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HomeMy WebLinkAboutSOUTHFORK NORTH BLK 4 LT 9Southfork North Block 4 Lot 9 #078-141-23 Municipality of Anchorage Community Development Department Page 1 of 2 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP161169 PID Number: 078-141-23 New ❑ El Upgrade Name: JOHN & SYLVIA HALLOWAY ABSORPTION FIELD ❑ Deep Trench ❑✓ Shallow Trench ❑ Bed ❑ Mound Address 2224 NORTH RIVER CIRCLE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1.2 GPD/SF 1.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 0.5 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot SOUTHFORK NORTH 4 9 Fill added above original grade 2.0 Ft. Gravel length 30 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 450 Ft' 3 10+ Ft. Well 150.0 103.3 153.7 N/A 103.3 TANK ❑ Septic [] S.T.E.P. ❑ Holding ❑r Other Manufacturer Anchorage Tank/ Orenco Capacity 1 1250Gal. Surface Water 100+ 100+ 100+ N/A Material Number of compartments Lot Line 56.1 17.3 57.4 N/A Steel 2 NA Foundation 5.5 32.1 6.3 N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ 50+ N/A Orenco 500 Gal. Remarks Pump on level at 40 in. Pump off level at 36 in. High water alarm at 45 in. Pump make and model P2005 Electrical Inspections performed by MoA Building Safety Installer PIPE MATERIAL House to tank 3034Tank to 3034 drainfield JR'S SEPTIC PUMPING Drainfield 3034 CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 1855ft Inspection �s, 8/2/16 dates: 2nd 8/2/16 Location and description Td 3/29/18 4th AT HOUSE POINT D COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp 01 AL:&l� Conditional Approval: Date ,.lo �. ..... te'ven �f�. *P� nnome j Approved ��C9. �, Date tr( 1 q,. • CE 814 1� �`�pFESStp�A ,,�• ��'�i`�a1`..``` inspection mepon:_i-i--iz.00c DE IIQN PA I AM�TENs PRIMP,R`Y SEPTI CYST M WELL (E) NO. PE ROOM: 3 0450�gpd)`- \ TANK SI E: 12 O91 S.T. PERS RAE = M I \ \ \ \ SOIL'RATING: �2 G�\D /SF `\ `� \ ARE, ROD 37 \SF \ \ \ SYS.ITYPE:\WI \TRENCH 0.5'6D - MIN 4ENGTH)\7 .kLF110.4 T � USEDI \ \\ \\ \ \ ANDER CSN, (3EA) 3� LF XI5.� WI O. E. D.,\.0' \TD \ �� \ TOTAL AREA: 4\50. SF \ �� \ I G \ • �\� \• \ `. INSTALLED DRAIN FIELD \ I 1 � 1 \ I 1 i SEPTIC AREA (E) I � I /17.3 \ I �-- (3EA) 3OLF x 5 W x 0.5 ED x 1.0 TD \ / ISS �I 1 MOUND TO CREATE MIN 3' COVER 1 LO 119 11 � W'T24�\�a/ TLS 1 e \ � 1 \\ I I 1 INSTALLED 1 \\ c I 1 1250g S.T.E.P. TANK FC \ / I \ 1\ 3BR \ I \ 1 1 \ HOUSE •G 1 \V 50.0 6 ' \ M5 I z 0 A31 0 / 0 r O_ 103.3 \ ` E DRIVEWAY _ DRAINAGE DITCH FILLED;r 1860 --- BY MOA 1850 �S 1855 865 \ . 1840 845 1835 li� I I WELL (E) - A B C G FC 6.0 21.8 30.0 T1 9.1 17.2 LS 16.6 10.7 1845.4 1250 g S.T.E.P. TANK T1-1859.5 PROFI LE T2-1861.5 mi 0 FILTER FABRIC 34.5 33.70 M3 zo 52.5 46.10 M5 z 0 0 69.0 1 62.80 •G 1 \V 50.0 6 ' \ M5 I z 0 A31 0 / 0 r O_ 103.3 \ ` E DRIVEWAY _ DRAINAGE DITCH FILLED;r 1860 --- BY MOA 1850 �S 1855 865 \ . 1840 845 1835 li� I I WELL (E) - J OR _1 w m1 D PERF PIPE w m 30.0 SM/Sp F- -3 1845.4 1250 g S.T.E.P. TANK T1-1859.5 PROFI LE T2-1861.5 GROUND 0 FILTER FABRIC 0 z 0 WATER zo z DRAIN ROCK 6" z 0 0 0 0 Q 0 G 0 ABOVE PIPE INV F.G.T1 -1862 w w w ����Date .� OF k �kk '�� ' ' ' ' ' 'qcS l� � * .49 Tti *�r� .... T1 -1860 RECORD DRAWING 2" R.I. T2-1864 0 -' 0 J U -1T2-1862 O.G./F.G. 0 J REVISED 4/27/18 JOHN & SYLVIA HALLOWAY T3-1866 3 n n 1850.0 n 2224 NORTH RIVER CIRCLE T3-1864 OSP161169 Sheet J OR _1 4.0 0.5' SEWER ROCK J 30.0 SM/Sp -3 1845.4 1250 g S.T.E.P. TANK T1-1859.5 PROFI LE T2-1861.5 GROUND T2-1861.5 SCALE: NTS T3-1863.5 GM WATER T3-1863.5 OBSERVED 1849.0 4/19/2015 DATE PERFORMED:10/1/14 NOTES: PAMONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 ����Date .� OF k �kk '�� ' ' ' ' ' 'qcS l� � * .49 Tti *�r� .... 3/5/2018 RECORD DRAWING Scale 1"=50' SOUTHFORK NORTH, BLOCK 4, LOT _ P.I.D. NO 078-141-23 REVISED 4/27/18 JOHN & SYLVIA HALLOWAY r Steven R. Pannone / PERMIT NO. DRAWN BY: ACP 2224 NORTH RIVER CIRCLE (♦ �� 814� � +) cflF�G' � ill`F�/OFESSIOFNP\�+= OSP161169 Sheet PLAN EAGLE RIVER, AK 99577 2OF2 TEST HOLE 1 SOILS LOG - PERCOLATION TEST ORGANICS SLOPE us TE PLAN OG 2 1 10.4 3 N SM/SP 4 M6\ 5 z 0 X TH m 7 M2 TH 8 1 < m 9 — GM SILT W/ SOME �0 10 — GRAVEL m I 11 n BOHF- 12 C 13 lc� 14 ENCOUNTERED? GROUND WATER SLOPE ENCOUNTERED? N 15 IF YES, AT WHAT TH 16 DEPTH? X 17 DEPTH TO WATER AFTER MONITORING? 0.0 18 DATE: READING CLOCK WATER N7 DATE PERFORMED: 8/2/16 DATE TIME NET TIME LEVEL NET DROP I READING -�O FERC 2 3 4 5 6 COMMENTS: Test hole excavated during time of construction to vaaify soil profile. Water montoring not conducted due to results of test hole on the lot and results of test hole on lot to the north. Test hole excavated by JR's SEPTIC PUMPING. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PAMONE ENG SVC, LLC Date RECORD DRAWING F ... ��k 3/5/2018 P.0, BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 Scale 4 TH NITS P.I.D. NO SOUTHFORK NORTH, BLOCK 4, LOT 9 . . . ........... 078-141-23 .. en R. Po�'nnone,w JOHN AND SYLVIA HALLOWAY PERMIT NO. E 8149 2130 NORTH RIVER CIRCLE OSP161169 EAGLE RIVER, AK 99577 Sheet SOILS LOG , E�ol OFFITESS� 1 OF 1 Certified Drilling Log DOG 00 dba BILL 8& IC®LE 4CIRO. ULLIVAN WATER WELLS Box 670269, Chugiak, AK 99567 688.2759 OWNER OF LAND: John H Jr. & Sylvia Z Hollaway ADDRESS: 22222 Brownie Drive Eagle River, Al( 99577 Bore Hole Data F F From To LEGAL DESCRIPTIONDepth Southfork North Block 4 Lot 9 DATE: 11-9-15 2 PERMIT NUMBER: OSP141480 DATE OF ISSUE: 5-7-15 TAX IDENTIFICATION NUMBER 07814123000 Is well located at approved permit location: ®Yes ONO Method of Drilling: ®air rotary ❑cable tool Depth of Well: 156 Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth 152 feet Liner type 2 4 4 11 11 20 20 70 70 77 77 80 Static Water Level: Flowing feet Recovery Rate 5 ® gpm ❑ gph Method of Testing Air Well Intake Opening Type: ® open end ❑open hole Screened Start feet Stopped ❑ Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet 80 115 115 123 123 148 148 155 Well Disinfected Upon Completion: ®yes ❑ no Method of Disinfection: Chlorine 50 PPM Comments: Casing Stickup Overburden Peat Organics Clay & Gravel Hardpan Sand Gravel Clay Mix Wet Tight Sand & Gravel Clay & Gravel Sand Clay Sand w/ Gravel Water Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. Pr DOC CO dba P— & COLE ULLIVAN WATER WELLS V-P.O. Box 670269, Chugiak, AK 99567 688-2759 www.suilivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW14jtjC0'a Date of Issue Parcel Identification Number: IL t 2.3000 Legal Description South Fork North Block 4 Lot 9 11 Pump Installation Date: 7-18-16 11 Pump intake Depth Below Top of Well Casing: 130 11 Pump manufacturer's Name: Goulds 11 Pump Model: OSHS05412CL Property Owner Name & Address John Hollaway 22222 Brownie Dr. Eagle River, AK 99577 feet 11 Pump Size: 1/2 hp 11 Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: Greys Construction Disinfected Upon Completion? ® yes ❑ no II Method of Disinfection: Chlorine 50 PPM 11 Comments: Pitless Manufacturer: Martinson 810 11 Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. On -Site Water & Wastewater System Permit 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 Permit Number: OSP161169 Tax Code Number: 07814123000 Work Type: WellSeptic Renewal Permit Effective Dates: July 18, 2016 to July 18, 2017 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SOUTHFORK NORTH Site Legal Address: SOUTHFORK NORTH BLK 4 LT 9 G:0959 Owner/Address: HOLLAWAY JOHN H JR & SYLVIA Z 22222 BROWNIE DRIVE EAGLE RIVER AK 995779520 cn1- S, G f' f. n n r, v I f. Department Site Mailing Address: 2224 NORTH RIVER CIR, Eagle River Lot Size in Sq Ft: 78293 Total Bedrooms:::"3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y Private Well N Water Storage Z;oO 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. Special Provisions: The Engineer needs to do an additional test hole for an alternate field prior to the construction of the septic field. Construction may proceed at your own risk before the 7 day water monitoring is complete. Please submit the soils log and a design for an alternate field with the As -built Inspection Report. / a2.5ign G�gnr re rt ewa 1 Received By: Issued By: .Date:/ l D Date:/ 16 MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 078-141-23 Property owner(s) John & Sylvia Halloway Mailing address 22222 Brownie Drive, Eagle River, AK 99577 Day phone None Available Site address North -River Circle Legal description (Sub'd., Block & Lot) Southfork North, Block 4, Lot 9 Legal description (Township, Range & Section) Lot Size 78,293 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (El all that apply) Absorption Field 0 Septic Tank Holding Tank - ❑ Privy ❑ Private Well - Water Storage APPLICATION IS AN: Initial Upgrade Renewal TYPE OF DWELLING: Single Family (SF) ❑X (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) 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 Cod (Signature of property owner or authorized agent) Permit/Rush Fees: f -pal-{ Waiver Fees: Date of Payment: 03/6 0944 Date of Payment: Receipt Number: 086530 029697 Receipt Number: Permit No. OSP/s // CQ Waiver No. Permit App__- :- 1 On -Site Water & Wastewater System Permit 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 Permit Number: OSP141480 Tax Code Number: 07814123000 Work Type: WellSeptic Initial Permit Effective Dates: May 07, 2015 to May 06, 2016 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SOUTHFORK NORTH Site Legal Address: SOUTHFORK NORTH BLK 4 LT 9 G:0959 Owner/Address: HOLLAWAY JOHN H JR & SYLVIA Z 22222 BROWNIE DRIVE EAGLE RIVER AK 995779520 Site Mailing Address: Lot Size in Sq Ft: 78293 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Y 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 By: Issued B MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 078-141-23 Property owner(s) John & Sylvia Halloway Mailing address 22222 Brownie Drive, Eagle River, AK 99577 Day phone None Available Site address North River Circle Legal description (Sub'd., Block & Lot) Southfork North, Block 4, Lot 9 Legal description (Township, Range & Section) Lot Size 78,293 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (21 all that apply) Absorption Field ❑x Septic Tank ❑X Holding Tank ❑ Privy ❑ Private Well ❑x Water Storage ❑ APPLICATION IS AN: Initial Upgrade Renewal `TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Drain field to surface water - 72' / Septic tank to surface water 68' ❑X El Distance: 72-68 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: o0i +�o?/S = 0 7 Waiver Fees: ��S7 • Date of Payment: /O/J '/1'i Date of Payment: Sfihs Receipt Number 061/SG Receipt Number: O9a/ C, -- Permit No. OSPlyly Waiver No. O_cws/a 8' Permit App_:.;- : • Ca41 Pannone Engineering Services ac Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com July 14, 2016 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Southfork North, Block 4, Lot 9 Well and Septic System Permit Request Ladies and Gentlemen: I am writing to request a permit to install a new well and septic system be issued for this property. The proposed systems will serve a proposed three (3) bedroom hose. Currently the lot is undeveloped. The proposed system will utilize a 1250g S.T.E.P. tank with a conventional drain field. The surrounding developed lots are served by private wells. There are no wells on surrounding lots within 100 feet of this system and there are no septic systems installed on the surrounding lots within 100 feet of the proposed well. Soils. One test hole was performed by Michael E. Anderson in October of 2014, and groundwater was monitored for at least seven days. Ground water was not observed to 11.0' below the surface in the test - hole monitor tubes in April of 2015. 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 1.2 gallons/day/square feet should be used for a conventional wastewater system in the area of these test hole. 1. Soil Absorption System Design. a. See Sheet 2 of the design package. 2. Surface Water: The ditch that the Municipality had previously installed outside of the drainage easement and on the subject lot has been filled and no surface water remains within 100' of the proposed system. There is no surface water within 100' of the proposed system. 3. Topography: The existing topography in the area of the proposed drain field slopes from east to west at approximately 20%-25%, with no slopes over 25% within 50' of the proposed drain field. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Co -191 Page 2 of 2 4. 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 surrounding wells within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, •49 • Steven R. Pannone �' /{/j�'lo Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Co -#1 WELL (E) SEPTIC AREA (E) PRIMARY / RESERVE DRAIN FIELD (P) (3EA) 3OLF x 5'W x 0.5'ED x 1.0'TD REMOVE AND REPLACE FOR RESERVE _50.0 Pi: 25%+ SLOPE 1250g S.T.E.P. TANK (P) LOT 9 NOTES: DRAINAGE DITCH FILLED (BY MOA) • DRIVEWAY WELL (P) so,AEW NGE EP' -.---"""-C \ FOR CONSTRUCTION PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 PLAN SOUTHFORK NORTH, BLOCK 4, LOT 9 JOHN & SYLVIA HALLOWAY NORTH RIVER CIRCLE EAGLE RIVER, AK 99577 OFA/Thk friC.9 • '57 0 froik. • a. A;P.IP 6 • r,, r Steven R.Ponncire",,e CE 8149 ....)..e. 40k 4'I. 1'.§:tiCr lk;PPRofts964 \--.:-_- - Dote 7/1 4/20) 6 Scale P.I.D. NO 1i 8-141-23 PERMIT NO. OSP141480 Sheet - 1 OF 2 CO -t I SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED 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. SCOPE OF WORK: INSTALL NEW 1250g S.T.E.P. TANK AND ABSORPTION FIELD. INSTALL WELL. 3. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 11.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED. IN ANY OF THE EXCAVATIONS LESS THAN 11.0 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. o ao O TH-A MIN 2.0' FILL WITH TS&V RIGID INSULATION FILTER FABRIC 1.25" 0 PERF PIPE W/ 1/8" HOLES GRILLED 30" 0.C. DRAIN ROCK 6" ABOVE PIPE INV (ANDERSON) 2.5 �, 0 0 0.5 I-1.0 I-5.0 10.0 - Ix 5.0 10.0 .0 O z 0 1 10.0 1250 g STEP. TANK (P SECTION DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1250g STE.P. PERC RATE = 4 MPI SOIL RATING: 1.2 GPD/SF AREA ROD: 375 SF SYS. TYPE: WIDE TRENCH 0.5'ED MIN LENGTH: 75.0 LF USE: (3EA) 30 LF X 5.0' WIDE, 0.5' E.O., 1.0' TD TOTAL AREA: 450.0 SF NOTES: FOR CONSTRUCTION DESIGN DETAILS ON ore TUBE MONITOR TUBE PROFILE LEGEND W_ SS WATER LINE/ WELL RADIUS NEW SEPTIC PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 SOUTHEORK NORTH, BLOCK 4, LOT 9 JOHN .Sc SYLVIA HALLOWAY NORTH RIVER CIRCLE EAGLE RIVER., AK 99577 ABBREVIATIONS cu DIP TH FC T# C# M# R.I. DCO DV COPPER DUCTILE IRON PIPE TEST HOLE FOUNDATION CLEAN OUT TANK CLEAN OUT NO. CLEAN OUT NO. MONITOR TUBE NO. RIGID INSULATION DOUBLE CLEAN OUT DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE GB GRADE BREAK Steven R. •annone"/ �+ F• CE 8149 kktRg/ROFES40.. � f'c5T . • •i/ Date 7/1 4/201 6 Scale NTS P.I.D. NO 078-141-23 PERMIT NO. OSP 141480 Sheet 2 OF 2 Performed Fon Legal Description: 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 04 13- 14- 15- 16- 17- 18- 19- 20- k Depth (Feet) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.anchoraoe.ak.us (907) 343-7904 Soils Log - Percolation Test Ta stow L AWN- ti Nati —tt t Township, Range, Se tion: Slope \PM/P COMMENTS 40.Z1 OF AC►ts► co/ N6I NEER' SE'AA�13: ►4 or*•. 491H % - 04 444 4* : % MICHAEL E ANDERSON : w # c!re:. CE -4381 c`" a i9 8OFfssto%� (at44 it% `V Date Performed: Ir WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? S /40 •ch ' E 4, / ' „ t-- Date: '1.0 MI+ Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop 0/1 0+ /8644lot-114$ 11,, /4.q4 2ts I Ii 6 15-51 I41 I4 " 2.34-. tl llp:01/614- Ig " 015 (, jaarrIy,(��42 to ,t 7e1 " - iN:ick, to tt ,.tn j/ 110=8/t1 447 `i ,. Irt5 F " PERCOLATION RATE (minutesAnch) PERC HOLE DIAMETER TEST RUN BETWEEN / FT AND /F. FT PERFORMED BY:P' tZit.. I CERTIFY THAT THIS TEST WAS PERFORMED IN CCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: JOG: 11. LVIb �,4t G4.' No. 14'5 p, fj� rbite_ Pec",1;1 C $P1 48& gnrlo✓1e F, -Treem? * (ate re. Tem MUNICIPALITY OF ANCHORAGE ,ommurrity Development Department On -Site Water et Wastewater Program Phone: 907-343-790d Fax: 907-343.7997 Septic System Owner -Installer Agreement A real estate property owner (Owner) may install their own septic. system. The department may issue an approval for a homeowner to perform work on a conventional (not A kWtTS) on-site wastewater' disposal system to serve that individual v owner -Occupied, single-family or duplex home if the homeowner satisfies and agrees to the following requirements. The property owner and excavation equipment operator may perforin work on no rmre than • 0178 owner installed protect in a 12 -month period. J i As owner of pegal descrlption)SreRtforK )h/r% S/k 4 h}' q I agree the following Items are true and accurate, 1. My xperienae falling se ,tic ystsms as fond �7 AI 2. The name of the excavation equipment operator is. J� ` 3 There will not be compensation for Installation services rendered. 4. I will be sctively involved with the septic system installation at all times. 5. The name of the inspecting engineer is Pt. dei one, 4-i� 6. I agree to discuss the following items with the inspecting engineer;, a. Permit design criteria and specifications. b. Inspection requirements set forth In AMC 15.65.150. c. 2 -hour minimum advance notice given to the On-site Water & Wastewater Program for all required municipal inspections, 7. I agree any changes I make le the items listed above will require a new approval before performing work. 8. I agree to have the project -specific On-site Wastewater Disposal System Permit available at the construction site for the duration of all related work. Owners printed name: Oh j /4D//0, •.da Owner's signature; iepXIc.^+yfStn Q'we IIq,I V 1 d L66L5f2:01 OvT9969L06 Date: _ i /6 :WOad 60:9T 9T02-12-Nr1f