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HomeMy WebLinkAboutSOUTHFORK NORTH BLK 5 LT 6Southfork North Block 5 Lot 6 #078 - 141 - 36 4 ' Municipality of Anchorage N EL, Development Services Department 11 . �� Building Safety DivisioniJ On-Site Water and Wastewater Program, 4700 Bragaw St. _/ P.O. Box 196650 Anchorage, AK 99519-6650 Page www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW070115 PID Number: 078-141-36 1 of 2 Name. JASON & MARILYN JEFFERS Wastewater System: ❑ New E Upgrade Address: UNK. ABSORPTION FIELD Phone: Number of Bedrooms: 4 0 Deep Trench ® Shallow Trench 0 Bed 0 Mound 0 Other: LEGAL DESCRIPTION Soil Rating: 1.0 GPD/Ft2 Total Depth from original grade: 3'1+1' Ft. Block: Lot: Subdivision: 5 6 SOUTH FORK NORTH Depth to pipe bottom from original grade: 2.5'/+1.5' Ft. Gravel depth beneath pipe: 0.5 Ft. Township: Range: Section: Fit added above original grade: 2'-5' VARIES Ft. Gravel Length: 60'160' Ft. Well: New ❑ Upgrade Gravel width: 5 Ft. Number of lines: 2 Distance between lines: 15 Ft. Classification (Private, A, B, C): --PUBttC WATER j`i^ i d��'��' Total Depth: �� Ft. Cased to: ' J � Ft. Total absorption area: 600 Ft2 Pipe Material: ASTM-3034 DrilSLA,i 1,I VIAt1 ',, < Dat ri /i Static WaC/ Vel Ft. GREY'S CONSTRUCTION er: Date Installed: YieS:I ! GPM Pump Set at: Ft. Casing Height Above Ground: a Ft. TANK SEPARATION DISTANCES ■ Septic ■ Holding 8 S.T.E.P. ■ Other: To From Septic Tank Absorption Field Lift Station Holding Tank °ubIic/Private Sewer Line Manufacturer: ANCHORAGE TANK Capacity: 1500 Gal. Well +100 +100 +100 -- -- Material: STEEL Number of Compartments: 2 Surface Water +100' +100' +100' -- LIFT STATION Lot Line +5' +10' +5' -- Size: 250 Gal. Manufacturer: ORENCO Foundation +5 +10' +5' -- "Pump on" level at: 46 in. "Pump off level at: 42 in. High water alarm at: 47 in. Curtain Drain +50� +50� +50� '- Pump Make & Model OSI-05-20-HFF Electrical Inspections performed by: RISING SON ELECTRIC Remarks: HOUSE HAS BURNED DOWN. NEW ELEVATION DATA WILL BE BENCH MARK GENERATED ONCE NEW STRUCTURE HAS BEEN BUILT. Location and Description: CORNER OF HOUSE AT BOTTOM OF SIDING w`el l ��IA �:��� ^N cU�{'^t�s �./`S0- 1 v) / tA-t ' l`^ Assumed Elevation: loom Ft. ; Inspections performed by: ERES Dates: 1st 7/2/2007 &P moi: * CHRISTOPHER CHRISTOPHER �C�1 Engineer's Stamp .•..Q F A 4 H /....\-1 y ` .. R WOOD tom, •�<ti CE:10387 2nd 7/3/2007 Develo ment Sere' es Department Approval �� Conditional Approval ,211 /, I1' Pic Date: S �_S A.) f F iA1 I (� i"(1 vl f �i �� s h >4 i / d'1`1-, ) CLC— '` ) �'t 6� c !J �C 1 cZ E.1 , 4,JtiQ l wi,:i'1F 1/11i S%i;le,cl. / Date:-••.. Reviewed and approved by: i ,�? �'`� ^ �' � 5//Gi•,-0"•\N��- 0 ......- �,pj (Rev. 04/06) PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: 078-141-36 Te --2-1 or4-- �-1•1 W NEW PRESSURIZED SEWER LINE (APPROXIMATE LOCATION). SEWER LINE WAS NOT INSPECTED DURING INSTALLATION. EXISTING 1500 GALLON S.T.E.P. TANK LOT 5, BLOCK 5; SOUTHFORK NORTH S/D EXISTING DRIANFIELDS SCALE: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AN 99507 • PHONE (907)337-6179 • FAX (907)338-3246 • WEBSITE: www.gameesengineering.com PREPARED FOR: JASON JEFFERS PHONE NUMBER: 222-3889 PAGE NUMBER: 1 OF 1 LEGAL DESCRIPTION: SOUTH FORK NORTH, BLOCK 5, LOT 6 TYPE OF WORK: AS—BUILT OF NEW PUMP VAULT AND SEWER LINE (Rev.01/05) e r ' A. a rness:' DRAWN BY: A.J.G. DATE: 9/7/2010 0 C 11 r- 0 0 x 9 0 �o!,510C12 83N X 111S3 '3 V '1 .0l 4, ♦at11,01 i: : ....I?, 41, o� •:0 mu • •••� r ili ."• • N •,-,'4 • I= . o•a;G1:T®7 ,O:• IWill • - • • � •• t: b. IN • O • Q • : • • I>. ••• • •i A•• s</,.` •.• • •••• �cj.4 .. efor i : .• a cys w 311/0 S I Hl l3S Sa3N2IO3 ON :310N -• 0 01 CP co '1OIaLSI0 ONICIN0O321 3O` JOHONV 0 X7 v 00 iTi 0 0 o. 0 b 4, r m - u 0 O D co rn 01 CU r< V 0 z Sep 23 10 12:10p Sullivan Water Wells OWNER OF LAND: 907 688 2759 p.1 Certtftcb ariutn dog by DOC CO. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 •TELEPHONE 688-2759 ADDRESS- LEGAL DDRESSLEGAL DESCRIPTION:: (7W F i< /3 0r' / DATE:. 7 PERMIT NUMBER: I: ".'A Date of Issue :.BORE HOLE DATA DEPTH Fram To Cf TAX IDENTIFICATION NUMBER: -C "`z�' -- �+ Is well located at approved permit location? Li Yes LJ No Method of Drifting: a --air rotary ❑ cable tool Depth of weir. `` 1 Casing Types 1.' :� - Wall Thickness °: r -' inches Diameter . ' inches, depth feet Liner Type: Casing Stickup Above Ground- ` feet feet Static Water Level•` , Recover Rate: /� gpm Method of Testing Well Intake Opening Type: 4open end ❑ open hole ❑ Screened; Start Er Perforations Start Grout Type . Depth: from -Lw feet Stopped feet feet Stopped feet Volume feet, to Well Disinfected Upon Completion? `b- ❑ No Method of Disinfection - - > <:•<.:: ,: <. _ .., feet Comments: %6. ici 57 66 Driller's Name ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW070115 Legal Description: SOTUHFORK NORTH BLOCK 5 LOT 6 Design Engineer: 0848 EAGLE RIVER ENGINEERING SEI Owner Name: MARILYN JEFFERS Owner Address: 200 W. 34TH AVE #97 ANCHORAGE , AK 99503 - This permit is for the construction of: Disposal Field ✓ Septic Tank Holding Tank Li Date Issued: Jun 19, 2007 Expiration Date: Jun 18, 2008 Parcel ID: 078-141-36 Site Address: NHN WEST RIVER DRIVE Lot Size: 101030 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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. 5. The following special provisions. -THE UPPER SIX INCHES OF THE MOUND SYSTEM MUST CONSIST OF TOP SOIL AND THE MOUND MUST BE VEGETATED SUFFICIENTLY TO PREVENT EROSION. :j d2�% //5 «a!�- ?Noq Se Received By: Issued By: €7;4 L' l� L 6c . j ,e" e y /4-e- Ld "'Pr- oOt4 Pk T mak`-hI ale,.�1(,- ov I �vvek d�� 1 4t_ k vk r ,N.ct etrrh74.IR 4`'11„/'w Date: Date: (r'( (0-7 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS June 22, 2009 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragraw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Sewage Lift Pump Vault for Lot 6, Block 5, South Fork North To whom it may concern: The previous home on this property was destroyed by a fire. The homeowners are now proposing to build a new four bedroom house downhill of the existing septic system. We are proposing to install a 24 inch sewage lift pump vault manufactured by Arctic Insulation (model# GEG-2612) and equipped with Quanics controls. The pump vault will transfer sewage up to the existing 1500 gallon S.T.E.P. tank. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. rely, Jef A. s, P.E., M.S. Pre :'dent 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com \\\ \ \ \ 1 TRACT E, BLOCK 5; SOUTHFORK NORTH S/D II I 1 CCA J LOT 9, BLOCK 5; SOUTHFORK NORTH S/D LOT 5, BLOCK 5; SOUTHFORK NORTH S/D LOT 4, BLOCK 5; SOUTHFORK NORTH S/D SCALE: 1" = 100 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 15 701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 • WEBSRE www.gomeseengineering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JASON JEFFERS 222-3889 1 OF 4 LEGAL DESCRIPTION: SOUTHFORK NORTH SUBDIVISION; LOT 5, BLOCK 6, TYPE OF WORK: SITE PLAN FOR PROPOSED GRINDER PUMP STATION (Rev. 01/05) DRAWN BY: K.D.M. DATE: 5/11/2009 C.)"sC-0° 4 S i NOTE: DO TO THE LENGTH OF THE LINE FROM THE PROPOSED PUMP STATION TO THE EXISTING S.T.E.P. TANK, A CHECK VALVE WILL BE REQUIRED TO BE INSTALLED. GIVEN THE SOIL AND SITE CONDITIONS, A 10 FOOT DEEP BURIAL OF THE LINE IS NOT PRACTICAL. WE ARE PROPOSING TO PROVIDE A MINIMUM BURIAL DEPTH OF 6 FEET AND 4 INCHES OF INSULATION. PROPOSED 4 BEDROOM HOUSE EXISTING 1500 GALLON S.T.E.P. TANK 2 INCH HDPE PIPE INSTALL FOUNDATION CLEANOUT PROPOSED 24 INCH SEWAGE LIFT PUMP VAULT 4 INCHES OF INSULATION 4 FEET WIDE LOT 5, BLOCK 5; SOUTHFORK NORTH S/D EXISTING DRIANFIELDS SCALE: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROM. SURE 101 • ANCHORAGE. AK 99507 • PHONE (907)337-8179 • FM (907)338-3248 • WEBSRE www.gamsesenginsering.eom PREPARED FOR: JASON JEFFERS PHONE NUMBER: 222-3889 LEGAL DESCRIPTION: SOUTH FORK NORTH, BLOCK 5, LOT 6 TYPE OF WORK: PROPOSED SEWAGE LIFT PUMP VAULT (Rev. 01/05) PAGE NUMBER: 2 OF 4 A. Garn DRAWN BY: K.D.M. DATE: 6/19/2009 4 INCH BLUE BOARD, 4 FEET 2 INCH LINE FROM LIFT PUMP VAULT WIDE, CENTER OVER PIPE ST1 I� ST2 MH iiiiiiiAIr/M iilii 11111114 EXISTING 1500 GALLON S.T.E.P. TANK ENCASE LINE IN ARCTIC PIPE ONCE MINIMUM BURIAL DEPTH DOES NOT MEET 6 FEET 42/ GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD, SURE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 • WEBSITE: www.gameeeengineering.com PREPARED FOR: JASON JEFFERS PHONE NUMBER: 222-3889 PAGE NUMBER: 3 OF 4 LEGAL DESCRIPTION: SOUTH FORK NORTH, BLOCK 5, LOT 6 DRAWN BY: K.D.M. TYPE OF WORK: PROFILE DRAWING DATE: 6/22/2009 • J fr:� �. Ge nessi �4 profess,o�000 ��D000�oa (Rev. 01/05) ARCTIC INSULATION AND MANUFACTURING PUMP VAULT MODEL # GEG-2612 QUANICS WATER TIGHT JUNCTION BOX 5" HDPE STUB PRE—WELDED BY ARCTIC INSULATION 5"X4" FERNCO FITTING 4 INCH INCOMING LINE HDPE LIFTING HANDLES WELDED TO LID 1" HDPE PLATE SS LAGGED TO RISER 1" EYE BOLT LIFTING LUG ON EACH SIDE 2" OF URETHANE 3 LB FOAM WITH 30 MIL POLYURETHANE COATING (TOP 4 FEET) INSTALL CHECK VALVE ENCASE LINE IN ARCTIC PIPE UNTIL MINIMUM BURIAL DEPTH OF 6 FEET IS ACHIEVED in w z 1" HDPE PLATE SS LAG BOLTED & WELDED TO BOTTOM OF RISER IL 24.4" I.D. 26" 0.D. 2" HDPE PRESSURE LINE TO S.T.E.P. TANK 2" SCH 40 PVC SDR 32.5 HDPE WITH 50 PSI STRENGTH RATING QUANICS HIGH LEVEL ALRAM QUANICS ON/OFF FLOAT STA—RITE SG11200220T GRINDER PUMP GARNESS ENGINEERING GROUP, Ltd CONSULTANTS & GENERAL CONTRACTORS 3701 E. TUDOR ROAD, SURE 101 • ANCHORAGE, AK 99507 • PHONE (907)337-6179 • FAX (907)338-3246 • WEBSITE: www.gameeeengineering.co PREPARED FOR: JASON JEFFERS PHONE NUMBER: 222-3889 LEGAL DESCRIPTION: SOUTH FORK NORTH, BLOCK 5, LOT6 PAGE NUMBER: 3 OF 4 TYPE OF WORK: ARCTIC INSULATION & MANUFACTURING P/V PACKAGE (Rev. 01/05) DRAWN BY: K.D.M. ys DATE: 6/25/2009 arness: 3 �G j� e^� • 1 7-C,/ GCS ' • �A�" OQ.ofessio�ov� OO000�� 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 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. C_''S' 91/1"Ai' Property owner(s) JASON 8' Flari l c/h jc�t-c.r5 Day phone -go - P032 - Mailing address 0200 0). 34 Ave-vwt,4- 4P41-4; ArninOrtt$c AgZip Code' 5o3-3'6' Site address Zip Code 99S"71 Legal description (Sub'd, Block & Lot) So ork_.. /Jo v+Ii f 5 L (o Legal description (Township, Section & Range) 77511 /CMI $t .. 8 L 18O Lot Size /D !. o Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR (®all that apply): THIS APPLICATION IS AN: Absorption Field Initial Septic Tank 0'' Upgrade Holding Tank ❑ Renewal Privy ❑,/ Private Well l� Water Storage ❑ I certify that t e above information is correct. 1 further certify that this application is being made for a Single Fa; , - ling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees:.h63Waiver Fees: Date of Payment: 6A3k 7 Date of Payment: Receipt Number: y 9 / '. 014/it/ Receipt Number: (Rev. 11/05) Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW RD, Suite 201 (907) 694-5195 tel Eagle River, AK 99577 (907) 694-3297 fax June 12, 2007 Dan Roth Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: South Fork North Lot 6 Block 5 Narrative & Permit Application for Septic Upgrade and Well Dear Mr. Roth: Eagle River Engineering Services (ERES) was contracted to design a septic system upgrade and well at the above referenced property. The homeowner wishes to upgrade their existing privy to a conventional wastewater disposal system and well. Two test holes were originally excavated and logged by Gayness Engineering. We have monitored the current water tables and have designed leachfields based on this information. The proposed depth of the upper trench will be deeper that the lower trench based on differing measured water tables. Based on the layout of the proposed septic system and future reserve site, we request that the reserved site be approved with the additional restriction that a Category III treatment system be utilized. We do not believe that the unsaturated free -draining soils extend far enough to encompass an area large enough for a reserve site of the same size as the primary leachfield site. The homeowner has agreed to utilization of a Cat III system for his future reserve site. Additionally, a curtain drain is being installed on the property, and its extent is shown in our site plan. The proposed 4 bedroom septic system and well will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are all large, so this lot and neighboring lots have room for septic systems and alternate sites 2. Immediate neighboring septic systems and reserve sites are all +30' distance if not shown on site plan, and no private (or community) wells within 200' of the proposed septic system unless shown on the site plan. 3. This permit is for a septic system and well only. 4. Drainage will not be affected and is not a major consideration in our design. 5. Slopes are less than 25% in the area of, and adjacent to the proposed leachfield and privy sites. \2003 \06-052B SEPTICNARRATI V E Installation of the septic system and well on this lot, to our best available knowledge will not adversely affect the septic systems or reserve areas on adjacent lots. If you have any questions, or require additional information, please call our office at 694-5195. Sincerely, EAGLE RIV. R ENGINEERING SERVICES Christopher R. Wood, P.E. Principal \2003\06-052BSEPTICNARRATIVE O 441: rr � ` wift U • • Q t 'SCCL 4( - air > U m ti O N O M Lo 1- N } (1)o w N EL 0 CL N Ct • 0 LL 0 0 O uWL L 0 0 0 LC)d O O. zo' Ind L _, z z > §O iQ OW (i)0 �0 Jw D O Z 0 wz D -z a x 2 0 w H O (3 UO • Z UJ �0 W ▪ Y 00 00 zz zz N N in (0 O O O O E 6 z E 0 z O d Ll W 0 W U 0 wo J1—J ~ �J OctU Z w0 Q =ow 1 pz Zw_J_iw 0En > WOww� CX Ce s -M 6.1 aw 0 1 1 1 w O 0N s • LTJ 0 SERVICES 694-3297 c Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW RD Suite 201 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM — MOA CERTIFIED INSTALLER LEGAL: South Fork North Lot 6 Block 5 June 12, 2007 A. GENERAL 1. The proposed well and septic plan is for a 4 bedroom single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Municipality of Anchorage On -Site Department and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. A licensed surveyor should locate any utility easements and exact 100' radius from the existing and neighboring on-site wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. Any remaining open test hole excavations shall be filled and monitor tube removed. B. SEPTIC TANK WITH LIFT STATION 1. The septic tank shall be an Anchorage Tank 1,500 gallon septic tank with integral OSI lift station pump model OSI-05-20-HHF, or other engineer approved configuration (example: 1250 gal septic tank with auxillary lift basin of 250 gal min.) 2. A receipt from a licensed electrical Contractor shall be provided to the engineer verifying lift station wiring to all applicable codes. C. DRAINFIELD 1. The drainfield is to follow the natural land contour to maintain uniform total depth of the drainfield bottom. 2. The bottom of the drainfield shall be level, plus or minus 1.5". 3. Trench #1:The elevation of the gravel layer is not to be more than 3' below grade as measured at the monitor tube for test hole #1. 4. Trench #2 :The elevation of the gravel layer is not to be more less than 1' above grade as measured at the monitor tube for Test Hole #2 5. Two to Three (2'-3') feet of MOA/DEC spec. bedding sand shall be utilized beneath the sewer rock, and shall begin at 5 feet below the ground surface as measured at the monitor tube in Trench #1, and 1 foot below the ground surface as measured at TH#2 for trench #2. 6. The effluent lines are to be 4" perforated PVC within the leachfield. Line from tank to field is to be 1- 1/4" HDPE. 7. The drainfield gravel is to be covered with typar fabric material. 8. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the drainfield. Mounded side slopes not to exceed 3:1. 9. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. 10. The top 6" of the mounded drainfields shall be organic topsoil, and the leachfield mounds shall be seeded prior to sign off by the Engineer and Municipality of Anchorage. \2003\06-052Bdrainfield-lift- spec RECOMMENDED LEACHFIELD DIMENSIONS: BOTTOM OF GRAVEL LAYER = Trench 1: 3' Below Grade at monitor tube Trench 2: 1' Above grade at monitor tube BOTTOM OF FILTER SAND LAYER = Trench 1: 5' Below Grade at monitor tube Trench 2: 1' Below Grade at monitor tube GRAVEL THICKNESS = 0.5 foot under pipe, 2" over pipe, 1' total depth DRAINFIELD LENGTH = 120' (2X60') BED WIDTH = 5' SOIL RATING = 1.0 GPD/ft5 BEDROOM CAPACITY = 4 SEPTIC TANK = 1,500 Gal S.T.E.P or Engineer approved equal EFFLUENT PIPE = 4" Perforated PVC within leachfield, 1.25" HDPE from tank to field Twenty-four (24) hours notice required for all inspections Additional Charges will be incurred for the 3 required inspections and preparation of septic system as-builts. \2003\06-052Bdrainfield-lift- spec Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW RD Suite 201 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM — MOA CERTIFIED INSTALLER LEGAL: South Fork North Lot 6 Block 5 June 12, 2007 A. GENERAL 1. The proposed well and septic plan is for a4 bedroom single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Municipality of Anchorage On -Site Department and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. A licensed surveyor should locate any utility easements and exact 100' radius from the existing and neighboring onsite wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. Any remaining open test hole excavations shall be filled and monitor tube removed. B. SEPTIC TANK WITH LIFT STATION 1. The septic tank shall be an Anchorage Tank 1,500 gallon septic tank with integral OSI lift station pump model OSI-05-20-HHF, or other engineer approved configuration (example: 1250 gal septic tank with auxillary lift basin of 250 gal min.) 2. A receipt from a licensed electrical Contractor shall be provided to the engineer verifying lift station wiring to all applicable codes. C. DRAINFIELD 1. The drainfield is to follow the natural land contour to maintain uniform total depth of the drainfield bottom. 2. The bottom of the drainfield shall be level, plus or minus 1.5". 3. Trench #1:The elevation of the gravel layer is not to be more than 3' below grade as measured at the monitor tube for test hole #1. 4. Trench #2 :The elevation of the gravel layer is not to be more less than 1' above grade as measured at the monitor tube for Test Hole #2 5. Two to Three (2'-3') feet of MOA/DEC spec. bedding sand shall be utilized beneath the sewer rock, and shall begin at 5 feet below the ground surface as measured at the monitor tube in Trench #1, and 1 foot below the ground surface as measured at TH#2 for trench #2 6. The effluent lines are to be 4" perforated PVC within the leachfield. Line from tank to field is to be 1- 1/4" HDPE. 7. The drainfield gravel is to be covered with typar fabric material. 8. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the drainfield. Mounded side slopes not to exceed 3:1. 9. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. 10. The top 6" of the mounded drainfields shall be organic topsoil, and the leachfield mounds shall be seeded prior to sign off by the Engineer and Municipality of Anchorage. \2003\06-052Bdrainfield-lift- spec RECOMMENDED LEACHFIELD DIMENSIONS: BOTTOM OF GRAVEL LAYER = Trench 1: 3' Below Grade at monitor tube Trench 2: l' Above grade at monitor tube BOTTOM OF FILTER SAND LAYER = Trench 1: 5' Below Grade at monitor tube Trench 2: 1' Below Grade at monitor tube GRAVEL THICKNESS = 0.5 foot under pipe, 2" over pipe, 1' total depth DRAINFIELD LENGTH = 120' (2X60') BED WIDTH = 5' SOIL RATING = 1.0 GPD/ft5 BEDROOM CAPACITY = 4 SEPTIC TANK = 1,500 Gal S.T.E.P or Engineer approved equal EFFLUENT PIPE = 4" Perforated PVC within leachfield, 1.25" HDPE from tank to field Twenty-four (24) hours notice required for all inspections Additional Charges will be incurred for the 3 required inspections and preparation of septic system as-builts. \2003\06-052Bdrainfield-lift- spec EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 06-052 Calculated By: CB Date: 06/12/2007 Legal: SOUTHFORK NORTH LOT 6 BLOCK 5 SINGLE FAMILY 3 BEDROOM RESIDENCE TEST HOLE 2 Shallow Trench Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 600 gallons Percolation rate = 1 minutes per inch Wastewater application rate = 1 gallons per day per square foot Required absorption area = 600 square feet Trench width (W) = 5 feet Gravel depth (D) = 0.5 feet Required length = Shallow trench factor * Required absorption area / W Shallow trench factor = (W + 2) / (W + 1 +2 D) Shallow trench factor = 1.00 Total Excavation Depth = 1.0 feet Required length = 120 feet QF: �� i ,.i , ,� • • • CHRISTOPHER R. WOOD • CE:10387 Fo ssioN#1-c 06-052ADRAINFIELDCALC.xls 3:56 PM06/12/2007 ...+ e.•.ere. 4111ONir ',noxa cite:pugs:9e UrUL'V, L10$ • • No.4138 P. 2 GARNESS ENGINEERING GROUP, Ltd. • e t a�ae�tAt cCNT Ac Q$ w ROIL LOG — PERCOLATION TEST) LEGAL 0ESDRIPRON:, SOUNFORK NORT 4 50009/1510Il MI 6. Stook S PERFORMCD FOR; Mr aNN DATE 2 1 (Nj -0R � 1 4,,yr7ie y7r•e> 3 4 �:1; I) 1 1..'l h e ,,. GP TO SP wart w. • e 7—=.li, fi r+▪ .•+.• 9'l;t+r%r Ifi' /44'..Z -ZZ? , 11 �I`, ox 12-- 13 14- 4-- 10- 10- 16- 16- 17- 17- 19 19 -, 20 SQILS LOCGCD BY: COMMENTS: TEST HOLE j1 I SOIL_ CLASV1CATI9NS mte 1;11191 GW GP GM GC SVY SP SM SC ORG ML CL OL 111-1 CH 011 DEPTH TO GROUNDWATER DA1E 9' ` WATER LEVEL READING b' 2/22/2005 '2/21/2005 2/2b/1ooS 2:45 -• 6• q.bi .5/1 dlv': DA 1 E READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 2/22/2005 1 2:45 -• 6• — 2 ` 2:49 4 -- cr 6' 3 2:49 — 0. ... 4 2:53 4 0• 6• 5 2:53 — flr 6 2:57 4 p• 6• L , 4 • PERCOLATION RATE <1 (NIN./,NCH) {'ERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND , 4.5 FT. A FOUR HOUR PRESOAK WAS PERORMED! r YES ❑ NO JODY MAUS PERCOLATION TEST PE1 O MED DY: CMET3 A_.. WITH ALL STATE AND MUNICIPAL mums IN EFFECT ON THIS DATE: PERFORMED Err GEC. Ltd. L JEFFREY A. CARNESS. CERTIFY THAT TMS W PERFORMED IN ACCORDANCE __ TEST HOLE #2] .xr. 7. ivvY I I'V•I11p .fldIRUNI rn5Iues(IAa Group, Ltd. Ho.4139 P. 3 GARNESS ENGINEERING GROUP, Ltd. ooK5uCYiwra s GSNEAAL CONTRACTORS (S61L Loi -- PERCOLATION 1E4 LES% DESCRIPTION: ORKNDRtH SUUDM pN. MY KnO( 5 PERF0RU D FOR: JET' BAN ";;;;Z: ORGANK'S 10- 11- 1- 13- 13-- 14- 14-- 16- 16- 17 --- 17-- 18— 15-- CP SP CP/SP w/ LENSES o 1JL/CL MILSIZZICE012. giZEM Ber Ran On} GW GP CM Sw SP Si 1 sc MTE 2/21/2003 ORG MI_ CL OL MH CH Oli TO GROUNDWATER DATE f.DEPTH SCEPS 0 5• 2/21/2005 6' 2/291200i 3.0' 6/20/%A., 2:45 — DATE 19— RENDING CLOCK TIMk NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 2/22/2005 1 2:45 — 6' .. 2 2:49 5 O' _ 6" — 3 2:49 r — 4 2:53 5 p- e' 5 2 53 — 6- 6 2:57 5 p� 6- PERCOLATION RATE _._. <1(MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 3.0 FT. AND 3.5 I: I. 20 A FO(R HOtR P(ESOAK WAS I'tI CRMED: NI YES ❑ NO SOILS LOG GED BY: .OP r It&WS PERCOLA1 ION 1 EST PERFORMED BY; — CALEB GALL COMMENTS: PERFORUE.D BY GEC, Ltd. 1, JEFFREY A. GARNESS. CVT1FY THAT THIS WAS FE?FORMED IN ACCORDANCE WITH ALL STATE MID MUNICIPAL. GUIDELINES IN EFFECT ON THIS NATE: Ta LZ/e S" • {rMunicipality of Anchorage`tBIte` a•'rDevelopment Services Department C,1.61_, 5 A Building Safety Division E T % On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 2 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW060218 PID Number: 078-141-36 Name: MARILYN JEFFERS Wastewater System: New ❑ Upgrade Address: 200 WEST 34 AVE BOX 97 ABSORPTION FIELD Phone: Number of Bedrooms: 0 Trench 0Shallow Trench 0Bed 0Mound® Other: DeepTEMPORARY PRIVY LEGAL DESCRIPTION Soil Rating: -- GPD/Ft2 Total Depth from original grade: 4 Ft. Block: Lot: Subdivision: 5 6 SOUTHFORK NORTH LOT 6 BLOCK 5 Depth to pipe bottom from original grade: -- Ft. Gravel depth beneath pipe: -- Ft. Township: Range: Section: 1 1 Fill added above original grade: -- Ft. Gravel Length: -- Ft. Well: ❑ New ❑ Upgrade Gravel width: - -Ft. Number of lines: -- Distance between lines: -- Ft. Classification (Private, A, B, C): NONE ON LOT Total Depth: Ft. Cased to: Ft. Total absorption area: -- Fe Pipe Material: -- Driller: Date Drilled: Static Water Level: Ft. Installer: HOMEOWNER Date Installed: 10/20/2006 Yield: GPM Pump Set at: Ft. Casing Height Above Ground: Ft. TANK SEPARATION DISTANCES ■ Septic • Holding • S.T.E.P. • Other: iTo From Septic Tank Absorption Field Lift Station Holding Tank 'ublic/Private Sewer Line Manufacturer: NO TANK Capacity: Gal. Well ii Surface Water --Field •• -• -_ Material: Number of Compartments: -- +100' -- -- LIFT STATION Lot Line -- +30' -- -- Size: NO LIFT Gal. Manufacturer: Foundation -- +20 -- - - "Pump on" level at: in. "Pump off' level at: in. High water alarm at: in. Curtain Drain -- +100 -- -- Pump Make & Model Electrical Inspections performed by: Remarks: EARTH PRIVY WAS INSTALLED BENCH MARK Location and Description: Assumed Elevation: Ft. Inspections performed by: CHARLES BALZARINI Dates: 1st 10/23/2006 Engine /...,.,_ amp Q'� •'••••11,746, Ila �'°' * -^� %d� ivolo'°• TA; CHRISTOPHER . WOOD •r'•. 1 v44�.- ,, . CE:1&i y ;: 4, ". 1/4N ... e ,.,.•'''\''';� 2nd Development Services Department Approval Conditional Approval Date: Reviewed and approved by: Date: 1 I 4 - (Rev. Permit No. SW060218 Page 2 of 2 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT ON—SITE WATER & WASTEWATER PROGRAM 4700 SOUTH BRAGAW STREET P.O. BOX 196650, ANCHORAGE, AK 99519-6650 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: SOUTHFORK NORTH LOT 6 BLOCK 5 078-141-36 TH— TEMPORARY EARTH P I� VY0 N PROFILE (NOT TO SCALE) TH- ORIGINAL GRADE TEST HOLE SCALE 1"-30' 1/8/2007 ENGINEER'S SEAL 60000Op�� o f q opQ i. o,*9P 49 i 70D o 3°•. CHRISTOPHER R. WOOD °° �� 0 s . CE -10387 °••00 Oh�Oo ° pROF ° s�o�P�'���� �DOoo ��O MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SW060218 Legal Description: SOTUHFORK NORTH BLOCK 5 LOT 6 Design Engineer: 0848 EAGLE RIVER ENGINEERING SEF Owner Name: MARILYN JEFFERS Owner Address: BOX 97 ANCHORAGE , AK 99503 - This permit is for the construction of: Disposal Field Septic Tank All construction must be in accordance with: Holding Tank Date Issued: Jul 24, 2006 Expiration Date: Jul 24, 2007 Parcel ID: 078-141-36 Site Address: NHN WEST RIVER DRIVE Lot Size: 101030 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 Privy Private Well Water Storage 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 By: Issued By: "o-.1 Date: Date: `7/2�� p • • Municipality of Anchorage On-Site Water and Wastewater Program a 1, i (907) 343-7904 SAFETY Certificate of On-Site Systems Approval Parcel I.D. 078-141-36 Expiration Date: L'I _ Z'_1 1. GENERAL INFORMATION: Complete legal description SOUTHFORK NORTH; BLOCK 5, LOT 6 Location (site address) 2035 West River Drive*Eagle River 99577 Current Property owner(s) Kaletan&Kara Groicher Day phone 854-4270 Mailing address 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 ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by:---Z7 i' `� Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ C2-0- 00 Waiver Fee $ Date of Payment (ICS Date of Payment Receipt Number O91S3Receipt Number COSA# oSC j 9 t6 g 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 (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: Q00000poo4 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o in accordance with the guidelines and regulations established by the Municipality of Anchorage and 0� . • " practices. - r industry The results describe the condition of the sYstem/s on the date/s of the Q /. n evaluation. Separation distances were measured to readily identifiable features. Hidden defects or ►r '•, �U encroachments may exist that were not identified during the evaluation. The operational life of all wells 4yOi: �11114 . 7* and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and VA workmanship), and the water usage of the family utilizing the system/s. These conditions can vary,and . c'r•• ••• Q are outside the control of GEG. Satisfactory test results do not guarantee future performance of the / J z ,r• , A. Corn ss, 4 system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of Qn CE _ QO the well or septic system. GEG makes no representation whether an alternative well or septic system UQ k �ceQ p az(z� g . can be installed on the property in the event either of the current systems fail to perform adequately in Q •�• csAo the future. The content of this report is for the sole benefit of the person/party that retained GEG to4�PaprofessloC�°Qo perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for T bedrooms System #2 Approved for bedrooms Disapproved ON-SITE (.> cl• AltiTER AND Conditional approval for bedrooms, with the following stipUNIQtWATER PROGRAM ,N r_t v / By: t,.—, `— Original Certificate Date:• / —z- 7 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10.12.doc 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: SOUTHFORK NORTH; BLOCK 5, LOT 6 Parcel ID: 078-141-36 A. WELL DATA *ARTESIAN WELL-PLUGGED Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 6/29/07 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 60 ft. Cased to 59 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 6/29/07 11/5/18 Static water level ft. ft. Well production 15 g.p.m. 3.9+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 ml. Nitrate 0.349 mg./L. Collected by: GEG, Ltd. Arsenic: <5.0 ug./L. Date of sample: 11/6/18 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Date installed 7/03/07 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 12/21/18 Pumper SANITARY PUMPERS C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE AT NORTH MONITORING TUBE NORTH/SOUTH Date installed 7/03/07 Soil rating •.p.d./ for ft2/bdrm) 1.0 System typeDUAL SHALLOW TRENCH Length 60 x 2= 120 ft. Width 5/5 ft. Gravel below pipe 0.5/0.5 ft. Total depth *4.4+ ft. Eff. absorption area 600 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 11/5/18 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 758 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) YES-TERRA LIFT If yes, give date 10/3/18 TESTED NORTH TRENCH ONLY SOUTH TRENCH HAD 3"OF LIQUID UPON ARRIVAL&3"OF LIQUID AFTER TESTING *SEE 12/24/18 MAINTENANCE LOG BY SANITARY PUMPERS **SECOND COMPARTMENT OF 1500 GALLON S.T.E.P.TANK D. LIFT STATION GRINDER PUMP OUTSIDE OF HOME Date installed 7/03/07 Size in gallons **500 Manhole/Access (Y/N) YES "Pump on" level at * in. "Pump off' level at in. High water alarm level at * in. Datum * Cycles tested_ * Meets alarm & circuit requirements? " E. SEPARATION DISTANCES 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 100'+ 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 100'4- SEPARATION 00'+SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS "MET CODE AT TIME OF INSTALLATION **SEPERATION FROM WATER SERVICE LINE TO PUMP VAULT IS UNCERTAIN, BUT IS LIKELY 10+FE: 44r„` G. ENGINEER'S CERTIFICATION . P\.••••' .. ...,,�� • . certify that/have determined through field inspections and I 1 .. ' • review of Municipal records that the above systems are in • • conformance with MOA COSA guidelines in effect on this ••• ; • ••• • •• • date. •� :.;-ff : A. Game%s•; Engineer's Printed Nam JEFFREY A.GARNESS �� �• • CE -795• P� t211LDate (`$ .4t PROFESSI�P4•• LICENSE �IIik %wool.* #AECC884 (Rev.10/12/12) PLAT NO. 88-12 SOUTHFORK NORTH SUBDIVISION LOT 6, BLOCK 5 101,030 S.F. 9�� ,O°°° �` ?S�S ,5 37,45, X33 •'0 b UMW: k 04' 6� f --- !V� Mr. S 81'43'4g„ WC 1 - - - - 100' PROTECT E 84.63° 6S, \ / REES sego - SE7ggCK \ - - _ G. • 1 10p. - -°°6y ` - - 1 _ _S SnC o° .p,9's� 1 - 1L°° eti, a01� I - - °,�k. 1 - - _ de ��J\�O 1 p�'c���� �6o As .,00 ,,,, \ .,:;�6 p <' , \ 9� we ?� e� c' o s o \ • \ \ 6i \ \ \ O. �d 1 "=5ii'' \\ WELL 6•0 X60 \ c SHfp�/. \ V. \ o4 /\`�,� a • 4, 4. / ����45 BUILDING DETAIL } SCALE: i =20 D ,r, '15. 4 Q Q. N+N/ > a4)°O O •00. �`�' ti Q • AS -BU I L T I HEREBY CERTIFY THAT I HAVE SURVEYED THE \ PROPERTY DEPICTED ABOVE AND THAT NO 0�i11�, GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. \ \ \ �4s�..OF•• 41 1. SURVEYING, LLC RIS THE RESPONSIBILITY OF THE OWNER TO i P .•' '• S's .+ JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 10' T. & E. ESMT. tet_ 9♦ 2000 E. DOWUNG RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT IN *: 49TH -� .„ * 0 ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDIVISION PLAT. •m PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA eJ'ffeiv A. Gastaldi : , N GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR .4a . LS-6091 : am�� SW 959 g�17�2010 ESTABLISHING BOUNDARY OR FENCE UNES. )".•.••Q': i .- • .. s SW 1059 . Pap••.......:•• �� ANCHORAGE RECORDING DISTRICT,RIOT, ALASKA 1+e� 5' l���•O F.BW-05 JOB X85 NOTE: NO CORNERS SET THIS DATE. 4V--2. 2 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water&Wastewater Section Fax: 907-343-7997 5.T. E . P TAN . Lift Station/Pump Vault Maintenance Log Ownerr)CV,FA.`5.(O\(' � ,� \�'t� Street Address sc) c6. Septic Tank: -Sludge level inches 'Pumping: required veso� •Pumrpii�n completed es no Lift station: I !0\R •Pump basket cleaned a no -Effluent filter cleaned e no -Control floats cleaned ( no •Proper float settings confirmed jy2. •Operation satisfacto no Alarm System: 'Dedicated electrical ala is _ n• -Audible and visual alarm inside dwelling ves no •Alarm system operatio satisfactory not satisfactory Manhole Riser -Ground water intrusion at riser to tank connection yesno -Ground water intrusion around pipe penetrations es ('e'�. •Weep hole functional yes no •Manhole lid: Functional no Insulated : no Properly Secured ye no Other -All manufacturer required inspections and maintenance completed a no Comments: W1cVA \\(§\ 4Z,c) < 2-00 -17)4.--' pk C Vir\ (\ n-k \ x AcApvOove.ired yvacs,r ;� � I o U_ Qualified Maintenance Provider:Technician .i : / ♦ Date of maintenance i 12 \\q 4-1 Company 0,r`L Signature. \A„,cDate -L-\414((� Mailing Address:P.0.Box 196650'Anchorage,Alaska 99519-6650*www.nyuni.org ................ o� 2 MUNICIPALITY O_F ANCHORAGE Development Services Departments; Phone: 907-343-7904 On-Site Water&Wastewater Section — Fax: 907-343-7997 G r► f cte r Lift Station/Pump Vault P1-4 m P Maintenance Log Owner'1 l VOtb\\:o! tl�LLu'; Street Address LO t LIQ i2 Septic Tank': •Sludge level inches -Pumping: required yes no -Pumping completed yes no Lift station: •Pump basket cleaned es o •Effluent filter cleaned es o -Control floats cleaned s no -Proper float settings confirmed 'L' ]► no -Operation satisfactory es no Alarm System: -Dedicated electrical alarm circuit 44 no -Audible and visual alarm inside dwelling no -Alarm system operatic satis a to not satisfactory Manhole Riser -Ground water intrusion at riser to tank connection yes -Ground water intrusion around pipe penetrations es o •Weep hole functional yes no -Manhole lid: Functional le no Insulated no Properly Secured yets no Other -All manufacturer required inspections and maintenance completed tA no Comments: Qualified Maintenance Provider: Technicia J , I AA Date of maintenance i Company M 1' Signature =" Date • Mailing Address:P.0.Box 196650 Anchorage,Alaska 99519-6650'www.moni.org • —440111124411111 GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING Certificate of Onsite Systems Approval Home Owner Questionnaire Owner Kajetan H and Kara K Groicher Street Address 2035 West River Drive, Eagle River,Alaska 99577 Phone 907-854-4270 1. Has a closing date been set? 9. Do you have any of the following? ❑ Yes (Date: ) © No ❑ Arsenic Removal System 2. Number of rooms in the dwelling(s) that meet ❑ Nitrate Removal System the definition of bedroom 4 ® Sediment Filter 3. Onsite systems on the lot: ❑ Water Softener © Well © Septic ❑ Water Storage Tank 4. Are you aware of any idle/abandoned well or septic system? ❑ Well Pump Protector ❑ Yes © No © Grinder pump prior to septic tank 5. Are you aware of any septic systems or 10. Onsite system accessibility: modifications to a septic systems that have been 0 Locked fences done without State or MOA approval? 0 Dogs in the yard ❑ Yes ® No 11. Has your drainfield been rejuvenated in the last 6. Is the home vacant? two years? ❑ Yes ✓❑ No 0 Chemical Treatment(Date ) Date of vacancy: © Terralifting(Date 03 Oct 2018) 7. Has the house been winterized? 0 Other(Date ) ❑ Yes © No ❑ No 8. Have either of the following occurred: 12. How many people occupied the home during the ❑ Well stopped producing water majority of the time you owned it? 4 ❑ Septic system backup 13. How many wells are on the lot?1 Details: Comments: Arcterra stated that a visual inspection showed 2+"in lateral lines and full monitoring tubes. I did not see same, and another inspection done at the request of my realtor stated that one monitor tube was mostly full, but other conditions were not present. We decided on a terralift procedure as the previous COSA was less than 2 years ago with a full pass. Recent, near daily examinations of the monitor tubes show no water to—2"over time, fluctuating. No sign of fluid in lateral lines. Owners Signature: Digital, Kajetan H. Groicher Date:22 Oct 2018 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 078-141-36 Expiration Date: j2 1. GENERAL INFORMATION Complete legal description SOUTHFORK NORTH BLOCK 5, LOT 6 Location (site address) 2035 WEST RIVER DRIVE, EAGLE RIVER, AK 99577 Current Property owner(s) JASON & MARILYN JEFFERS Day phone Mailing address PO BOX 770406, EAGLE RIVER, AK 99577 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 ® Individual El Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: COSA to be released to the engineer, unless othe sted by the engineer. Date: 9 "07 /5 COSA Fee $ 526 Date of Payment 9/2 -1//5 - Receipt Number CfnCan COSA # 050519 I Waiver Fee $ Date of Payment Receipt Number 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 ARCTERRA CONSULTING, INC. Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Phone 868-3791 Date 9/18/2015 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. 6. DSD 9NATURE System #1 Approved for 9 bedrooms. System #2 Approved for bedrooms. Disapproved. `�\`�.... Conditional approval for bedrooms, with the following stipulatio \GQt1TY(OF(�� / . J� gip % S. sie nm 0% s�q�! PR°GRRAM R c�� 4 T /H 4/11rri1!' KENNL' FF War 6 / a 47- re By: al. Original Certificate Date: CI -d, 9 -/,C Th chorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10-10-12.doc 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: SOUTHFORK NORTH BLOCK 5, LOT 6 Parcel ID: 078.141.36 A. WELL DATA Well type PRVT If A, B, or C provide PWSID # _ Well Log (Y/N) Y Date completed 6/29/2007 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 59 ft. Cased to 59 ft. Casing height (above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 6/29/07 9.8.15 Static water level 0 ft. 0 (artesian plug) ft. Well production 15 g.p.m. 4+ g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 0.311 mg/L Arsenic: ND ug/L Date of sample: 9.8.15 Collected by: ARCTERRA B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC 1 STEEL Date installed 7/312007 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 8.25.15 Pumper Sanitary C. ABSORPTION FIELD DATA Date installed 713/2007 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.0 System type SHALLOW TRENCH Length 2 X 60 = 120 ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth 4'+ ft. (Measured 9-8-15) Eff. absorption area 600 ft2 Monitoring tube Y Depression over field N Date of adequacy test 9.8.15 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 0 in. Elapsed Time: 1 min. Final fluid depth 0 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed 7.3.3007 "Pump on" level at 46 in. Datum BOTTOM OF TANK Size in gallons 250 Manhole/Access (Y/N) Y "Pump off" evel at 42 in. Cycles tested 2 High water alarm level at 47 Meets alarm & circuit requirements? Y in. E. SEPARATION DISTANCES 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 100'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100`+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ 10'+ Surface water 100°+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parkingNehicle storage 10'+ Curtain drain 50'+ (NONE KNOWN) Wells on adjacent lots 100'+ F. COMMENTS Additional lift pump vault outside foundation to pump effluent to septic tank 1 STEP! absorption system, Only north trench tested. Southem trench had 5° of fluid. Recently installed monitoring tubes by South Fork Construction extend approximately 8-9" below field laterals. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Date 9-18-2015 KENNETH M. DUFFUS COSA canary sheet 2-e-15.doc