWAIID �4.�"e „ CE -4793 s COSA brown sheet 10-10-12.doc Municipality of Anchorage Community Development Department Development Services Division E r. On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 131118 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 7, Lot 5 of Walter G. Pippel Addition subdivision. This inspection revealed a nitrate concentration of 6.24 milligrams per liter (mg/L) was reported for the property's well water sample. 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. 100.00' N890 57'00T cacao N�wla waxT maxi .AeNe eslercx a.awc sElm« C.o.$ N o GARAGE 0 b o o LTI LO m 4 m 6 EXISTING HOUSE 29" N O O O ,Fyl, Ca 0 0 T2.D ID 0 CANT o o 0 0 � WELL 0 00.00' N890 57'00"E 100.00' N890 57'00"E N EASY STREET UNDER NO CIRCUMSTANCES SHOULD AN AS-BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING REPRODUCTION MAY CAUSE ERRORS IN SCALE. Lj LW "WY SURVEY TYPE SYMBOLS ❑ FOW"TON AS-9WT • SET REBAR DRAINAGE ASPHALT ❑ RNM. SWUCTURE A WILT ❑ AS-BUILT LOT "WY TOPOGRAPHY �� WOOD FENCE .... 0 FOUND REBAR" CONCRETE PIAT PLAN ... ... ... Ognl ASSUMED ELEV. IL--71—IF METAL FENCE ® WOW DECK AS- T CWHM SET rl RECERWIGAVok w5 ALT ... W CORNERS ...NO PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBIUTY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATION Oil *0 Oil .•-�E OF••�y Prepared by Robert E. Johns, Jr. & Assoc. PLOT PUN iA..er wrWr urtln.w lA,waar «Awws ew xL .,., a,e rr er n.e.n. as a. I �`P,..• ,••j �. Professional Land Surveyors Ica. AW s.waelYMa a a M xe oemo �• •� iyy 1700 Brink Dri". ANCHORAGE. ALASKA 99504 a % I Scale: n _ I 30 Rea. Lot S.F. Rec. Plat FUe No. = FOUNDATION AS-BUILT •••••r•• Checked b 6 Rxxrl c iew,e a +caTnus .(`.•p••�/:, ... ..•••••• . Dale Surveyed: 03/04/13 rawr REJ JYK +aw'e.ial'.mW ° •....• ERT E.J SJR. on: 03/04/13 Grid:NW252 WD13-72Dale FINAL STRUCTURE AS-BUILT, •.a✓•% •' <01- Legal Description: ».:°l : «»' ���a� •................,•na5:�• LOT 5 BLOCK 7 w10„•.,w.wAs,w'.ue1w1rL ,."moi. +/,,,Tesstonot WALTER G PIPPEL ADDITION ;����• LOCATION: Lot 6, Block 7, Walter G. Pippel Addition DRILLER: Sullivan Water Wells DATE WELL COMPLETED: 10/17/12 WELL DEPTH: 64' STATIC WATER LEVEL (top of casing): 39.4' PINARD ENGINEERING P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) WELL FLOW TEST JOB NUMBER: 13-039 DATE OF TEST: 318/13 FIELD STAFF: PJ Pinard 1�1 Time Elapsed Time (Minutes) Static Water Level Flow Rate m Cumulative Gallons Pumped Remarks 2:35 PM - 39.4' 4.0 - I Start Test - Meter 569320 2:50 15 39.4' 4.0 60 569380 3:05 30 39.4' 4.0 120 569440 3:20 45 39.4' 4.0 180 569500 3:35 60 39.4' 4.0 240 569560 3:50 75 39.4' 4.0 300 569620 4:05 90 39.4' 4.0 360 569680 4:20 105 39.4' 4.0 420 569740 4:35 120 39.4' 4.0 480 569800 4:50 135 39.4' 4.0 540 569860 5:05 150 39.4' 4.0 600 569920 5:20 165 39.4' 4.0 660 569980 5:35 180 39.4' - 720 Stop Test 570040 RECOVERY L All well protection features are adequate. Recovery measurements are not necessary. Average Flow Rate: 4.0 gpm Comments: DURING THIS TEST, THIS WATER SUPPLY WELL WAS CAPABLE OF PRODUCING 4.0 GPM. THIS TEST DOES NOT CONSTITUTE A WARRANTY OR GUARANTEE THAT THE WATER SUPPLY SYSTEM WILL CONTINUE TO FUNCTION AND PRODUCE AT THIS RATE. Reviewed by: Paul Pinard Date: 3/18/13 _ PINARD ENGINEERING ; 21- I h P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) ADEQUACY TEST LOCATION: Lot 5, Block 7, Walter G. Pippel Addition APPLICANT: Paul Gibbs PO Box 770446 Eagle River, Alaska 99577 SEPTIC TANK TYPESIZE: Steel/1000 Gallons, per MOA Records ABSORPTION SYSTEM: 5 Wide Trench, per MOA Records DAILY FLOW: 1 BEDROOM x 150 GAL/BR = 150 Gallons TEST DATA JOB NUMBER: 13-039 DATE OF TEST: 318113 FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 1 SCUM: 0.1' SLUDGE: 0.4' NEEDS TO BE PUMPED: Yes XX No CURRENTLY IN USE: Yes XX No Time Flow Rate Volume Cumulative Volume Septic Tank Septic Tank Soil Absorption System Comments pM (GPM) (GALS) (GALS) Liquid Level A Level Monitor Tube 1* A SAS Level Monitor Tube 2* A SAS Level 3:05 4.0 - - 4.0' - 0.0' - Start Flow -Meter 569440 3:20 4.0 60 60 4.1' 0.1' 0.0' 0.0' 569500 3:35 4.0 60 120 4.1' 0.0' 0.0' 0.0' 569560 3:50 4.0 60 180 4.1' 0.0' 0.0' 0.0' 569620 4:05 4.0 60 240 4.1' 0.0' 0.0' 0.0' 569680 4:20 4.0 60 300 4.1' 0.0' 0.0' 0.0' 569740 4:35 4.0 60 360 4.1' 0.0' 0.0' 0.0' 569800 5:05 4.0 120 480 4.1' 0.0' 0.0' 0.0' 569920 5:35 - 120 600 4.1' 0.0' 0.0' 0.0' Stop Test - 570040 Date I Time SAS MT1 SAS MT2 *ALL MEASUREMENTS IN FT. TEST: PASSED XXX FAILED COMMENTS: This system was found to be operating satisfactorily. There was no measurable liquid in the SAS MTs prior to or at any time during the test. Reviewed by: Paul Pinard Date: 3/18/13