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Home My WebLink AboutSOUTHFORK NORTH BLK 4 LT 11outhfork North Block 4 Lot I I #078-141-25 Municipality of Anchorage ' Development Services Department ry' Building Safety Division ' O"Ite Water and Wastewater Program, 4700 Bragaw St. Page 1 of �- P.O. Box 1%650 Anchorage, AK 99519-6650 www.d.snchorage.sk.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. O L-% 4 PID Number: 07814125 Wastewater System: ❑� New ❑ Upgrade Justin Jones �n.o. 2290 NORTH RIVER CIRCLE, EAGLE RIVER, AK 99577 ABSORPTION FIELD Iaaner a 9.eoaat. """` 9074-24049773 D Dano Tm 0 slaw Trona D Sae O n 0 oe so Rama Tar Dave Rom WWW V+a: LEGAL DESCRIPTION 1.2 GP f 5.0 FI• Baa` Lot NORTH QwN b DM swam Ran wV"Pte: 1.5 Gran Wpn Dtriaan ppa: 3.0 4 11 SOUTHFORK �, n. iwrwaD: Rtnea: sac : FaaeWetWv WWWIW W: 2.0 rant GLwvm: 45.0 �. GmM w�oFr'. MnWx Q parwawr R,at: Well: 0 New ❑ Upgrade 5.0 n. OMa: w a C�IPRwa,A6. Ck7 5o'p°'- Win" T( 5x5y0.58 -387.9 FT HDPEPE 3034/PVC SCH. 40 PRIVATE Fl p,Rar; Dan GYMe: Sraac Wwr LwY. arwar. OWNER 07-25-20'. 07-25-2006 SULLIVAN 07-05-06 2 Ft ram. P wa c« a aRSwaW.aGraurQ TANK 30 cvn 170 Fi. 3.0 n SEPARATION DISTANCES ❑ Septic ❑ Holding ® S.T.E.P. ❑ Other: To Septic Tank Absorption Field LM Station Id19 Tank ubadPdwe Sewer Line ANCHORAGETANK 1500 Gw. From n5anal. 2nwar a Gmp5tm5Ra. wail 160.0 125.5 169.5 WA >75' STEEL 2 LIFT STATION sw WW >100,0 >100.0 >100.0 WA 1-121 73,7 8.5 23.73 WA 120. 250 G.I N: ANCHORAGETANK -Pulp an• YnM M: 7'u^R pr Mral M. Rqi w5ar warm K FwaR10e 5.8 17.9 5.8 WA 28 n 28 n 23 In, PUM Aaaaa 6 Maes EaSLbI Mwa PSR.ewa Rf c,.unorw WA WA WA WA 23 SUMNER ELECTRIC Rte.: BENCH MARK TANK RECD 4' OF RIGID INSULATION wr�on ant DRAINFIELD RECD 2* OF RIGID INSULATION TOP OF SOUTH FOUNDATION WALL wean ALL FLOAT MEASUREMENTS TAKEN FROM TOP OF 100.00 Ft •BIOTUSE' PUMP VAULT. Erglneees Stamp Inspections performed by: BRIAN T. HARTEN, P.E. Dates: 7-24-06 �� OF A 4q 4� 2w 2!w7 -25-06 •'5�� Development Services Department Approval .. fij; 49 :Y; 0. Conditional Approval Date: ...••••• •••••••••"`...... r B.FpIARE TNE�N. - 10068 J�yDate: 1, GNO'�<�>c`�� Reviewed and approved by •v�� f.LE. IRa. Ww.l / S.l5U.110.R tin.. _... UNDEVELOPED \ " LOT 2 `\ ��• o• \ 9J°� DO G AY SURD. 7 LOT,/ 71.14,45 DOUG GRAY SUED. SEPTIC TYPE i1 o1 66549 1„R k CONFIG UNKNOWN e 6. SCALE: I t SUBJECT LOT Q UNDEVELOPED \ DOUG GRAY SUED. / r.+h o / / 569•SB'S0"E 61 1 / h69'575T'w 652.96 WATER !� 36.36 63. I_iS' �-CNTRY SKI t EQUESTRIAN ESMT. -4>< SEvnc 1 0 ` IMfROVEMEN \ a loo' SEPTIC SETBACK 3-B 00 y2-4% LOT 11 DU 2-15% 1 71 BLOCK 4 SOUTHFORK NORTH en-o1 \ ODUA : 6; / / / O m /LOT 1 16 �. I (x-25' CREDK/YAINT. EMz ' SMT. -�z-+ss — \ �po?�' BLOCK 3 : �I SOUTHFORK NORTH 1 I \ Hfirssar iSEPTIC SYSTEM' 568.73 IMPROVEMtNTS FOR LOT 10. \ 36 30 o \ \ APPS X. LOCATION SHOWN \ I LOT 2 \ Z IBLOCK 3 SOUTHFORK NORTH WA LR WELL APPROX.lOCAT10N\SHONTI / m LOT 10 ,BLOCK 4 \\ 7A•eTs+ / 1 bJ, \ �OUTHFORICNORTH \\ \ \ UNDEVELOPED 1 LOT \ \\ O LOT 9 9 1 ` SLFORK \ \ \ \ \ \ \ 1 BLOCK 4 NOR As \ \ \ \ \ 1 \ \ 1 1 1 �• � 1 ,\ I 1 1 1 1 1 3,E /'Err�gTH\4. 11 1 1 1 1 l _ N A366S �. .:`......._../61 .......L..:\: z \ X. 1 i 1 1 lo6•sTrr,. s. e,.� BRIAN T. HARTEN 1 3 / / / % P '• NO. 10068-CE . PRoFESS10NM\'.."~ \\ 1 AS—BUILT BTH CONSTRUMON, LLC LOT 11 BLOCK 4 SOUTHFORK NORTH SUBDIVISION OVERALL SITE PLAN P.O. BOX 110358 ANCHORAGE, ALASKA 99511 PHONE: 336-3447 SCALE: HOR. I'-100' DATE: 06/11/07 GRIDS: SW 0959SHEET oi/ VER. NTS OWNER: JUSTIN JONES � 3 4 KALE: 1• - 50' °COIGAII 3 -BEDROOM ,SmGLE FAMILY HOME �12-15% 5'W X 451 WIDE TRENCH W/ 3' EFFECTIVE SEWER ROCK. SEE SHEET 3/3 FOR CALCS. N81°551�� t r RESERVE D/F.� SAME DESIGN AS PRIMARY 568.73 / i 1/ AS -BUILT SWING TIES DESC. A B FCO -- -- MANWAY 11.9 20.4 TCOI 13.5 18.5 TCO2 20.5 12.0 MTI 20.2 32.5 MT2 50.5 39.0 4� 00 GAL S.1:E,P. TANK 2-15% BTH-01 WATER WELL GRAVEL ORIVE � Q L85 -A, \ ' QTH3 TH4 toy O IFIL I TH BTH- 5 0' SEE ATTAC = 83 SOILS LOG c NOTES: 1. 5' LOT LINE WAIVER HAS BEEN REQUESTED TO INCLUDE 1.5' ENCROACHMENT OF PRIMARY DRAINFlELD AND TO ALLOW FOR CONSTRUCTION OF RESERVE DRAINFIEID WITHIN 5 FEET OF SOUTHERN LOT UNE. BTH CONSTRUCT/ON, LLC `'49TH'y*1� l�....................... BRIAN T. HARTEN NO. 10068 -CE •' �e i 11\\ PROFESS%OHp AS -BUILT LOT 11 BLOCK 4 SOUTHFORK NORTH SUBDIVISION SEPTIC SYSTEM DESIGN P.O. Box 110358 ANCHORAGE, ALASKA 99511 NOR. 1.50' DATE: 06/17/07 GRIDS: SW 0959 2 PHONE: 336-3447 SCALE: SHEET of VER. NTS OWNER: JUSTIN JONES � 3 LOT •h. 4 SOUTHFORK NORTH SUBDIVISION — DEfie;• A Ld71. HOUSE SZE' . 3 BEDROOMIS TANK SZE REQUIRED. 1.000 C SGILS PERCOLATION SPEOFIa. ABSORPTION AREA BEDROOMS) r•• 15M a• - J 130 - 373 SF 1.2 TRENCH LENGTH - 373 SF - 73 LF 3' WDTH TRENCH TO UTILIZE 36" OF WASHED ROCK BELOW 04STRIBLMCN PIPE, THEREFORE A LENGTH REDUCTION FACTOR SHALL BE APPLIED. TRENCH LENGTH - 73 LF K 0.5a - 43.3 LF SAY 45.0 LF MONITORING TUBE 5' NIDE (TYPICAL) I SCH40 PVC W IDE TRENCH W ATER APPLICATION RATES 0-1 MIA 1-3 1.2 1 - 123 (123) 3 =230 4- 375 00 3 - 323 6-15 0.8 1 - 166 15-30 gF x REFER i0 SHEET 31-60 4N a 3 FOR ACTUAL 1_1/4• SCH40 PVC TRENCH LAYOUT. W/ 1/8" HOLES AT 18" O J FILTER MAIL 45.0 LF (1a6) 2 - 373 3- 563 4 - 730 3 - 936 0.6 1 - 250 (250) 2 - 500 3 - 750 4- 1000 5- 1250 0.45 1 - 333 () 3 - 1000 4 - 1333 5- 1567 N/A 1.0 1 - 130 (130) 2 - 300 3-450 4- 600 5- 750 TRENCH SOIS�PERC RATE CPD AAREA� 0-1 MIA 1-3 1.2 1 - 123 (123) 3 =230 4- 375 00 3 - 323 6-15 0.8 1 - 166 15-30 gF x REFER i0 SHEET 31-60 4N a 3 FOR ACTUAL 1_1/4• SCH40 PVC TRENCH LAYOUT. W/ 1/8" HOLES AT 18" O J FILTER MAIL 45.0 LF (1a6) 2 - 373 3- 563 4 - 730 3 - 936 0.6 1 - 250 (250) 2 - 500 3 - 750 4- 1000 5- 1250 0.45 1 - 333 () 3 - 1000 4 - 1333 5- 1567 N/A 1.0 1 - 130 (130) 2 - 300 3-450 4- 600 5- 750 AS—BUILT 87-H CONSTRUCT/ON, LLC LOT 11 BLOCK 4 SOUTHFORK NORTH SUBDIVISION SEPTIC SYSTEM DESIGN CALCULATIONS AND DETAILS P.O. BOX 110358 ANCHORAGE. ALASKA 99511 SCALE PHONE: 336-3447 HDR, NT$ GRIDS: Sw 0959 SHEET O( : DATE: 06/11/07 VER. NTS OWNER: JUSTIN JONES 3 PLAN VIEW MT CO FINAL GRADE, MOUND TO PREVENT\ WIDE DRAINFIELD LENGTH PONDING AFTER SETTLEMENT AND 3-'� OF A( \\ COVEFj �1 REDUCTION FACTOR - RF II'. IIJ PROVIDE 36" OF EARTHEN ,•`P........qs ••• // 1 DBELOW GRAVEL BELOW PIPEIM DUCnO FACT REDUCTION FACTOR � � TH -9 .....:... a aa7 III( I -wu .n!: /.... ._... SILT rt.-.IIIu it Ili L- BARRIER NATIVE BACKfF� ; •••� Is 24 0.78 0.70 BRIAN T. HARTEN / 4 N0. 10068 -CE a �� 36 o.x `'sl'•%'/%•0?,.•' �_� � 42 0.54 0.50 —EL .=100.00 2.0 , ``\�F� 4a PROFESSION��•�`-� 3 FEET PROVIDE 2" 40 PSI DIRECT BURY ,F P C BOARD FOAM INSULATION IF EARTHEN ROCK COVER IS LESS THAN 36". EL -95.89 EL -95.5 4' 40 PSI RIGID BOARD FOAM OVER TANK, 2" OVER FIELD —EL.=97.00 5.0 - f 5 FEET WIDE EL -91.45 TEMPORARY BENCH MARK IS TOP OF SOUTH FOUNDATION EL -90.87 WALL. ASSUM. ELEV.=100.00 1500 AL S.T.E.P. TANK EL -86.53 11.0 CLAY LAYER SEPTIC TANK AS—BUILT 87-H CONSTRUCT/ON, LLC LOT 11 BLOCK 4 SOUTHFORK NORTH SUBDIVISION SEPTIC SYSTEM DESIGN CALCULATIONS AND DETAILS P.O. BOX 110358 ANCHORAGE. ALASKA 99511 SCALE PHONE: 336-3447 HDR, NT$ GRIDS: Sw 0959 SHEET O( : DATE: 06/11/07 VER. NTS OWNER: JUSTIN JONES 3 v > , uxa • ams • i %; SU.LIVAN a- ' } I zPAGE a•03.''. z = 97/0/2886 10 46 �x66a2259 i,, .K.. - w _ ilC�i'iiti�� : �rf YYiI�� • D� • N' SULLIVAN :WATER :ELLS P.O.BOXtirwi CHUGIAK,ALASK4B9867.!TELEF44ONtcWO.2759 OWNER OF LAND: I'' i ' > #J J t1 MIE S . oRE HOLE LATA =r DEPTH ADDRESS:' r /e To r�i/A Si/ LEGALDESCRIPTION:I'aV7ff FoKK J�ItlK:N DATE PERMtT NUMBER:. Date of tssue� -.ix�. !. TAX IDENTIFICATION NUMBER: Is well located at approved permit location? Gj<�Q No :, Method of DrOlhrg rota y O cable tool Depth of wall:. A I Wng Type .�6L-welt -thickness JOZ so—Incus "Dlarriater" -" ' // t �Cel feet �:Inctles, depth J -g t LnerType / 001E Casing Stickup Above Ground: ••� • feet Static Water Level:. feat Recover Rate:--Se�pm Method of Testing: VMI Intake Opening Type: Uvo;5n and 0 open hole • Screened; Startfeet Stopped feet' O Perforations Startfeet Stopped feet Grout Type: j{d•fTFURL �olume Depth: from feet. to —feet77 . ' Well Disinfected Upon CompletlOn4 L' SS ONO I Methodotio6lnikl-horit G+Ecalc:i�- •:5v�i�' i r > Drlller'sName Cog -E rrdu•J.fj ATTENTION: It Is the responsibility of the property owner to submit a copy of the well tog to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Cortservatim 85/03/2007 09:13 ; 9072438742 AWS .PAGE 01/01 Well DrMlug Permit Number: SW Date of Issuer O % v7R1Ntz67' USct Description �� Q� �/ Development Services Department Building Safety Division U-PA On-Site Water A Wastewater Program 4700 11rogme Street Bax 196650 Mark Bepkh Mayor • Anchorage, AK 99519-6650 ***Mw anta"te M7) 343.7904 Pump Installation Log Well DrMlug Permit Number: SW Date of Issuer O % v7R1Ntz67' USct Description �� Q� �/ Pro artyownerName de Address: Cid .?r�G �,.�10"�'�•' AL 99 77 pump Iestaitation Date: 8 -el -04 pump Intake Depth Below Top of Wall Casing: /APftot pomp Manufacturer's Name: Rr•Gt! pampModel: CIS//,•6G Pump Size 3/j/ hp Pinna Adapter Burial Depth: If feat Pltless Adapter Manufactmves Name: A/lig PltlessAdapter Installer. /%) a0 Gll%��s^�K P ,srrdl w Well Disinfected Upon Completion?)NXes ❑ No Method of Disinfection: 'st Comments: Pump Imth Name: Anchorage Well & Pump Service, Inc. 330 E. 76th Avenue Anchorage, AK 99518 Phone: P07.243.0740 Fax: 907243.0742 e -mall: punpmanilm0woridnet,att-net Attention: The pump Installer shall Pevv)de a pump iastallatiou log to the DSD within 30 days of pump installation. May' X07 07 J09`45a ` L'9UMMER ELECTRICRI `+ '' ' X9073781595 k Yin �p 2ii` s " 1 r...r.y ty♦ V. f•.I'f J.. 7-hr � Y 7v, �+.f.:r ..Giw 7'?• ar x. - Na rlt.,m`.. £."'/t' -"' Y♦t °4'.4 ;` .n9 wY c , /" 1 f i w. n } li')p? a Ci I :v of -!> +7n✓. (' 1'J wt I,r ,♦ r! to r ,l r a� , j. .f .f A .)T 55 .T{.t.I F<y if..%t 1 Sx't {tiros} V i .,,1 ,.1w i r+i �f t�.f `+l J ! Yr^i ♦y .•.v5 y -!` .1 I } f :'i'Y 11r :�: � '. r ( 7 r � t f z, a �.. S Irt of .C,�c GT, ^'� t 4 J ♦I.y} x i iws r tli a ,.-., V, r - r F~ v f` t< ..-rt } M .b, `^' �'.+,TI /'^ 'yu r+♦sr, r a 1.,1-'.. �+^1' -c2+'.' �-}.f rt y;• tM +.n ^{a .., {a Y� ,. { }4>, R-r � f �'" �S• { } S ( 4 } T F �`h r t'�Y. Yc >A4 5 Irl! r a.,or' _ > L �. - t.ti Y, <'..;-ia..} C L'•-,e.. ls' fir:. ya J�(L'..2. :[ v .•y,` n -!+ L "i(Sumner ElodrfmlEMeTdae LLC' '-Jla t+• °�" Y, lsSs'•,cUri , MY =t Si. r itmay. . . , ,,:.. -1 { l '+-• 1 ' - � � sumneralaac<V(k80@7)ye3h7o&o1.c6o9Tel()373314FECNERELTRICI p MR—f611164BlgLa"AK QW6m2 4 t ,-1 r• Y 4' - • r; .FROM' "Dan SUmner r; ty 3�1 \� r t t " TO f Justin Jones i S :%Z�{L d �.. - J Y , f Y t. i/ , w +" ♦) 4 f i'[ y S t W� J r i RE Uft Station Panes + f T DATE t a. .r i - 1. .. ( [ T' rr x 2. 1 ♦� 1i: l ' �f, fiily/+}ra�ly i titi'Al.. {-L L�(.. ..♦ ' JUaHn}` f ., j )1ry } t ( J (I� r• A 1 i J, t'. a J "•�•k,`.E .% xr' t} r� f' �.�i5 It a3•\.' r .. - . �, 5 t� Y t / .� ) L t�. � � ».t +�a i••r r� 'After inspectiona stalled lift ateHon pnel, i confirm all js insteHed in accordance with the n of the i' r yz J.. n. r +menutaeture.a fnstruc(ions and aaoidkig fo gaGonal and focal codeur . J n ',T Y��. e ♦, .y tai yy i ♦ Y , t Li �.r s 'r' 7 � I .)a 1 f (' I `' }./il r11I a at ,� l • I�. .+ y;� Yl 1'l /r• L^ i ^ Oanlel SUm i'v� .><�ia- �•.� ..I: .. �I � f� �)� 'i, xi _i .•� 1 f.., _;. try i�fti �T SF 11 1;4 IT 11•J+ 11 ,-4 1. tr' 11 t.♦ t v. .r t i ( n- �Sr G1�Sys+tA-.. j,�. 1 % i ( ' < J Y' 1' • i / t ' � r''1' -r ' !_ST r ♦1- :l' r x� r�' L:. I f C„i yL) 2n.} .•• a f' .a r -.i> �4 411 °Ps' '�� 1 L - r-c-.t7 <r �._ 7•� /.1 �. fr �- -,r l: -,l 1 . :) t t � i. '. 1r. I t •Y.e i + I i [[ [ (•. l2 '1x v f } >r '� r+si J+41n r ll'J4 ie'�.YY'3 1°�iu•x ft)i �y 11.a _ ' 1. t 1 �. „ i .� 1 x -: f. '1tiv � I f. 1.., 4: y4 t.,}�E a� 5Y. t t r in`` _ .:.� Y:d....• .k,i. v,i ..0 3$ W+ �.} t...1 -)1 t 1 r. .�q -�s.55 r,. .r •n. tS-1r a tr +,7Y r�. h'. L.�. t1 ,_'-tt; MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program Ile ^ � �(o 4700 South Bragaw Street ,x�a 1n ` 2� 1 P.O. Box 196650, Anchorage, AK 99519.6650 A O (907) 343-7904 Irk ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SWO50444 Legal Description: SOUTH FORK NORTH BLOCK 4 LOT 11 Design Engineer: 0836 BRIAN T. HARTEN Owner Name: JUSTIN JONES Owner Address: 2997 SECLUSION BAY ANCHORAGE. AK 99515 - Date Issued: Dec 02, 2005 Expiration Date: Dec 02, 2006 Parcel ID: 078-141-25 Site Address: NHN NORTH RIVER CIRCLE Lot Size: 112933 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑; Disposal Field ❑,/ Septic Tank ❑ Holding Tank ❑ Privy Q 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 catling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. a.) The southern property line in the vicinity of the proposed septic tank and primary absorption field, and the 100 -foot protective radius of the proposed well shall be marked by a professional land surveyor prior to construction. b.) TH#3 shall be extended or an additional test hole shall be conducted in the area of the western portion of the reserve absorbtion field to a minimum of 16.5 feet at time of construction. 7 -day groundwater monitoring shall also be conducted. Soil log with groundwater monitoring results shall be provided with the Inspection Report. c.) This permit is for a gravity feed wastwater disposal system. The engineer shall submit a revised design if a pressure distribution system shall be required. Received By: Issued By: Date: Z k Jones Septic System Roth, Dan J. From: Justin Jones (JJones@ukpik.comj Sent: Tuesday, July 18, 2006 8:53 AM To: Roth, Dan J. Cc: Brian Harten (E-mail) Subject: Jones Septic System Hi Dan, Page 1 of 1 Thanks for taking may call last week. As I mentioned Brian Harten's schedule has become congested and I can't afford any further impacts from delays, therefore, with your permission I would like to install my septic system myself with Brian performing the required civil engineer Inspections. As stated I believe 1 have plenty of experience within this scope of work and am comfortable in doing so. I was no able to get a copy of my resume as it's in my personal computer which is buried in storage so I will hit the highlights of my relative experience below. TAM Construction -1 worked for Bill McKeever for about 3 years where we performed a variety of civil construction including water, sewer, and storm water utilities installations in Anchorage, Girdwood, and Big Lake areas. Potter Creek Water Company - I managed this small to medium sized private water system for approximately 4 years. My responsibilities included water system maintenance and repair, new installation inspections and Installation services, locates, and testing. have about 12 years experience within the construction industry here in Alaska. I am currently a project engineer for UIC Construction and we specialize in rural construction of all types. We also have a civil department within the company and I work for the manager of this department regularly performing civil construction project management and field supervision. The plan for my system is to rent and operate equipment and Install the septic system myself. I am not going to hire an outside contractor to do this work with exception to Brian Harten of BTH Construction. As stated Brian has agreed to perform the septic Installation Inspections for me. As you know I am going to reside this house myself and the quality of all associated construction of this home Is of the utmost importance to me. If you have any questions, objections, or other wise please give me call or write. As always thank you, Justin Jones Project Engineer UIC Construction L.L.C. 6700 Arctic Spur Road Anchorage, Alaska 99518 907-762-0159 907-762-0131 Fax jjones@ukpik.com 7/18/2006 Municipality of Anchorage Development Services Department �< Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 9951M50 www.cl.anchorage.sk.us (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 07914/Z5� Permit Number SW Pro" Mailing Site ad rty owner(s) JG Day phone C,�1�2'ClS9 address n , .4 Zip ode C dress MOM MOM '?k VP.i Cl .Vd f_ Zip Code Legal description (Lot, Block & Sub'd.) <Ajrg ARIL A1cz# Legal description (Section, Township & Range) Lot Size //v��J�3 Acre Sq Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ❑ Sewer and Well i9 Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: f+ " Date of Payment: L Receipt Number. (Rev. 09/01) Waiver Fees: 610) Date of Payment: Receipt Number. BTH CONSTRUCTION, LLC EXCAVATION & ENGINEERING P.O. Box 110358 • Anchorage, AK 99511-0358 Phone/Fax.336.3447. E-mail: bth@gci.net June 27, 2006 Mr. Dan Roth Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 RE: Revised Well and Septic Design Lot 11, Block 4, Southfork North Subdivision Dear Mr. Roth: Attached please find an updated site plan for my proposed redesign of the above mentioned property. At the time of my redesign, I did not have the latest design layout for the adjacent property, Lot 10 Block 4 Southfork North Subdivision, showing the latest proposed location for the water well on this property, and thus was not able to accurately show its location on my site plan. As the owner's of Lot 10 currently have the well location staked, it is 110 feet south of the common lot line, thereby creating no conflict with my proposed redesign. Please refer to the updated site plans showing the current proposed well location. In addition, my client, Justin Jones, met with Jeremy Hollaway, the owner of Lot 10 and confirmed that this is indeed the proposed well location. If you have any questions regarding this issue, or my previously submitted redesign, please give me a call at 230- 3992, or my client, Justin Jones at 240-4977. Regards, Brian T. Harten, P.E., BTH Construction, LLC BTH CONSTRUCTION, LLC EXCAVATION & ENGINEERING P.O. Box 110358 • Anchorage, AK 99511-0358 Phona/Fax:3363447. E-mail: bth@gci.net June 14, 2006 Mr. Dan Roth Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 RE: Revised Well and Septic Design Lot 11, Block 4, Southfork North Subdivision Dear Mr. Roth: We were issued a permit to construct a well and septic system on the above referenced property. Through the course of site development and foundation excavation, an area of high quality sand was discovered which will be much better able to support an on-site septic system than the area that the system was originally designed for. In the interest of my client and the long term success of the system, I have elected to redesign the septic system to take advantage of these better soils. The subject property is a large lot, 2.59 acres, however, the majority of the lot is low tying and potentially wet as it slopes to the creek which forms the western boundary of the lot. At the time of the original design, the only viable area for an on-site septic system is the east third of the lot This is still the case; however we will be shifting the drainfield location further to the west within this area. As you recall, there was a well and septic system designed, but not constructed for the adjacent Lot 10 Block 4, Southfork North Subdivision. There was a conflict identified with the proposed well location for Lot 10. Much discussion ensued and an amicable solution was worked out I hate to further inconvenience the owner of Lot 10 and your department, but in the interest of my client, I must ask that we revisit this issue. With this revised design, the well for Lot 10 Block 4 will need to be located 100' from the proposed primary and reserve drainfield systems on Lot 11. We ask that the well be located to allow us to retain as much of the real estate in the immediate vicinity of the proposed drainfield as possible for future reserve drainfields. 1 have asked the owner, Justin Jones, to coordinate with the owner of Lot 10, John Hollaway, and his engineer, Chris Wood, P.E., regarding this design change. We will keep your department posted. We are proposing a 1,250 gallon S.T.E.P. septic tank and a 5 -wide drainfield, 45 feet in length, with 36 inches of effective sewer rock. The soils in the area of the drainfield were sandy, with clean sands from a depth of 3 feet to 11 feet This sand was moist from the spring thaw and accepted 5 gallons of water in less than 8 minutes on two successive applications. Because of the clean, well graded nature of the sands, sufficient treatment and filtration of the effluent will occur and no'filter sand" liner will be necessary. Comments regarding this design are summarized as follows: Soils See attached soils log which details soil classifications, groundwater observations and percolation rates. Lot 11 Block 4 Southfork North Subdivision Design Modification June 14,2006 Drainfield Design See attached design drawings for drainfield sizing calculations. Surface Waters There are no adjacent surface waters within 100 feet of the proposed well and septic improvements. TopouraphV The subject lot has predominantly gentle slopes of approximately 2 to 4 percent to the north and northwest. There is a steeper slope of approximately 12-15% which delineated the eastem third of the lot from the western two-thirds. This creates a higher "bench* on the eastern third of the lot that is the primary area of development for the proposed single family home. The proposed construction will not alter or impede the IoYs natural drainage pattems. Groundwater and Bedrock No groundwater or bedrock were observed at any time during the original test hole excavations. Closing The development of this property will not preclude the adjacent properties capacity to construct future wastewater systems. I am unaware of any adverse impacts this installation would have on any existing adjacent wells or septic systems. If you have any questions or comments on this design, please feel free to contact me at 230-3992. Regards, Brian T. Harten, P.E., BTH Construction, LLC LOT,/ DOUG CRAY SUDD. J d (37 -OI) SEPTIC TYPE & CONFIG UNKNOWN UNDEVELOPED LOT 2 DOUG, CRAY SUED. `.P.r .1 L: i' � LOT UNDEVELOPED DOUG GRAY SUBD./ � PROPO! / 7WATER 15' 11-CNTRY SKI & EQUESTRIAN ESMT. -•x rnur'wcu xr 1w IMPF40VEMENTS 1 IV 1 PROPOSE 3- EDRO { }} 1 } 100' SEPTIC SETBACK OUSE / ) LOT 11 �':�-16� BLOCK 4 " :-•x SOUTHFORK NORTH — bL°°-• ) (x-25' CREEK/MAINT. ESMT. x -+!x 0 PROPOSED -SEPTIC SYSTEM h \ \ IMPROVEMENTS FOR LOT 10. \ SEE E. .E.S. DESIGN DATED \ UNDEVELOPED MAY 11, 2005. \ \ s \ \ \ \ \ PROPOSED WELL LOCATIONI FOR L10 \ \ \ \ 84 SOUTHFORK/?jORTH. 40C_ATION \ �• \ \ \ CONFIRMED BY LOT 10 \ BLOCK 4 $OUTHFOO\NORTH JEREMY HOLLAWAY. / / V UNDEVELOPED �L 1 \ \ \ \ \ LOT 9 \ \ \ \ \ BLOCK 4 / 1 SOUTHFORK NORTH 00 1�. 11 1 + 1 ljli' +�! 1aGs:era�r`ea� l' •.............• /16 LOT 1 r t7:1 BLOCK 3 SOUTHFORK -I. <I•' NORTH To }o ' I LOT O BLOCK 3 �,II SOUTHFORK S NORTH NI . ✓ ri I r ~ I LOT y1 ASOU4HFORH 'NORTH BRIAN T. HARTEN y� NO. 10068 -CE \ \ SM CONSTRUCT/ON, LLC LOT 11 BLOCK 4 SOUTHFORK NORTH SUBDIVISION OVERALL SITE PLAN P.O. BOX 110358 ANCHORAGE, ALASKA 99511 PHONE: }}6-3417 NOft. 11.100' EET DATE: 06/17/06 GRIDS: Sw 0959 '{ SCALE: VER Nn SH / ONNER: JUSTIN JONES ( \ \ s ,iSCALE: Y 1b¢ LOT,/ DOUG CRAY SUDD. J d (37 -OI) SEPTIC TYPE & CONFIG UNKNOWN UNDEVELOPED LOT 2 DOUG, CRAY SUED. `.P.r .1 L: i' � LOT UNDEVELOPED DOUG GRAY SUBD./ � PROPO! / 7WATER 15' 11-CNTRY SKI & EQUESTRIAN ESMT. -•x rnur'wcu xr 1w IMPF40VEMENTS 1 IV 1 PROPOSE 3- EDRO { }} 1 } 100' SEPTIC SETBACK OUSE / ) LOT 11 �':�-16� BLOCK 4 " :-•x SOUTHFORK NORTH — bL°°-• ) (x-25' CREEK/MAINT. ESMT. x -+!x 0 PROPOSED -SEPTIC SYSTEM h \ \ IMPROVEMENTS FOR LOT 10. \ SEE E. .E.S. DESIGN DATED \ UNDEVELOPED MAY 11, 2005. \ \ s \ \ \ \ \ PROPOSED WELL LOCATIONI FOR L10 \ \ \ \ 84 SOUTHFORK/?jORTH. 40C_ATION \ �• \ \ \ CONFIRMED BY LOT 10 \ BLOCK 4 $OUTHFOO\NORTH JEREMY HOLLAWAY. / / V UNDEVELOPED �L 1 \ \ \ \ \ LOT 9 \ \ \ \ \ BLOCK 4 / 1 SOUTHFORK NORTH 00 1�. 11 1 + 1 ljli' +�! 1aGs:era�r`ea� l' •.............• /16 LOT 1 r t7:1 BLOCK 3 SOUTHFORK -I. <I•' NORTH To }o ' I LOT O BLOCK 3 �,II SOUTHFORK S NORTH NI . ✓ ri I r ~ I LOT y1 ASOU4HFORH 'NORTH BRIAN T. HARTEN y� NO. 10068 -CE \ \ SM CONSTRUCT/ON, LLC LOT 11 BLOCK 4 SOUTHFORK NORTH SUBDIVISION OVERALL SITE PLAN P.O. BOX 110358 ANCHORAGE, ALASKA 99511 PHONE: }}6-3417 NOft. 11.100' EET DATE: 06/17/06 GRIDS: Sw 0959 '{ SCALE: VER Nn SH / ONNER: JUSTIN JONES •S PROPOSED WATER �. SCALE: 1• = 50' WELL / S89°58'50'E...613..12........ _..._.. .......... ...... _. :..........:... N.89057'57"W 652.96 ..:..:.:.:....:... .. ;:. 5'W X 45-L WIDE ENCH W/ 3' EFFEC VE SEWER ROCK. PROPOSED 3-13EDROOM SEE SHE 3/3 FOR CALCS. SINGLE FAMILY HOME ROPOSED 150 GAL. S.T.E.P. TANK \ GRA`IEL OR1VE O�j al A� .: — � L85-A / BTH-01N OTH3 � TH4 12-15%AlU (: - �— (�TH2 ogg'00"E TH,BnP-:Fl T°�� Io 0 X: N81 SEE-ATTACHED 568.73 // SOILS LOG 30 30,.. PROPOSED WELL AND SEPTIC IMPROVEMENTS FOR LID/84 SOUTHFORK NORTH Q , (PERMITTED. BUT NOT C OWNER TO COORDINATE RLLOFATION OF PROPOSED WELL O O ��< NOTES 1. THERE ARE NO EIOSTING WELLS OR SEPTIC SYSTEMS WITHIN 200' OF THE PROPOSED r ��G, ...F..A. �► WELL AND SEPTIC SYSTEM FOR LOT 11 BLOCK 4 SOUTHFORK NORTH SUBDIVISION. j �'��.•�• TH s�91'I 2. CONTRACTOR TO VERIFY ALL SETBACK AND SEPARATION DISTANCES PRIOR TO CONSTRUCTION. •••• ANY DISCREPANCIES SHALL BE REPORTED IMMEDIATELY TO THE ENGINEER. % *: • 4.9— :* .......... .............. 3. OWNER OF LOT 11 BLOCK 4 SOUTHFORK NORTH SUBDIVISION (SUBJECT PROPERTY). SHALL /� j r. ../ COORDINATE WITH OWNER OF LID B4 TO AVOID CONFLICTS WITH PROPOSED IMPROVEMENTS / / BRIAN T. HA AND SHALL COORDINATE WITH MOA ON-SITE SERVICES PRIOR TO CONSTRUCTION. EN / �' 9� : N0. 10068-CCE 4. OWNER MAY ELECT TO CONSTRUCT BOTH PRIMARY AND RESERVE DRAINFIELDS. IF SOA ( c�� ••.G-14.aG •\�� LOT UNE WAIVER MUST BE OBTAINED TO CONSTRUCT WITHIN 7.5 FEET OF THE EASTERLY lF yF+r LOT LINE. `1\\F 'PROFESSION*�E� BTH CONSMUCRON, LLC LOT 11 BLOCK 4 SOUTHFORK NORTH SUBDIVISION P.O. BOX 110356 SEPTIC SYSTEM DESIGN ANCHORAGE. ALASKA 99511 PHONE: 336-3447 NOR, i'-50' DATE: 06/27/06 GRIDS: SW 0959 2 SCALE: VER Nis DWNER: JUSTIN JONES SHEET J LOT 10 SHANGRI-LA SUBDIVISION DESIGN CRITERIA, HOUSE SIZE: 3 BEDROOMS TANK SIZE REOUIRED: 1,000 CAL SOILS PERCOLATION RATE: 1-5 MIN/INCH PLUS 250 FOR LIFT STATION. 250 CAL ST.E.P. SPECIFI ABSORPTION AREA -(/ BEDROOIISx1S0 CPD/BR) TRE - (3 )(150) - 375 SF 1.2 TRENCH LENGTH - 375 SF - 75 LF 5' WIDTH TRENCH TO UTILIZE 36. OF WASHED ROCK BELOW DISTRIBUTION PIPE, THEREFORE A LENGTH REDUCTION FACTOR SHALL BE APPLIED. TRENCH LENGTH - 75 LF X 0.58 - 43.3 LF SAY 45.0 LF MONITORING TUBE2F r REFER TO SHEET CLEANOUT WIDE (TYPICAL) —amu= } FOR ACTUAL (TYPICAL) TRENCH LAYOUT. r 45.0 LF PLAN VIEW MT CO FINAL GRADE, MOUND TO PREVENT R I� PONDING AFTER SETTLEMENT AND TO (_ PROVIDE 36" OF EARTHEN COVER. 0.0 SILT BARRIER NATIVE BACKFILL 1.5 2.0 _PROVIDE 2" 40 PSI DIRECT BURY BOARD FOAM INSULATION IF EARTHEN COVER IS LESS THAN 36". II 5.0 r- 5 FEET WIDE 1.0 BTH CONSTRUCT/ON, LLC P.O. BOX 110358 ANCHORAGE, ALASKA 99511 PHONE: 336-3447 CLAY LAYER WIDE TRENCH WATER APPLICATION RATES 0-1 TRENCH SCILS PERC RATE MIN/IN I CPD/SF (SF/BED) I AREA (SF) BY //BED 0-1 N/A M:IOW PIPE MM 1-5 1.2 1 - 125 (125) 2 - 250 0.76 3 - 375 0.70 4 - 500 4 5 - 623 6-15 0.8 1 - 188 (188) 2 - 375 0.50 3 - 363 4 - 750 S - 938 16-30 0.6 1 - 250 (250) 2 - 500 3- 750 4 - 1000 S - 1250 31-60 0.45 1 - 333 (333) 6� 4 - 1333 S - 1387 )60 N/A O J FILTER MAZY 1.0 1 - 150 (150) 2 - 300 3- 450 I 4- 600 --� S - 750 WIDE DRAINFIELD LENGTH REDUCTION FACTOR - RF DET'111 OF GRAVE, * LENGM M:IOW PIPE MM REDUCTION FACTOR 12 0.87 16 0.76 24 0.70 30 4 36 0.58 42 0.54 48 0.50 OF *co.•49TH • •9*' : BRIAN T. HARTEN �1 s� NO. 10068 -CE; •�� 0 LOT 11 BLOCK 4 SOUTHFORK NORTH SUBDIVISION SEPTIC SYSTEM DESIGN CALCULATIONS AND DETAILS HOR. NTS DATE: 06/14/06 GRIDS: SW 0959 3 SCALE: ,SER HTsSHEET oT OWNER: JUSTIN JONES / 3 Municipality of Anchorage Development Services Department Or.Slb WOW .w Waalewater Protpam 4700 South BraOaw SL P.O. Em 195M Ara o"S. AK 995198050 www.d.*nchoro9e.akua (907) 3417901 Soils Log - Percolation Test TEST HOLE BTH #1 Paricmrd Fr JUSTIN JONES Data OF. AZ 1 ow % Gj�P�• TH 9s�9111 . •...................... / ZOO BRIAN T. HARTEN / N0. 10068—CE Parlamroe: JUNE 2, 2006 Legal DaarrlFec*. LOT 11 BLOCK 4 SOUTHFORK NORTH SUED. Tc"mNP. Range. Section: SIDpe Site Plan Depth (Feet) 0- 2- 3- 4- 9— to- 12- 13- 114 — Is -3- 4-9— to-12- 13- 14- 11 — VEGETATION SAND, BROWN W/ SMALL ROOTS SW — WELL GRADED SAND WAS GROUND WATER NO GROSS TIME ENCOUNTERED? FINISH DEPTH NETDROP 06-02-06 N/A E ACCEPTE FYES.ATWHATDEPrH? OF WATER IN LESS THAN 8 tINUTES ON DEPTH TO WATER N A 0) AFTER MONITORING? CLEAN S D OBSERVED DATE: 06-09-06 CL — MOIST, TAN CLAY WITH COBBLES BOTTOM OF HOLE SEE ATTACHED SITE PLAN 2-5% DATE STMT DEPTH GROSS TIME NETTIME FINISH DEPTH NETDROP 06-02-06 PERC HO E ACCEPTE 5 GALLON OF WATER IN LESS THAN 8 tINUTES ON 2 SUCCESSVE ATTEMPTS. CLEAN S D OBSERVED WILL PR VIDE ADEQUATE TREATMENT AND FILTRATION WITHOUT THE EED FOR "FILTER SAND" LINER. NATIVE ANDS WERE MOIST DUE TO LATE SEASONAL THAW AT TIME OFT STING. PERCOLATION RATE >1 MINIINCH TEST HOLE DIA 6 (INCHES) TEST RUN BETWEEN 4 •0 FT AND 5.0 FT A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES NO COMMENTS: THIS DATA IS FOR EXCLUSIVE USE BY BTH CONSTRUCTION, LLC TO DEMONSTRATE THE VIABILITY OF THE SUBJECT PROPERTY TO SUPPORT AN ON—SITE SEPTIC SYSTEM. PERFORMED BY: BTH CONSTRUCTION. LLC I. BRIAN T. HARTEN . CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: JUNE 2. 2006 n w 40Q ALE ALASKA WATER & WASTE, H y�l CONSULTANTS, INC. �......... . . ..... .......... 0901 DEBW AWA SUITE 20 • M CHORAM AIL -99004 • MML b 7-0179 • FAX. 9q -2240 • WEE , ab.e.e•m SOIL LOG — PERCOLATION TEST ................. LEGAL DESCRIPTION: SOUTHFORK NORTH SUBDIVISION; LOT 11, BLOCK 4 ODO s •• Jef A. ness. a -7953 PERFORMED FOR: AL PACE DATE: 4/1/2003 P•or..slol�`�� TEST HOLE 1 �Opp000�o DEPTH TO GROUNDWATER il DRY 4/1/2003 DRY 4/9/2003 71111rM11 7 /m}/r1ffll: ONN 6' TEST HOLE LOCATIONS ARE DEPTH TO GROUNDWATER DATE DRY 4/1/2003 DRY 4/9/2003 3:13 - 6' TEST HOLE LOCATIONS ARE DATE READING CLOCK TIME i f WATER LEVEL READING NET DROP (INCHES) 4/4/2003 1 3:13 - 6' TEST HOLE LOCATIONS ARE 2 /; APPROXIMATE TH#3 TH5 3 3:43 J , 6' T+ T�4 THI1 30 I 1/4. 5 1 9 I — 6' 9 6 4:43 30 5 3/4- 1/4' SITE PLAN 1'=100' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/4/2003 1 3:13 - 6' — 2 3:43 30 5 3/4- 4'3 1/4- 3 3:43 — 6' — 4 4:13 30 5 3/4* 1/4. 5 4:13 — 6' — 6 4:43 30 5 3/4- 1/4' PERCOLATION RATE 120 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO JODY MAUS PERCOLATION TEST PERFORMED BY: ZACHARtAH GALL COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A GARNESS, CERTIFY THAT THIS WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: _ IN ACCORDANCE n n ALASKA WATER &: WASTL'WATKR CONSULTANTS. INC. ml DMVM p4AD, Writ 2a • waM lk-VOW4 • •o -•in • Nc (907)336-3246 • WOMM' ......m.. SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: SOUTHFORK NORTH SUBDMSION; LOT 11, BLOCK 4 PERFORMED FOR: AL PACE DATE: 4/1/2003 (feet ORGANICS ITEST HOLE 2 DEPTH TO DATE GROUNDWATER DRY 4/1/2003 DRY 4/9/2003 mom® :-7953 CLOCK TIME NET TIME (MINUTES) � 111111111 4/4/2003 1 3:14 - 6. /_% NNH • TEST HOLE FCATARET3 IIIIIIIII / PPRIONS - iII111S� YIV�. � TH#2 T 4 DEPTH TO DATE GROUNDWATER DRY 4/1/2003 DRY 4/9/2003 mom® :-7953 DATE READING CLOCK TIME NET TIME (MINUTES) t i NET DROP (INCHES) 4/4/2003 1 3:14 - 6. 2 3:44 TEST HOLE FCATARET3 5 3 4'3 / PPRIONS - T5OXIMATE j TH#2 T 4 i i j TH(/1 4:14 6.6 4:44 30 5 3 4- I I SITE PLAN i".100, DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/4/2003 1 3:14 - 6. 2 3:44 30 5 3 4'3 3:44 - 6.4 4:14 30 5 3 4-5 M14' 4:14 - 6.6 4:44 30 5 3 4- PERCOLATION RATE 120 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ZACHARIAH CALL COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS ERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: n n ALASKA WATER & WASTEWATERyW CONSULTANTS, INC. ,;„ „ „ ......:.* LEGAL DESCRIPTION: SOUTHFORK NORTH SUBDIVISION; LOT 11, BLOCK 4 PERFORMED FOR: AL PACE DATE: 4/1/2003 (f et ORGANICS ITEST HOLE 3 DEPTH TO DATE GROUNDWATER DRY 4/1/2003 DRY 4/9/2003 at'-*I*t A. —7953 1,! s. ..... a o4� CLOCK TIME 111111111 1 1 f i NET DROP (INCHES) 4/4/2003 1 mum • 111111111 — - j j 1.2f11i Y/V� • 064 3 DEPTH TO DATE GROUNDWATER DRY 4/1/2003 DRY 4/9/2003 at'-*I*t A. —7953 1,! s. ..... a o4� DATE READING TEST CLOCK TIME NET TIME (MINUTES) 1 1 f i NET DROP (INCHES) 4/4/2003 1 3:15 — TEST HOLE LOCATIONS ARE — 2 j j APPROXIMATE TH3 TS 3 3:45 T+ T+4 / / THa1 4:15 30 I 1/2' 2- 5 5 4:15 — 6- — 6 I I 30 5 3/4- 1/20 2 - SITE PLAN DATE READING TEST CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/4/2003 1 3:15 — 6- — 2 3:45 30 5 1/20 1/2- 3 3:45 — 6- — 4 4:15 30 5 1/20 1/2' 2- 5 5 4:15 — 6- — 6 4:45 30 5 3/4- 1/20 2 - PERCOLATION RATE 60 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ZACHARIAH GALL COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W S PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: ot fo"�, ko Qoao 4 ....F• ALASKA WATER & WASTEWATER CONSULTANTS. INC. LEGAL DESCRIPTION: SOUTHFORK NORTH SUBDIVISION; LOT 11, BLOCK 4 oYo e f f C 7953 ness.: •` PERFORMED FOR: AL PACE DATE: 4/1/2003 p�a "d00 DEQOoeyp 0fes si°no, (feet ORGANICS TEST HOLE 4 �DD0000 % 1 7 GM/SM/ML g (MIXED) 9- 10- 11 1011 12 13 14 15-1 16- 17 18 DEPTH TO GROUNDWATER r DRY 4/1/2003 DRY CLASSIFICATIONSiSOIL TEST HOLE LOCATIONS ARE r APPROXIMATE THk3 i I � • - , ! TH4 TH(J1 4:00 — 6- • ulumlML I 4:30 3D 5- 1- I� 1111 CL 6- — 6 5:00 30 GC -FFM • OL SWMH IIIIIIIII I I %//%CH 'N" • Sc 7 GM/SM/ML g (MIXED) 9- 10- 11 1011 12 13 14 15-1 16- 17 18 DEPTH TO GROUNDWATER DATE DRY 4/1/2003 DRY 4/9/2003 TEST HOLE LOCATIONS ARE ! APPROXIMATE DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/4/2003 1 TEST HOLE LOCATIONS ARE ! APPROXIMATE THk3 TH#5 30 T+2 , ! TH4 TH(J1 4:00 — 6- I 4:30 3D 5- 1- 5 SITE PLAN — 6- — DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/4/2003 1 3:30 6- 2 4:00 30 5- 3 4:00 — 6- 4 4:30 3D 5- 1- 5 4:30 — 6- — 6 5:00 30 5- 1- 19� PERCOLATION RATE 30 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO \SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ZACHARIAH GALL COMMENTS: PERFORMED BY AKWWC. INC. I. JEFFREY A. GARNESS. CERTIFY THAT THIS AS FERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: r. n ALASKA WATER & WASTEWATI✓R CONSULTANTS, INC. ...::... ... .........:... AX SOIL LOG - PERCOLATION TEST ...... ...... LEGAL DESCRIPTION: SOUTHFORK NORTH SUBDMSION: LOT 11, BLOCK 4 OOP •'.J tf A. ss: PERFORMED FOR: AL PACE DATE: 4/1/2003 QQ4 �' ., —79533 ,• `-� DE 4�Ds�P�ofessled, �d Y'�EiEiORGANICS TEST HOLE 5 1 E 5 0 '11BIf�G(MIXE )L 10 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 4/1/2003 DRY 4/9/2003 CLOCK TIME NET TIME (MINUTES) t i NET DROP (INCHES) Illilllll 3:31 — 6- — 2 4:01 TEST HOLE CATIONS AREPPROXIMATE I F 1111E • / 4:01 Iilllllll T5 — 4 TH#2 T H4 IBM: THQ1 97'.6 • IM 6- — DEPTH TO DATE GROUNDWATER DRY 4/1/2003 DRY 4/9/2003 DATE READING CLOCK TIME NET TIME (MINUTES) t i NET DROP (INCHES) 4/4/2003 1 3:31 — 6- — 2 4:01 TEST HOLE CATIONS AREPPROXIMATE I F 5 3/4- 4- 1/4* / 4:01 T3 T5 — 4 TH#2 T H4 ( / THQ1 5 4:31 I 6- — 6 5:01 30 5 3/4- 1/4' I I SITE PLAN DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/4/2003 1 3:31 — 6- — 2 4:01 30 5 3/4- 4- 1/4* 3 3 4:01 — 6- — 4 4:31 30 1 5 3/4* 1 4- 5 4:31 — 6- — 6 5:01 30 5 3/4- 1/4' 19� PERCOLATION RATE 120 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ZACHARIAH GALL COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. CARNESS, CERTIFY THAT THIS W P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: vo 1,731 1�UIV�.tG" F'. •, - ---�'-� - TC-1, 7C�r7�•M � Ef.-.as.rrh.` ,,�4 / 1 '� lit' t• J 'A�,•rr� . tVA Oil tirly- '� � � , Ji �� ' 't'11 j '1 raef AL"" rN; eb,E9 oa ��.o 59 Ac.ev --'�_'r...'3:._'. •� 'N ...Id' frit. j W4 ✓,•r.' .v , , �� •-L �d�. !Ibrorr. pr • C i. pY9 •CN'o1: pl {� •� l.10 AJL a. . _ yyrr/u•rrn erZ.�Y' 04 ••�,/f 'N _ �_' ' { •. 1D.•3J'�'I •�r-� `•.� - lu real oo'_ - _�.�..._.__._ OW - 1!-e C 1313?.•JUN 0 `�/�Y��p?/•9f•F/ .. ' ,- lo9,fd Troe l \ \T.-^1-1 rl,9�st •, /.IJ' -.e. mt r .. eyoi ++ a% Af 1 CA 14 6kch 4 Ti,aeo jr 1 GS At. r CC 4, '- Na+•79d r, 7. NW - NC n'C '/r. s:. '^ Svc 9 O f t 0 • o „ 2 C ••v•�•! •NC /°9 :^9l N 7t1.7! %2•cc Ssc C .v AM '/i•e S�cJ •� 990/d . �......- - .33n Oc''• -. -7[b cC .. '. rof.•le•.__ •ti. :.•' • T oo f B �r.ol.._-... r 1 1 -0 C76 d -r I/!d'a['o/'N � • /a. esL � �• 6 A.. �V1'tY. �.,. • MrbMY:la�i. ..y '",---'f"-- . y; ,w , I I 1 N LS OW - 1!-e C 1313?.•JUN 0 `�/�Y��p?/•9f•F/ .. ' ,- lo9,fd Troe l \ \T.-^1-1 rl,9�st •, /.IJ' -.e. mt r .. eyoi ++ a% Af 1 CA 14 6kch 4 Ti,aeo jr 1 GS At. r CC 4, '- Na+•79d r, 7. NW - NC n'C '/r. s:. '^ Svc 9 O f t 0 • o „ 2 C ••v•�•! •NC /°9 :^9l N 7t1.7! %2•cc Ssc C .v AM '/i•e S�cJ •� 990/d . �......- - .33n Oc''• -. -7[b cC .. '. rof.•le•.__ •ti. • 1 1 OW - 1!-e C 1313?.•JUN 0 `�/�Y��p?/•9f•F/ .. ' ,- lo9,fd Troe l \ \T.-^1-1 rl,9�st •, /.IJ' -.e. mt r .. eyoi ++ a% Af 1 CA 14 6kch 4 Ti,aeo jr 1 GS At. r CC 4, '- Na+•79d r, 7. NW - NC n'C '/r. s:. '^ Svc 9 O f t 0 • o „ 2 C ••v•�•! •NC /°9 :^9l N 7t1.7! %2•cc Ssc C .v AM '/i•e S�cJ •� 990/d . �......- - .33n Oc''• -. -7[b cC .. '. O SOILS Loo MUNICIPALITY OF ANCHORAGE pc PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 828 L. Street. Anchorage, Alaska 88801 284.4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: SGVTt-� (� VO2 k IOIJ,6'/- DATE PERFORMED: /—� %—[)t JAL DESCRIPTION:? — fT l"�� A �r_ f� �� K r/6 owe e, eu i3t�y'�en o 1= PERFORMED 72.006 16172) WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT DEPTH? Reading Dete Grose Time Net Time Depth to Water Net Drop or y oZ er• 00 . t Q e,N 5' /y j ,e/ 4 PERCOLATION RATE �+ ! Irm/lnuteonch) TEST RUN BETWEEN t FT AND FT MUNINCIPALITY OF ANCHORAGE Development Services Department 4. Phone: 907-343-7904 On -Site Water & Wastewater Section --- Fax: 907-343-7997 Parcel I.D. 078-141-25 Certificate of On -Site Systems Approval Expiration Date: --Nov 131 ) 01 1. GENERAL INFORMATION Complete legal description Southfork North Block 4 Lot 11 Location (site address) 2290 North River Circle Current property owner(s) Justin Jones Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: El Single Family (w/wo ADU) F-1 Duplex Ej Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: X 3 - Vjv-/-- 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic K Water Storage El Holding Tank El Community Well 0 Community 1771 Public Water System El Public Sewer 1-71 Waiver request for: Distance: K� Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $-,550 Waiver Fee $ Date of Payment _alg /, 0;2 Date of Payment Receipt Number__. 072$ 7 6 Receipt Number COSA # 0 J C .211 Ll L/ 1 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. Phone (907) 745-8200 Date By: ay, r, � (11 / T, � Original Certificate Date: 9/1 17 .2 Q.? The Municipality of Anchorage Development Services Division (DSD) issues certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the Stale of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet OF A�gS�q �y WATER AND o 7 Y t 4 6. DSD/ SIGNATURE • 2 J System J " 'r' "=c, 'ricr';e' #1 Approved for bedrooms �. �i�er System #2 Approved for bedrooms`%; •. �` Disapproved Conditional approval for bedrooms, with the following stipulations: By: ay, r, � (11 / T, � Original Certificate Date: 9/1 17 .2 Q.? The Municipality of Anchorage Development Services Division (DSD) issues certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the Stale of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet WATER AND WAST_VATER Z .J MIAM 1 By: ay, r, � (11 / T, � Original Certificate Date: 9/1 17 .2 Q.? The Municipality of Anchorage Development Services Division (DSD) issues certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the Stale of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: Southfork North Block 4 Lot 11 If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled °"' Total depth 165 ft Cased to 164 ft On Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 0111'021 Static water level at beginning of test NIA ft. Comments ARTESIAN WELL B. TANK DATA Age of tank(s) 15 years Tank type/material 6.1-S-1 Measured operating fluid level in septic tank 8 On Standpipes/foundation cleanout per record drawing Date of pumping 07/26/21 D. ABSORPTION FIELD DATA Shallow Trench Parcel ID: 078-141-25 Structure served by this system 1 Well production at time of test 3.7 gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes M No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by PES Date of Sample 07A 2°2' C. LIFT STATION ❑ Required maintenance completed Age of lift station 15 years Lift station material Steel Comments: Which system tested (date installed) o nsnoos Adequacy test date °"' ❑ ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade 5.5-6.5 ft (max) Fluid depth prior to test 16.5 in Measured depth to pipe invert from grade ft (min) Water added 617 gal ❑ N/A —pressurized field 24.5 New depth in ❑ Monitor tubes go to bottom of effective. If not, state 170 depth into effective Elapsed time min ❑ Code -required soil cover over field Final fluid depth 22.75 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: FIELD ROUGHLY 60% USED. 6" FILL ADDED TO FIELD 8/10/21 COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' M✓ Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft FV1 Yes if No Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line > 25'E] Yes if No Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' ❑✓ Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' Q✓ Yes if No M✓ Yes if No ft if No ft F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft M✓ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Yes if No . \ ft Surface Water > 100' ft ft ft ft ft Q Yes if No ft Property Line > 5' M✓ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' Q Yes if No Water Main > 10' 0 Yes if No ft Community Wells > 200' Yes if No_ Water Service Line > 10' El Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' El Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10' 0 Yes if No ft Community Wells > 200' El Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION � _ •fid' I certify that l have determined through field inspections and review ti of Municipal records that the above systems are in conformance with MOA COSA in this date.! guidelines effect on . •Jtev-n ' � , t�'C:��•not,-1G. .. C=819 COSA Checklist yellow sheet ft ft ft ft Lift Station/Pump Vault -Dedicated electrical alarm circuit 6 no -Audible and visual alarm inside dwelling -Alarm system operation satisfacto `a not satisfactor Manhole Riser ,Ground water intrusion at riser to tank connection yes .no ,Ground water intrusion around pipe penetrationsyg§,�no"/ .Manhole lid: Functional Insulated no Other -Weep hole functional 4,xt,%J no Properly Secured N"'e's no 1-1 -All manufacturer required inspections and maintenance completed ;r, es no Comments: 7— Qualified Maintenance Provider: Technician °` Date of maintenanceZ/ 2, 7ZI29 f Company 1 �N\ Sig nature Date Maintenance Log Owner Street Address Septic Tank - -Sludge level V inches -Pumping: requiredyt§ !no no -Pumping completed tyeg n Lift station: .Pump basket cleaned � no ;E) s, ), no -Effluent filter cleaned no 2 7 -Control floats cleaned�eo no -Proper float settings confirmed es no -Operation satisfactory e-, no (�Cl) :,5L_ Alarm System: -Dedicated electrical alarm circuit 6 no -Audible and visual alarm inside dwelling -Alarm system operation satisfacto `a not satisfactor Manhole Riser ,Ground water intrusion at riser to tank connection yes .no ,Ground water intrusion around pipe penetrationsyg§,�no"/ .Manhole lid: Functional Insulated no Other -Weep hole functional 4,xt,%J no Properly Secured N"'e's no 1-1 -All manufacturer required inspections and maintenance completed ;r, es no Comments: 7— Qualified Maintenance Provider: Technician °` Date of maintenanceZ/ 2, 7ZI29 f Company 1 �N\ Sig nature Date Municipality of Anchorage ., Development Services Department / Building Safety Division On -Site Water and Wastewater Program .. 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 COSA 079,4125 Parcel I.D. . / g Expiration Date: 1. GENERAL IVFORMATION LOT 11 BLOCK 4 SOLITHFORK NORTH Complete legal description Location (site address) 2290 NORTH RIVER CIRCLE, EAGLE RIVER, AK 99577 Current Property owner(s) JUSTIN JONES Day phone 240149T7 . 2290 NORTH RIVER CIRCLE, EAGLE RIVER, AK 99577 Mailing address Day phone Lending agency Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 3 2. NUMBER OF BEDROOMS: TYPE OF WASTEWATER DISPOSAL: 3. TYPE OF WATER SUPPLY: 0 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 DevelopmAnt 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 on-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 installation. Name of Firm BTH CONSTRUCTION, LLC Address P.O. BOX 110358, ANCHORAGE, AK 99511 Engineer's Printed Name BRIAN T. HARTEN, P.E. Phone 907.336-3447 Date 06.12-07 �P,��•OF .44 444 '1a-7 49lil ••,�� 0 BRIAN T. HARM .&0 0 5. DSD SIGNATURE �� • CE G 10068 ✓ Approved for bedrooms. ,�r�`�qf'•. ;��0� ••�� Disapproved. 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: r[ J Original Certificate Date: 60 JR... 11105) Municipality of Anchorage • Development Services Department Building Safety Division ` On She Water 6 Wastewater Program 4700 Bragaw Street P.O. Box 196050 Anchorage, AK 99519.6650 www.muni.org/onsite (907) 3437904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: LOT 11 BLOCK 4 SOUTHFORK NORTH Parcel ID: 078/4125 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID # _ Date completed 07-05.05 Sanitary seal (YIN) YES Total depth 166 ft. Cased to164 ft. FROM WELL LOG Date of test 07.05-08 Static water level 2.o ft. Well production 30.0 9 - p.m -WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml Nitrate 0.169 m91L Arsenic: 0.0 ugfi Date of sample: 4.22-07 B. SEPTICIHOLDING TANK DATA Tank Type/Material STEEL Weil Log (YIN) YES Wires properly protected (YIN) YES Casing height (above ground) 3.0 Nn. AT INSPECTION WA, NEW INSTALL ft. g.p.m. Other bacteria 0 colonies/100 mL Collected by: BROW HARTEN, P.E. Date installed 7-24-06 Tank size 1500 gal. Number of Compartments 2 Cleanouts (YIN) YES Fouf4aticn deaWoq (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) YES Lute of pumpkV NIA, KM INSTALL Pumper C. ASSDRPnON-FIELD DATA 'Plate instsfied tns06 Soil rating (g.p.d./flr or fl'/bdrm) 1.2 Length 45.o ft. Width 5.0 ft. systemtype 5 -WIDE Gravel below pipe 3.0 ft. Total depth 5.0 ft. Eff. absorption area fe Monitoring lube YES Depression over field NO Date of adequacy test wA ww "WALL Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test In. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN IL type) If yes, give date D. LIFT STATION Date Installed 07.2408 Size In gallons 250 Manhole/Access (Y/N) YES 'Pump on" level at 28 in. "Pump off level at2e in. High water alarm level at 29 In. Datum TOP OF SIOTUSE Cycles tested 5 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAlft station on lot 180.0' Absorption field on lot 128.6 Public sewer main >76' Sewer /septic service line >W Animal containment areas >1oa Meets alarm & circus requuemenb? YES On adjacent fats >100' On adjacent lots >100' Public sewer manhole/deanout >t00' Holding tank >100' Manure/animal excrete storage areas >100' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5.a' Property line 23-r Absorption held 10.0' Watermain >10' Water service line >19 Surface water >100' Wells on adjacent lots Aw SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 8.5' Building foundation 17.9' Water main >10' Water Service line >10' Surface water >10' Driveway, perldrp/vehide sb My 27' Curtain drain >50' Wells on adjacent lots Aw F. COMMENTS: WAIVER REOUESTED FOR DRAINFIELD PROXIMITY TO LOT LINE. G. ENGINEER'S CERTIFICATION may' I certlly that I have detemrtned through field inspections and 0— ' 49 m review o/ Municipal records that the above systems are in 0 r. conformance with MOA COSH guidelines in eBed on this date. ♦ p ;. URIAN S Engineer's Printed Name �J , w 1 I .�� r,;•- 1 �•` CE• 10066 • Date r, - 1.1 -CQ fESStOt; COSA Fee Date of Payment 1*04,5p-7 Receipt Number (Rev. 11105) Waiver Fee S �^ Date of Payment Receipt Number q:5 8+l� ASBUILT I HEP.E13Y CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: rr:�iH/tJC�'.r2 xl_ AND THAT NO ENCROACF`MENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONS13ILITY OF THE OWNER TO DETERMINE TH_r EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HFOR 0 FENCE LINES,NOR FORD ESTABLISHING CBOUND- ARY LINES. J SCALE= DATE= GRID: s�i9�s FB: DRAWN: r PSE OF��q t� '4_,TH r��. Desn. Mv4 Swed � ► BTH CONSTRUCTION, LLC EXCAVATION & ENGINEERING P.O. Box 110358 • Anchorage, AK 99511-0358 Phone/Fax:336-3447 • E-mail: hth@gci.net June 18, 2007 Mr. Dan Roth Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 RE: Lot Line Waiver Request Lot 11, Block 4, Southfork North Subdivision Dear Mr. Roth: We are requesting a waiver of lot line setback requirements for the above referenced system. The primary system is encroaching into the required 10 foot setback from the property line by 1.5 feet At the time of construction, the southerly lot line was flagged, and the drainfield was laid out and constructed to be 10 feet from this lot line, however, at the time of as -built, it was noted that the piping in the drainfield was 10 feet from the lot line, but the sidewall of the trench was 8.5 feet from the lot line. Through my construction documentation, I merged the house location from the as -built built survey into my electronic drawings. From this point, I displayed the septic system components based on my field measurements (swing -ties, etc.) from the building foundation. While the as -built survey shows the drainfield to be well outside of the required 10 - foot setback, I feel it only prudent to request the lot line waiver, as I feel the drainfield may be encroaching into this setback. I am herby requesting a waiver from the 10 -foot setback distance to a 5 -foot setback distance. This waiver will cover not only the primary drainfield, but will also allow construction of the reserve drainfield (if required) within the vicinity of our latest test hole, and within the sandy material known to be in this vicinity. Approval of this waiver will not preclude the adjacent properties capacity to construct future wastewater systems. I am unaware of any adverse impacts this waiver would have on any existing adjacent wells or septic systems. Any questions regarding this lot line waiver can be directed to me at 907-230-3992. Regards, Brian T. Harten, P.E., BTH Construction, LLC u 49111 Pq 0-7 t* BRIAN T. HAMM :.a. � a-10068 11 `0, ESS10'A Municipality of Anchorage Development Services Department • Building Safety Division On -Site Water and Wastewater Program 4700 Brugaw Street P.O. Box 196650 Anchorage, AK 99519-6650 w .ci.anchoragc.ak.us (907)343-7904 WR#: 070030 PID#:078-141-25 Date Received: 6/12/07 Engineer. Brian Harten Applicant: Justin Jones Waiver Review Worksheet HA#:70 0188 Permit#: 050444 Waiver Requested: 8.5 feet absorption field to property line. Criteria: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: ...................'../................................................... seem°• Waiver is Granted: `' Waiver is not Granted., List Conditions or Reasons for above: Date: (O _ / q _ 0 / By: ........................................ Rec#: 6/12/07 Amount: $175.00 Date Paid: 6/12107 •.se.. ... m...mme...... bosoms.•