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HomeMy WebLinkAboutMOUNTAIN TERRACE ESTATES #2 LT 1Mountain Terrace Estates #2 Lot 1 #020-121-13 Municipality of Anchorage Page J_ of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION -P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 5A/ q7O l yD PID Number: aaO - I a1 - 13 Name: rztO /144W Wastewater System: )(New ❑ Upgrade Address: �k 995/6 ABSORPTION FIELD 16750 Qt f FIS. ���I Phone:3�s �O, No. of Bedrooms: lJ p Deep Trench Shallow Trench ❑ Bed ElMound 1:1Other LEGAL DESCRIPTION Soil Rating: I a Total Depth from origin grade: GPD/S .Ft. Lot: Block: Subdivision: r Depth to pipe bottom from ori�inal grade: S Gravel depth beneatb, ige / ((JJ c7 Ft. /"v�/ / / NN!/i' Q C J --A �� Ft. Township: �- Range: Section: Fill added above original grade: _/.0 J Gravel lZength: Q!' .. ®J q, ��4/ - VV Ft. )o'er.. Ft. n WELL: �itS NTi New ❑ Upgrade Gravel width: C / ' Ft Number of lines: Distance between lines: I Ft. Classjjication (Private, A,B,C): P4 Total De ased To: Total absorption area: �I00 Pipe material: 14 % 3d 3✓ V,41 Ft. Ft. SQ. Ft. -Sr" Driller: Date Drilled: Static Water Level: In taller: dATs,0� Date installed: 7-5 � 2 ��/ d Ft. cu T Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES fYSeptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: &-rok- Capacity in gallons: Ow_ From Tank Field Station Tank Sewer Lines 1 10e.r r /00 ! Material: STEL Number of Co�,npartments: oT Well- � a2� Surfacel�U Water (coLIFT STATION Lot!� /0 Ib ! f Size in gallons: Manufacturer: Line Foundation � f0 "Pump on" level at: "Pump vel at: High water alarm at: %Q I104-- Curtain r` Pump Make & Moderl Electrical Inspections performed by: Drain w� BENCH MARK Remarks: Location and Description: &.4RA6S SL.F CLoS To Assumed Elevation: EOR X31 ............... ?sit=e • C,�P�• J lam' •�••� rIJ r 7,� Vh '.I•NI `.t fN• y�Na.•i MIN Dates:lst ��'�-4 7 '.•� 7•---G�fa�-gg +, Inspections performed by: InsROBERT C. COWAN i ? 7"3"%7 �I��ye`` 17034 Eagle River LoopROAVN 2nd Cc -8801 3ttg� Department of Heat Ran` %uman Services�app oval ,' `' Date: 9 Reviewed and approved by: 72-013 (Rev. 9/91) MOA 25 pZH= No. SW970140 PAGE 2 OP 3 DEPARTMENT TH ANDhHUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 ON—SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT T&GAL LOT 1, MOUNTAIN TERRACE ESTATES NO.2 Pim. N0. 020-121-13 10_ UTILITY EASEMENT ------------------- — — EXST. c WELL NEW 1000 GAL. /SEPTIC TANK \ I FCO I � INSTALLED �\ FLOW DIVIDER C� \ C v,t ;;L4hm0-r) \ \ALT. SITE \ CO3 T \\ \ STI Soeu \\ \\ \ \ \ \Biz • •�\ \ \ ` ccr\ TH 1 / SCALE V = 40' NEW TRENCHES CO` el ........ �����• cot {b��f +598 \ A B FCO 8.0' 38.0' \ STI 60.5' 65.5 ST _ 65.5 70.5 \ DBL1 70.5 75.0 \ bb _L2 71 .5 76.5 ` C01 73.0 78.0 \ 602 1 1 2.0 1 1 7.5 MT1 98.0 103.5 / SCALE V = 40' ho el ........ �����• {b��f +598 p1 ROBERT C. COWAN •� �? `G� CE - 8801 r PNNInr No. SW970140 PAGE 3 or 3 Municipalit of Anchora e DEPARTMENT OF HEATH AND HUKAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 *Anchorage, Alaska 99519-6650 *Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT 18GAI, LOT 1, MOUNTAIN TERRACE ESTATES NO.2 PJM. N0. 020-121-13 ST1 FINAL GRADE 95.7' NEW 1000 GAL 89.2' 89.0' SEPTIC TANK 53' C01 = 95.4' FINAL GRADE CO2 = 94.7 CO1 MT 1 CO2 CO3 = 94.6' CO3 C04 = 94.1' C04 MT2 91.1' 88.2' 2 i i SR COl = 88.8' CO2 = 88.9' j SFZ i �N j / �MT1 = 88.3' i 80.2' / 6�o CO3 = 85.8' DITCH C04 = 85.9' 76.4' MT2 = 85.2' 50' N.T.S. WATER FOUND 81.2' S 76.7' B.O.H./BEDROCK �f ROBERT C. CTJYMAN i ,�Q dl�.� E-88 I ? ��� STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATER WATER WELL RECORD LOCATION OF WELL BOROUGH SUBDIVISION LOT BLOCK SECTION OTRS SECTION TOWNSHIP RANGE MERIDIAN MGJN 1/lN TEsLRAcE ❑N ❑E �SiNi d_S N6', a ❑s ❑W LOCATION/SKETCH: WELL OWNER: " Cut V, DEPTHS MEASURED FROM:9casing top ❑ground surface WELL DEPTH: DATE OF COMPLETION Depth of hole: ft BOREHOLE DATA: Depth Depth of casing: ft !��/ lu Material Type and Color From To �+y ii DEPTH TO STATIC WATER LEVEL: ir,L A iJ i .6 ft below l9 top of casing ❑ ground surface Date: 8/ / q / !2!Y 13 D METHOD OF DRILLING: ❑ air rotary 0 cable tool ❑ other USE OF WELL: ® domestic ❑ irrigation ❑ monitor ❑ public supply ❑ other CASING STICK-UP: ft. Diam: in. to-LLft Casing type: in. to ft WELL INTAKE OPENING TYPE: ❑ open end ❑ screened ❑ perforated DI open hole Depths of openings: to ft SCREEN TYPE: NIA Diam: in. Slot[Mesh Size: Length: ft GRAVEL PACK TYPE: ft) /A Volume used: Depth to top: GROUT TYPE: A) Volume: Depth: from ft to ft f DEVELOPMENT METHOD: ANAt?_A 4 - Duration: Duration: PUMPING LEVEL AND YIELD: ft after j hrs pumping7 gpm PUMP INTAKE DEPTH: ft Horsepower: WELL DISINFECTED UPON COMPLETION? ❑ YES JZ NO CONTRACTOR INFORMATION: REMARKS: RECEIVED Registered Business Name - ��7 PLEASE MAIL WHITE ���Y & UN T0: � .,� 1� DNR/DIVI$JON OF WATER Signatur of Authorized Respresentative 1; Date pQf 1l4Ertf4r t1i16Y ut ancna:age EAGLE RfVVRfARe8f9587kPJr11I€ln Services ROBERT C. COWAN, P.E. ROBERT A. SHAFER. P.E. / EY1GIi1eI vAett1}1G CIVILENGINEERS yq (907) 694-2979 FAX (907)694-1211 Date: � / % / � RECEIVED HEALTH AUTHORITY APPROVALS 301- 10 1997 Municipality of anchorage Municipality of Anchorage t {health & Human Services SEWER 8 WATER DEPARTMENT OF HEALTH AND HUMAN SERVICES pep MAIN EXTENSIONS 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 SEWER & WATER .r+ INSPECTION REFERENCE: Z-0 r MO `� �7-fs2 A ENGINEERING STUDIES property were AND REPORTS The septic in p�ctions for t}�e referenced p P Y performed on 3 7 and ?/3/q7 • Prior to submitting the On-site Wastewater Disposal System and/or Well Inspection Report we are waiting for the �o✓till�ror✓�6}s/lu«r swev�t% be WELLINSPECTION completed. & FLOW TEST If we may be of further service please contact us. SITE PLANS Sincerely, —v qlj 2 ROADDESIGN Robert C. Cowan, P.E. SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP •SUITE 204 •EAGLE RIVER, ALASKA 9957 Moi- t ,:)-, 1c) �jk PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970140 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:TIM NAU OWNER ADDRESS:16750 OLD SEWARD HWY. ANCHORAGE, AK. 99516 PARCEL ID:02012113 LEGAL DESCRIPTION: MOUNTAIN TERRACE ESTATES #2 LT 1 LOT SIZE: 55000 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 6/17/97 EXPIRATION DATE: 6/17/98 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 4)CONSTRUCT DRAINFIELDS NO DEEPER THAN 10 FT. BELOW 0.0 GRADE AS SHOWN ON SHEET 2/2 OF DESIGN. a,)INCLUDE PROFILE CROSS-SECTION OF DRAINFIELDS WITH RESPECT TO ORIGINAL FINS G WITH ASBUILT. -7 RECEIVED BY: n DATE: // g`�1 / ISSUED BY: 4mil V NA/7/iSi6, DATE: 66l?L /T HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER& WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN May 21, 1997 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 REC-FAXEIVED2„ MAY 2 3 1997 Municipality of Anchorage Dept. Health & Human Services REFERENCE: Lot 1, Mountain Terrace Estates Unit No. 2 S/D Request you issue a permit to install a septic system to serve the proposed three bedroom house on the referenced property, and issue a waiver for the adjacent slope on the attached detail. Test holes were excavated and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation water was encountered at 14 feet in test hole #1 and no water was encountered in test holes #2 or #3. After seven day ground water monitoring water was found at 14 feet in test hole #1, and no water in test hole #2. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, Ro( C. Cowan, P.E. RCC/mg Enclosure 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 50' SITE -PLAN DESIGN SCALE xJ CGn ul trJ �`yl Aiz�l 00vico-i / / i 097)y mr ti 0)�CD (n0W LJ D M o�tEj ti/[fit — d r�-a Wit, �+ z 1-3D oaymo co o -d/ , a � d zn� �� � Off/ CEJ;u no Z d �] m m o / LOU o � / I I JO O O 0-' zmA p' y A n lQY��� < D n I Td COz go O 2 I rt'�C Z m 13M p \gyp 1 / I 9� o (Dr, m {OoTl:EzO I z m -�rrl y c0 I mm-imW'm J v N K: >0 r. k 0 E2mo. toO \ r j Z�yC.i 20 f11 F-� \\ t" r - O H I Z Z O Z o 0 D I� IH ommo A O { Z T>:jo O C o jr I� Y � b , � < �' •. ; 'y .+"' "'ti cif m ec V I DC�10 p T'.t C1 A. i1 y D / T _D wmfry' !1 O Co fS I it ;� p 00 T. S. DESIGN DETAIL SCALE 0 w (p cn % no v r D Z r 17-1 1 O 1 1 � 1 O 1 � � 1 O trj o � 1 tz� \ l 1 1 \1 D U� \ (l 1 N 1 I � 1 1 CO 1 9 b 9c? ti N �I (71 1 \ Z = ®' � y \ m A N �I o N N � v 0 Eel YC I it �,�f 10 • d F� m • r-r o can i7 Municipality of Anchorage DEPARTMENT OF HEALTH 8r HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: T f M MA U DATE PERFC HT 7 / y7ov,�7oiar� /i,?.R4�1 sT- 'Z - LEGAL LEGAL DESCRIPTION:JTownship, Range, Section: DEPT SLOPE H• r S T F{ O L aL I�� r Ezra 1 /f/l 2 / /( / 3 4 O 5 J 6 7 8- 9- 10- 11 9 1011 - 12 d 13 14- 15- 16- 17 4151617 g4 18 19 // /1 20 COMMENTS (919(i,4,1C-S s 'r-ILt- G M 51L->7, s4N6 y CcQ*vli L 6f -a zoc,K WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 7S a )yi Depth to Water After a Monitoring? "0 S L s/aq/g7 ° S- /7/`17 E Date: 9- /3 ) el -7 SITE PLAN 7 Reading Date Gross - Net Time Time Depth to Net Water Drop s3 av ? S s- ., a, S'4G ., ;3: S7 ° s ,r ., �.a PERCOLATION RATE S, 3 (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 12 '/)' FT AND // //)- FT S & S ENGINEERING PERFORMED BY: 17034 Eagle RivertUOITIZaad No. 204 I f?..-�— CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE wr5;9I€LRIYRREMR"IJ9RU17A1- GUIDELINES IN EFFECT ON THIS DATE. DATE: 7 /q R -7 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: T I M M)} V DATE PERFC Lo 7-" 1 mov'v rAlN 1 FGA1 nFS('RIPTIr1N- 7-jy, Pmi)-cc F 0--. AL Z" Township, Range, Section: _ y.{ SLOPE SITE PLAN DEPTH '(FEE -T1 s,L>y 1 S/+�/nY Cr (z /} v t, L 917-7-771 , QEI)Pi Ck \OU7 G2OP106) 10 Depth to Net Water Drop WAS GROUND WATER N U 2 ENCOUNTERED? S 3 C L I S 'li [ IF YES, AT WHAT _ O 4 DEPTH? P 5- E 13 Depth to Water After 0A� llq /q ., 6- 60 Monitoring? Dale: 0 7 � 81 s,L>y 1 S/+�/nY Cr (z /} v t, L 917-7-771 , QEI)Pi Ck \OU7 G2OP106) 10 Depth to Net Water Drop WAS GROUND WATER N U ENCOUNTERED? S 11 C L I S 'li [ IF YES, AT WHAT _ O S- DEPTH? P 12 E 13 Depth to Water After 0A� llq /q ., Monitoring? Dale: 14- 15- 16- 17 4151617 1s 19- 20 COMMENTS Reading Date Gross Net Time Time Depth to Net Water Drop hSSb K I S— tt/ „/1 /. 311 . C y t1 I S 'li [ (y S- PERCOLATION RATE 'L 3 (minutes/inch) PERC HOLE DIAMETER �0 TEST RUN BETWEEN a FT AND 3 FT S & S ENGINEERING ff 10, PERFORMED BY:I CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle Rivvr Loop Roado. 204 S Ax -,- /% ACCORDANCE wARLeLW rwEPAWa4 L."=AL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Ir 'aP•��` Municipality of Anchorage C7 •�� DEPARTMENT OF HEALTH & HUMAN SERVICES / *: 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST •• �,• ROBERT C. COWAN -- 1 PERFORMED FOR: j I M -/"► iU DATE PERFORMED': 7 L©T 1 IMOVNTyr 1 _.. LEGAL DESCRIPTION: f l ARRA cC re S7' � `ToWnshlp, Range, Section: T f T /-id LL '4 `7 SLOPE SITE PLAN �-a 10 1 a WAS GROUND WATER V0 j ,��/ ij/a0 h'ac K ENCOUNTERED? r --7--T--7 DEPTH (FEET) . 11 L 1 Ivo d 2�i-FiN f J DEPTH? P 12 E Depth to Water After 13 Monitorino7 Date: � 2 h <Q ra 3 a _ O� 4 a b � 5 LTy Sg/n y 6- 7 7 8 ° C 9 !� �-a 10 1 a WAS GROUND WATER V0 j ,��/ ij/a0 h'ac K ENCOUNTERED? r --7--T--7 14- 15- 16- 17 4151617 18- 19- Reading 819 WE BE �0. iN Reading Date Gross Net Depth to Net Time Time Water Drop M 12 20 .— — PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS 1VU //tMun Tr)4,. 6 TU/�Ti I✓vf;-ltL�✓J PD JG 14o�i i0 -if F% PERFORMED BY: S & S ENGINEERING I '7 CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop ARIoad No j 7 /Q 7 ACCORDANCE WITIt4LV&J� WR5K0 YYS// GUIDELI IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) S 11 L IF YES, AT WHAT a O DEPTH? P 12 E Depth to Water After 13 Monitorino7 Date: 14- 15- 16- 17 4151617 18- 19- Reading 819 WE BE �0. iN Reading Date Gross Net Depth to Net Time Time Water Drop M 12 20 .— — PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS 1VU //tMun Tr)4,. 6 TU/�Ti I✓vf;-ltL�✓J PD JG 14o�i i0 -if F% PERFORMED BY: S & S ENGINEERING I '7 CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop ARIoad No j 7 /Q 7 ACCORDANCE WITIt4LV&J� WR5K0 YYS// GUIDELI IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) S &S\ ,weeping ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTHAUTHORITY f APPROVALS REFERENCE: Lot 1, Mountain Terrace Estates Unit No. 2 S/D May 20, 1997 SEWER & WATER MAINEXTENSIONS GENERAL: 1. The scope of this project includes the installation of a 1000 gallon septic tank and two five foot wide SEWER&WATER drainfields to serve the proposed three bedroom INSPECTION residence for the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with ENGINEERING STUDIES any special provisions or conditions, and all AND REPORTS applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any WELOWTES &FLOW TEST gCTION necessaryund.o.r y round utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all SITE PLANS leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. ROADDESIGN 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the SOIL TEST Municipal Health Department. EPTIC TANK INSTALLATION: PERCOLATION TEST 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. STRUCTURAL& MECHANICAL 2. The septic tank shall be sufficiently bedded to INSPECTIONS prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE204 • EAGLE RIVER, ALASKA99577 Page Two Lot 1, Mountain Terrace Estates Unit No. 2 S/D May 20, 1997 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page Three Lot 1, Mountain Terrace Estates Unit No. 2 S/D May 20, 1997 MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer_ and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever applies. Page Four Lot 1, Mountain Terrace Estates Unit No. 2 S/D May 20, 1997 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be, the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident •to this project. CONTRACTOR OWNER 1'?C1 ':rr:!orttt St, �!5/; ":IrA2�Cii0ItAl:� ALAIiIt.A 344-7?14 g c, T -OUT TO THE DEPTH OF SIX INCH WATER WELL DRILLED __ y +,, r17 C" PER FOOT.. C-a,]An�, C'0A,uc'1. da 47 I(ez : a DRILLED AT THE RATE OF �------ /f ...... q.--Trt.l rr,i%hnd f,l.�%'(I._nr %7 70CT 'UIt•Jlod�1'n' . PROPERTY OWNER LOCATION OF WELL SITE c, n.rc ltuis a `)RILLCR --- - - ' WELL LOG: 0__-_1�' :i.Ur�+ nor�Gl. rtau"f uith 4taken wrfc(hrsecl bedRor�.`' i 7r .Soft. l,edzacl: mn,G'sio,L.'F�r.n�aat:f,n.ou�E I,vrin.ad:.. Ca.].ing J.u.ven•,to 47,u..( , _.r; -,r :ittm ha�Lci to hnncl,�edLt¢ntaul:`Led"d. .Ila watr,t fp afri dhoux&q unto --265 nec 47 235 14. -to 1;; f�. fl nrutnulcrt G,pe unttan berttlnc/. 2aCk 41Lomdnn -_n ., , •-- r ra 1: G12tC2 1/,7.�1d aartna ot'.t. nj a poto1W JJVtWCk'. =�� s •. '2.3 Torre 17,7it .to T.'•. Th,1A :tr tl, a1];tIeau to Inr,to!'.]e. hL ploduc4ton f�%1ii tt]e. lbar ,rtc,Gi ---- 1.+cI u L is t!1ih•!n --'—" h,e�n.t. '>aduat,i.an do rl.;il nro/t.a, t .rfr4. grtaur+Rrl Cr1M0.] 1 _ AI MUNICLPAIHELM 6 . t)EPi. OF P$,OIECTOA EN'rISCr'MENTAt - SEP a eLl conn!ca�ion rlatr.; 9nna 1•' ULr 1971 Ra.G•; 71,0. �r�cl,i,t{r nucur,lr.hf_rr! !1•.i;1 f_'�1.1. i,l Vr�q gaur!, COST INCLUDES ALL LABOR ANr) MATERIAL FOR COMPLETION OF SAID DRILLING --------------- WRITE ---- _ WRITE CHICK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF Tr ANK YOU VERY MUCH,' BERNIE CLAUS OF RAMPART DRI INyG�WORKS 'lute DATE__ - SERVICE CHARGEOF IV,% PER MONTH WILL BE ASSESSED ON PAST DUE7IC000NTS. + Municipality of Anchorage • �- Development Services Department Building Safety Division •; OnSde Water and Wastewater Program ` 4700 South B ragaw St s • r P.O. Box 196650 Anchorage, AK 995196650 www.d.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 020.121.13 HAA #_ t�501 fn s Expiration Date: _ / J - 19 - 0 5 1. GENERAL INFORMATION Complete legal description -Lot 1 Mountain Terrace Estates No 2 Location (site address or directions) 9121 Brewster's Drive Current Property owner(s) _ Rebecca J. Bingham Day phone Mailing address 75410urOwnLane Anchorage AK995% Lending agency Day phone Mailing address Real Estate Agent Jan Rednali Day phone 261.7600 Mailing Address Dynamic Prop"" Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Three 3 TYPE OF WASTEWATER DISPOSAL: ® Individual On-site ❑ Individual Holding tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (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, 1 verify that my Investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system Is(are) In compliance with all applicable Municipal and State codes, ordinances, and regulations In effect at the time of installation. Name of Firm Anderson Enolneerina Phone 522.7713 Address P.O. Box 240773 Anchoraoe. AK 99524 Engineer's Printed Name _Michael E. Anderson, P.E. Date 811612005 5. DSD SIGNATURE ✓ Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: f /o�- �✓ �� r��? a-ct Original Certificate Date: 9-19-0-5 (Pw12o Municipality of Anchorage • Development Services Department Su9ding Safety Divislon < On -Sb Water 3 Wastewater Program ' • • •' ,i 4700 South Bragew SL P.O. Box 198650 Anchorage, AK 89519.6850 www.d anchorage sk.us (907) 343-7904 !i 'I HEALTH AUTHORITY APPROVAL CHECKLIST We0 type efto If A, B, or C provide PWSID S. Date completed AM0994 Sanitary seat (Y" Y Total depth _K_R Cased to _U -R FROM WELL LOO Date of test BR0994 Statlewater levet 29' fL Well production 7 9 - p.m - WATER SAMPLE RESULTS: Coliform -L-cotonles/100ml. Nitrate _U_mg.4. Well Log (YIN) Y Woes prop" protected (YIN) Y Casing height (above ground) -M_in. AT INSPECTION 272 ft. 4.4 g.P.m. Other bacteria _L colonles/100 ml. Date of sample: 3I15/M Collected by: TLK B. SEPTICIHOLDING TANK DATA Tank Type/Materlal 8sutldSteel Date installed TR311997 Tank size 1.000 gat. Number of Compartments Z Cleanouts (YIN) Y Foundation cleanout (YIN) X Depression over tank (YIN) H Hgh water alarm (YIN) N Date of pumping Of1M01 Pumper Old McDonald s pumping C. ABSORPTION FIELD DATA Date kuuatled TWIN? SOB rating (g.p.dJft or fe/bdrn) >,GPDISF System type s wide Trench Length t0 R Width 5 ft Gravel below pipe A fl Total depth 12 ft. Efl. absorption area date Monitoring tube X Depression over field 19 Date of adequacy test 3MSI1005 Results (Pass/Fag Pass For I bedrooms Fluid depth in absorption field before teat i In. Water added2A gal. New dep#W in. Elapsed Time: pit min. Final fluid depth 2 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yea, give date D. UFT STATION Date Installed 'Pump on' level at _ in. Datum Sten in gallons Manhole/Access (YIN) 'Pump oft' level at _ in. High water alarm level at In. Cycles tested Meets alarm & drain n quiromeius4 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septi tankAiR station on lot 3100' Absorption field on lot 3100' Public sewer main WA Sewer /aepfic service Arse >2s On adjacent lots 3.100' On adjacent lots MW Public new manhole/cleanout WA Holding tank WA SEPARATION DISTANCES FROM SEPTICIHOLDINO TANK ON LOT TO: Building foundation W Property kne >T Absorption field >S Water main WA Water service line >10' Surface water 3100' Wells on adjacent lots MW SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 310' Building foundation >IW Water main >17 Water Service Yne MV Surface water MW Driveway. perking Mds storage >-V Curtain drain None Noted Wells on adjacent lots 3100' F. COMMENTS 0. ENGINEER'S CERTIFICATION I ce►Wy that f have determdred through field kupecNons and a 49th review of Munk'Ipal records that the above systema are In conibrmance wRh MOA HAA guldellnes In effect on this date. 0C0iAM G 090=Engineer's Printed Name _ _ Mkhaet E Anderson. RE � A \. Na a: -aa / HAA Fee 11 1 P Date of Peymem 0/1405— Receipt lm °rReceipt Number % 7 SS (s (Rev. 12MM Waiver Fee S Date of Payment Receipt Number 3-23-05; 6:26PM; SCS RAM Client Name Project Name/# Client Sample ID Mattis Sample Remarks: 1051367001 Anderson Engineering Mountain Terrace #2. LI Mountain Terrace #2, LI Drinking Water ;807 5615301 n 2/ 4 All Dates rimes are Alaska Standard Time Printed Date/Time 03/232005 16:47 Collected Date rime 03/152005 11:25 Received Date rime 03/152005 13:40 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results PQL Units Method Comainer ID Limits Date Date Init Waters Department Nitraw-N 3.30 0.100 Hierobioloey Laboratory Total Coliform 0 mg/L EPA 300.0 B (x-10) 03/15/05 CAM eol/IOOmL SM2092228 A I) 03/15105 TLF K w z ti m rn CEZ • 4 •• N MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services to On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # a fl - a / 113 HAA # 1. `GENERAL INFORMATION Complete legal description Lot 1: Mountain Terrace Estates #2 Location (site address or directions) .Brewster5Drive (Cv�h.ane Rd.) Anchorage, AK Property owner Tim Nau Day phone 345-V.?99 / Mailing address Anchorage, AK 99516 Lending agency Day phone Mailing address .Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA#21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Phone 7 17 17034 Eagle River Loop Roact No. 204 Address Engineer's signature 6. DHHS GNATURE I DHHS for bedrooms. By: Disapproved. Conditional approval for Additional Comments �G A_ UITIC Date 13- 17 / / 7 OF, of T 1 ROBERT C. COWAN , i•@ CE -8801 bedrooms, with the following stipulations: Date /2.2s .9 7 - The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as acourtesyto purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-M(Rev.1/91) Back MOA#21 �oNMENTAL SERVICES DIVISII: Municipality of Anchorage OEC 17 199 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division R E C E I 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: 1-o 7 f MOywrA," r$W 4 ck- ) ST Z Parcel I.D.: 0 &�o A. WELL DATA Well type P41 vR r If A, B, or C, attach ADEC letter. ADEC water system number Log present �N) Y IL S Date completed � I h' ( q y � r _ Total depth so Cased to J, -7 r o 94 Casing height (above ground) Sanitary seal a/N) Y i S Date of test Static water level Well production FROM WELL LOG DL 19 WATER SAMPLE RESULTS: 7 1 Wires properly protected (,g/N,) 'Y '� S AT INSPECTION $-/3 /q 3� r. S- Coliform 0 Nitrate L 7o Other bacteria b I �� / i( `I Collected b S & S ENGINEERING Date of sample: y:17034 Eagle River Leap Road No. 204 Eagle River, Alaska 99577 B. SEPTIC/HOLDING TANK DATA Date installed 7 % 3 / q '7 Tank size 1 Q 0 0 Number of Compartments Cleanouts (9/N) Y j Foundation cleanout (9/N) y 5 Depression (Y/O h` Q High water alarm (Y& !t a Date of Pumping A- Pumper N✓z s.l C. ABSORPTION FIELD DATA Date installed 7 / 3 % 7 Soil rating (g.p.d./ft2 or ft2/bdrm) System type S6/ri t ba w r �N elf r Length �O r01 -AL Width Gravel thickness below pipe Total depth Effective absorption area rro 0 F r Monitoring Tube present (Y/N)Y 6-f Depression over field (Ya ^ `' Date of adequacy test N 14 — Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test (in.); lately after_ gal. water added (in.): _ Fluid depth (ink es later: Absorption rate = g.p.d. (past 12 months) (Y/N) 72-026 (Rev. 3/96)* If yes, give date D. LIFT STATION Date installed Manhole/Access (Y/N) "Pump on" High water alarm level at* *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot r't7 0 �-f Absorption field on lot / o U �t Public sewer main IV 1,4 Sewer /septic service line Size in gallons "Pump off" level at* On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation J s �"t Property line / 0 t Absorption field $ ' Water main/service line IO Surface water/drainage )oo f Wells on adjacent lots y 0 0 4 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10 f Building foundation s t Water main/service line / Q r Surface water ) Do Driveway, parking/vehicle storage area S, r Curtain drain 1' 011 rz- Wells on adjacent lots /00 F. ENGINEER'S CERTIFICATION I certify that l have determined thru field inspections and review of Municipal req J( th&-t•tHd a 'y�sems are in conformance wit M A HAA uidelines in effect on this date. •,� da Signature o i N i En neer's Name 0�`���% C „ 4r✓ e g / T ROBERT C. COWAN r a� a esol � ✓ F� Date ., =:'7 HAA Fee $ d rZ '67-) / Date of Payment /7�/ / 7 Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number �Azk CT&E Environmental Services Inc. CT&E Ref.# Client Name Project Name/# Client Sample ID Matrix Ordered By PWSID 977528001 S & S Engineering N/A Lot 1 Mtn Terrace Est #2 Drinking Water Parameter Results Nitrate -N 1.70 Waters Department Analyses Total Coliform 0.00 I Client PO# Printed Date/Time 12/19/97 09:40 Collected Date/Time 12/15/97 12:30 Received Date/Time 12/15/97 14:15 Technical Director: Stephen C. Ede Released By a p a 4 PQL Units Method 0.100 mg/L EPA 300.0 col/100mL SM18 92226 Allowable Prep Limits Date 10 max Analysis Date Init 12/15/97 RMV 12/15/97 TMW