HomeMy WebLinkAboutHUNDRED HILLS BLK 1 LT 4B<Z111i4. 41.91/
RA 46
g\b,i2.
-1' Old-1�1-D\
Terti r.tb 71:ix g
by
OOC CO. dba
S' ULLI VAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 68B-2759
OWNER OF LAND JD(b' 7ribwtSowJ " C a'T BORE HOLE DATA
ADDRESS.% 343 S " ,&
kali Qii E'
LEGAL DESCRIPTION /Liejt3 9,1 h'k&r
/:k
"'I 4 3
PERMIT NUMBER 7 C 3.29 Date of Issue 9 -a,Z Q" '
TAX INDENTIFICATION NUMBER 0 %? JJ o) -
Is well located at approved permit location?s Q No
Method of Drilling: ` air rotary Q cable tool
Depth of well: I c) b
Casing Type 4STeBc- Wall Thickness 1(25-'0 inches
Diameter 6 Q inches, depth tr4 l 7 yl feet
Liner Type: • 7 c2 t/L Fk5.vt �i i)r TO F0 �
C
Casing Stickup Above Ground: feet
Static Water Level (from ground level): feet
Pumping level: feet after hrs. pumping gpm
Recover Rate: gpm
Method of Testing:
Well Intake Opening Type: Q Open End Q Open Hole
Screened; Start feet Stopped feet
trrerforations Start `0 -feet Stopped /? 0 feet
Grout Type: Ag„4i1'0 4.0--E. Volume /SID &gs
Depth: from Q _ feet, to feet
Pump Intake Depth: feet
Pump Size
hp
Brand Name
DEPTH
Pro To
b
41
1
IS-
Sq
S
110
Sy
u0
ti ,3
113
/,1a
Well Disinfected Upon Completion? ff s Q No
Method of Disinfection: ! d,<tWit obi 61) P/r4
Comments:
*¢ri= 1941'4'5Q
Driller's Name
aedI4 6Q4r
RECEIVED
JUL 17 1998
Municipality et Anchorage
Dept. Health & Human Services
jivrtSklltvan. Said
s a vn Sam. 5 i-�rar�t
P P ��m
yy kor5.4 Pi"
,
dz,i
52
fp "6e2
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
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW970329
DESIGN ENGINEER:
OWNER NAME:THOMSON, JOHN B
OWNER ADDRESS:17343 SANTA MARIA DRIVE
EAGLE RIVER, ALASKA
PARCEL ID:07818101
LEGAL DESCRIPTION:
HUNDRED HILLS BLK 1 LT 4B
LOT SIZE: 98984 (SQ. FT.)
NUMBER OF BEDROOMS: 6 THIS PERMIT: 6
THIS PERMIT IS FOR THE CONSTRUCTION OF:
WELL SYSTEM
ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH:
PAGE 1 OF 1
MDA Copy
DATE ISSUED: 9/22/97
EXPIRATION DATE: 9/22/98
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
ISSUED BY:
sey�� / • ,4" ----hi Cid
DATE: � d2._? - F7
DATE:
`23_ 97
= 60'
SCALE
Q CDC)
00 0 trj
0i
70
II 1-. u
-J
opo i/
t jQ"�iJ
.OHb /-1
H C7
.0
d
pivio M?y h.f-e �l
SITE PLAN
0>>x
oZza(
G'4 09
ndo
tri
z-.cZr.d
[7
DESIGN
UNSUBDIVIDED
‹-i-r-
>
D
a,\���
�( ( 7
m
UNSUBDIVIDED
0
--1
0
m
z
I. \
z \ r0 \9
-i0pNz \-- c oo= >t n Z
_ 0 m 0 O N _
m(7- Vim - 4-\ \0D« >�C
c m .. cis \ -1 z m �ljN z Z
D =OZ \ cm v) �czm%
Z=2Zm \ODm m�-ri-I� �Tl
>mZ>0 zzv>,u)�Nm x��
r�lDOr� oKoy�vN >
�7 > -0 m Z < vl m „ -I
27)D-- z� ri -{� m
DpZ�D --OvviC°C�jmr J
m u) m -<pi › > - w 0
ZKGCD / rpmcDCzZ0\I
co
77
23
i Z Tl H h --i CD A m a)
A� 1 / ��2J-<m Z�
z/ m N m NI A
r- xi mi > 1
� - O>z 10
------ A> 21
/ • �oa� zZ
/ z0 - oN
m z
rj m Z 5 OC
C
m�7m
0>mrn
ivm2Jp
na4-iDC
< 0 53
m
--r Nrm�0
mor
D
m Z D
D r
m
D
z
Z
r
m
c)
—w
0 f--
7 o
/ -000)
O 70 CO 0
a7 E z
•U z 21
Z >
H
Oce
D r o
Z
N
m
0 A
0 >eo
< c
> m z
0 O 0
Z
H
0
3
Municipality of Anchorage Page / of c2
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number. SW 91�0a // PID Number. Q7 R-/81 -0/
Name:
,691711-7 ThiloAASO-41
Wastewater System: 8 New 0 Upgrade
Address: / 73 r/ 3 �Ra7-ty Al A,e/4 5:2
EA s tc R/ v -.e A -e 99577
ABSORPTION FIELD
Phone:
c)(/ a-a0ao
rp No. of Bedrooms:
Deep Trench ❑Shallow Trench 0 Bed 0 Mound ❑Other
LEGAL DESCRIPTION
Soil Rating:/
GPD/Sg. Ft.
Total Depth from original grade:
N
Lot: �/ 55�� Block: Subdivision:
7 8 I�GlKfir RE'[X /1 LAS
Depth to pipe bottom from original grade:
�� Ft.
Gravel depth beneath pipe
- i Ft.
Township:
Range: I Section:
Fill added above original grade:
3 Ft.
Gravel length:
Yo2
of lines:
Ft.
Distance between lines:
'� Ft.
WELL: El New ❑Upgrade
Gravel width:
Ft.
Classification (Private, A,B,C):
iRt✓oc
Total Depth:
/3o Ft.
Cased To:
g'S Ft.
Total absorption area: �,,I1��
75CP -1- SQ. Ft.
Pipe material: cy
431/VI 3o3//itch/0
Driller:
Sec LL/ ✓A�
Date Dr'll d:
94/3/9 17
Static Water Level:
efi-tkNow t.
Installer:
6iso r!Ee- caNsr-
Date installed:
9-a3 - 96
Yield:
/0 GPM
Pump Set at:
/ / 5 Ft.
Casing Height Above Ground:
t Ft.
TANK
SEPARATION DISTANCES
n Septic 0 Holding 0 S.T.E.P.
To
From
Septic
Tank
Absorption
Field
Litt
Station
Holding
Tank
Public/Private
Sewer Lines
Manufacturer:
Age. k 174,1- // �
Capacity in gallons:
dO 0 0
Weft
/Oat
too f
----
/
11571-
Material:
STEED-
Number of Compartments:
`—
Surface
Water
/00'1-
loG f
�� LIFT STATION
Lot
Line
381 /
33 i
Size in gallons:
Mannfa turer:
Foundation
/
J /
J`�p /
OO
"Pump on" level at:
"Pump off" leve ;\gh
water alarm at:
Curtain
Drain
///bt/E
4Nob.2./,"
_
Pump Make & Model
Electrical Inspections performed by: 1�
Remarks:
BENCH MARK
Location and Description:
1-13/1-13/Y\5&TVA, of s,'Q/,mac. IT
Po /N* A
Assumed Elevation:
/a. U Ft
E
4.
•
o/ a .., .::,....�.
A ROBERT C. COWAN /9Eagle
`4' :' CE -8801 J.a``'
+itz�``w^,'.:..y .�
if; "� �"`.
Inspections by: $ & s ENGINEERING Dates* 1st 9-d3-<, 9
performed
17034 Eagle River Loop Road Ne. 2nd 9' 3S " 9iv
/nF
River, Alaska 99577 /‘7-ii.-9,?
Department of Health and Human Services approval
l d /' t
Reviewed and approved by: V. F Date. 7.24(,18
72-013 (Rev. 9/91) MOA 25
PERMIT NO SW960211
PAGE 2 OF 2
Municipalityof Anchorage
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 .Anchorage, Alaska 99519-6650 • Telephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPOR
LEGAL LOT 48, BLOCK 1, HUNDRED HILLS S/D P.I.D. NO. 078-181-01
/
ST1
ST2
DBL1
DBL2
CO1
MT1
CO2
ST1 ST2
80.8'
A
41.0'
46.0'
48.0'
49.5
60.0'
76.0'
92.0'
B
53.0'
53.0'
53.0'
54.5'
63.0'
71.5'
82.5'
FINAL GRADE
gL./ArJ
Sae,/asap'; /-4.0.4k
ST2 DBL1
DBL2
CO2
78.5'
MT = 78.9'
78.3'
C01
MT CO2
CO1 = 78.9'
CO2 = 78.7'
C01 = 73.5'
CO2 = 73.4'
MT = 64.5'
THg BOH 58.5'
NO WATER FOUND
SCALE 1" = 40'
�� '°.e
S&S
�
EngineeRinq
RMR.
AtAA91A
)>
,
HEALTH AUTHORITY
APPROVALS
SEWER& WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
ROBERT C. COWAN, P.E.
ROBERT A. SHAFER, P.E.
Date: q —26
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
RECEIVED
SEP 2096
Mt. Health
Huma Services
Dept. Health &
REFERENCE: Lo -r LIS en-oct; I 1-tusor j Wu.i.. Jo
The septic inspections for the referenced property were
performed on 9-23 ~°j (. and - z5- 6 . Prior to submitting
the On-site Wastewater Disposal System and/or Well Inspection
Report we are waiting for the { ox.10A-rici4/14.IELt. to be
completed.
If we may be of further service please contact us.
Sincerely,
Robert C. Cowan, P.E.
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
PAGE 1 OF 1
10m
ras-"lea
ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT l S �1�
)
DATE ISSUED: 8/01/96
EXPIRATION DATE: 8/01/97
PERMIT NUMBER:SW960211
DESIGN ENGINEER:S & S ENGINEERING
OWNER NAME:CARL DISOTEL CONSTRUCTION
OWNER ADDRESS:P.O. BOX 770210
EAGLE RIVER, AK. 99577
PARCEL ID:07818101
LEGAL DESCRIPTION:
HUNDRED HILLS BLK 1 LT 4B
LOT SIZE: 98984 (SQ. FT.)
NUMBER OF BEDROOMS: 6 THIS PERMIT: 6
THIS PERMIT IS FOR THE CONSTRUCTION OF:
DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY:
ISSUED BY:
DATE:
DATE: 06)/10 /71
S&S
Engrneeiztnq
ALASI
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
ROBERT C. COWAN, P.E.
ROBERT A. SHAFER, P.E.
July 10, 1996
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 4-B, Block 1, Hundred Hills S/D
CIVIL ENGINEERS
(907) 694-2979
FAX(907)694-1211
Request you issue a permit to drill a well and install a
septic system to serve the proposed six bedroom house on
the referenced property.
Test holes were excavated and percolation tests performed.
The approximate location of the test holes are located on
the attached site plan.
At the time of excavation no water was encountered in test
holes and after seven day ground water monitoring, the
monitoring tubes were found to be dry.
This property has enough area for a future septic upgrade
which can be seen on the attached site plan.
We do not anticipate any adverse effects on neighboring
wells, septic systems or drainage patterns by the
installation of the proposed septic system.
If you require additional information, please contact us.
Sincerely,
Robert C. Cowan, P.E.
RCC/gk
Enclosure
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
= 60'
SCALE
SITE PLAN
DESIGN
t -a
OZZ UNSUBDIVIDED
zzeJ
yd�
y /11�
zm'�
0 trico
n
✓ \�
\
o / \ \
\ ,-,o\\
w \\-4'0O \
/ o / \T�JFS�T \
\ ,
\ r,
*\ r\
t-0
0
• r
m
00 laa 71V1SN
0
0\
0XN\� \ 0 0-=
=-IooX-' \0z
m0 -<�P Z'Z
cm1\ < W >
.-1zmtnzo �I''
O ( to /
m
0m Do Zamv�N�> cft
y'x nnmZ x�CO4
'O 77) 0z > Ai l Ps
O-Iao(��mm�
n0Z_n -ov,- Z J
rrqu)iO�m ,- �m� xDy1i t
h i -n n z 4,4
Z�OCD rp�ozym
• D 0'm�. 0 2"55 Z x1,.14
x m ri M/ � o = y• • > 0 �
��Zm 'o v1mC%11 uni�A+
xmC) Ors
-� ODZO UI >('
/ x>7) o
Z OO N
73 Z
UNSUBDIVIDED
✓
rn1
r
r
0
-4
03
r
0
n
Z
4 OOC)
oow0
z
•
D
H
O C
Z r
0
O 0
<pc
=
O 0
Z
0
0
cn
S
0
tr
S&S
.�.L lfRlflG
ROBERT C. COWAN, P.E.
ROBERT A. SHAFER, RE.
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
PERFORMED FOR: 6.21— 1SeTE4L. Coru1S-TRVC,TIaAf
LEGAL DESCRIPTION: LoT
1
4
5
6
8
9
11
DEPTH
(E§19
$SS
16
18
19
20
COMMENTS
DATE PERFORMED: dtt' t's0
14- g 1 g Loc)G 1 1. Township, Range, Section:
SLOPE
u A Oftsy 14IL•1-S s/D
0ft, 6ArrtcS TES11-1oLE 1
Atki
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Depth to Water After 7 -5 -9L
Monitoring? OA`f at
SITE PLAN
N
S
L
O
E
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
•—'
Pff.ESoINK.
pER.Ioid •
w
t,-zt 1L
2:o0
3r/z"
2:01
1 Mla
t11/y 11
3/'t
`1
`L OZ
H
511
/1
11
Z :03
II
5�/y l`
11
PERCOLATION RATE 1 ` 3 (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN q FT AND 6 FT
PERFORMED BY: S & S ENGINEERING) ��� CERTIFY THAT THIS TEST WAS PERFORMED IN
17034 Eagle River Loop Road No. 2 /
ACCORDANCE WITH Eih8'R'i
1WMAKIdd1 11 GUIDELINES IN EFFECT ON THIS DATE. DATE: �0 / g C'
/ "E tneeRtng.Et..;
PERFORMED FOR:
ROBERT C. COWAN, P.E.
ROBERT A. SHAFER, P.E.,
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
ROBERT C. COWAN lil�
8
ta"-- DISotEL+-- Co+4STRuc'rib DATE PERFORMEIIa p F rr e 12so 4e
�
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
COMMENTS.
LoT 4 _ $ /31--0cl0 11 Township, Range, Section:
]FELL S/0 SLOPE
F) -v t102 E t7
TesrNoLe 4* Z
cat (DANA s
6 LJ
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
SITE PLAN
T
N
S
L
0
P
E
Depth to Water Atter
Monitoring? 01" Date: 1 -6 -Re
St
Te
`PL
VTH
qd
EAsr
7 )OiC
Reading
Date
Gross
Time
Net
Time
Depth o
Water
Net
Drop
—
AESontl<
es A.tor)
G -29-9L
Li'. 30
'_'
33/84
—_
-ye
lZ4
4:32
t.
4 "3/8 n
IF
Li : 33
`t
Li ?/e'+
PERCOLATION RATE iminutesiinch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND FT
S & S ENGINEERING//, L CERTIFY THAI'THIS TEST WAS PERFORMED IN
PERFORMED BY: 1/U34 Eagle River Loop Road No. 204
ACCORDANCE WITFaalgICRkxRWItIa61id stile t GUIDELINES IN EFFECT ON THIS DATE. DATE /� 0 / 6
•
%yam, ":�
f
� S & S
�_" EnginEERinq
AWICAEAGLE
WER
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN IXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
ROBERT C. COWAN, P.E.
ROBERT A. SHAFER, P.E.
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Lot 4-B, Block 1, Hundred Hills S/D
July 10 ,1996
GENERAL:
1.
2.
3.
4.
5.
EPTIC
1.
2.
3.
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
02 LA4c-ER
The scope of tbTs project includes the installation of
a 1750 gallonAseptic tank and a leachfield trench to
serve the proposed six bedroom residence located on
the referenced property.
Construction shall be in accordance with the approved
site plan and design drawings, Municipal permit with
any special provisions or conditions, and all
applicable State and Municipal Wastewater Disposal
Regulations.
The contractor shall be responsible for obtaining any
necessary underground utility locates.
Unless specifically agreed otherwise, the property
owner shall be responsible for final grading areas
subsequently depressed from soil settling.
Contractors installing wastewater disposal systems
must be certified by the Municipal Health Department
for system installations. Owners installing their own
systems must also receive prior approval from the
Municipal Health Department.
TANK INSTALLATION:
A septic tank is to be constructed by a certified
septic tank manufacturer. Construction shall include
two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to
prevent settling or shifting of the tank.
All standpipes on the septic tank shall extend a
minimum of 12 inches above final grade.
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
Page Two
Lot 4-B, Block 1, Hundred Hills S/D
July 10, 1996
4. Septic tanks installed with less than 4 ft. of cover shall
be insulated.
5. A foundation cleanout shall be installed one to four feet
from the building foundation. In the line between the tank
and the leachfield there shall be two adjacent cleanouts
(unless an effluent pumping system exists within the septic
tank). These cleanouts shall be located on undisturbed
soil not more than 10 ft. from the tank. The first
cleanout, in line, shall be to clean toward the leachfield.
The second cleanout shall be to clean toward the septic
tank.
6. Final grading over the septic tank shall be such that a
positive slope exists away from the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the
design. The bottom of the excavation shall be within 2
inches of level. If the sidewalls of the excavation become
smeared, they must be raked or scratched (ruffed -up) before
gravel (sewer rock) placement.
2. Once the gravel is installed, the distribution pipe is to
be installed level with the perforations faced downward.
Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel
layer and the native soil backfill. Ensure the silt
barrier covers the entire gravel surface before placing
backfill.
4. Monitor tubes shall be of four (4) inch diameter,
installed approximately in the locations shown on the
design, and extend a minimum of 12 inches above final
grade. The portion of the monitoring tube extending
through the gravel shall be perforated from the bottom of
the trench to the invert of the distribution pipe. This is
equivalent to the effective depth of the gravel as noted on
the design.
Page Three
Lot 4-B, Block 1, Hundred Hills S/D
July 10, 1996
5. Backfill over the final gravel layer must not be less than
twenty-four (24) inches. Insulation must be installed when
the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent
the formation of a depression after settling.
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be
constructed by a Municipally approved septic tank
manufacturer.
2. The following pipe materials are approved for use in septic
system installations in the Municipality of Anchorage:
Type of Pipe Perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be
approved by the inspecting engineer.
3. Insulation shall be at least 2" thick extruded direct
burial polystyrene (Dow Chemical Company Styrofoam HI or
equal).
4. Septic tank inlets and outlets shall be fitted with
watertight couplings (Caulder, Fernco, or equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N,
or equal) must be installed between the final leachfield
gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5"
screened gravel with less than 3% passing the #200 sieve.
7. When sand is being used as a filter material, its gradation
specifications must conform to current M.O.A. or D.E.C.
requirements.
Page Four
Lot 4-B, Block 1, Hundred Hills SSD
July 10, 1996
INSPECTIONS:
Typically there will be a. minimum of three (3) inspections
required during the installation of the wastewater disposal
system. These inspections will occur as follows:
1. The first inspection must be conducted after the
excavation of ditches, pits, trenches, or beds and
before the installation of any gravel. A septic tank
may be set in place, but may not be backfilled before
this inspection.
2. The second inspection must be conducted after the
placement of the silt barrier, gravel, distribution
lines, standpipes, cleanouts, and insulation, but
before the placement of any other backfill.
3. The final inspection is to occur upon final grading of
the property.
Often there will be more than these 3 inspections required.
Especially with the installation of multiple trenches, sand
filters, pressurized distribution systems, etc. Thus, the
inspecting engineer is to be contacted at least 24 hours prior
to the start of construction. If necessary, a pre -construction
meeting will take place on-site. The inspecting engineer will
not coordinate, direct or control in any way the contractors
activities.
The owner shall contract with the contractor to perform the work
outlined in these specifications and plans and in accordance
with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S
Engineering. S & S Engineering shall be the owner's
representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the
contractors work rests with the owner and the M.O.A.
Page Five
Lot 4-B, Block 1, Hundred Hills S/D
July 10, 1996
S & S Engineering shall have no liability to the owner or to
others for acts or omissions of the contractor or any other
persons performing work on this project or the failure of the
contractor to carry out the work in accordance with these
construction documents. S & S Engineering's inspecting engineer
will not be responsible for the construction means, methods,
techniques, sequence, procedures or the safety precautions
incident to this project.
CONTRACTOR/INSTALLER
Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 078-181-01
Expiration Date: g` j 9—I 67
1. GENERAL INFORMATION
Complete legal description HUNDRED HILLS BLOCK 1, LOT 4B
Location (site address) 1135 HILAND ROAD, EAGLE RIVER, AK 99577
Current Property owner(s) MICHAEL & ARLENE WILSON Day phone
Mailing address 1135 HILAND ROAD, EAGLE RIVER, AK 99577
Real Estate Agent Day phone
2. TYPE OF DWELLING:
Z Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 6
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class _ Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
® Individual
❑ Holding Tank ❑
❑ Community ❑
❑ Public Sewer ❑
WaiverNariance request for: Distance:
!Received -by:
COSA to be released to the engineer, unless requested by the engineer.
Date: c-/9-74
7fp
COSA Fee $ 42
Date of Payment 6/240,
Receipt Number Of7(o(o b
COSA# i5ti-1(41(15
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. Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 4/21/16
Engineer's Comments: This investigation was completed in compliance with AMC 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 SIGNATURE yy^^
K3 System #1 Approved for 4o bedrooms.
System #2 Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
0 s' OFAi,
TE
Bye we
WATER AND
�:
p r 1 � �:
•2 PROGRAM JFoTI
t�\�o.
LNrsER
---Orig inal-Certific-ate-Date==i 1
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 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: HUNDRED HILLS BLOCK 1, LOT 4B Parcel ID: 078.181-01
A. WELL DATA
Well type PRVT If A, 8, or C provide PWSID # _ Well Log (Y/N) Y
Date competed 912311997 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 120 ft. Cased to 40+ ft. Casing height (above ground) 24+ in.
FROM WELL LOG AT INSPECTION
Date of test 9/23197 3-28-2016
Static water level UNKNOWN ft. 81 ft.
Well production 10 g.p.m. - 5;6 g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate D,/58 mg/L
Arsenic: ND ug/L Date of sample: 4/19/16
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC 1 STEEL
Collected by: ARCTERRA
Date installed 9/23/1996
Tank size 2000 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (WN) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping 5-(0-02N 4- Pumper
C. ABSORPTION FIELD DATA
Date installed 9/25/1996 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2 System type DEEP TRENCH
Length 42 ft. Width 2 5 ft. Gravel'below pipe 9 ft.
Total depth 12.5 ft, (Measured 3128116) Eff. absorption area 756 ft2 Monitoring tube Y' Depression over field N
Date of adequacy test 3128/_16- Results (Pass/Fail) PASS For 6 bedrooms
Fluid depth in absorption field before test 0 in. Water added 900 gal. New depth 7 in.
Elapsed Time: 15 min.' Final fluid depth 0 in. Absorption rate >= 900+ g.p.d:
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at _ in. "Pump off' level at _ in. High water alarm level at in.
Datum Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic 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 1001+
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 10'+ Surface water 100'+
Wells on adjacent lots 100'+
ABSORPTION FIELD ON LOT TO:
Property line 10'+
Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 1001+ Driveway, parkingNehicle storage 10'+
Curtain drain 50'+ (NONE KNOWN) Wells on adjacent lots 1001+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
- ,. a ,, . . / •. • : .' .. �..
with MOA -COSH guidelines in effect on this date.
Engineer's Printed Name
Date 4121116
COSA canary sheetj-6-15.doc
-
-4:V r, 4c#Jia / ,..52,2% 47/6
ASBUILT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
_ //it/df�EE!! ///<LS fl/� Gor,/e4,7,p(!/
AND THAT NO ENCROACHMENTS EXIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
ANY DATA HCTION
OF FENCE LINES,NOR FOBE USRESTABLIISHIFOR INNG BOUND-
ARY LINES.
SEWARD & ASSOCIATES LAND SURVEYING 694-0829
SCALE:
/'= Ga
DATE:
GRID:
Slims/e�GG
F13:69z>
DRAWN:
0
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us l�l� �-t
(907) 343-7904 .
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 078-181-01
1. GENERAL INFORMATION
Complete legal description
3'23j0�-
HAA # DCG Cp .
Expiration Date: - 2 .2, --
Lot
-
Lot 4B; Block 1; Hundred Hills Subdivision
Location (site address or directions)
1135 Hiland Rd. Eagle River, AK 99577
Current Property owner(s) Penny Crammer Day phone 696-1649
Mailing address PO Box 141845 Anchorage, AK 99514
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 6
3. TYPE OF WATER SUPPLY: •
• Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank 0
Community On-site 0
Public Sewer 0
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HM) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between -spouses). for properties served by -a single -family -on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates' may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water &Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Parcel ID: t W3 - / R/ 01
Legal Description: pbon:48l giIVD/2E-.0 �/wSS
A. WELL DATA
Well type GJF If A, B, or C provide PWSID #
Date completed /AV/ c 77
Total depth . )'7-0 ft. Cased to 40 -t-
ft.
Well Log (Y/N)
Sanitary seal (Y/N) `'/ Wires properly protected (Y/N)
Casing height (above ground) 1 ( in.'
Date of test
Static water level
FROM WELL LOG
U ISI J.e ft.
Well production / tO
g.p.m.
AT INSPECTION
. 3/5/04
• P7 ft.
WATER SAMPLE RESULTS:
Coliform colonies/100 ml. Nitrate QH}mg./1.
Arsenic: mg.A. Date of sample:4Z 7/04
B. SEPTICIHOLDING TANK DATA
Tank Type/Materiall L ( '57
Tank size '%cD gal. Number of Compartments
Foundation cleanout (YIN) y Depression over tank (Y/N)
Date of pumping 3 1 sl rt'>4 Pumper J2 t S
l
C. ABSORPTION FIELD DATA
9 -11m -
Other bacteria 0 colonies/100'MI.
Collected by: 'S 16/JG/A/�-Cit.�,
Date installed 9/7 b
Cleanouts (Y/N)
High water alarm (Y/N) ',
'�
Date installed //2.5/t)‘• Soil rating (g.p.dJft2 or ft2/bdrm) f. Z System type /26-71G
Gravel below pipe
Length 4 2 f. Width 2 t .5 ft. Cl
.
Total depth it.'(ft. Eff. absorption areal ft2 Monitoring tube Y Depression over field
Date of adequacy test 3 For iw bedrooms
Fluid depth in absorption field before test in. New depth l in.
Elapsed Time: G t7 min: 0 in. 0-0
COMA-et/a'fth^) if •res. c;ve date
Results (Pass/Fail)
Water added gal.
Final fluid decth
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
Absorption rate >_
c'o.d.
SGS/CTE ENVIRONMENTAL SERVICES
Drinking Water Analysis Report for Total Coliform Bacteria
READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE
MUST BE COMPLETED BY WATER SUPPLIER
PUBLIC WATER SYSTEM IDP
Vij PRIVATE WATER SYSTEM
t -1Y• Send iesults
cd Send Invoice
•200 W. POTTER DRIVE
ANCHORAGE, ALASKA 99518 •
Tel: 907-562-2343
Fax: 907-561-5301
Lab Rei No.
1040994`
'
Water System Nan./Cotrpany flame
5 & S E? GJNSE4It:SG ••
Plane Number
r
Contact Name
s
17034 Eagle .liver Loop Road, No.204
E?l4• n.iv-'• til.'Urn 99577
Mailing
Fax Number
i
Address
•
Cal,
State
Zip code
SAMPLE COLLECTION:
F. wild antes analysis m sl b. , within SO hn or semen collodion.
Date: I . 7 J U0
Month
Day Year
Time: • Q 5 AM (cede one)
Location: CO j �OGkI uvl/l�rP �7 �15 S
Collector. Rln� n �f���eK
gate •ma
Slpn •
119
SAMPLE TYPE:
Pi Routine
❑ Repeat Sample V' Untreated Water
(refer to lab no )
❑ Special Purpose
Transported .
to Lab By: 0 Same as collector Other: (2013,44.7- c. Lo k.Ih,.
Nailed Nan. &enahaa
TO BE COMPLETED BY LABORATORY
Sample Receiving:
Date: !. 2 - - 0 Sample over 30 hours old;
Results may be unreliable
Tim
Temp:
Delivery Method:
7( 5
tit : w4�
Received By:
Comments:
Printed Name
❑ 48 Hour Waiver
For Remo tions
0 Treated Water
0 :RUSH SAMPLE
Phone #:
Fax #:
Bacteriological Water Analysis Record:
Analysis Began: -y/y-/ to 11 l-' L(O
Analyst: "
MMO-MUG IP/A) RESULTS:
Total Coliform:
E. CoA:
Analytical Method: MEMBRANE FILTER RESULTS:
Reported By:
® Membrane Filter
0 MMO-MUG (P/A)
Stpnature
Direct Count: O Colonies/100ml
Verification:
TeW C.•lorm LTB:
BGB:
IP/
Sent to ADEC:
ANC FBK JUN
Date./Time:
Sent to Client:
Pnor-1ed ❑
Date/Time:
Spoked with:
Faxed ❑
{ ®Satisfactory
final EC: ❑ Unsatisfact ory
Date/Time:
4elralpubIic10O.CUMEN T\FOP.MS\Micro\Coli Form.xls
iiimmisimimmilsommimialinsimit•
sow
gii I"
TNTC w Too Numerous to Count
013 •other Bacteria
Form # FW- 0053 10/24/03
SGS Ref.#
Client Name
Project Name/fl
Client Sample ID
Matrix
PWSID
1040994002
S & S Engineering
N/A
L4B, BI, Hundred Hills S/D
Drinking Water
0
All Dates/Tintes are Alaska Standard Time
Printed Date/Time
Collected Date/Tirne
Received Date/Time
Technical Director
Released By,
03/02/2004 7:51
02/27/2004 14:05
02/27/2004 17:15
Stephen . Ede
6/ i
Sample Remarks:
Parameter
Results
PQL
Units Method
Container ID Allowable Prep
Limits Date
Analysis
Date !nit
Waters Department
Nitrate -N
Microbiology Laboratory
Total Coliform
0.177 0.100 mg/L EPA 300.0 B (<=10) 02/27/04 JJI3
0
coUl00mL SM18 9222B A (<=1) 02/27/04 DKC
.11.11-14:-90 flUN 14:03 SEc WARL & ASSOC LAFID SURV 90r 6940830
•
ti
b
R. 01
JAN -12-98 MON 14;03 SEWARD E. ASSOC LAND SVRV 907 6940830
P.01
ASBUILT
I HEREBY CERTIFY .THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY;
,44/N.sr# f4',f'/!<S "Pe GO7 -4 egret/
ANO THAT NO F.'NCROACHMENTS EXIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARY LINES.
SCALE;
SEWARD & ASSOCIATES LAND SURVEYING 694-082
DATE'
GRID:
FB:
'9 Z7
DRAWN=
•
r ye • .. s.
4 V % Oven, Mark Aero$
¢ •. 1S-69113 0