HomeMy WebLinkAboutGLACIER VIEW HEIGHTS #4 BLK 3 LT 10Municipality of Anchorage
On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP191250 PID Number: 050-501-43
Dwelling: Q Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑ Upgrade
Name:
James & Tammy Walker
ABSORPTION FIELD
❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
Address
22753 Columbia Glacier Lp. Eagle River, AK
❑ Other
Phone
Number of Bedrooms
Soil Rating ITotal
depth from original grade
360-9902
4
2.0 GPD/SF
2.0 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
1.7 Ft.
Gravel depth beneath pipe
0.3 Ft.
Subdivision Block Lot
Glacier View Heights #4 3 10
Fill added above original grade
1.6 Ft.
Gravel length
34 Ft.
Township Range Section
Gravel width
15 Ft.
Beds: Number of Lines
7
Distance between lines
2.0 Ft.
SEPARATION
DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
510 Ft2
Ft.
Well
N/A
>100'
N/A
N/A
>25'
TANK ❑ Septic ❑ S.T.E.P. ❑ Holding X Other
Manufacturer
Existing
Capacity
I Gal.
Surface Water
N/A
>100'
N/A
N/A
Material
Number of compartments
Lot Line
N/A
>10'
N/A
NIA
NA
Foundation
N/A
>10'
N/A
N/A
LIFT STATION
Manufacturer
Capacity
Curtain Drain
None
Noted
Existing
Gal.
Remarks IDSF bed rebuild only. Bed is insulated.
Pump on level at
in.
Pump off level at
in.
High water alarm at
in.
Pump make and model
Electrical Inspections performed by
Installer
PIPE MATERIAL House to tank Exist. Tank to
drainfield D1785
Northern Excavation
Drainfield D1785 CO/MT
Inspector J. Mlllette
BENCH MARK (Assumed elevation) 100 ft
Inspection is' 6/27/19Location
and description
dates: 2ntl
3rd 41"
Garage slab.
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL
Engineer's Stamp
4����r�q
F ell
Conditional Approval: Date
•.a • ' >.. ��
49th
.a..eaa gaas.gn .... aaeeaa.�rgpac.a gdbaaagq
141
a 10
........................ a....... m..0
O -A, MICHAEL E. ANDERSON e w
No. CE -4381 •°•�"
T�jQ ®0•o
Approved. Date
....7/01/19 o•*:e (v��1
aq acga*'
44ffi`�\��
74
I wNcwUu I tC[JU I l_U- I -I L.ULJU
GLACIER VIEW HEIGHTS #47 BLOCK 310T 10
PERMIT# OSP1 91250 PID # 050-501-43
LOT 6
LOT
LOT 11
EXISTING WELL
"LOT 10
AIR PUMP
_E)(STING W 0
4-BDRM HOME BI,
EXISTING' p
0ARAGE.AIR-PUM OPERATION
------- VERiFIED.
TH1 1996
BOULDER PROT TIVE BARRIER
RETAINING W LS
EXIST[ 1,500"
6-
GALLON E.P. Tj C7�. MT2F�l
TANK
kMffT4
TH1 2019 TH2 LOT 91
NEW 15' WI 34-�L-0 bj.S_.F.
T&E EASEMENT-
cnl
G14C ------------ - -------
LOop
ENGINEERfNG A .... ... ii
VITA 0 fit
49th
6.1 . . . . ........ . .... . .............
MICHAEL E. ANDERSON
CE -4381 S.
E 4381
6/28119
gal
mmuzamm
0 50 100
FEET
1 "=50'
MT1
46.1
67.0
MT2
66.7
67.8
MT3
77.1
81.3
MT4
59.3
81.4
FV1
67.7
68.7
FV2 1
69.0
70.4 1
FV3
70.9
72.8
FV4
72.4
75.0
FV5
73.5
768--
FV6
75.1
79�O
FV7
76.7
_81.0
LEGEND
CO -CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FV -FLUSH VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
GLACIER VIEW HEIGHTS #4 B3 L10
PERMIT # OSP191250 PID # 050-501-43
96.2 FINISH GRADE u 2" INSULATION
(-i i- 94.6 ORIGINAL GRADE n
PEA GRAVEL.. -�
MOA APPROVED FILTER SAND
92. / / 93.1
92.9 -%/ 92.9
92.6 92.6
AIR -LINE — 34 90.6
90.6
NOTE: ABOUT 6" OF SAND WAS
REMOVED FROM EXISTING SAND
GROUNDWATER FILTER AND REPLACED.
@ 87.4 9/18/96
zr
~ '*- 83.6
PROFILE AS -BUILT
CNCINEERING
km� (NO SCALE)
HOUSE DETAIL
Scale: 1" = 30'
�A Gr — —
LACIER Loop
Lot 7
DRAINAGE
EMENT
Lot 9
10' T&E
EASEMENT
85'29'05"W 20.11'
PLOT PLAN
AS BUILT X SCALE 1" = 50'
GRID
SW 0159 Project
No.
19-2631A2
Lang &
Associates, inc.
11500
(907)
Daryl Avenue, Anchorage, Alaska 99515-3049
522-6476 Phone
Anchorage Recording District, Alaska, and that the Improvements situated thereon are
0""".."""
(907)
522-4625 Fax
000p0p�0
oo
property adjacent thereto, that
Professional Land Surveyors
kenOhngOlrvey.com
vo��
OFA `9 Q
0
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 plot.
Jona an angsurvey.com
S
�41
1 hereby certify that I have surveyed the following described property:
O49?H
y
LOT 10, BLOCK 3, GLACIER VIEW HEIGHTS – UNIT No.
4 (PLAT No. 85-185)
Al
"'..
Anchorage Recording District, Alaska, and that the Improvements situated thereon are
0""".."""
within the property lines and do not encroach onto the
property adjacent thereto, that
O
no Improvements on the property lying adjacent thereto
encroach on the surveyed
'A'.;'......KENNETF....
�0
. G. ..
ar
premises and that there are no roadways, transmission
easements on said property except as Indicated hereon.
lines or other visible
r^�
Q `'�,
Dated this the Day of �u -`i'
Z >l`1 a4 Anchorage, Alaska
Q� pRa
Oo
�n� �SSIONA�-_o
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 plot.
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite y �'
Del 3aI-tIII eut
On -Site Wastewater Disposal System Permit
Permit Number: OSP191250 Effective Date: 6/25/2019
Work Type: Septic Upgrade Expiration Date: 6/24/2020
Tax Code Number: 05050143000
Site Legal Address: GLACIER VIEW HEIGHTS #4 BLK 3 LT 10 G:0159
Site Mailing Address: 22753 COLUMBIA GLACIER LOOP, Eagle River
Owner: WALKER JAMES S & TAMMY Lot Size in Sq Ft: 47426
Design Engineer: FORGE ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All 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 (24/7).
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 By: �` Date:
Issued By: 7lC Date: % g
EP14M
MUNICIPALITY OF ANCHORAGE
C
Community Development Department Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 050-501-43
Property owner(s) James and Tammy Walker Day phone 360-9902
Mailing address 22753 Columbia Glacier Loop Eagle River, AK 99577
Site address Same
Legal description (Sub'd., Block & Lot) Glacier View Heights #4, Block 3, Lot 10
Legal description (Township, Range & Section)
Lot Size 47,426 Sq. Ft. Number of Bedrooms Four (4)
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑X
Initial El
Single Family (SF)
IR
(w/wo ADU)
Septic Tank
❑
Upgrade 0
Duplex (D)
❑
Holding Tank
❑
Renewal ❑
Multiple Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES
A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
-.1. F, atl
(Signature of property owner or authorized agent)
Permit/Rush Fees: q5_91
Date of Payment: LAI/P?
Receipt Number: 65,0/q
Permit No. /1256
Permit App_.;- : .....c
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
PO BOX 240773
ANCHORAGE, AK 99524
522-7773 677-7766 (FAX)
June 21, 2019
MOA Development Services Dept, On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Glacier View Heights #4, Block 3, Lot 10 – 22753 Columbia Glacier Loop
Septic System Design
Dear On-Site Services Engineer:
The absorption bed on the subject lot has failed and must be reconstructed before a COSA can be
issued for the property. We are submitting this design and permit application for the
construction of a new Intermittent Dosing Sand Filter (IDSF) to serve the four bedroom home.
The attached site plan identifies the location of the home and the existing well and septic system.
The IDSF filter will be constructed at the same location as the existing filter. No conflicts exist
between this proposed system and any other well or septic system on this lot or adjacent lots.
All contaminated material in the absorption bed location will be removed and disposed in
accordance with Municipal Code. MOA approved sand will be utilized to raise the bed area to
required grade. The new bed will be constructed in accordance with the attached design
documents and to the specified elevations.
The ground surface on the lot is contoured in the area of the proposed bed to shed drainage. The
final surface of the new bed will be similarly contoured and graded. There are no slopes greater
than 25% within 50 feet down slope of the proposed absorption bed. Ground surface contours
are shown on the site plan indicating the grade and direction of flow. Storm water drainage will
not impact this septic system. The new bed will be constructed parallel to the slope as much as
possible.
Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all
wells and surface water, and more than 5’ away from the septic tank.
Please refer to the attached test hole logs and plan and profile sheets for the septic design. If this
design is followed, there will be no adverse impacts to adjacent properties.
Sincerely,
Michael E. Anderson, P.E.
6-21-19
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191250, Rebecca Carroll, 06/25/19
495
490
485
10050 0
FEET
1"=50'
EXISTING 1,500 GALLON S.T.E.P.
TANK. VERIFY SUITABLE FOR
CONTINUED USE.
4-BDRM HOME
REMOVE EXISTING 30' LONG x 12' WIDE
I.D.S.F. AND ALL CONTAMINATION TO
ACCEPTING SOILS BELOW. DISPOSE
PER MOA CODE. CONSTRUCT NEW 15'
WIDE x 34' LONG I.D.S.F. PER PLAN.
NOTE:
NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE
PROPOSED SEPTIC SYSTEM
ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS
PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC
SYSTEMS.
CO - CLEANOUT
2CO - DOUBLE CLEANOUT
FCO - FOUNDATION CLEANOUT
FS - FLOW SPLITTER VALVE
MH - MANHOLE
MT - MONITORING TUBE
SV - SEPTIC VENT
TH - TEST HOLE
LEGEND
MT
TH2
GLACIER VIEW HEIGHTS #4, BLOCK 3 LOT 10
CO
L
U
M
B
I
A
6/21/19
GLACI
E
R
LOOP10' DRAINAGE EASEMENT10' T&E EASEMENT
RETAINING WALLS
EXISTING WELL
TH1 2019 MT
MT
MT
EXISTING WELL
CONNECT TO EXISTING 1
2" PVC AIR LINE
FROM GARAGE. VERIFY EXISTING AIR
PUMP FOR CONTINUED USE.
AIR PUMP
TH1 1996
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191250, Rebecca Carroll, 06/25/19
GLACIER VIEW HEIGHTS #4, BLOCK 3, LOT 10
DESIGN FACTORS: SYSTEM REQUIREMENTS:
600 GPD PEAK FLOW
PERK RATE: 16 MIN/IN
APPLICATION RATE: 2.0 GPD/SF
I.D.S.F. SHALLOW BED SYSTEM
EXISTING 1,500 S.T.E.P. TANK - INSPECT AND
VERIFY SUITABLE FOR CONTINUED USE
TYPICAL BED SECTION
(NO SCALE)
15'
NOTES:
1. GRADE AREA OVER TRENCH TO DRAIN AWAY
2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2'
WITH 2" OF INSULATION
3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER
THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY
BOTTOM OF BED: 94.0
FLOW LINE: ELEVATION: 94.25
TOP OF BED: ELEVATION 96.25 (MINIMUM)
BOTTOM OF SAND FILTER: 92.0 (MAXIMUM)
600 GPD / 2.0 GPD/SF /15' WIDE = 20 LF BED REQUIRED (34 LF SPECIFIED)
6/24/19
6"
2'
2.5' 2.5' 2.5'2.5' 2.5' 2.5'
4" TOPSOIL AND
REVEGETATION
6" THICKNESS OF
3
8" PEA GRAVEL.
2" INSULATION
2' MINIMUM MOA
APPROVED SAND
AIR LINE 18" BELOW
TOP OF SAND3
4" PERFORATED PVC PLACED
MIDWAY IN THE 6" STRATUM
96.5
94.0
REMOVE ALL CONTAMINATION
AND PLACE MOA APPROVED
SAND TO 94.0
BENCHMARK - GARAGE SLAB - 100.0
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191250, Rebecca Carroll, 06/25/19
LEGAL DESCRIPTION:
PERFORMED FOR:
DATE:
PARCEL ID#:
SOILS LOG AND PERCOLATION TEST
TECHNICIAN:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPTH
(feet)
PROJECT No.:
TEST HOLE 1
SLOPE
SLOPE
SITE PLAN
See Site Plan
DATE READING GROSS TIME
(minutes)
NET TIME
(minutes)
DEPTH to
WATER NET DROP
TEST HOLE PRESOAKED PRIOR TO TESTING:
PERC. HOLE DIA. (INCHES)PERCOLATION RATE: (MIN/INCH)
TEST RUN BETWEEN: FT. and FT.
COMMENTS:
(inches)(inches)
GLACIER VIEW HEIGHTS #4 B3 L10
6/17/19
L. TIDWELL
DATE OF MONITORING:
WAS GROUND WATER ENCOUNTERED?
DEPTH OF WATER AFTER MONITORING:
IF YES @ WHAT DEPTH?
NO
-
-
6.96 6
6 7
050-501-43
JAMES WALKER
12:46
6/17
1
2
3
30
30
30
111"
115 1
16 " 4 1
16"1:16
1:18
1:48
1:51
2:21
OB
SILTY SAND 3" ROCK
-
Professional Engineers Stamp:
6/21/19
SILTY CLAY (BROWN)
111"
115 4
16 " 4 4
16"
111"
115 5
16 " 4 5
16"
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP191250, Rebecca Carroll, 06/25/19
Job No.: 02-115
M-W brillin..t, 'mc.
Box 110378·Anchorc~ge, AK 99511·
· 907-3~5-4000 · 907-34§-3287 Faxe
Project .No.: N/A
Permit No.
SW010310
Groundwater Well As..Built & £oR
· Well Owner:
· Legal Description:
Doug & Pamela Juback
Glacier View Hgi~:hts 04, Block 3, Lat 10
Eagle River. Alaska
· Use of Well:
Domestic
Constructio a
* Hole Depth: 225' ·Casing Si~e: 6' *Cased To: 224.98'
Drill Method: Air Ro~a'y
· Well Completion- Open end X Screen Perforated
· Screen~Perforation description.'. None
· Grout Notes: (I) Sack- No. 8 bentonite granule;
· Material:
Perf.
Method:
A 53 Steel
· Notes:
· Well Development: Method: Air surge Notes:
· Static water level (SWL) 4' (above) (be~.";) top,~fcasing (TOC).
· Wellyield test at 50 gallons per minute (GPM)/g~:!!c.':s Fcr ~e::.- (CP.q) for
with 100% of drawdown (DD) from strum level (SWL).
· Method: Air lift
hours
· Date of completion:
Depth in feet from
top of casing.
...... _O___T_O_ ...........
......... ~__,TO ...........
5 TO 37
99 TO 110
110 TO 115
!15 TO 160
160 TO 197
197 TO '~-0-~-
221 TO 226
TO
07 May 2002 ·Pump Install:
Well Log
Details of formations penetrated, size of material, color and hardness.
_C~s_i. _ng.__sti__c_k_up .................................................................................................
Topsoil
_Si~l~y gravel: brown, wet
wet
_S_. a_n_d_ ~_ g r ay__e_l :_
Cia e ravel- ra
.... ~_eT_g_r ......
Gravel: some
__C!_a_y:_g.r_a_~..d_a_m_ p. sti c_ky
. .dry_
Clay._: with tan wet sand stringers
..... sty~ _ '5 ..... gr
..~.~and___y__~aveh wet
Water b~ng g_ravel: 50+_gpm
TO
Certificate No's. 814 & 97g
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
7/Woz-' zz:s5
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Date Issued: Aug 10, 2001
Expiration Date: Aug 10, 2002
Permit Number: SW010310
Legal Description:;GLACiER'VIEW HEIGHTS fi,-4 BLK 3 LT 10
Design Engineer: 0014 Anderson Engineering
Owner Name: Doug Juback
Owner Address: 180 East Birch Hills Rd.
Fairbanks, AK 99715-0000
Parcel ID: 050-501-43
Site Address:
Lot Size: 47426 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
r~ Disposal Field ['~ Septic Tank [] Holding Tank [] Privy ['~ Private Well
Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date:
Date:
Municipality. of Anchorage
Development Se .r:vices Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-1~650
www.ci.anchorage.ak.us
(907) 343-7904
ON-SITE ,SEWEPJVVELL PERMIT APPLICATION·
FOR A SINGLE FAMILY DWELLING
Parcel I.D. -050-501-43
Permit Number
Properly owner(s) Dou.q,7,~ack
Mailing address (1) 180 East Birch Hills Road Fairbanks, AK 99715
Day phone 688.5003
Mailing address (2)
Zip Code
Legal description (Lot, Block & Sub'd.) Lot 10, Block 3, Glacier View Heiqhts Addition No. 4
THIS APPLICATION IS FOR:
S~wer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Legal description (Section, Township & Range)
Lot Size 47,426 Acres/Sq..;Ft. : 'r." Number of Bedrooms Four
,FI
Well Only. []
Water Storage []
'0
0
Jacuzzi []
Water Softening Unit []
I certify that the above information is correct. I fudher cedify that this application is being made for a
Single Family Dwelling and is in accordance With applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit Fees: ,Z?/z.,/~) . oo
Date of Payment: ~./?..~/~ /
Receipt Number: '7,~' ~ ~:~
(Rev. 12/00)
Waiver Fees:
Date of Payment:
Receipt Number:
July 26, 2001
Municipality of Anchorage
Development'Services Department
On-Site Water and Wastewater Program
4700 South Bragaw Street ·
Anchorage, AK 99519-6650
Subject:
Lot 10, Block 3, Glacier View Heights Addn. No. 4
Septic System Design and Permit Application
Impacts to Adjacent Properties
Dear Onsite Services Engineer:.
The owner of the subject property intends to construct a new four-bedroom home on
the lot. We are therefore requesting a permit be issued for the construction of a new
well and septic system to serve the new house. The attached Site Plan and backup
documentation identify the location and configuration of the new well and septic system
and the parameters used in the design. Also identified on the plans is the location of
the alternate site and the test hole location. Existing drainage patterns are shown and
will not be altered by the development of the lot.
Two test holes have been placed near the location of the new absorption bed and
alt,mate site. These'holes indicate silty sand with approximately 1.5' of organic
overburden. The sand is Underlain by a silty gravel. Percolation tests in the sand
resulted in rates between less than 15 and 17 minutes per inch. No groundwater was
found during placement of the test holes but was noted at 7.2' below the surface during
the monitoring period. The groundwater has been monitored for the past several years
during wet periods and has never ds~n higher than 7.2' from the surface. We are
therefore proposing to place an intermittent bottomless sand filter system on the lot due
to the proximity of the. groundwater and the availability of usable area for the absorption
bed. The top of the filter will be set at 2' below the surface to provide sufficient
separation from groundwater.
The ground surface on* the lot slopes as shown on the attached Site Plan with only
shallow slopes near the proposed septic system site. The new absorption bed will be
constructed on a'fairly fiat surface in conformance with Municipal requirements and
parallel to ground contours where possible.
If the system is constructed in accordance with our design the following statements
apply:
The system, if constructed as designed, will have no adverse impact on the wells
in the area or those to be constructed in the future.
Lot 10, Block 3, Glacier View Hts. No. 4'
· July 26, 2001
Page Two
The system, if constructed as designed, will have no adverse impact on existing
septic systems in the area or those to be constructed in the future.
The system, if constructed as designed, will have no adverse impact on reserve
space, either surface or subsurface, on any lots located in the area.
4. The system, if constructed as designed, will have no adverse impact on drainage
patterns in the area. The current drainage pattem will be maintained.
Sincerely,
Michael E. Anderson, P.E.
Attachments
c= ~.'3o'o7"
!
!
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!
LO
LOT ]0 RAS .47,,~6 -~GJ~T, I~' ARr'A
13,.~Z O~ THE: LOT ~' COVERED.
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!
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I
I
I
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!
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I I
/ / Proposed
/ / We1.1
/ /
/ /
/ /
/ .
T
/.
Four
~droom
HOuse
,~'
1;~00 Gallon
STEP Tank- %
'1 25"
' : Slope
to Li:
Statio]
I
~ain
ALoir-go~pres~pr
caEeo .in the
6
Shall ProVide a 0:
Gauge at this
Insid,
=' O. PVC
~2'X30
Alternate Site
· :'.PLAN
LDT'7
Be.
Contra
~s~
LOT 9
;SS
Filter
103
LOT 10, BLOCK 3, GLACIER VIEW HEIGHTS'
SUBDIVISION ADDN. NO. 4
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
4 Bedroom Home
Perc. Rate: 16 Min./Inch
Application Rate: 2 GPDISF
4 Bedrooms X 150 GPD = 600 Gallons Per Day
Bottomless Inter. Sand Filter
1,500 Gallon STEP Tank
2' Coarse Sand (See Spec.)
Air Supply Line (Anch. Tank)
6" of 318" Pea Gravel
600 GPD/2 GPDISF 112 LF (Width of Bed) = 25 LF Length of Bed
Therefore: Construct a Bottomless Intermittent Sand Filter System 12' Wide X 30' Long.
Distribution Piping to be Placed at 2' Below 0r. iginal Ground Surface. Place 2" of
Insulation Over Bed to Prevent Frost Penetration and Freezing. Backfill bver and Around
New System to Provide Sufficient Cover.
NOTE:
Grade Area to Drain Away.
Maintain 6' Separation From Bedrock.
BOTTOMLESS SAND FILTER DETAIL
Maintain 4' Separation From Groundwater.
Provide 3' of Cover or 2" Insulation and 2' Cover.
Maintain 100' Separation From Wells in the Area.
Grade Surrounding Area to Drain Away.
LOT 10, BLOCK 3, GLACIER VIEW HEIGHTS
SUBDIVISION ADDN. NO. 4
DESIGN FACTORS:
SYSTEM REQUIREMENTS:
4 Bedroom Home
Perc. Rate: 16 Min./Inch
Application Rate: 2 GPD/SF
4 Bedrooms X 150 GPD = 600 Gallons Per Day
· Bottomless Inter. Sand Filter
1,500 Gallon STEP Tank
2' Coarse Sand (See Spec.)
Air Supply Line (Anch. Tank)
6" of 318" Pea Gravel
600 GPD/2 GPDISF 112 LF (Width of Bed) = 25 LF Length of Bed
Therefore: Construct a Bottomless Intermittent Sand Filter System 12' Wide X 30' Long.
Distribution Piping to be Placed at 2' Below Original Ground Surface. Place 2" of
Insulation Over Bed to Prevent Frost Penetration and F. reezing. Backfill ~ver and Around
New System to Provide Sufficient Cover.
'" J
'PROFIL].E VIEW
NOTE:
BOTTOMLESS SAND FILTER DETAIL
(NO SCALE)
Grade Area to Drain Away. '
Maintain 6' Separation From Bedrock.
Maintain 4' Separation From Groundwater.
Provide 3' of Cover or 2" Insulation and 2' Cover.
Maintain 100' Separation From Wells in the Area.
Grade Surrounding Area to Drain Away.
PERFORMED FOR:
LEGAL DESCRIPTION:
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COMMENTS _
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 'L" Street. Anchorage. Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
¢~\0-o e¢ ~/, ~_,_._,4[~j Townsl~ip. Range. Section.
w^s GROU.D W^TER
ENCOUNTERED?
IF YES. AT WHAT
DEPTH?
Depth to Water Atler
Nonitorin
SLOPE
Gross
Time
I ~ ~V'., . A ',.'"x- ,, t
DATE PERFORMED:
SITE PLAN
Net
Time
Depth to
Water
; Zo ~-
Net
Drop
PERCOLATION RATE ~ Im,nuleS/,nchl PERC HOLE DIAMETER
TEST RUN BETWEEN 2 '/2. FT AND ~ FT
q
ACCORDANCE. WI1H ALL SIAl[. AND MUNICIPAL GUIDELINL:¢ IN EFFEC1 ON THIS DATE
CERIlF¥ IHA! 1HIS 1[:51 WAS PERFORMED IN
Lot 10, Block 3, Glacier View Hieghts Subdivision
Percolation Test Moles
Date: August 27, 2000
To: Anderson Engineering
Anchorage, AK
From: David Mumford
Re: Lot 10, Blk. 3, Glacier View Heights
Soil Test
A third percolation test was performed for Lot 10, Blk. 3 tO confirm the' resuits of test
hole #2 analyzed on 9/13/96. Field measurements showed that/he distance between test
Hole #1 and Test Hole #2 actually was 85 feet, not 50 feet as indicated on the percolation
test performed 9/13/96. This was verified by measuring the distance between the existing
monitoring tubes. A third test hole was dug between the first two holes approximately 35
- feet from test hole #2 and 50 feet from test hole # 1 ( see diagram). Test hole # 3 was
excavated to a depth of 3.3 feet. Soil conditions were dry. A percolation test was
performed; the hole Was presoaked 3 times to a depth of 6 inches.
Reading Date Gross Time Net Time Depth of Net Drop
(minute) Water (inches0
1 8/26/00 1:30 0 4 · 0 ·
2 ,, 1:35 5 3.5
3 ,, 1:40 · 5 3.25
4 " 1:47 7 3.0 1
· 5 " 1:54 7 2.5 1 ½
Percolation Rate: 17 minutes / inch
Percolation hole Diameter 7 inches
A second percolation test resulted in a percolation rate of 15 minutes / inch
Monitoring tube #2 was measured and showed the water table at 7tt. - 8inches
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION AND MATERIAL SPECIFICATIONS
SUBJECT: LOT 10, BLOCK 3, GLACIER VIEW HEIGHTS SUBDIVISION
ADDITION NO. 4
GENERAL:
The scope of this project includes the procurement and placement of a
new 1,500 gallon combination septic tank and lift station and pressure
distribution system. Work also includes the construction of .a new 30'
long x 12' wide Bottomless Intermittent Sand Filter at the location
shown on the attached Site Plan: A minimum of 2' of coarse sand
meeting the specification from Anchorage Tank must be imported and
placed in the filter area. The 6" of pea gravel and distribution piping
must then be constructed atop the imported filter sand material in
conformance with specifications furnished by the supplier. The
distribution piping for the filter must be placed 2' below the odginal
ground surface at the area shown on the Site Plan to provide a
minimum of 4' separation to groundwater. All work must be completed
in stdct conformance with the manufacturer's requirements for
installation of the intermittent sand filter.
Construction shall be in accordance with the approved site plan,
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 all underground utility
locates and for the layout of the septic system and verification of the
location of all lot lines.
Unless specifically agreed .otl~erwise, the contractor shall be
responsible for final grading areas subsequently depressed from soil
settling. Property owner shall be responsible for revegetation of'
affected areas unless specifically agreed otherwise.
o
Contractors installing wastewater disposal systems must be certified
by the Municipal Department of Health and Human Services for
system installations. Owners installing their own systems must receive
prior approval from D.H.H.S. before beginning system installation.
SEPTIC TANK/LIFT STATION INSTALLATION
The 1,500 gallon septic tank/lift station must be constructed by a
certified tank manufacturer. Construction shall include an 18" manhole
to provide access to the lift station.
2..The septic tank shall be sufficiently bedded to prevent settling or
shifting of the tank.
3. All standpipes on the septic tank shall extend a minimum of 12 inches
above final grade.
4. Tanks installed without 4' of cover shall have a minimum of 2" of direct
burial insulation.
LOt 10, Block 3, Glacier View Heights
July 21, 2001
Page 2 of 3
5. A foundation cleanout shall be installed one to four feet from the
building foundatio.n. Two cleanouts are required between the tank and
the drainfield.
6. Final grading over the, tank/lift station shall be such that a positive
slope exists away from the septic tank.
ABSORPTION BED CONSTRUCTION:
1. Th~ absorption bed.shall be constructed to the dimensions shown on
the design. The bottom of the bed shall be within 2" of level.
2. Distribution piping must be placed level with perforations down atop a
level bed of drainfield rock. Rock should then be placed over the pipe
to .provide a minimum of 2" of cover.
3. A silt barrier or geotextile fal~dc must be placed between the drainfield
rock and the natural soil backfill.
4. Monitor t~bes must be 4" in' diameter and installed at the locations
shown on the design. The podion below ground must be perforated.
5.' contractor shall vedfy the septic tank.and drainfield are a minimum
100' away from any private water wells in the area, 150' from a Class
"C" Well or 200' from any community ~,ell.
6. ';Direct I~ury insulation must be' placed over the distribution system if
' less than'3' bf backfill depth is available. Finish grade over the trench
,' ..m.ust be mounded to prevent settlement or depressions.
7. Grade area surrounding the absorption trenches to drain away.
.8.. A. minimum 2' of accepting soil is required below the drainfield rock for
.a .5' ~vide trench. Contractor shall verify 'this condition prior to
· placement o.f the rock. All pockets of unaccePtable materials must be
· . removed and replaced.
MATERIAL SPECIFICATIONS:
· i;' 'The lift station must be constructed by a Municipally approved septic
tank .mh.nufacturer. 'An Orenco 20 OSI E)5 HHF-5 pump is
'ri~commended.. Anchorage Tank is a recommended supplier for the
' .materials required for this project.
.~;
2. 'The foilbwing pipe materials are approved for use in septic system
installations'in the Municipality of Anchorage:
C~st Iron'(perforated and solid), ASTM D3034 or P.V.C. (perforated
''and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and
ASTM D2662 or A.B.S. (perfoi'ated and solid).
· 2. Insulatioh shall be at least 2" thick extruded direct burial 'polystyrene
(Dow Chemical Co. Styrofoam HI or equal). ~
Lot 10, Block 3, Glacier View Heights #4
July 21, 2001
Page 3 of 3
3. Septic tank inlets and outlets shall be fitted with watertight couplings
(Caulder, Fernco, or equal).
4. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed
between the final drain rock layer and the native soil layer.
5. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing
the #200 sieve.
EQUIPMENT SPECIFICATIONS:
1. Air Supply Line shall be a Wasteflow Emitterline, %" inside diameter
from Anchorage Tank. Line shall be insulated with %" foam pipe wrap
inside a 2" Schedule 40 PVC Jacket buried a minimum 3' below the
surface.
2. Air Compressor shall be a Thomas Industries Model 5070 as supplied
by Anchorage Tank. Compressor shall be located in the garage or
crawlspace.
3. A'pressure gauge calibrated from 0 to 10 PSI shall be furnished and
installed in. line with the air line. The gauge shall be mounted in an
area which provides easy viewing and is seen on a regular basis Such
as the entrance to the home.
4. Material for Filter Sand must meet the following gradation:
50% or More Passing the No. 4 Sieve
2% or Less Passing the No. 100 Sieve
1% or Less Passing the No. 200 Sieve
INSPECTIONS:"
A minimum of two inspections are required by Municipal Ordinance.
These inspections must be conducted under the supervision of a
professional engineer registered in the State of Alaska. The first
inspection must be conducted after the excavation of trenches, beds or
pits and before the installation of any gravel. A septic tank may be set in
place, but may not be backfilled..
The second inspection must be conducted after the placement of the
· geotextile fabric, gravel, distribution piping, standpipes, cleanouts and
insulation. No backfill should be in place at the time of inspection.
Contractor'shall provide a copy of all field survey layout and construction
notes for use in preparing the certified as-built of the completed system.
89/16/2001 03:14 317-551-9820 C-I2 BUSH PILOTS PAGE 01
TO:
Municipality of Anchorage
15 September 2001
Development Services Departmem
On-Site Water & Wastewater Program
From: Doug Juback
PO Box 6331
EAFB, AK 99506
Subject: Request approval for installation of Septic Tank and Disposal Field
by Owner/Builder
This letter is to inform you that I intend to personally install my Tank/Field.
All construction will be in accordance with those requirements delineated on
my Initial On-Site Wastewater Disposal System Permit (Permit Number
SW0103 I0). I have over ten years experience in the construction business
and am qualified to build to required standards. Andersofi Engineering will
conduct required inspections. My home number is 688-5003, cell 440-5030,
and work 551-3095.
Thank You
Douglas W. Juback
Rick Mystrom.
Mayor
c pauW of Anchorage
Department of Health and Human Services
825 "L" Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
http://www.ci.anohorage.ak.us
~unc 7, 2000
David Mumford
1574 Th~a Ave.
Anchorage, AK 99507
Subject:
Glacier View Heights #4, Block 3, Lot 10
Permit # SW990207 PID # 050-501-43
The subject permit #SW990207 issued by this office for a single family well and/or on-
site wastewater system, is due to expire 365 days after it's issuance on July 19, 1999.
If this is a well permit and you have drilled the well, a well log must be sent to this office
for documentation of the installation and to close the permit.
If this is an on-site wastewater system and a licensed Professional Engineer has inspected
the installation, the original as-built inspection report must be sent to this office for
review, approval and documentation. All inspection reports must be submitted within 30
days of construction completion.
A new permit must be obtained from this office for a well and/or on-site wastewater
system NOT installed by the expiration date. However a new permit can be issued free of
charge for a second year if the application for the renewal is received on or before the
date of expiration of the original permit for which a fee was paid.
When applying for a new permit after the original permit has expired or for more than a
second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well
permit.
If you have any questions, please call this office at 343-4744.
Sincerely,
Program Manager
On-site Services
enc: Copy of Permit
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Se[vices
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Jul 19, 1999
Expiration Date: Jul 18, 2000
Permit Number: SW990207 Parcel ID: 050-501-43
Legal Description: GLACIER VIEW HEIGHTS ~N. BLK 3 LT 10
Design Engineer: 09ggqqen, c Rsq[;ir~'~'r~c~U¢5'-~c~'-~ Site Address:
Owner Name: David D. Mumford Lot Size: 47426 SQ. FT.
Owner Address: 1574 Thuja Avenue Total Bedrooms: 3 Permit Bedrooms: 3
Anchorage, AK 99507-
This permit is for the construction of:
[] Disposal Field [] SepticTank [] 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 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.
David D. Mumford, P.E.
1574 Thuja Avenue
Anchorage, AK 99507
Re: Lot 10, Blk. 3, Glacier View Heights Subd., Unit No.4
This is a request for an on-site septic permit for Lot 10, Blk. 3, Glacier View Heights
Subdivision, Unit No. 4. The percolation tests were performed for the lot on September 22,
1996. At the time of the percolation tests were performed monitoring tubes where installed at
both test hole sites. The two test holes have been monitored for ground water fluctuation for the
past three years starting each April and ending in October. The results of the monitoring indicate
the water level is static and has not raised above 4.2 ft. in test hole #1 and 7.0 feet in test hole #2.
The design is based on the 7 foot water level at test hole #2. In preparation for the house
construction the lot was topographically surveyed. In the area proposed for the primary and
alternate septic drainfields the grade is approximately 9%.
David D. Mumford, P.~. ~,
~0 IL.
PERFORMED FOR:
LEGAL DESCRIPTION:__
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Municipality of Anchorage
DEPARTMENT OF FIEALTH 8, HUMAN SERVICES
025 -L" Street. Ar~chorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
Township, Range, Section: 'T" I~ '~' [
ML
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
SLOPE
SITE PLAN
I
.L~·
(> ,0 .~
PERCOLATION RATE _l~/~- (minutes/tach] PERCHOLE DIAMETER
Municipafily of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
2
3:
DATE PERFORMED:'~~
8-
9-
10-
11
13-
14-
15-
16-
17-
18-
19-
20-
Township, Range, Section:
WAS GROUND WATER
IF YES, AT WHAT
DEPTH?
SLOPE SITE PLAN
I~onitoring? ~, Z Dale:
I Gross Net Depth to Net
Reading Date Time Time Water Drop
PERCOLA]IONRATE __](¢ tm,nutes/,nchIPERCHOLEDIAMETER
~EST RUN ~ETWEEN ,~.l/~_ FT AND
ACCORDANCE WIIrl ALL SIAl E AND MDNICIPAL ODIDELINES IN t FFECI ON TIllS DATE
_ CER11FY IHAT DilS TEST WAS PERFORMED IN
LUT 10 IIAg 47,42_6 SO.IrT. UF AREA
13.5;'. ur' IlIE LfJl' 15 CEIVERED.
NUHIJER DELTA RAIJlUS ' LENGIlI'
CI 38'30'07 ' ~ ~
L. EIT ii
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I... lIT 6
453
PRIMARY SITE
I~l TH 2
ALTERNATE SITE
15 7.5 5 15 ,30 60
VERTICAL DATUM W~A.S_,AS_SU. MED. VACANT
LOT 1, BLK 3
GLACIER VIEW HIEGHTS SUBD
UNIT NO. 4
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On-Site Water & Wastewater Section - Fax: 907-343-7997
Certificate of On-Site Systems Approval 7
Parcel I.D. 050-501-43 Expiration Date: 10 L-1
1. GENERAL INFORMATION
Complete legal description Glacier View Heights #4, Block 3, Lot 10
Location (site address) 22753 Columbia Glacier Loop Eagle River, AK
Current property owner(s) Tammy & James Walker Day phone (907) 360-9902
Mailing address 22753 Columbia Glacier Loop Eagle River, AK 99577
Real estate agent Day phone
2. TYPE OF DWELLING:
El Single Family (w/wo ADU)
E Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well Private Septic
Water Storage ❑ Holding Tank ❑
Community Well ❑ Community ❑
Public Water System ❑ Public Sewer Lf
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ `-VVI•-U"0 Waiver Fee $
Date of Payment l t 17-0q Date of Payment
Receipt Number or l 4 Receipt Number
COSA# 3SC(9z73 Waiver#
t91av ask.
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. I acknowledge that On-Site staff may visit the site to verify the information submitted.
Name of Firm Forge Engineering Phone 907-522-7773
Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503
Engineer's Printed Name Michael E. Anderson, P.E. Date 7/1/19
4,41.4
v ti
6. DSD SIGNATURE 7 9th
System #1 Approved for 4 bedrooms • =MICHAEL E ANDERSON
trifti• No. CE-4381 •' �'�/
System #2 Approved for bedrooms • ,ti''••• 7/1/19 ••,•� '�
Disapproved �•4.4()F •,�4
Conditional approval for bedrooms, with the following stipulations:
�QPj\TYt OF�, i�"44f( 11?: :4°Pt/rON-SITEWATERANDWit-
aASTEWATE
PROGRAM o
��c�S E 8111 GO`,\
'1)/)))111111)\)'
�
By: Original Certificate Date: -7- 2—'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 Checklist blue sheet
COSA Checklist
Legal Description: Glacier View Heights #4 Block 3 Lot 10 Parcel ID: 050-50143
If more than 1 septic system on lot: COSA Checklist# of Structure served by this system
A. WELL DATA
❑■ Well log is filed with Onsite (or attached) Well production at time of test 4.3 gpm
Date drilled 5/7/2002 Water storage tank volume gallons
Total depth 225 ft Well disinfected for coliform test? ❑Yes ❑ No
Cased to 224.98 ft Coliform bacteria is Negative
Sanitary seal is functioning correctly Nitrate mg/L ❑■ Nitrate less than MRL (ND)
❑Q Wires are properly protected Arsenic ug/L ❑t Arsenic less than MRL (ND)
Casing height (above ground) 18 in. Collected by Forge Engineering
Date of flow test for COSA 6/10/19 Date of Sample 6/7/19
Static water level at beginning of test NA ft.
Comments Artesian well.
B. TANK DATA C. LIFT STATION
Age of tank(s) 17 years ❑■ Required maintenance completed
Tank type/material S.T.E.P/Steel Age of lift station 17 years
Measured operating fluid level in septic tank NA Lift station material Steel
❑� Standpipes/foundation cleanout per record drawing Comments: Inspected 6/28/19 by A+
Date of pumping Not required per inspection-A+ 6/28/19
D. ABSORPTION FIELD DATA IDSF BED
Which system tested (date installed) 6/27/19 Adequacy test date New Construction
❑t ALL standpipes present per record drawing Results ❑Pass For bedrooms
Total measured depth from grade 3.6 ft(max) Fluid depth prior to test in
Measured depth to pipe invert from grade ft(min) Water added gal
❑■ N/A—pressurized field New depth in
❑Q Monitor tubes go to bottom of effective. If not, state Elapsed time min
depth into effective
❑� Code-required soil cover over field Final fluid depth in
❑ System presoaked Absorption rate gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months)
date of test)
Gallons introduced gallons If yes, enter date
Comments/Deficiencies:
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100'
0 Yes if No ft E Yes if No ft
Neighboring Tank > 100' 0 Yes if No ft Private Sewer/Septic Line >25' i0 Yes if No ft
Absorption Field on Lot> 100' 0 Yes if No ft Holding Tank > 100' 0 Yes if No ft
Neighboring Absorption Fields > 100' Animal Containment> 50' 0 Yes if No ft
0 Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' 0 Yes if No ft i0 Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' 0 Yes if No ft Surface Water> 100' 0i Yes if No ft
Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots:
Absorption Field > 5' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft
Water Main > 10' i0 Yes if No ft Community Wells > 200' 0 Yes if No ft
Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' Q✓ Yes if No ft If absorption field is under driveway comment below
Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots:
Water Main > 10' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft
Water Service Line > 10' 0✓ Yes if No ft Community Wells >200' 0 Yes if No ft
Surface Water> 100' 0 Yes if No ft
F. ENGINEER'S COMMENTS
Intermittent Dosing Sand Filter reconstructed on 6/27/2019.
G. ENGINEER'S CERTIFICATION .4100hsvata li.4
I certify that I have determined through field inspections and review • '�P:••'• •.:.. �j
of Municipal records that the above systems are in conformance with : Gj.o I, •. 9 -.
MOA COSA guidelines in effect on this date. i 'V_49th e* ..
alTa
ji VA MICHAEL E. ANDERSON :si
1* s• No. CE-4381 ���
+v �c ••y 7/1119 .•••4. • ct-1
COSA Checklist yellow sheet +.'hi. :......No.......
HOUSE DETAIL N N.
Scale: 1" = 30' \ N
a ,s� \ \ Lot 6
`S ;� �-
/ S
N
q,QA / S'4
A'0,0 / F /
'
a� 's T / N 9?8?. / Lot 7
/
,ry / / N\
2 STORYet
RESIDENCE / ��•
�� Lot 10 ,'� _
�,o h 's• / / 47,426 S.F. 1N
M� h 6•
1.1' ' ,' �� 90., / b `�?S, WELL 10' DRAINAGE
�,, ^ EASEMENT
CANT Lot 1 A, / 100' PROTECTIVE RADIUS
1.1' /Q
/ I
\ /4) / iPilit
/ ............ SEE HOUSE 71 5, N
10' DRAINAGE EASEMENT ` Q tzr;;c DETAIL
a,
/ PAVERS at"A' /
PATIOS 1,r,., ASPHALT U'
/ N. ����� DRIVEWAY• / '
a,A`ti' xr > m Lot 9
\\ / / \ OVERED • • N
\ PAVERS . '� -t...\ \\ PATIO
\\\\ / / SWING at ` • f
iO `
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ASEMENT
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PLOT PLAN _ AS BUILT X SCALE 1" = 50' GRID SW 0159 Project No. 19-263/A2
11500 Daryl Avenue, Anchorage, Alaska 99515-3049
Lang & Associates , inc . (907) 522-6476 Phone
(907) 522-4625 Fax �'op F A e� 44
Professional Land Surveyors kenOlangsurvey.com ,9
jonathanOlangsurvey.com ' .• • „..1..
I hereby certify that I have surveyed the following described property: o��P �)\ �O
LOT 10, BLOCK 3, GLACIER VIEW HEIGHTS — UNIT No. 4 (PLAT No. 85-185) *' 49L �� *0�
Anchorage Recording District, Alaska, and that the improvements situated thereon are Q
within the property lines and do not encroach onto the property adjacent thereto, that Q
no improvements on the property lying adjacent thereto encroach on the surveyed Q
premises and that there are no roadways, transmission lines or other visible Q j0c KENNETH G ��
easements on said property except as indicated hereon. '
�. ° °��'1�S�a 02.•'' G
Dated this the Dayof d��" '2 J G
���1 at Anchorage, Alaska ��' 4go SsioNAL tQ�O
It is the responsibility of the owner to determine the existence of any easements, �Oppp000
covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963
MUNICIPALITY OF ANCHORAGE
ADVANCED WASTEWATER TREATMENT SYSTEM
MAINTENANCE AND REPAIR AGREEMENT
THIS MAINTENANCE AND REPAIR AGREEMENT,herein the"AGREEMENT"made and
entered into as of this p2�- Day of Jl x,Z of 20 1/,by and between
3� Q11%AV 0€k J ,herein the"OWNER,"and the Municipality of
Anchorage,herein the"MUNICIPALITY",in accordance with Anchorage Municipal Code
(AMC) 15.65.365. In consideration of the mutual covenants contained herein,the parties to this
Agreement agree as follows:
1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the
Owner to utilize and operate an Advanced Wastewater Treatment System(AWWTS),
described as // 111 % ' _ D,S1 ••• /Act r 7 ! "F
located at(legal description)) / P
/fit Cif'" Vre l`&l�h. # P)(04._ 3 Let (0
2. Maintenance,Repairs and Alterations.
/I (Owner is required to read, understand and initial each section)
._.>/t0 Throughout the term of this Agreement.the Owner shall enter into a service agreement
with an AWWTS service and maintenance provider approved by the Municipality or the
manufacturer's representative. The AWWTS shall be maintained in a satisfactory
condition capable of performing as designed and producing treated septic effluent in
accordance with the equipment's approval for operation in the Municipality.
...463 It shall be the responsibility of the Owner during the term of this Agreement to pay for all
repair(s), maintenance,adjustment(s),replacement costs,and inspection costs. This
includes an annual maintenance fee(typically$400 to$600).
!? Owner agrees that only maintenance and repair personnel approved by the Municipality
or the manufacturer's representative will inspect and make any necessary maintenance,
repairs or permitted alterations to the system.
Owner acknowledges that regular maintenance of an AWWTS reduces the potential
failure of the system,which could include sewage backup and costly repairs or drainfield
replacement.
(rev. 05/18/2018) Page 1 of 3
-.4e.0 Owner acknowledges that the Municipality may request records of maintenance and
pp repairs from the manufacturer's representative or maintenance provider.
‘-3QW Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be
Aoassessed in accordance with AMC 14.60.030.
Owner agrees to grant the Municipality reasonable access to test and inspect the
WAWWTS. The Municipality will give at least 24-hour notice.
Owner agrees that any sale or transfer of title of the property will not occur without a new
Certificate of On-Site Systems Approval.
Owner agrees that the AWWTS installation and maintenance requirements as provided
by the AWWTS vendor/installer and approved by the Municipality are the governing
guidelines for the construction,maintenance and repair of the Owner's AWWTS.
Owner agrees to maintain remote monitoring of the AWWTS as required by the
AWWTS approval.
3. Term. The term of this Agreement shall begin on the date of approval by the
Municipality to operate the installed system,or upon transfer of title,and shall continue
while the AWWTS is operational or until title is transferred.
4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this
Agreement shall in no way constitute a waiver of the provisions,nor in any way affect
the validity of the Agreement or any part hereof,or the right of the Municipality
thereafter to enforce every provision hereof.
5. Amendment. This Agreement shall only be amended by authorized representatives of
the Owner and Municipality. Any attempt to amend this agreement by either an
unauthorized representative or unauthorized means shall be void.
6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be
brought in the Superior Court for the Third Judicial District of the State of Alaska at
Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the
parties under this Agreement.
7. Severability. Any provisions of this Agreement decreed invalid by a court of competent
jurisdiction shall not invalidate the remaining provisions of the Agreement.
(rev. 05/18/2018) Page 2 of 3
OWNER:
By: (32--)tabjis1 ignature) Date: i /2--(o/ 11
s v�Y1 Vl. 00,��ks (print name)
STATE OF ALASKA )
)ss.
THIRD JUDICIAL DISTRICT )
The foregoing instrument was acknowledged before me this A.4,day of \/144%-a--- ,
20/9,by `r7h01- r11 , tl0.--
a ` �\1111111111/1l/*���i'
NOTARY PUBLIC FOR AL SKA '•` �,�•: `f'• J��.
My Commission expires: ..__51.3A .--; -(
`4 ::Tc
ailrnnuill.�
MUNICIPALITY:
By: - 4�� r (signature) Date: 7 2 —/ 7'
(print name) Title:
(rev. 05/18/2018) Page 3 of 3
-
MUNI�7P MZFY OF ANcHORAGE-Commum y Development Uep teat-wJa Bite Water&Wastewater Program
P:907 343.7944-F:9O7-3-43-7997•P.0 Box 196659 Anchorage,AK 9'9.519-6650•Intp:/Ywu w,mur,i.ombuitaj
Intermittent Dosing Sand Filter
Maintenance Log
Owner Street Address ;'21x.3nt�r*� sic. (Iociir' Leo?
Phone _ _.....__.._ Legal Oesc, --- _.. PIO
Septic Tank:
-Sludge level _ s._inohes -Pumping: required c_ O -Pumping completedyes no
Absorption Field:
-Liquid level _ inches -Flushing valves per approved design no
-All flushing valves opee d,distribution lines flushed,and flushing valves closedye no
Lift station: '�"�
Pump basket cleaned 0 no -Biotube effluent filter leaned Giar r
-Timer float setting inches -High level float setting inches -Reference point) 41sT
-Pump on A/f/f seconds -Pump off W4 minutes Nota 2
•Cumulative lifetime cycles A/ -Cumulative run time /VJ4 hours
-Operation satisfactory 6 no
Air System: --��
-Air pump fitter cleaned esl no -Air pressure psi
-Date of latest install or rebuild .O 11 -An system operation, satisf?story not satisfactory
Alarm Svstem:
-Dedicated electrical circuit es_no -Audible and visual alarm inside dwelling ()no
-Float setting .inches -Alarm system operationa8sfact not satisfactory
Comments: Not,.
.,...l.3e ix„) fl-=sa.*.xa,..F ila e9 1 n 5:4nr-A. l...4,7 5JxaQ
Maintenance Provider;
Technician (,r;s c2?E?. IrtS Date of maintenance,:Y:4
Company J P 1 3c, lel Y98 Son`
signature Cebe ��t� tJrJ P
-ASF Maintenance Log,_44031?,.doC
