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HomeMy WebLinkAboutWHALEY #5 BLK 1B LT 2Whaley #5 Block 1 B Lot 2 #051-111-22 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Prone: (907) 343-7904 Fax: (907) 343-7997 http:flwvAv.muni.org/on$ite On -Site Wastewater Disposal System Permit Permit Number: OSP211296 Work Type: Septic Initial Tax Code Number: 05111122000 Site Legal Address: WHALEY #5 BLK 1B LT 2 G:1361 Site Mailing Address: 24215 TEMPLE DR, Chugiak Owner: JONES CRISTINE K Design Engineer: EKLUTNA ENGINEERING, LLC* This permit is for the construction of: 0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: _ f Ucl)a rrmenr 812!2021 8/2/2022 59242 ❑ Private Well ❑ Water Storage Ail construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received B) Issued By: Date: S'/ Z 2 Date: /to" f 1 ON-SITE SEPTIC/WELL PERMIT APPLICATION ��1 111-�� Paroe|iD. - j(}NES{�RIST|NEP{ Property �� Mailing address pOBox O71153ChUgi8k Site address 24215 Temple Chugiak Legal description /Gub'd,Block & Lot) VVH/\LEY#5 BiK Day phone 1B LT 2 Legal description (7ovvnehip. Range &Section) Lot Size 59,242 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION |3AN: TYPE OFDWELLING: (Zall that apply) Absorption Field Fxj|ni�e| �� Single Family (SF) 171-- -- kx�vvoAOU\ Septic �I Upgrade �� ` ' � -- -- Duplex (D) | | Holding Tank | | Renewal �l � ' -- -- -- Multiple Dwellings | | Privy 0 (SF and/or D\ �— Private Well El Water Storage [71 THIS APPLICATION INCLUDES AWAIVER REQUEST FOR: | certify that the above information is correct. | further certify that this is in accordance with applicable Municipal Codes. /,I, r I (Signature ofproperty or authorized agent) Permit/Rush Fees: Xt 57 5, Waiver Fees: Date of Payment: r7l III W1 Date of Payment: Receipt Number: al � 9 sb Receipt Number: PermitNo. 0SP'21f2q4 Waiver No. GAoo,nmpmomSmwcev\Bvnuinoawfety�OnSite Water and WaotewotenponnoVClmm/Funnx\PemuApp caUon.doo Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211296, Rebecca Carroll, 08/02/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211296, Rebecca Carroll, 08/02/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211296, Rebecca Carroll, 08/02/21 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 Septic System Owner -installer Agreement The On-site Water and Wastewater Section (On-site) may issue an approval for a homeowner to perform work on an on-site wastewater disposal system to serve that individual's owner - occupied, single-family or duplex home if the homeowner meets and agrees to the following requirements: 1. The property owner and excavation equipment operator may perform work on no more than one owner -installation project in a 12 -month period. 2. Owner's projected active involvement with the installation: t( o F i4-, 3. The name of the excavation equipment operator: W16-v_� .41."Jas 4. 1 agree that there will be no monetary compensation for installation services rendered. 5. The name of the inspecting engineer: 6. 1 agree to discuss the following items with the inspecting engineer: a. Permit design criteria and specifications. b. Inspection requirements set forth in AMC 15.65.070. c. Advance notice given to the On-site Water & Wastewater Section for all required municipal inspections (AMC 15.65.070A). 7. 1 agree to have the project -specific On-site Wastewater Disposal System Permit available at the construction site for the duration of all related work. 8. 1 agree that if the system is an advanced wastewater treatment system (AWWTS), I will obtain additional installation instructions and approval from the equipment distributor. As owner of (legal description) 1 agree that the information above is true and accurate. g 5'Sd 7 Owner's printed name: Owner's signat Date: Mailing ' • • • Box 196650 • ' Alaska 99519-6650 • • Municipality of Anchorage<. Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.cl.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWOgOot33 PID Number: 051-/1/-22 Name Jr..•t Brtce Wastewater System: ❑ New ($ Upgrade Address / 11 LL Po Box 61231l ^4 ;Ak 5b} ABSORPTION FIELD �� C Numear of Bedrooms 4 O Deal) TlolWl P(Snallow TrenN O Bed O Mound O Dow LEGAL DESCRIPTION Soil Re4ng Total Dope, km w9rlal prat 81W* LN SuedmNOn 113 2. 1.1 L � rK• 0•8 GPD/? ope, to ppa W"M eom on i.a rade Dp 0 5-S FI. GravN dspN parraN pp. To.nsNp Rargs Secaw, For added scow mPnal ,w �, FI. Ula NLanpin .j FI Ft. -1 Well: ❑New Xis in ❑Upgrade Gr .inn Fl. Numw, of Inas D-sism, t,&« nln.a CMsNLrawn (PnwN. B, C) Total Dspm Cased to FL Twat apsorpuon also Fl I L1 N, Ft. FI Unusr c5 -75D Ft' 'w 3oto F$lo 34 Dale DousdShut Wataslarsl Ft —at In.Maer VC-An �a'TM.�rrc lcn ONa alNe iM b 30-�Of Ymd Pump yetCaslnp Magnt Aoow Wound GPM Ft. FL TANK,, P. SEPARATION DISTANCES RI Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Litt From Tank Field Station Holding ualUPMate Tank Sewer Line waaus.r .p.a,F Anc4lora TAnEL Gr. 1 150 woo71- IDot* N, I W A, N. 1+ A. as M.t.nol, Numeer a C-T.nmam. SJet, Ic�p t 2 Susan Waterf N.D. N.A. N, A. LIFT STATION Lot Uno 514- IDI} il/ N /� hit as .aura, s Gal PFLOn 1+ I� t A ,, A, NA. P�nlp an Nwl at •Pump olf law N N.gh —Ior MYm aL'V ^ nq10I im Dn'n N, O. /V, o . N. A. I!. A. Pump M.k. 8 Model �eancal aup.coona pMmnd by, Remarks F i 'n S } BENCH MARK 0 ' ltrs.on w Dasrnpuon rtvn. ao $irl;n /YE VoLom Corner- rMdMNraLpl. IDD FL f� 1 Inspections performed by: LgrS Jotr h� .r,� Dates: 1M_ -4 ��•QF A....10 2nd G Development Services Department Approval' PProval � �'•• `'' 11 Conditional Approval Date: :49TH i 5+.. LAPS . SPURK_A' D; / Reviewed �V, �1 ?•. 115^0 ;F� / (11F�F^' and approved by: (Rw W.9a) Date: 3' / 0 1� FE.,�'tJ`��� — v, 1.1 V(! v 1_ N 68.0' 25' LOT 1 1 59.5' 20' 'Y ✓ 825' 60.0' I ralINSTALLED 50 SO FLOW SPL/1TE __..... ..--.. ...�- e ..-- 'c ABANDONED EXISTING TANS MSTALLED 1.OUNDA7WN C I J, fLTZEMPLE �------------ DRIVE l N01E.• TN/5 111101 A SURVEYED PUI. KU d SEPTK LOCATIONS TAKEN f" ON-STTE WATER AND WASTE WATER DEPARTMENT DOCIA(MARON. ALL LOCATMS SHOW ARE APPROXLMAIE. 25 0 25 50 75 100 125 150 SCALD I' = 50 FT \\ )ore 1 ` 1 LOT 3 I �QQ¢ Pt 1 1 i (� I 1 1 INSTALLED 4 -BEDROOM SEPTIC SYSTEM I � 1 CALLON STEEL TANKTRENCH 1 LENGTH 2 X 45'J1250 WIDTH 5 fEITTOTAL DEPTH 5.5 flETROCK DEPTH .11 FEETw\COVER / 3 fE£T -----...--SwiNC n _._ - ---_ - A 8 SeQ¢� c Ts' 4.0' P i ' LOT 2 D eo.o' s' (� f 38.0 9.0' 1 C 11A ..A v, 1.1 V(! v 1_ N 68.0' 25' LOT 1 1 59.5' 20' 'Y ✓ 825' 60.0' I ralINSTALLED 50 SO FLOW SPL/1TE __..... ..--.. ...�- e ..-- 'c ABANDONED EXISTING TANS MSTALLED 1.OUNDA7WN C I J, fLTZEMPLE �------------ DRIVE l N01E.• TN/5 111101 A SURVEYED PUI. KU d SEPTK LOCATIONS TAKEN f" ON-STTE WATER AND WASTE WATER DEPARTMENT DOCIA(MARON. ALL LOCATMS SHOW ARE APPROXLMAIE. 25 0 25 50 75 100 125 150 SCALD I' = 50 FT 0 SPURKLAND JI'UKRLANU LNUINUKINUI I SHEET 23 CRID:NW1361 MALL'Y #5 BLOCK IH LOY' Z I I SEPTIC SYSTEM ASBUILT 203 W X. 99501 TH. AVENUE ANCH. AK. JIM BRICf DATE.' JUNE 27, 2009 (907) 279-3916 24215 TEMPLE DRIVE, CHUG/AK, AK 99567 1 PERMIT # SVO90083 PID # 051-111-22 WHAL£Y#IBIBL2D2.dwg \\ )ore 1 ` 1 LOT 3 I �QQ¢ Pt 1 1 i (� I 1 1 I � 1 1 0 SPURKLAND JI'UKRLANU LNUINUKINUI I SHEET 23 CRID:NW1361 MALL'Y #5 BLOCK IH LOY' Z I I SEPTIC SYSTEM ASBUILT 203 W X. 99501 TH. AVENUE ANCH. AK. JIM BRICf DATE.' JUNE 27, 2009 (907) 279-3916 24215 TEMPLE DRIVE, CHUG/AK, AK 99567 1 PERMIT # SVO90083 PID # 051-111-22 WHAL£Y#IBIBL2D2.dwg a 0 c 0 oy 0 v S �Q e o Trench #1 0 4 0 GpL 5' Vide a 1250 45' Long t2 55' Beepo ° 3.1' Sewer Rock ZZ � w 3' Cover Q d d PRIMARY TRENCH N. T'S NO SCALE Trench #2 5' Vide 45' Long 5.5' Beep 31' Sewer Rock 3' Cover 0 0 Tren1h#, ' 2' Insulatio TEST HOLE E.C. ELLE= 919' J,'I"Cor3 EUEY.= Ems= 912 ElEV.= 9J.2' Vt EUY.= M..3.1 Ft of Septic Rock 1250 GAL SEPTIC TANK H20 = 829' Effective M nitor T OF �1�♦ B.O.N. ELEv.= 78.9' NO SCALE •'�gP(E,.....„,,, �' •• 3' Cover C • Trench #2 IIEV.= 948' W 49th '•'� •• �..... �..... .. .... ...... . 91.8 _.. F LARS SPUiKLAND •� f'. '�� : Silt Barrier No. CE-11500 M:- e8. 3.1 ft of Septic Rock SS Effective Bench Mark NE Comer of Nouse Assumed Elevation of 100 feet SPURKLAND ENGINEERING 203 Ave xmmy o BLOCK !B LOT 2 SEPTIC SYSTEM AS-BUILT crag Anchorage Ak 99501 JIM BRICE DATEo .tpY 27, 209 24215 TEMPLE DRIV& al"K, AK 99567 SHEETe J/J GRID, NV 1361 PERMIT / SW090083 PID / 051-111-21 WHALE4581BL2DJ.DWC 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 10, 2009 Expiration Date: Jun 10, 2010 Permit Number: SWO90083 Parcel ID: 051-111-22 Legal Description: WHALEY #5 BLK 1 B LT 2 Design Engineer: 0007 SPURKLAND ENGINEERING Site Address: 024215 TEMPLE DR Owner Name: JIM BRICE Lot Size: 0 SQ. FT. Owner Address: PO BOX 672311 Total Bedrooms: 4 Permit Bedrooms: 4 CHUGIAK , AK 99567-2311 This permit is for the construction of: ❑Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: Date: b ti 0 By 0 Date: e Municipality of Anchorage :Development Services Department 2f 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 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 05 I' I I I 1a � Propertyowner(s) Tn Price Dayphone 6P8-04ZR Mailing address PD VoX 011311 i C6jirk Ak 995V+ Zip Code 195(el- Siteaddress d'1d15 lertinle LR1ve, _I!1L9i3 Legal description (Sub'd, Block & Lot) Wvv.\el Legal description (Township, Section & Range) Lot Size Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank �( Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ 3 Code 995V1 Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ 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 o) property owner or authorized agent) Permit/Rush Fees: �'OJ Waiver Fees: Date of Payment: —7 — R Date of Payment: Receipt Number: O S_/ gyp' 7 Receipt Number: (Rev. 11/05) 'r~'••C �. r �..� Environmental Consulting and Design SEPTIC SYSTEM DESIGN WHALEY q5 BLOCK IB LOT 2 Municipality of Anchorage June 2, 2009 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Upgrade Permit 24215 Temple Drive Ladies and Gentlemen: 1 am writing to request a permit to upgrade the septic system for the above referenced property. The proposed system will serve a 3 -bedroom single-family residence. The lot was developed in the early 1980's and the existing septic system did not meet COSA operational requirements. The existing septic tank will be abandoned per MOA code requirements. The existing drain field will be left in place. System: A 1250 gallon septic tank with a shallow trench absorption field. The absorption field will consist of two 45 foot long trenches with 3 feet of sewer rock. A 50150 clow splitter will be installed Soils: A test hole was excavated on May 8, 2009. See the attached soil logs. Ground water was monitored through May 19, 2009. Ground water was observed I I feet below the ground surface. Surface Water: No surface waters were observed within 100 feet of the proposed septic system. Topography: The average topography in the area of the septic system is generally level. Waivers: No waivers are required. The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the arca. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, bs��t � rs Sp Aland, P.E. Civil Engineer 203 West 15"Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandCaa�gci.net 6PUT and Elmuhmaerkma Environmental Consulting and Design SEPTIC SYSTEM DESIGN Whaley 45 Block l It Lot 2 Municipality of Anchorage Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 May 15, 2009 We are submitting an application for a septic system upgrade for the above referenced property. The submittal consists of three (3) drawings showing the present improvements on the lot and the adjoining properties, (sheet 1/3), the proposed improvements of the lot, of which only the septic system is subject to this permit application, (sheet 2/3), and a schematic of the septic system, (sheet 3/3). Soil logs and percolation tests of applicable test holes are also enclosed. The septic system design is based on the following: Ground water observed at I 1 feet below ground surface Use 1250 gallon septic tank and shallow trench Soil Rating. From Testhole 5/8/09 13 min/in = 0.8 gal per sq.ft/day No. of Bedrooms 4 Required Area per Bedroom: 15010.8 =187.5 sq.ft. Total area required: 187.5 x 4=750 sqft Bottom Rock At 6.5 feet Top Rock At 3.5 foot Rock Depth 3 feet Total Bed Length 750/50.58 -87 feet USE 90 FEET SYSTEM CONFIGURATION 1250 GALLON STEEL TANK NV/ SHALLOW TRENCH TOTAL LENGTH 2x45 FT TOTAL WIDTH 5 FT TOTAL DEPTH 6.5 FT ROCK DEPTH 3 FT COVER 3 FT(MIN) 203 West 15'" Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurklandl✓gci.net well 1C 1� LOT 2 1 LOT 1 �. MPL /VE LOT 5 G I LOT 3 I. -P I G I I ROMA • THIS LS NOT A SURVEYED PLAT. WELL trSE00 PIIC •F.•••. s��WKS TAKEN TROM ON -SAC WATLR AND WASTE WATERRTLCM DOCIlYEMAIKkI. ALL LOCATA7N5 SNOWN ARE••••••••••••••••/L.L •S SPURKLAND J_� ,•� f' NO. CC-IIS00 ••��= 50 0 50 100 = 150 100 FT. zoD aso Sao ♦i� 14% `S � ��••• SSCALE:1 ' SPURKLAND ENGINEER/NCiYHALEY 5 BLOCK 1B LOT 2 SEPTIC SYSTEM DESIGN 203 W 15TH. AVENUE JIM BRICE DAT£.• JUNE 1, 2009 ANON. AK. —3916 99501 14215 TEMPLE DR/V£, CHUG/AK, AK 99567 SN£ET./ • 1 3 CR/D: NW1361 907 279 PERMIT #SV090XXX PID # XXX -XX -XX VHALEr#1BIBL2Dl.dwg 1� 0 INSTALL 4 -BEDROOM SEP17C SYSTEM 1150 GALLON STEEL TANK TRENCH LENGTH 1 X 45' WIDTH 5 fE£T TOTAL DEPTH 6.5 fEET ROCK DEPTH 3 fEET \� COVER 3 fEET �. - seQee Pt LOT 2 hl } } LOT i } �I. y ,9 c �s ' I t ' AvsuLL so so aow SPUTTE 1 LOT 3 `�' SeQQa 1 ABANDON [XLSTINC LANK t INSTALL FOUNDANON CLEANO I t . t --------- r----- - -t- --- TEMPLE DR/V£ ,49th '. NOIL:• TNK IS NOT A SURVEYED PUT. IYCIL t SEPTIC LOCAlI0N5 TAKEN iROL ON-SITE WRIER AND WAST£ WATER DLPARTMENT DOCUMLM AWN.. ALL LOCATIONS SHOWN ARE APPROXIMATE. 25 0 25 50 75 KY/ 125 150 SCALE, 1' = 50 FT. 203 W 15TH. AVENUE I I IflIALE l )YD HLUGK I d LUT • Z SEPT/C SYSTEM DESIGN ANCH. AK. 99501 JIM BRIC£ DATE., JUNE Z 1009 (907) 279-3916 14215 TEMPLE DRIVE CHUGIAK AK 99567 SHEET. • 2/3 GRID•NW1361 PERMIT # PIB # VHALEY#IB1BL2B2.dwg 0 0 o � o S1G SP�� v EP 0 Trench #1 0 5' Wide 45' Long ti4 c 6.5' Deep ; a °3'3.0' Sewer Rock Z,- 3' Cover o H PRIMARY TRENCH w N.T.S NO SCALE Trench #2 5' Vide 95' Long 6.5' Deep 3.0' Sewer Rock 3' Cover o a M n/tor Trench #1 3' Cover Silt Barrier 3.0 ft of' Septic Rock 1250 64L SEPTIC TANK Effective NO SCALE M nitor W�������q +++.��,OF �♦1♦♦ 3' Cover ++�P,.• "" Trench #2 �:' ♦♦ ' 49th `♦�♦ ......._.........rc..-. ;....., Silt Barrier = LA s sPURKLAHD 1♦ s •. No. Llsoo • �, � 3.0 ft of' Septic Rock ♦♦♦♦•',�," `�1 �:•• + AND ENGINEERING 203 W1Sth Ave WHALBY 15 BLOCK 1B LOT 2 SEPTIC SYSTEM AS -BUILT 203 WI Anchorage Ak 99501 ✓im BR/CE DATE, .AM P, ?009 279 291,; 14115 TEMPLE DRAT, CNUGIAX, AK 99567 SHEET, 3/3 GRID- NV 1361 PERMIT f SWO90069 WNAL£Y1581BUD3 DWG Municipallty of Anchorage :t� , 1 R Development Services Department Building Safety Division ye On -Site Water and Wastewater Program 49TH 4700 South Bragaw St.� P.O. Box 196650 Anchorage. AK 99519-6650 www.muni.orglonshe•YYr��, LAFG t (907) 340-7904 / SPiJRK_ Soils Log - Percolation Test II `�Fo' •._... r J,r' Performed For. .�1� Bnh-e- Date Performed: Q4�� Legal Description:lA% wS fiiK 16 l -T a Township, Range, Section Depth 1 8- ORbnAticS S;ILY sang (SM) 11- 12 ilt OAL) 13- (WiNon 14- Fri4l-Ie) 16- n- 18- 19- COMMENTS WAS GROUND WATER ENCOUNTERED? /VO - Date IF YES. AT WHAT DEPTH? YeS a Depth to Water After o P Monitoring? �L_ E Dale4g 0 O rn 13.0.11 man Reading Date Gross Time Net Time Depth to Water Net Drop 5 6 LO Itcopm O rn ID -1/8" 6 5/41 11 2.30 rn W n;� 1 " 2'/y n It 300ORM 6D It " 2'/1 5! Co m 90 nus. """^^"'• ^^' t--) rLKU MULE DIAMETER Lo TEST RUN BETWEEN 4 FT AND 5 FT Ar, r. "' _1 PERFORMED BY: (01M Jf14f A+t1 I (i 14 CERTIFY THAT THIS TEST W S PERFORMED IN ACCORDANCE TH ALLSTATE AND MUNICIPAL GUIDEfLINES IN EFFECT ON THIS DATE. DATE: —qw-02 0 Environmental Consulting and Design Single Family On-site Wastewater Disposal System Construction and Material Specifications Subject Property: Whaley #5 Block 16 Lot 2 Date: June 2, 2009 General: 1. The owner shall contract with a contractor to perform the work outlined in these specifications and plans in accordance with the attached MOA permit. There is not contractual arrangement between the contractor and the Engineer. The Engineer shall be the owner's representative and will Inspect the work to document the contractors activities. Final acceptance of the contractors work rests with the owner and the MOA. 2. The scope of the project Includes the procurement and Installation of a 4 -bedroom on- site wastewater disposal system at the location depicted on the attached site plan drawings. The scope of the work also Includes the installation of a new 1250 gallon septic tank, a drain field comprised of 2 trenches, 5 -feet wide x 45 -feet long, 6.5 feet deep, with 3 feet of septic rock below the distribution piping. The location of the drain field is shown on the attached site plan drawings. The total depth of the field will be 6.5 feet below the existing ground surface. All components of the proposed septic system must be constructed a minimum of 100 feet from any surface water or water wells in the area. A minimum of 4 feet of earthen cover Is required over the septic tank and a minimum of two feet of cover is required over the drain field. In addition to the required earthen cover, 2 -inch thick, 40 psi, direct bury board foam shall be Installed directly over all installed piping. 3. Construction shall be in accordance with the approved site plan and design drawings and any special provisions noted on the Municipal well and/or septic permit. All materials, components, workmanship and construction practices shall comply with the Municipality of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA, Development Services Department, On-site Water and Wastewater Program (DSD) policies. 4. The contractor is responsible for obtaining all underground utility locates, layout of the proposed system, and verifying and maintaining all required separation distances to lot lines, surface water, wells, steep slopes, etc. S. The property owner shall be responsible for final grading any depressions fonned from settlement of backfill material. The property owner is also responsible for vegetation of all areas disturbed by septic system Installation activities. 6. Contractors Installing wastewater disposal systems must be certified to do so by the MOA DSD, On-site Water Wastewater Program. Property owners installing their own systems must receive advanced approval from MOA DSD prior to system installation activities. 7. The contractor shall ensure that ALL materials being used are in compliance with the most current guidelines established by the Municipality of Anchorage. Refer to "Standards and Specifications for Component Parts and Materials Used in the 203 West 15f° Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandCagci.net Environmental Consulting and Design Construction of On-site Wastewater Disposal Systems", Dated December 2000, as provided by MOA DSD, On-site Water and Wastewater Program. Septic Tank Installation: 1. A new septic tank, of the size specified in the design drawings, shall be procured from a qualified manufacture/supplier if the existing septic tank is found to be defective. Construction shall include two 4" diameter cleanouts for pumping access. 2. The burial rating of the tank shall be adequate for the actual burial depth encountered. 3. The tank shall be level and suffidently bedded to prevent settling of shifting of the tank. 4. All standpipes on the tank shalt extend a minimum of 12inches above the final grade. S. Tanks installed with less than 4 feet of cover shall be Insulated. 6. The sewer service line from the house to the tank shall have a minimum slope of 2% unless prior approval is obtained from the engineer. 7. The Inlet and outlet lines from the tank shall be bedded in drain rock or the sots shall be sufficiently compacted to prevent future settlement of the soil. 8. Septic tank inlets, outlets and deanouts shall be fitted with water tight couplings. 9. A cleanout shall be installed 1 to 4 feet from the foundation. 10. Post tank cleanouts shall be installed per MOA requirements. Does not apply to pressurized lines. 11. In areas with high ground water, the septic tank shall be sufficiently anchored to resist buoyancy forces when there is not adequate soil cover to resist uplift force. The contractor shall refer to the engineer for direction regarding this matter. 12. The tank backfill shall be graded sufficiently to ensure positive drainage away from the tank. 13. All holding tank and lift stations shall have an audible and visible alarm Inside the residence being served. 14. All lift stations shall be wired In compliance with all MOA guidelines and the Uniform Electrical Code. A municipal electrical permit and inspections must be obtained where required by the MOA. 15. The contractor shall verify that the septic tank/lift station is a minimum of 100 feet from any residential water well, 150' from any dass'C' well and 200 feet from any community water wells. Additional separation distances must also be maintained. 16. The contractor shall remove or abandon the existing tank in compliance with the Uniform Plumbing Code. Drainfield Construction: 1. The drain field shall be excavated to the dimensions outlined in the design drawings. If any discrepancies are noted, contact the engineer Immediately for clarification. 2. The drain field shall be installed parallel to slope contours. 3. The bottom of the drain field shall be within 2" of level. If the sidewalls or bottom of the excavation become smeared, they must be raked or scarified prior to the placement of filter sand or drain rock. 203 Nest 15"' Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandCagci.net ''`�-�• Environmental Consulting and Design 4. The drain field must be a minimum of 5 feet from the test hole excavation. S. Distribution pipe Is to be installed level with perforations facing downward, atop a level bed of drain field rock. Septic rock shall then be placed atop the distribution piping to provide a minimum of 2" of cover, level across the entire width and length of the trench, above the piping. 6. A silt barrier must be installed at between the final drain rock and the native soil backfill. The silt barrier shall cover the entire drain rock surface. 7. Monitor tubes must be 4" In diameter, Installed in the locations depicted on the design drawings, and extend a minimum of 12" above final grade. The portion of the monitoring tube below the septic rock must be perforated and the portion above the drain rock shall be solid. 8. Backfill over the final gravel layer must not be less than 2 feet. Insulation must be Installed when the backfill depth is less than 3 feet. 9. Drain field back fill shall be mounded to prevent depressions from forming due to subsequent settlement of backfill material. 10. The contractor shall verify that the drain field is a minimum of 100 feet from any residential water well, 150' from any dass'C well and 200 feet from any community Inspections:water wells. Additional separation distances must also be maintained. 1. A minimum of two inspections are required by the Municipality of Anchorage. These Inspections must be conducted under the supervision of a Professional Engineer licensed to practice in the State of Alaska. 2. The first Inspection must be conducted after the excavation of the drain field and before the placement of any gravel. The septic tank may be set in place, but may not be backfilled. 3. The second Inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, stand pipes, deanouts, and Insulation, but before the placement of any backfill. 4. The contractor shall provide a legible copy of all field notes relating to system layout and construction to the engineer for the use In preparing the record drawings. S. The contractor shall coordinate all Inspections with the Engineer. A minimum of 24 hours notice is required prior to the start of construction. If necessary, a preconstruction meeting will be held on-site. 203 West 15'" Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, LspurklandCagci.net \ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I' ENVIRONMENTAL ENGINEERING DIVISION 825 L Street. Anchorage, Alaska 99501 Telephone 264-4720 / ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME f— � 1 s bA �. f—bPcs.S4i�Z. PHONNE� n 6�Li_ 7 t" EW ❑ UPGRADE MAI LING ADDRESS S2 4 x.12. LEGAL DESCRIPTION pp Z LOCATIONAA __ ( AF NO.OF BEDROOMS O Y DISTANCE TO: Well Absorption area Q/ Dwelling, Z PERMIT NO. Dois HZ wFPr Manufacturer Material V L No. of compartments Z h Liq. capacity in gallons 125-0 IF HOMEMADE: Insitle length Width Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. IF Manufacturer Material Liquid capacity in gallons W = DISTANCE TO: Well 41' f �� Foundation if Nearest lot line 41 PERMIT O. .w.l w 2 p. Z w No, of line LerLmhh of each line V � Total ten of lines Y7 Trench width Distance between lines t_ p Top of tile to finish grade i w a 1 Material beneath tile inchess Total effective absorption area w (7 Length Width Depth PERMIT NO. Q F w �• Type of crib Crib diameter Crib depth Total effective absorption area f" DISTANCE TO: Well Building foundation Nearest lot line J Cla _� t f: Depth ZOO .M Driller �, ✓fin �.r,,,J Distance to lot line PERMIT NO. •- w i DISTANCE T0: Building Sewe�ne Septic tank .O ,' O Absorption OTHER 1 PIPE MATERIALS � SOIL TEST RATING INSTALLER Is' REMARKS `sL5�1L�a4S4417Pf��Q 7• IL?4it c� �� LG9 1stµ u!E l lo ST' APPROVED DATE LEGAL . w c I%'r/�y 72-013 (Rev. 3178V U .MUNICIPALITY OF ANCHORAGE, Department E Health and Environmenta ?rotection 825 L Street, Anchorage, AK. 99501 �"�" `310�� 264-4720 Permit # R a * * * HANDW%R�ITTEN PERMIT * * * �I:CY) J�E� LCL �_�7 N -SITE SEWER PERMIT a �U. S�•a •Rud Applicant: l/ it i s/tQii Mailing Address: o/ G Location: T46 C[EE�_ .n �L Phone N/u7er: Legal Description: SOT .� [.vlC /.6 �i�i�l�ry Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: _Y Seepage Bed: Holding Tank: Maximum Number of Bedrooms: _ It— Soil Rating(sq.ft/br) JA The Required Size of the Soil Absorption System Is: Q DEPTH LENGTH 1_—. GRAVEL DQPTH WIDTH C4,Y P6 C ,AW - The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation (in feet) . 12.E �. L._ -k -z/,&4. * * REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * *.* TWO(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection and approval by this departmen will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 2 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the res/i'odence 'remodeled to include more that 3 bedroom . Signe3: XN' _ >✓� Issued by: Applicant 8'� / / - 8z D te))• �e%E: Due %'o A;;;/o 40 f%El,�%N o 4c SWP/024 (1/81) A„Cj s7WToN R%9,Y BE me ' c/t60, 1 NSal iey /Ct1uI.e60 ova” Syf7E'r%, r MUNICIPALITY OF ANCHORAGE DEPARTMENT OFe HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG - PERCOLATION TEST o' SOILS LOG`. ❑ PERCOLATION 3 TEST >. Q L C PERFORMED FOR W I C $W R DfTrB Ik C- J DEP- t�/) DATE PERFORMED: e*uL� 17 r' L LEGAL DESCRIPTION: L 7- , 8 '�'� ` 7 :;c•D a ✓-#t>p� DEPTH w SLOPE SITE PLAN (FEET) O—/ Ok�j6,ul 2 /.S— ¢.S' 3- 4 4 , 5- 6- 7 67 e eW S i/� �erJ 9 � I / 4vin, Aej� `�v 10- 11 12- 13- 14- 15- 16- 17- 18 2131415161718 Y WAS ,/! GROUND WATER LS �. ENCOUNTERED? O P IFYES,ATWHAT E j' DEPTH? j e 19 v` - 1 NO. 1732-E �I&Ii•,_ Juno 22,1968 Pill C * Y, Reading Date Gross Time Net Time Depth to Water Net Drop r PERCOLATION RATE (minutes/inch) s "•TEST RUN BETWEEN. FT AND. FT PERFORMED 72-006 (6/79) MLJVJ I C I (_4 LL I TY CD F= FYfACVJ'F:F1CzE DEPARTMENT Or HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AY.. 99501 254-4720 14ELL F•EF401 I T PERMIT NO. ( 820068 ) APPLICANT GLORIA DITTE:RENDER SR.2 BOX 412 LOCATION SKI RD LEGAL L261B NHALEY LOT SIZE 68S-3319 59182 SQUARE FEET MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEFENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'EF?rl I -- Eo>lF' I FRE"n E>EGEPlE3E=FQ -=1, 1 <0 ED 2' I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. IGNED APPLICANT ISSUED BY IA DITTBRENDER V4. 0 6369 /0 77 • Municipality of Anch r, 1 0 • • _ On-Site Water&Wastewater Pr• m ,A� �, II ; (907)343-7904 °- 5• �' N A CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-111-22 Expiration Date: at---`1 (gU I S 1. GENERAL INFORMATION Complete legal description Whaley#5; BLOCK 1B,LOT 2 Location (site address) 24215 Temple Drive*Chugiak,AK 99567 Current Property owner(s) Lauren McGrain Day phone 726-7454 Mailing address 24215 Temple Drive'Chugiak,AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: • Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well U Individual On-site U • Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site 0 Public Water System ❑ Public Sewer 0 WaiverNadance request for o t / Distance: - Received by:( , Date: � / l ie COSA to be released t•the mg',*'r,unless otherwise requested by the engineer. COSA Fee$ 59h Waiver Fee$ Date of Payment I[i2.`t' Date of Payment Receipt Number 0045 (? Receipt Number COSA# a c rg i o tt Waiver# • • 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are)safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are)in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP,Ltd. Phone 337-6179 Address 3701 E.TUDOR ROAD,SUITE 101 `ANCHORAGE,AK,99507 Engineer's Printed Name JEFFREY A. GARNESS,P.E. Date ` 1 t Z/f 5 Engineer's Comments: In conducing this evaluation,GEG prodded an engineering evaluation of the well and/or septic system in accordance with the . **sat% ..., guidelines and regulations established by the Mun ripalAy of Anchorage and industry practices.The reported results describe the 4�.( � 44 condition of the system/sonthe dates ofthe evaluation.Separation distanceswere measured toreadiyidentifiablefeatures. vA\ .•••••• `•..•.• ��• Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic .' 1; •/'I systems depend on a varietyof variables including,but not limited to,sod conditions,groundwater levels(that may fluctuate during ��• the year),quality of construction(materials and workmanship),and the water usage of the family uaTizing the system's.These *�'f:- A lil %',*•I` conations can vary,and are outside the control of GEG.Satisfactory fest results do not guarantee future performance of the ` system's therefore,GEG makes no warranty(express or impfied)regarding the future performance of the well or septic system. _ GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the 1 / current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the ', ,J fames$ i information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not ♦ I(� �_ J/ authorized.In short,GEG disawws an legal dutyto anyone other than the person/party t 7 r es von P party who paid for this report ��S E-79 3 � 6. DSD SIGNATURE �*1 SS\-,:„b..\,4 LICENSE ��tA„``��� t1AECC884 System#1 Approved for I bedrooms. System#2 Approved for bedrooms. OF ANch • Disapproved. `-'''s\( H� Conditional approval for bedrooms,with the following stipulations: V• � _SASE ���•; • ON p �s �A� 'PER o= ;a WAS PROGRAM 0 (lcA�F ERS\& MTS By: 1MW,60 q Original Certificate Date: 1 cl 1 8 The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the represenata(ions 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. ATTCHMENTS: COSA Checklist /\ Nitrate Advisory X Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev.10112/12) ' If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: WHALEY#5; BLOCK 1 B, LOT 2 Parcel ID: 051-111-22 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 3/1982 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 221 ft. Cased to UNK ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 3/1982 1/2/2018 Static water level 175 ft. 190.2 ft. Well production 20 g.p.m. 4.0+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate 7.74 mg./L. Collected by: GEG, Ltd. Arsenic: `5 ug./L. Date of sample: 1/2/2018 B. SEPTIC/HOLDING TANK DATA *FCO LOCATED 5.5 FEET FROM FOUNDATION Tank Type/Material SEPTIC/STEEL Date installed 6/30-7/1/2009 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(Y/N) *YES Depression over tank(Y/N) NO High water alarm (Y/N) N/A Date of pumping 9/21/2017 Pumper A FULL MOON SEPTIC C. ABSORPTION FIELD DATA BELOW EXISTING GRADE I NORTH/SOUTH Date installed 6/30-7/1/09 Soil ratingc(�.p.d./f or fe/bdrm) 0.8 System type DUAL SHALLOW TRENCHES Length 45/45 ft. Width 5/5 ft. Gravel below pipe 3.1/3.1 ft. Total depth""'6.12+/6.67+ft.Eff. absorption area 750 ft2 Monitoring tube—YES/YES Depression over field NO Date of adequacy test 1/2/2018 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test *'21.5/***36.5 in. Water added ""752 gal. New depth 32.5 in. Elapsed Time: 120 min. Final fluid depth ******29 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) NONE KNOWN If yes, give date - **EAST MT OF NORTH TRENCH EXTENDS APPROXIMATELY 3.09 FEET INTO THE EFFECTIVE ***SOUTH DRAINFIELD WAS SURCHARGED(3" INTO THE LATERAL) UPON ARRIVAL AND COULD NOT BE TESTED. LIQUID LEVEL REMAINED THE SAME THROUGHOUT THE TEST ""TESTED NORTH TRENCH ONLY;ALL WATER WAS INTRODUCED INTO THE WEST CLEANOUT OF THE NORTH TRENCH " 'WEST END OF NORTH TRENCH IS APPROXIMATELY 3"SHY ON SOIL COVER --THE SYSTEM ABSORBED APPROXIMATELY 240 GALLONS IN 120 MINUTES. IT IS ASSUMED THAT IT CAN BE EXTRAPOLATED OVER A 24 HOURS PERIOD TO EQUATE TO 600+GPD D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on"level at in. "Pump off" level at '• a er alarm level at in. 9 - - •• Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+_ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'4- Water 0'+Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS THE FLOW SPLITTER IS NOT SHOWN ON 40 SCALE,BUT IT IS SHOWN ON THE PROFILE DRAWING ON THE 2009 INSPECTION REPORT.IT WAS NOT LOCATED DURING OUR SITE VISIT.IT MAY NOT HAVE BEEN EXTENDED ABOVE GRADE .��e,ss,1.l 11 G. ENGINEER'S CERTIFICATION :.` ........... certify that I have determined through field inspections and * /, i 4 I•• ' * •0. review of Municipal records that the above systems are in II/ • • confor • mance with MOA COSA guidelines in effect on this I / ; date. f A. Ga rn ss.:i/ �1���• PE 7 • ?� Engineer's Printed Name JEFFREY A.GARNESS ♦ •4. �, Date l l q 1 �i•1 p �..... •\�P:�. 4. I LICENSE ,,II 11%,.%****S4 #AECCB84 (Rev.10/12/12) Municipality of Anchorage •, Development Services Department Building Safety Division 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 # OSC 181016 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 1B, Lot 2 of Whaley #5 subdivision. This inspection revealed a nitrate concentration of 7.74 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. \ Paul Dee Subd. \ 8467W Lot 1 \ Lot 2 \ N89°56'27"E 233.00 \ 0 It° 9Cle °, Septic vent(typ) ° °° 0 8 m 0 N Lot 3 — 24.3 �s.o— LCDN D 80.8 CO Barn 26'.o Lot 2 OD od > 0 2 St v v > o F Story FL, 1.4 OH v Hot,:ame O 0e a o _ 24.3 ° 19.5— G8.5 o 28.Ep e Z 7 �% d ck Gravel driveway ' \\ \. Cache; 0 Well ,\ \ deck 1 i v \ \ I ::Ti v `,, \ ' �C) co \ \ f \ \ \\ \vf 10' Utility Easement N89°57'16"E 233.00 0 0 co co TEMPLE DRIVE AS-BUILT NO CORNERS SET THIS DATE ��` NXN I,14I hereby certify that I have performed a Mortgagee's inspection OF A ' 1 of the following described property: LOT 2, BLOCK 1 B, _- -,�, • • • • • �,9 WHALEY SUBDIVISION j • 49th jc. ••9 , Anchorage Recording District,Alaska,and that the + _• improvements situated thereon are within the property lines /�•,••_ • •J;' ,J/%C�— and do not overlap or encroach on the property lying I t/i(/`Y IX v adjacent thereto,that no improvements on the property lying p adjacent thereto encroach on thepremises in question and / ?, '.Fred Walatka. ao • that there are no roadways,transmission lines or other sr�,• 3255 — S •• Je- ,� visible easements on said property except as indicated 1 tF • y �• hereon. :. 1"= 40' ,1 i oFfssIONAa-•�`� Dated at Anchorage,Alas S OF RECORD,OTHER THAN R 1 N.‘‘,:%• • day of December ,2017. )WN ON THE RECORDED FRED WALATKA&ASSOCIATES,L.L.C. JOT SHOWN HEREON Engineers and Surveyors HERWISE NOTED. FB 17-10, pg 66 BE 907-248-1666 (grtifirb Er7j ;1by 5 DOC Co.db l{� �J) �� , r SULLIVAN WA7 1 c Q P.O.BOX 272,CHUGIAK,ALASKA 995 OWNER OF LAND/L&( R 1)/77-SAEJ�/-bER DEPTH OF WELL �� 1 ADDRESS -7-2R c- 1' 7 tI—. AL:A•i i /9/y� STATIC LEVEL OF WATER FT. /75 ' LEGAL DESCRIPTION d &i t I +' iJ/i4/. *5 DRAW DOWN FT. h 3f g. GALS.PER HR i�Q{l L DDATE-Started ---i�l ,7,:,i'' . Ended 7 a PERMIT NUMBER KIND OF CASING O.1.. KIND OF FORMATION: From_ .L—Ft. to Ft. tVVp/ ..bsim /E/� I From Ft.to Ft. From a Ft.toFt.Ft. //4R 7' PAA/ From Ft.to Ft. From f Ft.toxo f Ft.,V J/•/•i.I iit'4 v-E-L- 3 From Ft.to Ft. � S. 1 � From Ft.to Ft. -.. ` CZ-4/ From Ft.to Ft y Z '/ / • m0 From u . Ft.to 95 Ft. / •4.'* /-1/Jr '' I '/ From Ft.to Ft • From 95 Ft.to/35 Ft..S4Al l`2/ %A/JVVL , From Ft.to Ft. 0 CI From Ft. to Ft:/( Y eGU1rh��,` From Ft.to Ft. Q 1 From 17:`,5 Ft. to/85— Ft..41 5 (7A/Q�% (e From Ft.to Ft. .....t. V'I From/745 Ft. to0/ Ft (-1 )y c7'./Q/i(/..1-1` 1 From Ft.to Ft. U 1 From;-,0/ Ft.tos /Z Ft.i-77/JE c.i i9/f 1 -Vg From Ft.to Ft. SZN I N. From Ft.to Ft.(7,f4 VE L. From Ft.to Ft. °' From 21 5r Ft.toPR/ Ft.4A.l 2.‘),(/ /'L - 1 From Ft.to Ft. 1 P r L/9TEf From Ft.to Ft. From Ft.to Ft. -t, From Ft.to Ft. From Ft.to Ft. n From Ft.to Ft. From Ft.to Ft. 1 From Ft.to Ft._ — From Ft.to Ft. From Ft.to Ft. From Ft.to Ft N MISCL.INFORMATION: 65 t5-(- ( C A, DRILLER'S NAME 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 Address Engineer's Printed Name 5. DSD SIGNATURE Approved for A— bedrooms. Disapproved. Phone %_"-31I(, Date 121100-1 0 OFi�iil ri C",j:Q��7: 4uj Conditional approval for bedrooms, with the following stipulations: ONSITE Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory 2C Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: 1 - l 3 - / 0 (Rev. 11105) Municipality of Anchorage ' Development Services Department — / Building Safety Division ' On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage. AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: In16114 15 2 Parcel ID: 061 -111 -ZZ A. WELL DATA Well type Peva}t, If A, B, or C provide PWSID # = Well Log (Y/N) y Date completed $ " $t Sanitary seat (YIN) y Wires properly protected (Y/N) it Total depth 2_ 'ZI ft. Cased to YO ft: Casing height (above ground) +I2 in. FROM WELL LOG AT INSPECTION Date of test $ Z -f 9Z ID13 0 cl Static water level I7S ft. Well production 20 g.p.m, >3,2, g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate 6.5(- mg/L Other bacteria --O--colonies/100 mL Arsenic: 5 ug/L date of sample: of Collected by: _Lars .SO!.rhi B. SEPTIC/HOLDING TANK DATA 1 Tank Type/Materiai Ando e. T0,T0,11-„Skte,l Tank size gal. Number of Compartments Foundation cleanout (Y/N) Depression over tank (Y/N) N Dale of pumping N” Pumper "'— C ABSORPTION FIELD DATA Date installed 01 09 Soil rating (.p.d./f or ft=/bdrm) 0.g Length '2x45 ft. Width S ft. Date Installed -? f o►( o9 Cleanouts (YIN) -1 High water alarm (YIN) Al System type S W10,0 T/tncIN Gravel below pipe 3.1 ft. Total depth (o ft. Eff. absorption area -+50 ft= Monitoring lube y Depression over field IV Date of adequacy test Alev 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.) (Y/N & type) If yes, give date . D. LIFT STATION Date installed 'Pump on' level atin. Datum E. SEPARATION DISTANCES Size in gallons 'Pump off" levet at n. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 1001+ Absorption field on lot too + Public sewer main Sewer /septic service line 251 4- 8 Animal containment areas 50+ Manhole/Access (YIN) High water alarm level at in. Meets alar ti circuit r irements7 On adjacent lots 1001 4r On adjacent lots 100 i Public sewer manhole/cleanout AIA _ Holding tank N/A Manure/animal excrete storage areas (0D F SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: t Building foundation 51 t Property line 5 r} Absorption field 5 't Water main /VIA Water service line to { Surface water IODI + I Wells on adjacent lots 100 F - SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line I, o' 4- Building foundation to i- Water main v'/A I Water Service line 10 t" Surface water ><0D ,+ Driveway, parking/vehicle storage Ip } Curtain drain 50 Wells on adjacent lots (00� + F. COMMENTS -., v, ,. G. ENGINEER'S CERTIFICATION C).•' �T 1 certify that I have determined through field inspections and i 4' _ review of Municipal records that the above systems are in i conformance with MOA COSA guidelines in effect on this date. %;�.'1~ Engineer's Printed Name WS Jp�weklt d �j �� • �= 1c \ �� Date J �16/09 COSA Fee $ Waiver Fee $ Date of Payment Q Date of Payment Receipt Number Receipt Number (Rev. 11/05) Municipality of Anchorage ' Development Services Department Building Safety Division 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 # 100005 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 1B, Lot 2 of Whaley #5 subdivision. This inspection revealed a nitrate concentration of 6.56 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. N81" -56.27E —, 233rso WOOD FENCE Ito 1- I A 91 e, --IOItJ.Er --- — S*I- 1(o E ^ Z33,o0 i EMP LE -DRIUE I hereby certify that a survey of Lot Z . Block __)----, _._—._ Subdivision was made on _FEa-.J.1 $3._— and that the Improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto. that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. It is the responsibility of the owner to determine the existence of any easements, covenants. or restrictions which do not appear on the recorded subdivision plat. Under no circumstances should any data hereon be used for construction or for establishing bounddfarryyLor fence lines. Dated at Anchorage. Alaska, this =_J.— day Of JJ_—__, CONSTRUCTING ENGINEERS.=. 9601 Buddy Warner Dr. Anchorage, Alaska a<es000 e9s>aWa I r ADD ED 0 E tl l S Er -7 I C. 3 r"� MUNICIPALITY OF ANCHORAGE DEPART161ENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date I GENERALIPJFOR61ATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location((address or directions) In�'f]r�> �{ I 1 �K�l�� 1 S✓ Oji 1'�� (b) Applicant Name (—t £. ��htpp 6A e- Telephone: Home Business Applicant Address %^ A_ ' (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ❑ ; Buyer ❑ ; OtherJZ (explain); (d) Lending Institution Address (e) Real Estate Company and Agent Telephone Address Telephone 1 (f) _.tart the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms 1" 3. WATER SUPPLY Individual Wello Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation - attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 7I-025111. 841 e"-, 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by rnyseaf affixed hereto and as of the validation date shown below. I verify that my investigation of this Hea!t.-k Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the numter cf bedrooms and type of structure indicated herein. l further verify that based on the information obtained from the Murnapality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater d:s;.sal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Addre Date 6. DHEP APPROVAL ////�� ����,.. Approved for Yu /C bedrooms by ira- X'r''^' Date /t Approved ' Disapproved Conditional Terms of Conditional Approval CAUTION 8- 9' -Ys - The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy Certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the Professional engineer's work. Page 2 of 2 N ,rf OF ANCHORAGE • riEALTH 6 tc.•,-„•vMLNiAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) ),905* HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 R ►- y'^F I ED D Legal Description: Lam2 V511_ -K. 1-7, A. WELL DATA 1.1 Well Classification S If A. B, C. D.E.C. Approved (Y/N) a/a Well Log PresentON) Date Completed 3 I g =- Yield - 5 G, P.L + Total Depth ?�-t t Cased to <i� �"(' -Depth of Grouting Static Water Level 1-1 S Pump Set At L) 4 K. N Casing Height Above Ground 30 Sanitary Seal on Casing4?N) Electrical Wiring in Conduit O/N) Depression Around Wellhead (Yds Separation Distances from Well: f �N v . To Septic/Htyf x,�Tank on Lot i ; On Adjoining Lots �Q7 To Nearest Edge of Absorption Field on Lot -1 ; On Adjoining Lots t oto .), To Nearest Public Sewer Line — a h To Nearest Public Sewer Cleanout/Manhole r To Nearest Sewer Service Line on Lot Vn r{ Water Sample Collected by Water Sample Test Results ; Date Comments•P W cgs pg -�-- S� tVJ f S SEPTIC/HetMMC'TANK DATA Date installed 0-2'7-5Z Size 1Z-6-72 No. of Compartments Standpipes (PN) Air -tight CapsON) Foundation Cleanout (YtO Depression over Tank (YAG Date Last Pumped —e5 Pumping/Maintenance Contract on File (Y/N) for Holding Tank High -Water Alarm (Y/N) N % Temporary Holding Tank Permit (Y/N) r.3 1A Separation Distances from Septic/He+d 1`ank: To Water -Supply Well 13`7 t ��” To Building Foundation To Property Line To Disposal Field t To Water Main/Service Line } To Stream, Pond, take, or Major Drainage Course Comments Page 1 of 2 72-026( 11,84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata I Z 5^� kType of System Design Date Installed 43-Zr1 - SZ— Length of Field Width of Field Lro Depth of Field 1 � 3 � � h Gravel Bed Thickness Square Feet of Absorption Area (`�� Standpipes Present 09N) J Depression over Field (Ya Date of Last Adequacy Test Results of Last Adequacy Test Separation Distance from Absorption Field 2 q -Ns -SS r To Water -Supply Well �t� t To Property Line t u -k- To To Building Foundation 3Z• To Existing or Abandoned System on t Lot P ; On Adjoining Lots 3'fl "t" To Water Main/Service Line t r� t t To Cutbank (if present) IJ �f7 t. To Stream/Pond/Lake/or Major Drainage Course ' oma t To Driveway, Parking Area, or Vehicle Storage Area 3 o t Comments D. LIFT STATION Date Installed Dimensions Size in Gallons MA nhole/Access (Y/N) "Pump On" Level at "Pump Off' Level at High Water Alarm Level at Vent (Y/N) Tested for Electrical Codes (Y/N) Comments " Check Permitted Bedroom Rating Against HAA Request '• Pumping Cycles during Adequacy Test. Meets MOA Icertify that Ihave checked, verified, orconformed toall MPA an HAA guidelines in effect on the date of this inspection Signed Date Lb- SRQ l9SX Comp�RKE PH 6`J4-2`j78-S"�577— MOA No. S- 00-,- PH. £7 O A�qs� ReceiptNo.--'— Q (,���'1(c8 �'� 1' �.J Date of Payment ��• �L• " ""' Amount: $ isf`C%c '"'.......r••y�-�'�' Page 2 of 2 �QI�L��FES51= 72-026 (11.84) it4, IA57-1 72-026 (11.84) APPLIC~,NT FILLS OUT UPPER HAC-ONLY Time Prpperty Owner -:Dl T-1-'8 kt N Phone Mailing ,Address- Zip Code �� y `J 20 BSyer r ✓ ,1 G (t 1 /v3 b , Address Zip Code Date Lending Institution 1 O r^' r l`;r _ \ ./ , r'/ ,'� - �.:/ /✓ Phone ' 272— C 1 Address / ) J_-f-i/r'\ f� CU � ' �:. (%`; �../� i%" -r Zip Code Inspector Realty Co. d Agent -1 0 r\ti+ cl P/i Pnone Address : :;) r] X Zip Code? "S7 Z Legal Descriplion LT, 2- 8(- K.. l3 �%f �ILL`•� / �D7�"5 ' / Street Location Prti 1211f o j is i Type of Residence (E --'APPROVED BEDROOMS Single Family i7�yi (� Multiple Family No. Bedrooms`^— ( ) DISAPPROVED of ( ) CONDITIONAL APPROVAL' DATE 1-.=====Y3•".1 ❑ Other Water Supply ;K Individual ATTACH WELL LOG. A well log Is required for all wells drilled since June 1975. ❑ Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility JV - 7' 7 — O` y Sewer Disposal / % Z ;. Individual Year Individual Installed: ❑ Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time 11 CSL-L`4SLnb C\c� Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: MUNICIPALITY OF ANCHORAGE Nva r.r.t .- . / ENVIR J, f:... RECEIVED (E --'APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE 1-.=====Y3•".1 Soils Ratlnp Date Sewer Installed Well To Absorption Area 1042' Well Log Received Septic Tank Size Z D JV - 7' 7 — O` y Well to Tank Lf 71 rzam mm '- D n7 Municipality of Anchorage August 9, 1985 / POUCH 6-650 ANCHORAGE, ALASKA 99502-0650 -lime (907) 264-E 111 TONY MLUY.(TS ,trAVC/+ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Robert A. Shafer, P.E. S b S ENGINEERING SRB 196-X Eagle River, Alaska 99577 Subject: Lot 2 Block 1B Whaley Subdivision #5 A waiver of 87 feet from the septic tank to the well is hereby granted. This waiver applies to a four(4) bedroom single family dwelling only. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. Oswalt Acting Program Manager On-site Services SEO/ljw 3 it. F9^I F NIV(R \M1� N EALTH AUTHORITY APPROVALS SEWER S WATER MAIN EXTENSIONS SEWER{ WATER INSPECTION SYSTEM DESIGN WELL INSPECTION A FLOW TEST SITE PLANS ROAO DESIGN SOIL TEST PERCOLATION 7 EST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN T of ANOµ�RAGE HEAETH �n10N July 28, 1985 Municipality of Anchorage Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 REFERENCE: Lot 2; Block 1B; Whaley Subdivision #5 ROBERTA.SHAFER crva tNUIN 6942979 Request you issue the attached Health Authority Approval and approve a waiver for the existing septic tank located 87 feet from the private well on the referenced property. The existing on-site waste water disposal system was installed in October 1982 under MOA permit #820829. The system was inspected by L.D. Montgomery and a waiver of 87 feet was approved by the MOA at that time. It is our opinion that the horizontal separation distances prescribed by 18AAC72.021 are not required in this case. The existing well is 221 feet in depth and extends through several layers of clay, hardpan, etc. The static water level is approximately 175 feet from the surface. The topography in the area is such that surface flows and the tilt of bedrock, if any, would not be in the direction of the well. Included for your review in addition to the Health Authority Reports are the following documents: A. A copy of your approval dated August 27, 1982 B. Copy of the well log C. Copy of inspection report and permit D. A recent coliform bacteria analysis showing satisfactory results If you require additional information, please contact us. Si ss A.- SHAFER,P.E. SRB 196X EAGLE RIVER. ALASKA 99577