HomeMy WebLinkAboutTHE TABLELANDS #2 BLK 9 LT 10Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211333 PID Number: 051-741-67 Dwelling: R Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New R Upgrade Name TIMOTHY DABNEY & MARTA BUSCAGLIA C/O ARM SEPTIC SRV. ABSORPTION FIELD Site Address ❑ Deep Trench ❑ Wide Trench X Bed 19 Mound 22604 DEER PARK DRIVE, CHUGIAK, AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-688-9433 5 *0.5 GPD/SF SEE DWG. Ft, LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot SEE DWG. Ft. 0.51 Ft. THE TABLELANDS #2 9 10 Fill added above original grade Gravel length Township Range Section SEE DWG. Ft. 75 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 20 Ft. 4 5 Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches Tank Field Lift Station Tank Line 1500 Ft' From - - Ft. Well PUBLIC PUBLIC PUBLIC — 25'+ T v Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water EXIST. *50+ EXIST. - Gal. Material NuMbe compartments Lot Line EXIST. 101+ EXIST. - NA Foundation EXIST. 10'+ EXIST. - TATION Manufacturer Capacity Remarks *THIS IS AWWTS 't�efL Int. SLtS Gal. l?�__�-:c� Alarm location Electn i ailed by �ory ti`o2 .Ili tJnr� : + S Int _04 CE�o PIPE MATERIAL House to tank EXIST. Tank to D1785 Installer drainfield ARM SEPTIC SERVICES Drainfield D1785 CO/MTD3034 Inspector GEG CONSULTANT, JODY MAUS BENCH MARK (Assumed elevation) 100.00 It Inspection ection 1" 7/7-8/22 2nd 7/11/22 Location and description 3'" 7/12/22 41" 7/12/22 FRONT DOOR THRESHOLD ONSITE WATER AND WASTEWATER SECTION APPROVAL I Engineers Sfamp Approval: Septic System Approved Note: this (Rev Date %- Date 6 Z not include well permit requirements. a? 411L�F 4 . Gc ness: OQ 9 CE 795 ;' v� 2�..zg 0 0 f essi00�oo #AECC884 ��OOOOo� PERMIT NUMBER:RECORD c p /� ! ! n PARCEL ID NUMBER: RE OSP211333 CORD DRAWING 051-741-67 r_ —jI DEER PARK DRIVE VATER MAINS. LOCATION PER AWWU RECORD DRAWINGS— GEG 20 MENS \ TH#1 1,5 UT\U1T �"APPROXIMATE LOCATION OF S&S ENG. TEST HOLE (2004) . •. \CONNECT CARD ----- '\ EXISTING 1500 -GALLON BIOCYCLE UNIT— EXISTING 2000 -GALLON STEEL STEP TANK. TANK WAS EXPOSED AND FOUND INTEGRITY TO BE GOOD— :a • -- -_ IFV4--__-'_------ — t "" ASSUMED FV3 _ OCATION OF f WATER LINE. FV2 LOCATION PER F71 AWWU WATER 100.3 SERVICE 45.8 •. \CONNECT CARD ----- '\ EXISTING 1500 -GALLON BIOCYCLE UNIT— EXISTING 2000 -GALLON STEEL STEP TANK. TANK WAS EXPOSED AND FOUND INTEGRITY TO BE GOOD— :a • ,• • • . i . 88.4 ti :.� d MT3 A 51.5 100.8 FV1 d' 51.9 100.3 FV2 45.8 55.8 103.1 FV3 51.1 60.4 106.4 FV4 -4 55.9 64.6 109.4 5-gF ROpM 58.0 67.0 HOUSE WM WMA MT1 77.8 1 60.1 58.0 MT2 88.4 73.8 75.8 MT3 39.8 51.5 100.8 FV1 41.2 51.9 100.3 FV2 45.8 55.8 103.1 FV3 51.1 60.4 106.4 FV4 -4 55.9 64.6 109.4 MF 58.0 67.0 111.8 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. NOTE: ALL CONTAMINATED MATERIAL FROM OLD DRAINFIELD WAS REMOVED ; AND FILLED WITH TYPE IIA MATERIAL / APPROXIMATE\ \ LOCATION OF ` FRENCH DRAIN \ '2 !O �\ Y , NEW 20 FEET WIDE BY 75 FOOT LONG DRAINFIELD. '2 a „ FOUND LOCATION OF GEG TH#2 2005 DURING i ) %CONSTRUCTION 47gi b �O O N SCALE: 0 1"r 30' s ®®` OF pp ®® m4 49 •�'� ®�� �c.....: 9 .•......... f.....................� ENGINEERING- SALES - CONSULTING 3701E TUDOR ROAD SURE 101 • ANCHORAGE, ALASKA • PHONE (907) 337-6179' WEBSITE. w .gamessangineering wm .... .. ®.� ............. �R...... .m PREPARED FOR: C/O ARM SEPTIC SERVICES PHONE NUMBER: PAGE NUMBER: ®Cn r y A. Games Lv TIMOTHY DABNEY & MARTA BUSCAGLIA 688-9433 2 OF 3 CE -79 3 / •' PROJECT/LEGAL DESCRIPTION: DRAWN BY:®B '•.•• �`.• �ip ® THE TABLELANDS #2; BLOCK 9, LOT 10 J.L.M. fie® Fp "p•••.L...... „,i�+`•P� ®® TYPE OF WORK: DATE: 444®E�S®��`®®� RECORD DRAWING FOR DRAINFIELD UPGRADE 9/7!2022 # LICENSE 4 \ Yk PERMIT NUMBER: PARCEL ID NUMBER OSP211333 RECORD DRAWING 051-741-67 U) W wod< W (D < 0- 0 W¢(nM 'IT 00 6� cp 0w 00 LL co W m < !� m 5.: :� c:) 0 J u- z o z 0 - r— < 2 < c:) z (L ()F- z a) w (Y) 3: uirn NOTE: THE ENTIRE MOUND AND ALL DISTURBED; NOTE: BENCHMARK IS THE FRONT 0— 0 AREAS HAS TOPSOIL AND HAS BEEN SEEDED. DOOR JAM (THRESHOLD)= 100.00 INSTALLED FLUSHING VALES AT END OF FINAL GRADES = 101.11-101.93 EACH DISTRIBUTION LINE WITH COVERS 2+ FEET OF COVER OVER TOP OF INSULATION (SEE NOTE) 1.25"SCH. 40 PVC DISTRIBUTION LINES T3 WITH 3/16" HOLES SPACED 5-FOOT ON MT1 3:1 SLOPES 3:1 SLOPES MT4 FV1 CENTER - HOLES FACED DOWNWARD MT2 'K FV2 2" OF INSULATION (60 HOLES TOTAL IN DISTRIBUTION LINES) FV3 FV4 L 1 3 z! FILTER FABRIC FV1 FV2 FV3 FV4 ro cl) Z? 09 w mu :0 EE :5 �F U) LLIW w _jy LL < INVERT ELEVATION OF C) DISTRIBUTION LINES 98.71 0. zg LL ELEVATION OF TOP OF NEW FILTERO SAND BOTTOM OF DMINROCK 98.20 &Y O0 \,--TOP OF MOA TYPE IIA V w MATERIAL/ BOTTOM OF NEWy LL 0 0 MOA FILTER SAND = 96.00 C7„ wo0 of o -J IL \\-2.2 FEET OF MOA FILTER SAND co u- 91.96-94.00 - EXCAVATION LIMITED TO THE 2-4.04 FEET OF MOA TYPE IIA MATERIAL 0 REMOVAL OF CONTAMINATED MATERIAL AND OLD SAND/FILL. EXCAVATED TO NATIVE SOIL. BOTTOM OF EXCAVATION WAS SCARIFIED. 4 vz z BOTTOM OF OLD FILTER SAND = 95.70 (PER STEVE PANNONE, P.E. 2011 RECORD DRAWING) 0 W 75 FEET LONG ca S2 Cl 00 W W 3:U LL w 0 F- w W (L ........ ... . �Aw AV Aff 49 .......... I .......... 0 h'z0 0 Y ........ ...... 0 - A. G ess a -fox C795 9 .... 4W LICENS TA ESS\Ila #AECC884 &0 N m W V) 0 LLI V) > U) to LLJ Lj I — V) of t -1 C', opm 1 ISin u�AC-)V)3:C-40O LaV)C14-J.- < 1- 0 0 Z) M V-00, D CL A=7 O 0 a- Oc 0 < 0 X C 00-0 CL L" C4 0 'E E 0 CA 0 U') W Ln :3 C; 0 0 E z -C -C :1 v,:a -C IV c U') It- WN & — () V) to-tilc -� O.T c 0 _x 4:; - [---a > (D u) / /< 3-1 2.. 1 1 as :5 !! 40, ZI0� 5- :03 Lcr*4) tcn*4 0:�i O.M QW 0 a cq V) 3 o a- —0 0 C; c - I L- cli 0 oz C) o o c 0 -E -E 00 o 0 r u) — a) a) 0 O -Z 0 ti - �, -X . 0 0 o 0,10 o -,o :i E por Lo vo' o Lj c a 0 0 0 t) (N Z 'i af 0 0 4) IL Z < az z w w 2 0 LIj (.) -.3 z uj 'Q c? _0 w LAJ M o Z \S1, 0 (D !i: C) 0 E 0 40D a CL u) 0 uj 'o — -L, W 0 C? 0 L, 0 olam -C U) 'rm z _o E= R < La ^'Og, 0— W (n Jo, ra (D r- Q-� =az a 0.�: —0 .0,01 V) L- %- Af " 1 0 M 00.2. .2 0 CL C/) L- -0 -0 'r. 1 CN U) Q) 4- V) -C CA f 0 0 aa Z o 7Z5 '5:. a "Ot. — 'o c 0 0 % 0c; c -0 'CO X1 Q a LLJ.2 0 t 0 C x o 0= M co La .013 0 uj z Q ca a- Ld Wwl. Lj > 0 r- < o Z C3 0 W z �c �: 5- < 0 Li m 0 C LAJ UJ Lj (n >�o 0 COL-ti.E: 0 zs > < LLJ 0� 2 0-0 , 0 N 00*0759"W 134.91' UJ U) t E a 0 -c OFC '0 z ID 41 C,4 L� o) Q) 0 > v) L� 5 CD 2 c1l :) CL oz 0 cssm 0 .01.- 2— CL 4=1 In 30.0' 0 20 0 a E E 4- > 0 0 0 0 o a — o CL 0 0 DATE SCHEDULED 3 O TIME INSPECTOR._* SUBDIVISION THE TABLELANDS #2 BLOCK/LOT/TRACT BLK 9 LT 10 INDICATEINORTH SIZE CONN 1" CORP. STOP CURB STOP C TO C FT. COPPER PIPE 1 1/4" OR 2" KEY BOX FT. THAW -WIRE THAW-PLATE/NUT KEARNY CONNECTOR OTHER 0�' �4tcr Per' �a:o7 S\ f� Kra 43-x S r i U(( DOMESTIC ONLY J__ BOTH FIRE & DOMESTIC FIRE LINE ONLY FIRE HYDRANT ONLY DATE OF TAPE / / BY SIZE MAIN i ALLEY I I STREET 11 EASEMENT TYPE MAIN EXCAVATOR DISCONNECTS i YES NO SIZE OF DISCONNECT COMMENTS KEY BOX LOCATIONam�D%,c C d F o 7` Dc'v rsaric-ter INSPECTION REPORT LINE BLOWN OUT 7 lad / QS— m INSULATED X K.B. & T.W. - OK AFTER BACK -FILL OPEN BORE FLUSH i ! 200 LB. TEST MAIN CHLORINATED / 1 CHLORINE FLUSHED X OK TO TURN -ON DO NOT TURN -ON INSPECTOR DATE cf7-" / 3o / OS COMMENTS ,qe,f MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196050 4700 Elmore Road Anchorage, Alaska S9s1n0Osu Ph '7904 Fax: (eo7)noa'ryn/ onp://vwnw.muo/urg/vosxo Permit Number: OSP211333 Work Type: Septic Upgrade Tax Code Number: 05174167000 Site Legal Address: THE TABLELANDS #2BLK 9 L 18 G:1559 Site Mailing Address: 22S05DEER PARK DR, ChuQiuk Owner: BUSCAGL|AMARTA & Design Engineer: GARNESSENGINEERING GROUP LTD This permit iafor the construction of: 0Disposal Field 171 Septic Tank [] Holding Tank [] Privy Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: 8/12/2021 8/12/2022 [] Private Well [] Water Storage All construction shall beinaccordance 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 (1OAAC80) 3. The wastewater code requires inspections during the installation. The engineer shall ' the Development t Services Department per AMC 15.G5.Provide notification bycalling (Q07)343'7SO4(24/' 4. From October 150nApril 15. a subsurface soil absorption system under construction during freezing weather shall beeither: — o. Opened and Closed onthe same day, or b. Covered, sealed, and heated Uoprevent freezing Special Provisions: Remote monitoring is required to be added to the Biocycle system. CO#1 Design changed due to tighter soils found. Receive( 5 , 'MUNICIPALITY OF ANCHORAGE ci+��zti..'��.eJ_._�-,"'w'�..:..��r>:.e,..7�."F"cE'^ ,:..�.w"qx��'r� 1� � ., ;r mow; .._T'�;-�..��,"°�-'y.`��::=a�s..�xctY�^✓`+��� ;��.� Development Services ®epanrnent Phone: 907 343-7904 On -Site Mater & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I . D. 061-741-67 Property owner(s) TIMOTHY DABNEY & MARTA BUSCAGLIA Day phone *688-9433 Mailing address *C/O ARM SEPTIC SERVICES - 17933 OLD GLENN HIGHWAY, CHUGIAK, AK 99567 nnr_nc nrr-r� nnov nn N" ^�UGIAK "r\ Site address GLVVU L EEE rr�nr� univ�, r i nn Legal description (Sub'd., Block & Lot) THE TABLELANDS #2; BLOCK 9, LOT 10 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms E APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (E all that apply) Absorption Field 0 Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank F-1Upgrade Duplex (D) ❑ Holding Tank F-1Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Pr i'vate vveii r__1 Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: #-5Q _5 Waiver Fees: Date of Payment: ,rte Receipt Number: 02398 G Permit No. 0_'S P-7- ( 1-33-7) Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc III 11111 11111 �. 1 June 14, 2022 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Change Order and Design Revision to Septic System Upgrade for The Tableland S/D #2; Block 9, Lot 10 Attention: Deborah Wockenfuss On August 12, 2021, a permit was issued by your department to rebuild the existing drainfield. The contractor started the rebuild in May of 2022, and during excavation it was noted that there was only minimal biomat in the drainrock or sand filter. This led us to believe the drainfield may be undersized. A confirmation test hole was excavated north of the existing drainfield. Several percolation tests were attempted, with each percolation bench getting further away from the drainfield; however, due to the saturated site conditions (assumed to be caused by the surcharged drainfield), the percolation tests kept being adversely influenced by water intrusion. A third perk was attempted near GEG Test Hole #2 that was logged in 2005 but was unsuccessful due to saturated soil conditions. The GEG percolation test performed in 2005 on TH#2 indicated a 120 minute/inch percolation rate. Based upon this percolation test and our recent observations, it is reasonable to believe that the existing drainfield is undersized. It is important to note that the soils are marginal, even for advanced wastewater system; however, instead of installing a holding tank, we are proposing to install a drainfield sized for a 120 minute/inch receiving soil with the hope that it will perform adequately. We have revised the design and detail drawings to show the new proposed configuration of the drainfield upgrade (see attached). We are proposing to use an application rate of 0.5 gpd/sq.ft. for the drainfield. This application rate is applicable for a Cat III system. The existing Biocycle AWWTS is rated as a Cat II system; however, we will be utilizing 2.2 feet of MOA filter sand with this design. We are asserting that after the Cat II effluent passes through 2.2 feet of MOA filter sand, the effluent will meet Cat III requirements (in terms of BOD, TSS, & Fecal Coliform) and that the bottom of filter sand square footage requirement will meet the 0.5 gpd/sq.ft. application rate. 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. S. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com N Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211333, Deb Wockenfuss, 08/12/21 NOTE: THE CONTRACTOR SHALL i h GEG, Ltd. HAS AN 8 PAGE SPECIFICATION LETTER HAVE THE 15' UTILITY EASEMENTS l / \ THAT PERTAINS TO THIS DESIGN. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE FLAGGED/STAKED LAND V A \ �\ ENGINEER, WELL DRILLER, CONTRACTOR AND REGISTERED LAND SURVEYOR by / PROPERTY OWNER AGREE THAT THEY HAVE PRIOR TO ANY CONSTRUCTION. / \ READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. WATER MAINS. LOCATION PER./��� ` \ AWWU RECORD DRAWINGS \ APPROXIMATE LOCATION ` OF FRENCH DRAIN APPROXIMATE MATE EXTENT OF — COVER ,,r ;\ .. \\ DEER PARK DRIVES S � GEG 2022 -',_'\• : �0fk . `` TH#1 PROPOSED 20 FEET WIDE `. F3sI;MEN� '<:. BY 75 FOOT LONG DRAINFIELD. SEE DETAIL �`� DRAWING FOR DESIGN CRITERIA AND DETAIL DRAWING, PAGE 3 OF 3. APPROXIMATE LOCATION OF WATERLINE. LOCATION PER MOA RECORDS APPROXIMATE LOCATION OF S&S ENG. TEST HOLE (2004) EXISTING 15 FEET WIDE BY 40 FOOT LONG DIMNFIELD. NEW DRAINFIELD >° DETAILDRAWING PAGE 3 OF 3E ` EXISTING 1500 -GALLON BIOCYCLE UNIT— ' EXISTING 2000 -GALLON STEEL STEP F TANK. TANK TO BE EXPOSED TO LAT./—, " WATER LINE AND INTEGRITY VERIFIED % '° ' "`' APPROXIMATE w°r61' sr1 LOCATION OF/ GEG TH#2 , ��Q' FCD (2005)/ g 5 gEDR ZOOM / c,VQ CQi HOUSE r OQO 0I �� 1171 '1_19 Ltd ' ENGINEERING , SALES , CONSULTING = 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, ALASKA' PHONE (907) 337.5179 • WEBSITE: www.gemossengineenng.com PREPARED FOR: C/O ARM SEPTIC SERVICES PHONE NUMBER: PAGE NUMBER: TIMOTHY DABNEY & MARTA BUSCAGLIA 688-9433 2 OF 3 PROJECTILEGAL DESCRIPTION: DRAWN BY: THE TABLELANDS #2; BLOCK 9, LOT 10 J.L.M. TYPE OF WORK: DATE: REVISED DESIGN DRAWING FOR DRAINFIELD UPGRADE 6/16/2022 w`®oaagg4VA P��. .�'�L,� Cf -7r3 0 LICENSE ®'P OEESS, ®4 •+ LICENSE GROUP, Ltd ENGINEERING, SALES CONSULTING . 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE. ALASKA • PHONE (907)337-6179*MBSrM.www.gamessengineeting.com SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: THE TABLELANDS#2; BLOCK 9, LOT 10 PERFORMED FOR: C/O ARM SEPTIC SERVICES DATE: 5/18/2022 DEPTH Y-6"ORGANICS (feet) TEST HOLE #1 1 8 9 10 11 12 13 14 15 16 17 18 DEPTH TO GROUNDWATER 1FILL y GM O. SM MIXED '� SOIL CLASSIFICATIONS 5/20/2022 RG GW - IIIIIIIII'ML N 11111!11GM%//%CL GCIINN • SWIIIIIIIIIMH y i %////,CH ���� 111,0001 cllll��l N ���on CtsOH 8 9 10 11 12 13 14 15 16 17 18 DEPTH TO GROUNDWATER DATE 'SEEP @ 4.6' 5/18/2022 8' 5/20/2022 6' 5/23/2022 SITE DATE READING NET TIME WATER LEVEL NET DROP READING (INCHES) (INCHES) ATTEMPTED MULTIPLE PERCOLATION TEST OVER SEVERAL DAYS IN MULTIPLE BENCHES. BENCHES IN NATIVE MATERIAL WERE BEING INFLUENCED BY SATURATED SOIL FROM SURCHARGED DRAINFIELD AROUND PERIMETER OF BED PREVENTING CONFIRMATION PERCOLATION TEST FROM BEING PERFORMED. SEE GEG 2005 TEST HOLE #2 FOR PERCOLATION TEST PERFORMED ON NATIVE SOIL. 19 PERCOLATION RATE (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN FT. AND - FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: N/A COMMENTS:- PERFORMED OMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FOR ED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: &/21//2Z r---------------- --------------------------------------------------------------------------- I " ® 4" MONITORING TUBE 1.25" SCH. 40 PVC WITH 3/16" HOLES SPACED FOOT ON CENTER - HOLES FACED DOWNWARD --INSTALL FLUSHING VALVE WITH COVER I I I 1 i I I I I I INSTALL FLUSHING VALVE WITH COVER I I I 1 I I I I � `INSTALL FLUSHING VALVE WITH COVER I I I I I I I 1 i INSTALL FLUSHING VALVE WITH COVER I 0 0 4" MONITORING TUBE I L------------------------------------------------------- DESIGN CRITERIA: NUMBER OF BEDROOMS: 5.0 GALLONS PER DAY (GPD): 750 PERCOLATION RATES: 120 MIN/INCH PROPOSED APP. RATE: •0.5 GPD/SQ.FT. MINIMUM DRAINFIELD SQ.FT.: 1,500 'USING CAT III APPLICATION RATE DRAINFIELD DESIGN: MAX. DEPTH: REMOVAL OF COMTAMINATED MATERIAUSOIL & INTO NATIVE MATERIAL WIDTH: 20 FEET LENGTH: 75 FEET M.O.A. TYPE IIA MATERIAL: 2 FEET M.O.A. APPROVED SAND FILTER: 2.2 FEET EFFECTIVE: 0.5 FEET ACTUAL SQ.FT.: 1500 3:1 SLOPES (SEE NOTE) 3 1F/ TOP OF SAND/BOTTOM OF EXISTING DRAINFIELD PER 2011 STEVE PANNONE, P.E. RECORD DRAWING = 97.70. ON 7/15/2021, GEG CONSULTANT, JODY MAUS, SHOT IN BOTTOM OF MONITORING TUBES TO THE BM AND FOUND THEN TO BE AS FOLLOWS: MT1 = 98.03, MT2 = 96.77, MT3 = 97.72, AND MT 4 = 96.69. LIQUID DEPTHS RANGED FROM 0.04 TO 1.37 FEET. DRAINFIELD APPEARS TO BE UNLEVEL AND PER OWNER & ARM SEPTIC SERVICES, THE DRAINFIELD HAS DAYLIGHTED OUT THE MTS SEVERAL TIMES - —1.25" SCH. 40 PVC WITH 3/16" HOLES SPACED 5 -FOOT ON CENTER - HOLES FACED DOWNWARD —1.25" SCH. 40 PVC WITH 3/16" HOLES SPACED 5 -FOOT ON CENTER- HOLES FACED DOWNWARD —1.25" SCH. 40 PVC WITH 3/16" HOLES SPACED 5 -FOOT ON CENTER - HOLES FACED DOWNWARD ----------------- I 4" MONITORING TUBE I I I I ------------------------------------------------------ 70'LONG LATERALS 75' LONG PLAN VIEW OF DRAINFIELD REBUILD SCALE: 1"=5' NOTE: THE ENTIRE MOUND AND ALL DISTURBED AREAS ARE TO BE TOPSOILED AND THE AREA HYDRO—SEEDED - INSTALL FLUSHING VALES AT END OF EACH DISTRIBUTION LINE WITH COVERS FEET OF COVER OVER TOP OF INSULATION (SEE NOTE) OF INSULATION TER FABRIC ------------------ L-7 ---- ---- ----- -.-- --- 1 BOTTOM OF EXISTING FILTER SAND = 95.70 (PER STEVE PANNONE, P.E. 2011 RECORD DRAWING) LONG (EXISTING 4" MONITORING T -------------- 1 i I I I 1 I I I I I I I I I I I I I 1.5" PRESSURIZED LINE FROM BIOCYCLE UNIT 20'V NOTE: BENCHMARK FOR EXISTING DRAINFIELD (PER 2011 STEVE PANNONE, P.E. DESIGN) AND FOR THE PROPOSED REBUILDING OF DRAINFIELD IS THE FRONT DOOR DOOR JAM (THRESHOLD) = 100.00 F u r- p ��/� � �(?� u tL `jam � A G � � t LL t .f � p� 4� P� t rf � �%(ri - ��l 61 fl,? - FEET l,? - FEET FEET OF MOA TYPE IIA MATERIAL LIMITS OF EXCAVATION = 94.00 SLOPES (SEE NOTE) 3 �1 0.50.5 FEET OF EFFECTIVE N O �-PROPOSED INVERT ELEVATION OF DISTRIBUTION LINES = 98.70 M PROPOSED ELEVATION OF TOP OF NEW FILTER O SAND / BOTTOM OF DRAINROCK = 98.20 A PROPOSED TOP OF MOA TYPE IIA MATERIAL/ ® { \ BOTTOM OF NEW MOA FILTER SAND = 96.00 t1 `2.2 FEET OF MOA FILTER SAND c 2(0 0 W U w06 Q (DWJ U dmU Qco COO Z) ED u- mQQI— of02< WUP:2- Ix IL ❑ _J Z) 0] _O Lli !- p O J J LU z Y U I1 p N O Lu (n J_ ❑ LL Q ZLU 11 p: J ❑ a 0] (n O z Ly W �Q �= O -t J I- �.®�J,�✓•� CE -7 5-3 LICENSE 4 ROFESS\6A.�• #AECC884 N N O N M O P') co w c 2(0 mY LU wo LL z0 m (9 co z -i W 0 �� a� (L (L 0 0 ❑ _J Z) 0] _O Lli !- p O J J LU z Y U I1 p N O Lu (n J_ ❑ LL Q ZLU 11 p: J ❑ a 0] (n O z Ly W �Q �= O -t J I- �.®�J,�✓•� CE -7 5-3 LICENSE 4 ROFESS\6A.�• #AECC884 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www. ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number: SW111306 PID Number: 051-741-67 Name: lan & Karla Dutton Wastewater System: [] New [] Upgrade Address: 22605 Deer Park Drive, Chugiak 99567 ABSORPTION FIELD Phone: Number of Bedrooms: 863-44§1 5 [] DeepT~nch [] ~.,o~,~no~ ~ ,~ ~ ~o.,~ ~ O,~.r: LEGAL DESCRIPTION so~ Rating: Total Depth from original grade: 2 GPD/Ft2 +2 Ft, Block: Lot: Subdivision: Depth to pipe boEom from original grade: Gravel depth beneath pipe: g 10 The Tablelands No. 2 +2 Ft. 0.5 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 2.5 .~. 40 Ft. Well: ~ New ~ Upgrade G,aw width: Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material: Class A {E) ~. .~. 600 .~ 3034 PVC Driller: Date Ddlled: Static Water Level: Installer: Date Installed: .t. Flintstone Const 10/29/2011 Yield: I Pump Set at: Casing Height Above Ground: GPMI Ft. Ft. TANK SEPARATION DISTANCES D Septic D Holding D S.T.E.P. ~ Other: BioCycle T~To Septic Absorption Lift Holding )ublic/Private Man~acturer: Capacity: F~om~ Tank Field Station Tank Sewer Line BioCycle 1500 ~[. Material: Number of Compa~ments: w., 200+ 200+ 200+~ . 200+ Fiberglass 5 Su,~c~w~,e 100+ 100+ 100+ ~ / LIFT STATION ,o, Une 65 17 35~ S~z~: ~n~u,e,: Gal. ,o.~,.~,o. 14 50 36 ",.m, on" level at: "Pump o~' level at: J High water alarm at: in in.l in. Cu~ain Drain 50+ 50+ 50+ Pump Make & Model Electri~l Inspe~ions pedormed by: Remarks: Reused existing 2000g S.T.E.P. Tank. Installed 3' of Engineered fill BENCH MARK Location and Description: under new drainfield. Door Jam Assumed Elevation: 100.0 Ft. Engineer's Stamp Inspections pedormed by: PANNONE ENG. SVC, LLC Dates: 1'~ 10/2512011 2"~ 10/2612011 Development Se~ices Depa~ment Approval Conditional Approval Date: , ..... ..... Reviewed and approved by? ,.. ~ ~ ~,),,( ~ ? Date: /i///// (~v o4~o6) , REMOVED ISF FIELDtE) & ALL ~ ~ ~ SEPTIC (E).-~ UNDERLYING ORGANICS. INSTALLED 40LFxlWxO.SED (N) INSTALLED SAND LINER 2' ~ ,NSTALLED ~oA ~, ;'% I"CU -/ SEPT C (E) ~ SERVICE ~ ~ ~ ~ ~ - ~ ~ ~ TO FIRST COMPARTMENT ~c ~:~:~ ~ , / / ~¢ / .1 s4.~ ~.o ~ / / oTM / M2 64 5 79 1 / / / / NOTES: p~o~ ~G ~C, L~ ~ ¢ 0~. AL~'~,~ o/~1/~ ,,~, ,~co~o ~.w.,o~.o. ,ox ~oo~z ,,c,o,,~, ,x ,~SlO ~ .... ~¢~, ~,~ ,,o,~ (~oz) ~z~-~ ~,x (9cz) ~z~-~ ~'~ ~ '~*'~ ~"=~o' lAN ~ KARLA DUTTON f¢~.~~q~PERMIT NO. 22605 DEER PARK DRIVE '- .'~ ,,,?g... ...¢¢~ o~,~1;o~ PLAN CHUGIAK, AK 99567 '~s~ Sheet ,~~ 1 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BEINSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE NtUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATI'ACHED SPECIFICATIONS. ,3. SCOPE OF WORK: REMOVE EXIST'G ISF FIELD IN FAILURE, INSTALL NEW FIELD, INSTALL NEW MODEL 1500 BIOCYCLE. REUSE EXISTING 2000 STEP TANK. F2" R.,. 1 ~" D,A BRA,, P~PE W/ ! r--3/16- ¢ HOLES O 24" O.C. . / 0.5' FILL TOP SOIL 100.5 ~,~ m ~ 5H:lV [;LOPES PICAL ~7~1~ - FILTER SAND (N) -3 ML -4 -- ~'~ ~ ~ MoA~PE II (N) -11 .Gu gEOTION ~ / /~DRAIN ROCK ~" ABOVE PIPE == / // ~NV / // ~ A" ~ DRArN PiPE ~z ~ / // / ~D~IN ROCK 0.5' BELOW ~ RECIRC LINE TO ~r / I - - 2%00gSTEP ~ BED TAUK (E) PROFILE MODEL 1500 BIOCYCLE (N) DESIGN PARAMETERS ABBREVIATIONS UPGRADE SEPTIC SYSTEM OU OOPPER NO. BEDROOM: 4 (600 gpd) DiP DUCTILE IRON PiPE TANK SIZE: 20009 S.T.E.P.(E) INLINE TH TEST HOLE BEFORE MODEL 1500 BIOCYCLE (P) FO FOUNDATION CLEAN OUT LEGEND PERC RATE = 16-30 MPI T~ TANK CLEAN OUT NO. SOIL RATING: 2 GPD/SF O~ CLEAN OUT NO. ~ W- WATER LINE/ AREA RQD: 300 SF M~ MONITOR TUBE NO. WELL RADIUS SYS. ~PE: BED 0.5' E.D. IO'W MIN LENGTH: 30 LF R.I. RIQID INSU~TION USE: DCO DOUBLE CLEAN OUT SS ~ NEW SEPTIC 40 LF X 10' WIDE, 0.5' E.D., +1' TD DV DIVERTER VALVE AREA: 400SF FS FLOW SPLICER O.G. ORIGINAL GRADE F.G. FINISH GRADE ~,~, NOTES: .. o,t RUSH' RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 ~" PHONE (907) 272-8218 FAX (907)272-8211 ~.~ Scale ~lS THE TABLELANDS ~2, BLK 9 LT 10 lAN ~ KARLA BUTTONr~'* ~'. CE 8149 ...~_ ~PERU'TNO' 22605 DEER PARK DRIVE~ ~Ji~n;'' .~ 0SP]]~306 DETAILS CHUGIAK, AK 99567 ~i~F~[~¢~~ Sheet Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System OSPl11306 05174167000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: October 21, 2011 to October 20, 2012 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: THE TABLELANDS #2 Site Legal Address: THE TABLELANDS #2 BLK 9 LT 10 G:1559 Owner/Address: DUTTON lAN M & KARLA M PO BOX 671007 CHUGIAK AK 995671007 Permit Depa r tment Site Mailing Address: 22605 DEER PARK DR, Chugiak Lot Size in Sq Ft: 40181 Total Bedrooms: 5 This permit is for the construction of: Y Disposal Field Y SepticTank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the .Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Date: Date: [~)/~'~/ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 H Anchorage, Alaska 99519-6650 Rd5!, www. muni.org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-741-67 Property owner(s) Karla & lan Dutton Mailing address22605 Deer Park Drive, Chugiak Zip Code Site address 22605 Deer Park Drive Zip Code Legal description (Sub'd., Block & Lot) The Tablelands S/D No. 2 Block 9 Lot 10 Legal description (Township, Range & Section) Lot Size 40,181 Sq. Ft. Number of Bedrooms ¢ ~-- Day phone 863-4461 99567 99567 THIS APPLICATION IS FOR ([~ all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. Pannone Engineering Services, LLC,..~.,~._.)~ (..~ (Signature of property owner or authorized agent) Date of Payment: Receipt Number: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-maih steve@~)anenRak.com October 19, 2011 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: The Tablelands No. 2 8lock 9, Lot 10 Septic System Permit Upgrade Request - RUSH! Ladies and Gentlemen: I am writing to request a permit to construcLan upgraded septic system be issued for this property. The r ~ p oposed systems will serve an existing ~i~-~edroom house. Currently the lot is developed with an IDSF. During a recent adequacy investigation discovered that the air pump was not working properly and the system was in failure. The owner wishes to upgrade the system to a more modern system. I am proposing to install a Biocycle after the existing 2,000 S.T.E.P. tank, which will be used as a recycle tank for the biocycle. The existing drain field will be removed and a new drain field installed in the same location. The biomatted material will be removed. The lot is served by AWWU Public Water. The surrounding lots are served by AWWU Community water. 1. Soils. A single test hole was excavated by S&S Engineers in July of 2004, and the ground water monitored in may of 2006 by Steve Eng. The soil logs are on file with your department. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 2 gallons/day/square feet should be used for a category II upgrade field. Soil Absorption System Design. a. See Sheet 2 of the design package 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The topography in the area generally slopes to the north at 1 to 2%. M 'i i'~ ~'~ P,O~ BOX ~nrls1~ cB Physk::~l: 6~..~ E~st 82nd Ave, Cuite Telephone: (907) 272-8218 FAX: (907} 272-8211 Page 2 of 2 5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On-Site Department, the note will be removed and "Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, ...... Steven R. Pannone, P.E. Owner/Civil Engineer Attachments Maiti,%: P.O~ Box 100217, Anchorage, AK 995!0-0217 Physical. 6S. 5 East Ave~ Suite B6~ Anchorage, Al< 99503 Tetephoase: (907) 272~82&8 FAX; {907) 272-82ZZ SEPTIC (E)~--~ i BIOMAT MATERIAL. INSTALL ~ 40LFxlOWxO.5ED FIELD (f) -.0_~ ,NSTALL SAND L,,ER ~' M,N-- / ~U ~' ~ _ , ' % / ~ ~ TO FIRST COMPARTMENT SEPTIC (E) ~ SERVICE ~ ~ RUSH~ FOR CONSTRUCTION P.O. BOX 100217 ~NCHO~E, ~K 995~0 .. lO/2~/~ ~,..'~ THE TABLELANDS ~2, BLK 9 LT 10 ........ 051-741-67 lAN ~ KA~LA DUTTON ~ ~teve~ER~,N~n°~e~ PERMIT NO. 22605 DEER PARK DRIVEf~. u o,~ .~,i~.. .~ OSPll~ PLAN CHUGIAK, AK 99567 ~?~ ....... ,~ Sheet SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BEINSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. .3. SCOPE OF WORK: REMOVE EXIST'G ISF FIELD IN FAILURE, INSTALL NEW FIELD, INSTALL NEW MODEL 1500 BIOCYOLE. REUSE EXISTING 2000 STEP TANK. F2" R.I. 1 ~' DIA DRAIN PIPE / ~-HOLES o 24" c.c. / / 0.5' FILL TOP SOIL ~ ~ 1~ 3H:IV SLOPES ' ~k B0~ SECTION ~2" ~.~. ~ / /~D~IN ROCK 6" ABOVE PIPE ~ / // ~NV ~ / // ~1 ~" ¢ D~IN PIPE ~ ~ ~ ~-~. //// ~-, .o~Es ~,- 0.~. ~o o o o~ / // / ~D~IN ROCK 0,5' BELOW ~ z ~ ~ ~ ///// ,,,,,,v ~ ~ m REClRC LINETO ~ ~ ~ ~ ~ ~ - ~,,,~o.,.,~'~ ~ I ///// ~'.~ - ~oo~- -~ ~~ '~ ..... ...... .~ TANK (E) PROFILE MODEL 1500 BIOCYCLE (P) DESIGN PARAMETERS ABBREVIATIONS UPGRADE SEPTIC SYST~ CU COPPER NO. BEDROOM~I (~ ~d~ DIP DUCTILE IRON PIPE TANK SIZE: 2000g S.T.E.P.(E) INLINE TH TEST HOLE BEFORE MODEL 1500 BIOCYCLE (P) FC FOUNDATION CLEAN OUT LEGEND PERC RATE = 16-50 MPI T~ TANK CLEAN OUT NO. SOIL RATING: 2 GPD/SF , C~ CLEAN OUT NO. --W--- WATER LINE/ AR~ RQD: ~SF~~' M~ MONITOR TUBE NO. WELL RADIUS SYS. ~PE: BED 0.5' E.D. IO'W R.I. ~IGID INSU~TION MIN LENGTH: ~0 LF -- SS -- NEW SEPTIC USE: DCO DOUBLE CLaN OUT 40 LF X 10' WIDE. 0.5' E.D., +1' TD DV DIVERTER VALVE AREA: ~OOSF F$ FLOW $PLI~ER O.G. ORIGINAL GRADE F.G. FINISH GRADE NOTES: P~O~ ~O ~C, ~ ~ __, ?~ Date RUSH~ FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 ~.-' PHONE (907) 272-8218 FAX (907) 272-8211 .~ NTS P.I.D. NO lAN ~ KARLA DUTTON ~~E~:~-~E~8~'~ o5~-74~-67 22605 DEER PARK DRIVE ?~2.~ CE 8~49...;~ PERMIT NO. ~i,uZ~%·· ..'~ 0SPl1¢~¢¢ DETAILS CHUGIAK, AK 99567 .~.;,4¢~- .... A~ Sheet , ~~ 3 o F 3 "'~,~*. $'[EVEN R. PANIqONE .",~' CE - 8149 ' ' Pannone Engineering Service, LLC P.O. Box 102954 Anchorage Al( 99510 Phone 907-272-8218 · FAX 907-272-8211 JOB TITLE SUBJECT 1,5"{ Pannone Engineering Service, LLC RO. Box 102954 Anchorage AK 99510 Phone 907-272-8218 · FAX 907-272-8211 BIOCYCLE INSTALLATION NTS ACCES~ ~ EXPOSE TOP 60 L/MIN ~ J l ABOVE GRADE 2" INSULATION - ~ BACKFILL AROUND TANK VE~~ 1~1~ .TH FREE FLOWING1 '2", PVC 0 - " ~ PIPING "~" NFS 4" JO J4 DISCHARGE SLOPE ~ , ~ ~ ~ ~ / DIFFUSER SEPARA ~ON -I' ~K ~T~ME~~ I ~ 4 SHEETS OF ~ 2~8' BLUEBOARD  INSULA ~ON BIOCYCLE TREATMENT LEGEND ~ 4" SAND/GRAiL LEVELING COURSE ~ PRIMARY AERA ~ON ~ SECONDARY AERA ~ON ~ CLARIFICATION ~ DISCHARGE No S:coNs uc o RUSH~ FOR ...... L ~ ~o/2~/1~ P.O. BOX 100217 ANCHORAGE, AK 99510 P"O~E (~07) 272-~218 F~X (~07) 272-8211 ~.-- BIOCYCLE DETAIL CHUCIAK, AK 99567 '~l~*~L ...... ,:,~ Sheet Proposed Sa & U,i;er Si' r S&S TF Proposed PO00 Gatton S,T,E,P, Ta .mprove / / F,C.D. 69.7 1 S.T. CD1 69.5 STEP C 02 J 24 STEP Riser FV1 22.5 96.4 FV2 66,7 97 FV3 69.4 98.4 FV4 71,8 99.1 NORTHRIM "~""~'"'""~ THE TAB 907. 694. 7028 2 LDT ~' = 40' iAS-BUILT REVISED CAT III ISF ~ ,.+ ~ 0 ~ 0 ¢..I- ~0 3 II o 0 ~ n~:3 ~ '.'3¢+n I 0 + ~o 0 0 ~ ._q o p ~o c n 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 Date Issued: May23, 2006 Expiration Date: May 23, 2007 Permit Number: SW060113 Legal Description: The Tablelands i~2 Block 9 Lot 10 Design Engineer: 0838 NORTH RIM ENGINEERING Owner Name: Mike Thomas Owner Address: 22605 Deerpark Dr Anchorage, A 99567- Parcel ID: 051-741-67 Site Address: 22605 Deerpark Dr Lot Size: 40181 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of: [] DisposalField [] SepticTank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. A~I 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. -THE INTERMITTENT DOSING SAND FILTER NEEDS TO MEET ADVANCED WASTEWATER TREATMENT SYSTEM SPECIFICATIONS APPROVED BY ONSlTE WATER & WASTEWATER PROGRAM. Received By;, Issued By:. Date: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Property owner(s) Mailing address Site address Legal description (Sub'd, Block & Lot) '~"'-.~. ~ ~'/~/~b//~ Day phone .~Z//L ~--~ ~'~'~-~'_ Zip Code ~ 9SCZ Zip Code ~' ? -~'~ 7 ;=f:~_.. /~Zoc/c- I' /_oT'to Legal description (Township, Section & Range) Lot Size /' ~ 2_% 7~-~/' Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR ([;~all that apply): Absorption Field f'~ Septic Tank '~ Holding Tank ~] Pdvy Private Well E~] Water Storage THIS APPLICATION IS AN: Initial ~] Upgrade Renewal ~ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner o[:~orized agent) Permit/Rush Fees: ~ ~. O0 Date of payment: Receipt Number: ~1 ~ (Rev, 11/05) Waiver Fees: Date of Payment: Receipt Number: , .THRIM E~I~NEERING MEMO Steve Eng, PE, PH 17237 Bear Paw Circle, Eagle River AK 99577 (907) 694-7028 tel (907) 694-7026 fax NorthRimEng@aol.corn Date: 5/16/06 Number of Pages: fi' To: Joe Goodall MOA On-Site Services Subject: The Tablelands # 2 S/D, Block 9, Lot I0 Permit Renewal This follows our telephone conversation this morning. We requested a permit renewal for the subject property with a design revision. A wetlands permit is not required for the proposed site. We have altered the design slightly by moving to a Category III system. We are doubling the required filter size by using a 2 GPD/FT~ design rate instead of the required 4 GPD/FT~. We monitored the existing MT's, with water @ 3 feet below grade on May 15, 2006. The Pea Gravel Design Elevation will be moved to 4 feet above this high water monitor. A 2 foot sand liner will be based at a grade of I foot depth. We will attempt to hardwire the air supply blower into the alarm system. We will consult Anchorage Tank and the electrical contractor on this point. Revised design included. Please issue the permit renewal. Thanks-Steve REVISION/RENEWAL Tablelands # 2,Block 9, Lot 10 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is a permit renewal request for a 5-bedroom, single family home. The design has been revised to a CAT I!I 1SF. Most ofthe neighboring lots are under development. Groundwater was monitored at 3' on 5/15/06. We are proposing a 4' separation to pea gravel. This lot is over I acre in size and no adverse impacts are expected from development. The neighboring lots are similar. A Bottomless lntermittant Sand Filter (ISF) will be utilized. This will require a S.T.E.P, manufactured by Anchorage Tank & Welding per Orenco Systems specifications. The easements are located on the drawing and are not encroached upon. Soil tests revealed silty sand. The original peat layer has been stripped off. The application rate for an ISF: RATE = 2 GPD/FT2. Required Area -- 750 GPD/2 GPD/FT: = 375 FT~. An ISF with dimensions 10'x 38' will be constructed. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. · Two compartment, 2000 gallon S.T.E.P. tank, conforming to Anchorage Tank & Welding/Orenco Systems Specifications. · Watertight couplings on inlet & outlet · 5' minimum between the tank and ISF. I 0' minimum to property lines. · 2' ofcover is required for ISF + i inch insulation board. · Tank & solid pipe must be set on well compacted, stable soil. · 4 inch diameter cleanouts with airtight caps are required I to 4 feet from foundation wall, prior to any 90 degree bend in 4 inch line. · All cleanouts must extend to at least ground level · ISF to be placed level, minimum of 4' to groundwater, 6' to bedrock · Allowable application rote for ISF: 2 GPD/FTa · Air Supply: "Anchorage Tank" Thomas Industries, Model 5070 or equal. · Air Supply Line: "Anchorage Tank" "Wasteflow" emitter line, ½ inch I.D. HDPE · Sand Material: In accordance with MOA latest Sand Filter Spec. · Pea Gravel: 100% passing 3/8 inch sieve, less than 20% passing the ¼ inch sieve, & less than I% passing the #8 sieve. · }leader pipe shall be 1.25" Schedule 40 PVC. Lateral pressure lines shall be 0.75"Schedule 40 PVC w/I/8" orifices ~ 27" on center, w/Splash Caps & Flushing Valve Caps per "Anchorage Tank" specifications. · Force main shall be 1.25" Schedule 40 PVC, conforming to Anchorage Tank & Welding/Orenco Systems specifications. Force main burial to be 4' minimum or insulated. · Silt barrier (filter fabric) to be installed above the pea gravel. · Smeared trench sides must be raked or scarified before ISF construction. · Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D266 I, PVC Schedule 40. · Sewer Service Line is minimum 2% slope · S.T.E.P. Tank to be pumped every two years or when required · Insulation board shall be extruded direct burial polystyrene (Dow Styrofoam HI or equal) Proposed &-- S&S LO ~0 Proposed E~000 (~a~on S,T.E,P. ~k Hone ;lOF~ mF ;s, / DESIGN 1. Excavate to )th to/l~lace Bottom of Pea Ivel Elevation 2. Sewer Service 5. Lots Served by 4. Air Compressor is Inc 5. Air Line is 1/2" 6. S.T.E.P. Tank to Meet 7. Upper 6 Inches of Mourn / / tee Ap, Froved Sa/Liner. e at 1' dbove exi¢ing grade. )e. / em. / stries Model 5070 ("Anchorage Tank"). Within Insulated Sch. 40 PVC Pipe. arian Requirements Per "Anchorage Tank". Consist of Top-Soil & Be Vegetated. ...... !"THE TA]3LELANDS ENGINEERING " ': ' ]3LBCK 9, LBT 10 907.694.7028 ~%" ....... z I REV[~ED CAT t LBT ~' = 40' LAYFIUT Municipality of Anchorage Development Services Department Building Safety Division O~-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 ~e. AK 99519-6650 (9o?) 343..?eo4 Soils Log - Percolation Test Perfon'ned Foc MIKE THOMAS t.egal Desc~pti~: THE TABLELANDS #2 BL9 LT 10 2- 3- 4- 5- 5- 7- 8- 9- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS WAS CRC)UND WATER ENCCXJN'TERED? YES $ tF YES. AT WHAT DEPTH? O Reading Date Gross'13me Net T~ne Dep~ to Water Net Drop PERCOLATION RATE (m,n~l~'~) PERC HOLE O La, METER TEST RUN BETWEEN FT AND FT PERFORMED BY: STEVE ENG I STEVE ENG CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/15/06 MUNICIPALITY OF ANCHORAGE Development Services Deparfmenf On-Site Water & Wastewafer Program 4700 South Bragaw Street P.O. Box 196650. Anchorage, AK 99519-6650 (gO7) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Apr 07, 2005 Expiration Date: Apr 07, 2006 Permit Number: SW050069 Legal Description: THE TABLELANDS SUBDIVISION TRACT H Design Engineer: 0855 Garness Engineering Group, LTD Owner Name: THE THOMAS COMPANY Owner Address: NHN DEER PARK DRIVE PETERS CREEK, AK 99567- Parcel ID: 051-741-59 Site Address: NHN OBERG ROAD Lot Size: 132741 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of' [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage A~I construction must be in accordance with: 1. The attached approved design. 2. mi 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 dosed on the same day. B. Covered, sealed, and heated to prevent freezing. 5. The following special provisions. a.) This on-site wastewater disposal permit is for The Tablelands Subdivision Addition #2, Block 9, Lot 10 (final recorded plat 2005-13). Received By;. Issued By:. Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. ON-SITE SEWER/WELL PERHIT APPLICATION FOR ,A, SINGLE FAHILY DWELLING 05-/- ?el I- ~ Permit Number Property owner(s) Mailing address (1) Mailing address (2) THE THOMAS COMPANY HC05 BOX 6929 * PALMER. AK Day phone Zip Code Legal description (Lot, Block& Sub'd.) LOT 10. BLOCK 9: THE TABLELANDS S/D ~2 Legal description (Section, Township & Range) LotS e Oq! Number of Bedrooms 441-2664 ,H THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade Well Only Water Storage THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Jacuzzi Water Softening Unit I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. Permit Fees: Date of Payment: Receipt Number. Waiver Fees; Date of Payment: Receipt Number: CONSULTANTS & GENERAL CONTRACTORS ................... Apfill, 2005 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 Ref: Proposed Septic System for The Tablelands Subdivision//2; Lot 10, Block 9, The proposed 5 bedroom house will be served by a public water system and private septic system. Several test holes were excavated on the property. Due to the high groundwater, the lot configuration, and the poor soils conditions in the area, we are proposing that a MOA approved recirculating trickle filter system be installed. We are proposing that a 2500 gallon S.T.E.P. tank, a municipal approved recirculating trickling filter unit (sized for 5 bedrooms), and a bed type drainfield be installed. We are proposing that the drainfield be installed within the 30 foot radii of out test hole /t2 and S & S Engineering's Ttl#7. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet ofthe proposed septic system. 4. TOPOGRAPIIY: The area around the proposed drainfield is relatively fiat. In short, there are no slope concerns. We are unawa/¢ of any adverse impacts this installation would have on adjacent wells or septic systems. u have ~i~ questions, please contact us at 337-6179. Thank you for your assistance. ~I ~awtng, a destgn drawmg, a detatl drmvtng, and three $od logs, whtch are all part of the de. gn pac 'kage for this septic system. (Contact G. E.G. £td. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: gamessengineering.eom k "-.,. THE TABLEt~DS S/D I I . · ~ t \ /' ~ ~ ~ ~ ~O~S[~S~C~ p ~ X~ X . / // . ~ ~Z'~ h ~ -' ~ (see DEIGN PAGE 2 ~ ~ ~~ _-~-'- ........ ~-j .~% X~. / // x ~~~-. ~ ~~ ~// / x ~~ ~/~ ,o,,.,,~,, ~.; /I ./- ~ ' ' il / NOTE: ~L PROPERTIES ~ ~/ /,// SHOWN ~E SE~D BY ~/ / Pu~uc WXT[R ~D I / 7 ,' ,m..- r GAaNEsS E~'iN~]~G ~OUP, Ltd, THE THOMAS COMPANY I (907) 746-0682 I ~ O~ ~ V~'.~T~.u;.~.."~/ SITE P~N FOR PROPOSED SEPTIC SYSTEMS 4/1/200S (Rev. 01,~) {UM~D TO ~E REM~ OF ORate) / ~ THE THOMAS COMPANY (907) 746-0682 I DESIGN FOR PROPOSED SEPTIC SYSTE~ CO CO~r CO. FROM M.O.A. APPROVED RECIRCULATING TRtCKI.[ RLTER SYSTEM 75 FEEl'. NOTE: FINAL GRADING TO INCLUDE 6 i~CH['~ OF TOPSOIL AND SEEDING (PERFERABLLY HYOROSEFDING). 1.$-2.0 FE~ DEEP 20' GAI1NESS ~q-GINEEIIING GI1OUP, :Ltd. ~ CONSULTANTS & OENEUL CONTR~,CTOR$ PREPA,~ED FOR: PHONE NUMBER: PAGE NUMBER: THE THOMAS COMPANY [ (907) 441-2664 3 OF 3 ,~ oE~cR,,.~o.: I°'~"~ ~:" -M.~ TIlE TABLELANDS S/D ~2; LOT 10. BLOCK 9. I '__.___ TYPE OF WORK: DETAIL OF PROPOSED DRAINPIELD -I ISOIL LOG - PERCO~TION TESTI ~'"/"~;:"t ........ LEG~ DES · ~1.~/~. ,,.t) l~ ITEST HOLE ~1 I ~ GP ML GM CL GC OL ~s ~lUltlt~ to SU/ML GROUNDWATER ,.,. ,/=/,oo, k / il ./ I, 4.0' 3/25/2005 / / ~ , . 10 11 DATE READING CLOCK NET TINE ~ATER LEVEL NET DROP TIME (H1NUTES) READING (INCHES) 12 3/18/2005 1 1:30 2 2:00 30 5 3/4' ~/4' 13 3 2:00 - 6" 4 2:30 30 5 3/4" 1/4" 14 5 2:30 -- e 3:00 30 5 314' ~/4' 15 16 17 18 PERCOLATION RATE 120 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 2.5 FT. AND 3.0 FT. 2 A FOUR HOUR PRESOAK WAS PERFORHED: ~ YES ~ NO SOILS LOGGED BY: JOOY UAUS PERCOLATION TEST PERFORNED BY: ~LEB ~LL CONHENTS~ PERFORMED BY GEG, Ltd. I, JEFFR~ A. G~NESS. CERTI~ T~T THIS WAS~P~FORMED IN ACCORD~CE WITH ALL ~ATE ~D MUNIClP~ GUIDELINES IN EFFECT ON THIS DATE: ' S E~;iNEERING GROUP, Ltdl /~.~."~r~'":"..~7~0l ~, CONSULTANTS & GENE~L CO ........... . ...... JSOIL LOG - PERCO~TION TESII RI~ION' T~LE~DS SUBDMSlON J2; LOT 10, BLOCK 9, ~'~-~[-~ L[~ ~[SC · ~.~ ~f.~. PERFORMED FOR' ~E lHO~ CO~P~ DA~E:~~ [TEST HOLE ~2~ ~OIL C~SSIFICATIONS CM/SM to SM/ML w/CL LENSES GW GP GM GC SW SP SM SC ORG ML CL OL MH CH OH DEPTH TO DATE iROUNDWATER DRY /17/2005 4.5' /22/2005 4.0' 3/25/2005 4.0' 4/1/2005 DATE READING CLOCK NET TIME LEVEL DROP TIME (MINUTES) READING (INCHES) 1 1:35 - 6' - 2 2:05 30 5 3/4' 3 2:05 6' - 4 2:.35 50 5 2:35 - 6" - 6 3:05 30 5 SOILS LOGGED BY: COMMENTS: PERCOLATION RATE 120 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.5 FT. AND 3.0 FT. A FOUR HOUR PRESOAK WAS PERFORMED: M YES r-INO JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL PERFORMED BY GE(;, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: IN ACCORDANCE 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 (907)343-7904 Soils Log - Percolation Test t% Performed For: G �S e Gross Time Date. Performed: ! ^ Legal Description: rG�G Qtj, r7S 4j) Township, Range, Section: Slope Site Plan Depth (Feet) 5- 6- 7- 8- 9- 10F 11= 12- 13- 14- 15- 16- 17- 18- 19- 20 - COMMENTS 0r"'ctis�rcS Mz_w;th! Sp'"<f 6cirt(,1 - ;5l?fei- /"Iz- W ;16 5-" 11 g rq,;el WAS GROUND WATER ENCOUNTERED? % s IF YES, AT WHAT DEPTH? L 0 &/'11, Depth to Water After �' / P V H Monitoring? ,�,1(J E Date: � 6-0L/ W If F1 li Reading Date Gross Time Net Time Depth to Water Net Drop 7-30-CY D O `f" 5 ID -3O _ 'gz 1 VF PERCOLATION RATE d,,) (minuteunch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN J,5 Fr AND 3. S' FT PERFORMED BY: S & S ENGINEERING , TTHH No - PERFORMED — PERFORMED IN AC Quiver lalat'h AND MUNICIPAL —CERTIFY THAT THIS TEST WAS IN EFFECT ON THIS DATE. DATE: $ 6 /0 Parcel I.D.- -~' ~1 1. GENERAL INFORMATION Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastawater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING - ~q I - ! ~ COSA ~_ ~, ,oq ~'~ Expiration Date: _ 'Complete legal description/~/~/, ~/~' ,~/"',-~¢~_./~'-/--4~'/~ "4:f~___. ZS'/.~,.//__ c~ Loca'tion is'~te address) '?Z ,~-5- /~ ~'~--~?-*Zk. ~./V'~ Curren~ Property owner(s) Day phone. Mailing address Lending agency Mailing address Dayphone Real Estate Agent Mailing Address Day phone U~essot~i~ mq~st~,COSAv~ll~ ~M~DSDforpick~. 2. NUMBER OF BEDROOMS: .,~ 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class _ Public Water System Well TYPE OF WASTEWATER DISPOSAL: Individual On-site ~ Individual Holding Tank ~ Community On-site Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) issues Certifr..ates of On-Site Systems Approval (CO,SA) based only upon the representations given in paragraph 4 by an independent Professional civil engineer registered In the State of Alaska. Certificates of On. Site Systems ApProval are required for the transfer of title (except between spouses) for Properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certifmates of On-Site Syslems ApProval are valid for 90 days from the date of issue for Properties served by a Private or Class C wall 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.) Carlifmates are valid for one year for Properties served by Class A or B vmlls or a public water system. The Municipality o( Anchorage is not responsible for errors or omissions in the professlonal engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastawater d~sposal 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 alt applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Phone ~ DSD SIGNATURE Approved for . bedrooms. Disapproved. Conditional approval for Date ~/d/~O 6"' Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By:. Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. COSA# Expiration Date: ~ - ,~_ /~ - CO 7 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency 4o7'/o Day phone /-./~ / - ~- ~'~' '*'~ / Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: ,~ 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: Individual On-site ,~, Individual Holding Tank [] [] Community On-site Public Sewer [] I TI~ -Municipality-of 4~nchorage -Development ~Services -Department {DSD) issues -Certif'mates -of -On-Site-Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certif'~-.ates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system Is(are) in compliance with all applicable Municipal and State cedes, ordinances, and regulations in effect at the time of installation. Name of Firm ./~ ~"/~ ~'f ~-t ~'~ ~. Address / 7c),~ .~J~-~,,.- ~ ~[~ Engineer's Printed Name ~/~ ~ ~ 5. DSD SIGNATURE Approved for ~'- Disapproved. Conditional approval for Phone bedrooms. ~ bedrooms, with the following stipulations: At the time o£ "it].e trans£er, the r~ew l)roperl:~/' ou'aer shall silva the attached maintenance aRreement which shall be returned to thiz office Attachments: COSA Checklist Septic-System Advisory Well Flow Advisory Nitrate Advisory By:. X A rsenic Advisory MaintenanceAgreements %~-~/~/~'~ ..... · '-_~,~'--~ SupplementalEngineer's Report ~~3 . Other Original Certificate Date: ~ -- '~' ~ - c/') (~ 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/onstte (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. COSA# Expiration Date: 1. GENERAL INFORMATION Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency /_o7'/o Day phone ! Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: S 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: Individual On-site ~ Individual Holding Tank [] Community On-site Public Sewer [] 'i'he -Municipality-of-Anchorage -Development -Services -Department{DSD) -issues -Certirmates -of -O n-Sita -Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered In the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system, DSD also issues COSAs upon request to homeowners. Certificates of On-Sita Systems Approval are valid for 90 days from the date of Issue for properties served by a private or Class C wall 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. 'l'he Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown b~low, 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(aro) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Engineer's Printed Name .~ ,'~._,~C./_~' --K:"..AJ ~' 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for 'i bedrooms, with the following stipulations: At the time of title transfer, the new property o~ner shall si~n the attached maintenance aAreement which shall be returned to this office Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance-Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 19O650 Anchorage, AK 99519-8650 www.muni.org/onsite (9O7) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description.7"'~.. _/~"- A. WELL DATA Well type / Date complete// Total depth/ ft. Date of test Parcel ID: If A, B, or C provide PWSID # Sanitary seal (Y/N)7~ Cased to ~' FROM WELL LOG ~' / Static water level / Well production / WATER SAMPLE RESUL~,,~ Coliform colo~ 100 mL Arsenic: ml~'~ Well Log (Y/Ngro~d~) Wires properly protected (Y/N Casing height (above AT INSPECTION In. Water added gal. New depth in. Date of adequacy test Fluid depth in absorption field before test in. Elapsed Time: min. Final fluid depth Any rejuvenation treatment (past 12 mo.) (YiN & type) In. Absorption rate >=. g.p.d. If yes, give date B. SEPTIC/HOLDING TANK DATA Tan, Type/Material .~ .'T'~. ? Tank size2Oa O ~[. ~m~r of Com~nmonts F~a~on ~ean~t '(WN) Date of pumpi~ ~ Pum~r. c. Date instell~ ~//~/0 Len~h ' ~ O, Total depth ~ fl~ / ~ Results (Pas~Fail) For ft. / ft. g.p.m. / g.p.m. Nitrate mg/L ~r bacteria ~ mL Date of sample: C, Collected b~ D. LIFT STATION Date installed ~ 'Pump on' level at/..,// in. E. SEPARATION DISTANCES Size in gallons 24:~ GO "Pump o~ level at .,.~.in. Cycles tested '~ Manhole/Access (Y/N) 7 High water alarm level at z.~ ~ in. Meets alarm & circuit requicements? ~ SEPARATION DISTANCES FROM WELL ON LOT TO: /00~/. (C.... ~.,~',,~ Septic tan~ift station on lot On adjacent lots ' ~/ Absorption field on lot / On adjacent lots / Public sewer main / Public sewer manhole/clea~. Sewer/septic servi~lfne Holding tank / ;n;~/~I2'i';t(~i~TST;;;;S FROM SEPTIC/HOLDING T;;;uorNe/;n~a;(~;cr~' storage areas Building foundation Water main ~/~ Wells on adjacent lots Propertyline /'el "~- Water service line //¢~ '~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /43 ~'~' Water Service line / Curtain drain ~' Absorption field ..~ t3 r.~. Surface water //O ~, ~ Building foundation -~(~ *'-t/" Water main /'0 ~ Surface water /~3 (3 'J" D~ivewey, parking/vehicla storage Wells on adjacent lots ~- OJG Ij,. F. COMMENTS 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. COS Fe $ I1- Waiver Date of Payment Receipt Number (Rev. 11/05) Date of Paymenl Receipt Number