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HomeMy WebLinkAboutNORTH WOODS BLK 3 LT 36Municipality of Anchorag6O LD OCT 0 �� Community Development Department Page 1 of 3 On -Site Water & 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: OSP191279 PID Number. 051-731-46 ❑ New ■ Upgrade Name: MICHAEL ROURIK ABSORPTION FIELD �ound ❑ Deep Trench ❑ Shallow Trench ❑ Bed Address: 22607 NORTHWOODS DRIVE, CHUGIAK, AK 99567 ❑ Other Phone: No. of Bedrooms: Soil Rating: Total Depth from origin de: 907-306-6523 3 GPD/Sq. FL FL LEGAL DESCRIPTION Depth to pipe invert from original grade: Grave pth beneath pipe: F FL Subdivision: Block: Lot: Fill added above original grade: G Gravel length: NORTHWOODS 3 36 FL FL Township: Range: Section: Gravel width: FL Beds Number of lines: Distance between lines: FL SEPARATION DISTANCES Total absorp ' area: Number of trenches: Dist between trenches' To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines so. Ft FL Well N/A N/A - 251+ TANK ❑ Septic ■ S.T.E.P. ❑Holding ❑ Other Manufacturer. ANCHORGE TANK Capacity. 1500 Gal. Surface water 100'+ K 100'+ - Lot Line 51+ 5'+ - Material: Number of compartments: w N/A EPDXY COATED STEEL 2 LIFT STATION Foundation 10'+ 10'+ - Curtain Drain NONE KNOWN Manufacturer. Capacity. ANCHORAGE TANK 1500 Gal. Remarks: "Pump on" level at- 38" 'Pump off level at 34" High water alarm at 43" Pump Make & Model: Electrical Inspections performed by. 20 OSI 05 HHF CAPSTONE ELECTRIC PIPE MATERIAL HDPE House to tank D3034 Tank to SDR -15 drainfield Installer A+ HOME SERVICES Drainfield EXISITNG CO/MT EXISTING Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 100.00 FL Inspection Location and Description: Lo Dates: 1 St 9/19/2019 2nd 3rd - 4th FRONT DOOR THRESHOLD ENGINEER'S SEAL Community Development Department Approval .�.�� OF �; IllrAt . ,• ••.••�"�7'♦♦# �P•• Conditional Date: approval: Ar 9 J11'. ..,....... ..... . ............. .. . 0 • ei f A. arness :,—a CE -79 3 .•°��i �.♦♦�� q q •• '� i ♦ Fp P•Qt1. , . ••N�. Approved: Date: I 1 I LICENSE e1:;`5;,0 #AECC884 Inspection Report_1-1-12doc PERMIT NUMBER: OSP191279 I ---------------- INSTALLED --------------INSTALLED NEW 1.25" HDPE PRESSURIZED SEWER LINE— SEPTIC INSTALLATION NOTES: t 11 1. PER THE CONTRACTOR, A NEW PRESSURIZED CCC�III` SEWER LINE WAS INSTALLED FROM THE S.T.E.P. TANK TO THE EXISTING DRAINFIELDS, NEW FLUSHING VALVES WERE INSTALLED AT EACH END OF THE DRAINFIELDS ON THE DISTRIBUTION LINES, AND THE DISTRIBUTION LINES WERE FLUSHED/CLEANED BY A+ HOME SERIVCES. 2. PER THE CONTRACTOR, THE NEW 1.25" PRESSURIZED SEWER LINE WAS INSTALLED SO THAT IT WILL COMPLETELY DRAIN AFTER EACH PUMP CYCLE, THE LINE WAS BEDDED SO THERE ARE NO BELLIES, AND THE SEWER LINE WAS INSULATED WITH 4" BY 4' WIDE OF RIGID INSULATION CENTERED OVER PIPE. A B E 18.0 34.0 17.3 46.519.1 54.3 NOTE: OLD 1250 GALLON STEEL STEP TANK WAS DECOMMISSIONED PER UPC PER CONTRACTOR. NEW 1500 GALLON EPDXY COATED STEEL S.T.E.P. TANK PROVIDED BY ANCHORAGE TAI ECORD DRAWING )STALLED FLUSHING VALVES ON EACH END OF DRAINFIELD FOR FLUSHING DISTRIBUTION LINE — EXISTING PRESSURIZED DRAINFIELD. PASSED ADEQUACY TEST ON 5/14/2019. LOCATION OF FENCE Im EXISTING I SHED •r. 3 BEDROOM ; :,, HOUSE ; - ----- .� •):i - SHED FCO �\ ;'• " �N r: 15' PARCEL ID NUMBER: 051-731-46 —WATER LINE ENTERS HOUSE APPROXIMATELY HERE PER PROFESSIONAL LOCATES. PROVIDED BY THE CONTRACTOR LOCATION OF WATER LINE -- I KEYBOX --- APPROXIMATE LOCATION OF NORTHWOODS DRIVE ABANDONED 1981 DRAINFIELD o ..51P••••• •. ••♦1 L j i C, AV Y GARNESS ENGINEERING GROUP, Ltd .! *'; ...3....... 9: ti . ................::... - -- = CIVIL & ENVIRONMENTAL ENGINEERS------------- -� r /((ff 0 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907) 337-6179' FAX (907) 338.3246' WEBSITE: www.gamessengineeeng.00m •i•••`• � .n.... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: �'. Je 'e A. Gayness : �• CRW ENGINEERING GROUP, LLC 907-562-3252 2 OF 3 •��% :� CI= -79 _� PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦�♦��•';.� J O// ?� 11 p.��` ���� TYPE OF R DRWOODS S/D; BLOCK 3, LOT 36 DarE.L M o ♦� ��pROFESS�O'o��• RECORD DRAWING OF SEPTIC TANK UPGRADE 9/30/2019 #AEC 8E1������� 84 ..,;.;.• 15' PARCEL ID NUMBER: 051-731-46 —WATER LINE ENTERS HOUSE APPROXIMATELY HERE PER PROFESSIONAL LOCATES. PROVIDED BY THE CONTRACTOR LOCATION OF WATER LINE -- I KEYBOX --- APPROXIMATE LOCATION OF NORTHWOODS DRIVE ABANDONED 1981 DRAINFIELD o ..51P••••• •. ••♦1 L j i C, AV Y GARNESS ENGINEERING GROUP, Ltd .! *'; ...3....... 9: ti . ................::... - -- = CIVIL & ENVIRONMENTAL ENGINEERS------------- -� r /((ff 0 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 • PHONE (907) 337-6179' FAX (907) 338.3246' WEBSITE: www.gamessengineeeng.00m •i•••`• � .n.... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: �'. Je 'e A. Gayness : �• CRW ENGINEERING GROUP, LLC 907-562-3252 2 OF 3 •��% :� CI= -79 _� PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦�♦��•';.� J O// ?� 11 p.��` ���� TYPE OF R DRWOODS S/D; BLOCK 3, LOT 36 DarE.L M o ♦� ��pROFESS�O'o��• RECORD DRAWING OF SEPTIC TANK UPGRADE 9/30/2019 #AEC 8E1������� 84 PERMIT NUMBER: OSP191279 RECORD DRAWING PARCEL ID1NUMBER: 051-731-46 TOP OF N TOP OF T INLET = INVERT @ INLE GARNESS ENGINEERING GROUP, Ltd -- CIVIL & ENVIRONMENTAL ENGINEERS=- - -1 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, AK 99507' PHONE (907) 337-6179' FAX (907) 338-3246' WEBSITE: www.gamewengineedng.mm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: CRW ENGINEERING GROUP, LLC 907-562-3252 3 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: NORTHWOODS S/D; BLOCK 3, LOT 36 J.L.M. TYPE OF WORK: DATE: �, RECORD DRAWING OF SEPTIC TANK UPGRADE 9/30/2019 HOLE = 99.95 I OF TANK @ TLET = 94.56 Aw ♦.. ...."................. ...... .....% 3 .0 . ff Gar Iss ;w; L' AV AV °. ••• 0 �, .�• • 1 Fo .. LICENSE 1e� OFESS :SO #AECC884 �"`� / E L E C T R I C EST 2012. Letter of Completion Date: 9.24.19 A Plus Home Services 7501 E. 140'" Ave. Anchorage, AK 99516 To Whom It May Concern, Capstone Electric has installed and completed the electrical portion of the work located at 22607 Northwoods Dr. Chu2iak. AK 99567. All wiring and installation of electrical components were installed in accordance with the latest electrical codes and were found to be in proper working order after final testing. All alarms are functioning and installed in the proper locations. Because this site is outside the MUNI inspection area please accept this letter as final inspection for the work that has been done. Devin Rafeedie CEO 20828 Bill Stephens Dr. Suite C1 Chugiak, AK 99567 Phone: 907.688.2751 accounting@capstoneak.com r- i Jeff Garness From: Jody Maus Sent: Monday, September 30, 2019 11:29 AM To: Tom Varney; Sam Arias Cc: aplus@gci.net; Jeff Garness Subject: Northwood STEP tank float settings Tom and Sam, According to Mike w/ -A+, the on/off float is set at 28" below the top of the basket and the high water alarm is set at 23" below the top of the basket. According to you, the basket is 64" tall. This would make the floats at 36" from the bottom of the basket/tank for the On/Off float and 41" from the bottom of the basket/tank for the, High Water float. Assuming a 2" swing up and down for the float, the "Off' level would be 34", the "On" level would be 38", and the "High Level" would be 43". We need to know what the tank liquid capacity would be with the floats set at these levels or if they need to be adjusted to make sure the minimum tank liquid capacity Is met for this installation. Sincerely, Jody Maus Consultant Garness Engineering -Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Phone: (907) 337-6179 Fax: (907) 338-3246 Mobile: (907) 223-0555 Website: www.garnessengineering.com dv,ncev rti�emc��s,—rtm coRt�RnT1aH GARNESS ENGINEERING GROUP, Ltd o - - A,t,,�o.edAWaDiv tutor -v_-- ENGINEERING • SALES• CONSULTING•zv- �� - r== Jody Maus From: Jody Maus Sent: Monday, September 30, 2019 10:57 AM To: 'aplus@gci.net' Cc: Jeff Garness Subject: Northwoods; Block 3, Lot 36 Attachments: doc06501720190930104704.pdf Mike, Attached is a Draft of the Inspection Report and record drawings for the subject property. Please review and let us know if everything on the record drawing is accurate and true, especially in regard to the septic installation notes on page 2 of 3. Please email us back after review with your statement of accuracy and/or if we need to make any changes, additional notes, etc. Sincerely, Jody Maus Consultant Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507 Phone: (907) 337-6179 Fax: (907) 338-3246 Mobile: (907) 223-0555 Website: www.garnessengineering.com -----Original Message ----- From: Scan <Scan@garnessengineering.com> Sent: Monday, September 30, 2019 10:47 AM To: Jody Maus <Jody@garnessengineering.com> Subject: Garness Scans DO NOT REPLY TO ADDRESS Jeff Garness From: Beverly Blakeslee <apius@gci.net> Sent: Monday, October 7, 2019 7:45 AM To: Jeff Garness Subject: Documentarion of Statement re: Northwoods Good Morning Jeff, Everything on record regarding the documentation and statement of record is acceptable at the Northwoods property. Thank You A+ Home Services, Inc. Mike Blakeslee Municipality of Anchorage On -Site Water and Wastewater Program P.O. Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://Www.muni.org/onsite Review Comments Engineer: GARNESS ENGINEERING GROUP LTD Legal Description: NORTH WOODS BLK 3 LT 36 Parcel ID: 05173146000 Permit: OSP191279 SepticTank Report Type: As Built Review lllgnr S, r, Q� r Department Completed By: 11/19/2019 The application has been reviewed and the following comments have been generated. These are to be satisfactorily addressed prior to MOA approval: NA 1. Please verify "Tank to drainfield" pipe material is approve for this application (it is not one of the pip materials listed in our Component Parts & Materials Guide). — i�nf G �9�-i� Plf"F �+w r Wni �� �' �� �_� i s IQ r�r�n rnvCrC NS'im 0- � iau iS SiA,�ytp {i�'e :-v!L i.,lA'rNti- Ur'c+ 2. Please confirm whether monitoring tubes in existing field were repaired (permit drawing noted that several were cracked, broke and full of debris). (}+ _ (^�(� 1 � �L ��' i.JiRC ��t�Qc ��ii�YJ •Y'trK .E Ce'y.1i2t4C?GL .� �t 1•�+n11 E 5cK�1Gt i) I_�l. r C r: j�C' .b J R.Carroll V go-,& q r,R+rrc.-.�e,r}rrr.:-zTc.�sao*;-��r.T-�m-:�?'� •�-��R'3�-r.�e,?�aR�an.�,ny. _ _ _ _ Designee] O Standa;-.r3 hili e h-nansi(Do, a-IDPE O Black Pipe Specifications: p PE 4710 Resin formulation listed in PPI TR4 p Hydrostatic Design Basis: 1600 psi @ 73 ° F, 1000 psi @ 140 ° F p Cell Classification per ASTM D3350 = 445574C and 445576C CC3 O ASTM D2239: SIDR 7, 9, 11.5, 15, 19 p ANSI/AWWA C901-17: SIDR 7 Only p NSF/ANSI Standards: 14 and 61. Pressure Ratings: All pressure ratings are a maximum PSI @ 73.4°F. If temperatures exceed 80°F, contact Charter Plastics for a working pressure de -rating. Joining: Charter Plastics Black SIDR pipe is made to ASTM D2239 Standards for inside diameter controlled pipe. It should be joined with barbed insert fittings and clamps. Double clamping is recommended on 1-1/2" and 2" pipe in all pressures and on all PC 200 or greater pipes. You may also use special OD Compression fittings that are designed for ASTM D2239 pipe sizes. Charter Plastics recommends roughing the end of the pipe with sandpaper prior to sliding on the fitting. Never use any lubricant on the pipe. Do not expose the pipe to direct flame. Installing: All Charter Plastics SIDR Black Potable Water Pipe can be used for down the well applications. For underground installations, the pipe can be direct buried, plowed or pulled. Buried pipe must be supported by proper embedment material like sand or gravel. Refer to PPIs "Handbook of Polyethylene Pipe" and follow as local, state or federal guidelines. To safely handle and store polyethylene, refer to PPI's Material Handling Guide. *This pipe is not designed for use inside the building or for hot water applications. Disinfection: New water mains and service lines should be disinfected according to AWWA C651.The disinfection should take place after the initial flushing and pressure testing. Prolonged exposure or concentrated levels of disinfection chemicals may cause damage to the inside diameter of the pipe.The disinfection chemicals should never contain more than 12% active chlorine. Charter Plastics recommends the test duration not exceed 24 hours and that upon completion, the system be thoroughly flushed with fresh water. Testing: Charter Plastics All pipe should be hydrostatically tested after installation. Pneumatic testing is not recommended. Polyethylene. Pipe. Partners. O Refer to PPI's Handbook of Polyethylene Pipe for Guidelines. L O Z 2 PRODUCT DESCRIPTION HIGH-DENSITY POLYETHYLENE WATER AND SEWER PIPE FOR MUNICIPAL AND INDUSTRIAL WATER AND SEWER PIPING SYSTEMS RICH HISTORY Thanks to the support of our loyal customers, and the dedication and hard work from our JM Eagle'" family mem- bers, JM Eagle7' continues to be the largest manufacturer of PVC pipe in the United States and in the world. JM Eagle- was formed in 1982 following the purchase of eight PVC pipe manufacturing facilities from the Johns - Manville Corporation. Over the course of the years, we have expanded our operations through seventeen addi- tional plants in Wharton, TX; Fontana, CA; Batchelor, LA; Meadville, PA; Adel, GA; Buchannon, WV, Columbia, MO, Cameron Park, CA, Hastings, NE, Perris, CA, Sunnyside, WA, Tacoma, WA, Visalia, CA, and now with the addition of three Polyethylene (PE) facilities in Kingman, AZ, Magnolia, AR and Tulsa, OK. There are only a few pipe manufacturers in the world that produce both PVC and PE pipe, and we are proud to be one of them. With our modern PE pipe production facilities in North America, we are able to fulfill all of our customers' plastic pipe needs. DESCRIPTION JM Eagle- manufactures High -Density Polyethylene (HDPE) water pressure pipe for municipal and industrial water transmission systems. This pipe is available for sizes Y2"-63" in diameter. Our HDPE pipe is recognized in the industry for its zero leak rate, high performance, and long HIGH-DENSITY POLYETHYLENE WATER life expectancy. They may be manufactured with color striping to identify their application, such as blue stripe for potable water, green stripe for sewer application, and purple stripe for reclaimed water. LONG LAYING LENGTHS The standard laying length of HDPE pressure water pipe is 40/50 feet. Smaller size pipe 6" and under can be extrud- ed at continuous coil lengths by request. Longer lengths provide convenience in installation and allow for significant cost savings in labor and equipment. APPLICABLE SPECIFICATIONS JM Eagle- HDPE water pressure pipe is manufactured in accordance with AWWA C901/C906, ASTM D2239, ASTM D2737, ASTM D3035, ASTM F714 and •ANSI/NSF 14/61 listed. QUALITY CONTROL JM Eagle"' takes great pride in the quality and workman- ship of all of our products. JM Eaglee' quality control pro- grams encompass three critical aspects of the manufac- turing process: the incoming raw material, pipe produc- tion, and finished goods. Incoming material is visually inspected and tested to ensure the material meets all applicable requirements before its release for production. During production, the pipe will be visually examined for any cosmetic defect and pipe samples will be collected for physical verification and testing for compliance. The fin- ished product is subjected to further visual inspection to ensure it has met all the appropriate specifications and packaging requirements. Without exception, JM Eagle'" pipe is constantly monitored throughout the entire manu- facturing process to ensure that it is produced in accor- dance with all applicable specifications. The JM Eagle - Quality Management System is ISO 9001:2000 registered. Copies of the registration certificates are available on our website at www.imeagle.com. {e. CORROSION RESISTANCE HDPE pipe has excellent corrosion resistance against electrolytic or galvanic corrosion or any known corrosive soil or water condition. You don't have to worry about tuberculation, or the need for costly lining, wrapping, coat- ing or cathodic protection. FLOW CAPACITY JM Eagle- polyethylene pipe has a smooth interior provid- ing less drag and a lower tendency for turbulence at high flow. Its superior flow characteristic eliminates scaling and pitting to preserve its form for consistent flow throughout the pipe's entire service life. The C Factor is 150 and the Manning's flow coefficient is .009. REDUCED INSTALLATION COST HDPE is lightweight, flexible, and comes in long lengths, allowing for easier and convenient installation. Because of its flexible nature, it reduces the use of fittings. HDPE also allows for non -intrusive installation by offering technology such as directional boring, pipe bursting and slip lining. r. HIGH-DENSITY POLYETHYLENE WATER 3 APPLICATIONS HIGH-DENSITY POLYETHYLENE WATER AND SEWER PIPE PE 4710 JM EAGLETM HDPE PRESSURE PIPE PRIMARY PROPERTIES TABLE 1 — PPI-TR4 PE 4710 — ASTM D3350 445574C g/cm3 ASTM D1505 0.959 g/10 ASTM D1238 < 0.15 minutes psi ASTM D790 110,000 to < 160,000 psi ASTM D638 3500 to < 4000 Hours ASTM F1473 > 500 psi ASTM D2837 1600 Black with — — minimum 2% carbon black °F (°C) ASTM D746 <-130 Shore D ASTM D2240 > 60 Note: Gray Pipe Cell Classification 445574E The physical (or chemical) properties of JM Eagle' products described herein represent typical average values obtained in accordance with accepted test methods and are subject to normal manufacturing variations. They are supplied as a techni- cal service and are subject to change without notice. For data, sizes, or classes not reflected in these charts, please contact JM Eagle- for assistance. HIGH-DENSITY POLYETHYLENE WATER 5 APPLICATIONS HIGH-DENSITY POLYETHYLENE WATER AND SEWER PIPE (CONTINUED) JM EAGLET' HDPE MARKETS AND APPLICATIONS TABLE 2 Underground Potable Water Distribution, Mining, Dredging, River/Stream/Lake MUNICIPAIJINDUSTRIAL Crossing, Highway Drainage, Highway Crossing, Oil Patch, Agriculture Water Distribution, Landfill Storm Water, Culverts, Highway/ Residential/Agricultural Water Collection Gravity Sewer Systems, SANITARY SEWER Sewer Force Mains, Directional Bore WATER DISTRIBUTION Potable Water Systems, Water Service Systems • Underground Irrigations Systems, IRRIGATIAgricultural Systems REHABILITATIONSlip Lining, Pipe Bursting Water Re -processing Systems Landfill Gas Collection, Waste Drainage Systems Liquid Chemical Mining, Slurry and Tailing Lines, Mineral Extract System Heating/Cooling System for home and business Factory Mutual (FM) Approved 6 HIGH-DENSITY POLYETHYLENE WATER I.P.S./D.I.RS. I.P.S./D.I.P.S. I.P.S./D.I.RS. Green Stripe I.P.S./D.I.RS. Blue Stripe, C.T.S. I.P.S./S.I.D.R. I.P.S./D.I.RS. Gray Slip Liner I.P.S./D.I.RS. Purple Stripe 60°, 90°,120°, & 180° Perforated I.P.S./D.I.RS. I.P.S./D.I.RS. I.P.S. I.P.S. DIMENSIONS AND WEIGHTS SUBMITTAL AND DATA SHEET S..D.R. PRESSURE PIPE ASTM D2239 TABLE 7 ANSI/NSF-61,14 LISTED 1/2 0.622 0.089 0.09 0.069 0.07 0.060 0.06 3/ 0.824 0.118 0.15 0.092 0.12 0.072 0.09 1 1.049 0.150 0.25 0.117 0.19 0.091 0.14 11/4 1.360 0.197 0.43 0.153 0.33 0.120 0.25 11/2 1.610 0.230 0.59 0.179 0.44 0.140 0.34 2 2.067 0.295 0.97 0.230 0.73 0.180 0.56 3 3.068 - - - - 0.267 1.23 1/2 0.622 0.060 0.06 0.060 0.06 V4 0.824 0.060 0.07 0.060 0.07 1 1.049 0.070 0.11 0.060 0.09 11/4 1.380 0.092 0.19 0.073 0.15 11/z 1.610 0.107 0.25 0.085 020 2 2.067 0.138 0.42 0.109 0.33 3 3.068 0.205 0.93 - - I.D.: Inside Diameter O.D.: Outside Diameter T.: Wall Thickness * For data, sizes, or classes not reflected in these charts, please contact JM Eagle" for assistance. *' Pure -core or solid color. Note: As of January 1, 2013 JM Eagle's polyethylene SIDR pressure pipe (ASTM D2239) will only be manufacturing with 4710 polyethylene resin. The result is a higher pressure rating for each dimensional ratio (example: SIDR 15 is 125 psi and SIDR 19 is 100 psi). Please confirm your pressure rating and dimensional requirements before ordering. Please contact your JM Eagle sales rep for details. (800) 621-4404 14 HIGH-DENSITY POLYETHYLENE WATER DIMENSIONS AND WEI SUBMITTAL AND DATA SHEET (CONTINUED) REFERENCE STANDARDS G HTS ASTM D638 Standard Test Method for Tensile Properties of Plastics ASTM D746 Standard Test Method for Brittleness Temperature of Plastics and Elastomers by Impact Standard Test Methods for Flexural Properties of Unreinforced and Reinforced Plastics and ASTM D790 Electrical Insulation Materials ASTM D1238 Standard Test Method for Melt Flow Rates of Thermoplastics by Extrusion Plastometer ASTM D1505 Standard Test Method for Density of Plastics by the Density -Gradient Technique Standard Specification for Polyethylene (PE) Plastic Pipe (S.I.D.R.-PR) Based on Controlled ASTM D2239 Inside Diameter ASTM D2657 Standard Practice for Heat Fusion Joining of Polyolefin Pipe and Fittings ASTM D2737 Standard Specification for Polyethylene (PE) Plastic Tubing ASTM D2774 Standard Practice for Underground Installation of Thermoplastic Pressure Piping Standard Test Method for Obtaining Hydrostatic Design Basis for Thermoplastic ASTM D2837 Pipe Materials Standard Specifications for Polyethylene (PE) Plastic Pipe (DR -PR) Based on Controlled ASTM D3035 Outside Diameter ASTM D3350 Standard Specification for Polyethylene Plastic Pipe and Fittings Material ASTM F412 Standard Terminology Relating to Plastic Piping Systems. Standard Specification for Polyethylene (PE) Plastic Pipe (S.D.R.-PR) Based on ASTM F714 Outside Diameter Standard Test Method for Notch Tensile to Measure the Resistance to Slow Crack Growth ASTM F1473 of Polyethylene Pipes and Resins AWWA C901 Polyethylene (PE) Pressure Pipe and Tubing, 1/2 in. Through 3 in. For Water Service Polyethylene (PE) Pressure Pipe and Fittings, 4 in. Through 63 in., For Water Distribution AWWA C906 and Transmission NSF Standard 14 Plastics Piping System Components and Related Materials NSF Standard 61 Drinking Water System Components - Health Effects FM Approved Factory Mutual Approval for Underground Fire Protection Service HIGH-DENSITY POLYETHYLENE WATER 15 • MUNICIPALITY OF ANCHORAGE On-Site Water & Wastewater Program s. .—'.. PO Box 196650 4700 Elmore Road �- Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 " • http://www.muni.org/onsite •`, Department On-Site Wastewater Disposal System Permit Permit Number: OSP191279 Effective Date: 7/10/2019 Work Type: SepticTank Upgrade Expiration Date: 7/9/2020 Tax Code Number: 05173146000 Site Legal Address: NORTH WOODS BLK 3 LT 36 G:1459 Site Mailing Address: 22607 NORTHWOODS DR, Chugiak Owner: ROURICK MICHAEL J Lot Size in Sq Ft: 20122 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: Contractor shall have water service line professionally located to ensure minimum 10 ft separation between septic tanks and water service line. Received By: �-� / Date: 7 Z Cr < &-"Ci-co-(9 Issued BY� � A Date: 7 to MUNICIPALITY OF ANCHORA - X56 89 ,0 • Q. 1411111/ -,5 i 7n 1Communit Development Department � Phon •• �7-343- 4' 9 .i, Development Services Fax: t I 343-7997 ,:t On-Site Water & Wastewater Program O/ 4.ti 6 8 L 9 Si ,7� ite-Sewer/Well Permit Application �i _ l _ 410 For A Single Family Dwelling Parcel . Property owner(s) MICHAEL ROURIK Day phone 907-306-6523 Mailing address 22607 NORTHWOODS DRIVE, CHUGIAK,AK 99567 Site address 22607 NORTHWOODS DRIVE, CHUGIAK,AK 99567 Legal description (Sub'd, Block& Lot ) NORTHWOODS; BLOCK 3, LOT 36 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: ®all that apply) Initial I I Single Family(SF) Absorption Field ❑ (w/wo ADU) Septic Tank ® Upgrade M Duplex (D) n Renewal 1 J Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage I THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: NONE Distance: - I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP,Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: $ S'OD Waiver Fees: Date of Payment: 113) R OF) Date of Payment: Receipt Number: c h 0 I7 CI Receipt Number: Permit No. bSV)°1 1 7C Waiver No. (Rev.01/11) gics 1 Advance j Treatment /Stc r, GARNESS ENGINEERING GROUP, Ltd Dealer ENGINEERING SALES CONSULTING June 28, 2019 Municipality of Anchorage Development Service Department On-Site Water&Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic Tank Upgrade for Northwoods S/D; Block 3, Lot 36 To whom it may concern: The referenced property is served by public water and a private septic system. We have been retained by CRW Engineering Group (contract engineers on this project for the Alaska Native Tribal Health Consortium), to evaluate the septic system on this property and prepare a design package for necessary upgrades/repairs. The existing septic system consists of a 1,250-gallon steel STEP tank and dual 5-wide pressurized trench type drainfields that were installed in 1994. We recently performed a septic adequacy test and determined the absorption capacity to exceed 450 gpd. Due to the age of the STEP tank (almost 25 years old) and our field observation that the tank looked badly corroded, we are proposing to replace the tank with a new one. Attached is a design drawing showing the proposed location. We are proposing that the old STEP tank be completely decommissioned per UPC and two new Infiltrator tanks be installed, an IM-1060 2-compartment Infiltrator tank and IM-540 Infiltrator pump tank. Based upon our site evaluation, the soil cover over the new Infiltrator tank/s will be very close to four (4) feet deep. We are proposing the contractor expose the sewer line where it exits the house to determine if proposed Infiltrator plastic tanks can be installed without exceeding 4 feet of soil cover. If it is determined that the soil cover will exceed 4 feet, then the tanks shall be installed in accordance with the attached detail drawing "Infiltrator IM-Tank Installation Requirements for Increased Backfill Depth—6 FT Max. —Alaska Only". We believe that the pressurized line from the existing STEP is compromised to some extent; therefore, we are proposing to install a new pressure line from the STEP tank to the existing trenches. We are also calling for flushing valves to be installed at the end of each pressurized line (in the trenches), so that the lines can be properly flushed/cleaned on an as needed basis. We are unaware any adverse impacts this installation would have on adjacent wells or septic systems. If yi u av any questions, please contact us at 337-6179. Thank you for your assistance. Since -ly,l -efFre� •. � -m ess, r.E., M.S. Presl'- t 3701 East Tudor Road,Suite 101 *Anchorage,Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com /- I — • / GEG,Ltd.HAS AN 8 PAGE SPECIFICATION LETTER INSTALL FLUSHING VALVES ON EACH THAT PERTAINS TO THIS DESIGN.BY PROCEEDING END OF DRAINFIELD FOR FLUSHING , FORWARD WITH THIS INSTALLATION,THE DISTRIBUTION LINES(SEE NOTES) ENGINEER,CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE • TERMS AND CONDITIONS OUTLINED. MT21 ' MT4G•1 I I 1 N INSTALL NEW 1.5"PRESSURIZED I , j SEWER LINE FROM NEW PUMP TANK ' i I I EXISTING PRESSURIZED TO DRAINFIELD(SEE NOTES) i i 1 DRAINFIELD.PASSED i ' ADEQUACY TEST ON 5/14/2019. SCALE: ii 1 ` 1 SEVERAL MONITORING TUBES 1"=30' SEPTIC INSTALLATION NOTES: 1 ` ARE CRACKED,BROKE,OR FULL 1.THE CONTRACTOR SHALL EXPOSE THE SEWER LINE 1 1 ' i OF DEBRIS.CONTRACTOR SHALL • EXITING THE FOUNDATION AND DETERMINE THE 1 REPAIR AND FIXES ALL NOTE:ALL ADJACENT ELEVATION.ONCE ELEVATION IS ESTABLISHED,THE 1 1 1 MONITORING TUBE AND MAKE PROPERTIES ARE SERVED CONTRACTOR SHALL VERIFY THAT 4 FOOT MAXIMUM BURIAL FOR INFILTRATOR TANKS WILL NOT BE 1 1 1 SURE THEY ARE SET TO THE BY AWWU WATER. EXCEEDED OR IF THE AREA CAN BE GRADED SO 1 1 I DOCUMENTED ELEVATION MAXIMUM BURIAL DEPTH WON'T BE EXCEEDED.IF IT IS ' SHOWN ON THE 1994 S&S ENG. NOTE CONTRACTOR TO FOUND THAT THE INFILTRATOR PLASTIC TANKS WILL 1 RECORD DRAWINGS RESTORE ALL DISTURBED EXCEED THE 4 FOOT MAXIMUM BURIAL DEPTH OVER 1 I SURFACE,FENCING,ETC- TOP OF THE TANK/S,THEN THE ATTACHED DETAIL ' 1 TO PRE-CONSTRUCTION DRAWING,FOR"INFILTRATOR IM-TANK INSTALLATION _S�MT1 `�MT3 CONDITIONS. REQUIREMENTS FOR INCREASED BACKFILL DEPTH-6 c APPROXIMATE LOCATION OF FENCE FT MAX.-ALASKA ONLY"SHALL BE USED FOR THIS INSTALLATION. 2.A NEW PRESSURIZED SEWER LINE SHALL BE INSTALLED FROM THE NEW PUMP TANK TO THE j�4 AIIIUII• o . . • EXISTING DRAINFIELDS.PRIOR TO THE NEW CONNECTION TO THE DRAINFIELD.THE FLUSHING SFS VALVES ARE TO BE INSTALLED AND THE DISTRIBUTION EXISTING -WATER LINE ENTERS • LINES ARE TO BE FLUSHED/CLEANED BY A 3 BEDROOM •!...:••;.. HOUSE APPROXIMATELY PROFESSIONAL SEWER SERVICE COMPANY.UPON COMPLETION OF CLEANING,THE NEW PRESSURIZED HOUSE ��. ::4 HERE PER OWNER.THE SEWER LINE SHALL BE CONNECTED TO THE `_,•;stiff CONTRACTOR SHALL DRAINFIELDS.SEE DETAIL DRAWING ON PAGE 2 OF 2 o- HAVE THE WATER FOR FLUSHING VALVE DETAIL. ....:,•:: :•.". .�'W. SERVICE LINE 4 .'' `•.`.•- j: .�.• 1 SHED PROFESSIONALLY 3.THE NEW 1.5"PRESSURIZED SEWER LINE SHALL BE U .T.!•,•.', '!.� LOCATED PRIOR TO HDPE AND MUST BE INSTALLED SO THAT IT WILL 0 1 ,...; '• '� •.-••••• CONSTRUCTION. COMPLETELY DRAIN AFTER EACH PUMP CYCLE.THE :• ':- •+w LINE SHALL BE BEDDED AND MUST HAVE NO BELLIES. THE SEWER LINE SHALL BE INSULATED WITH 4"BY 4' 0 #"�µ "I/ `� y:,.'+ r' .7.P:7••:.;.1':'•••,. WIDE OF RIGID INSULATION CENTERED OVER PIPE. / ,r EXISTING FOUNDATION s. CLEANOUT(SEE NOTES) EXISTING 1250 GALLON STEEL STEPr------------1t!:7-'>:-14.1\ I:, r TANK TO BE DECOMMISSIONED PER UPC I ' .i•J Q-r, cs ; 1 I :?w;-: , I I f 1 • f 1n— .: PROPOSED 2-COMPARTMENT IM-1060I + i �;a..•,y: ASSUMED INFILTRATOR SEPTIC TANK FOLLOWED BY A i :•'r is , LOCATION OF IM-540 INFILTRATOR PUMP TANK.SEE NOTES 1 •'•••ro'' •'! WATER LINE AND DETAIL DRAWING ON PAGE 2 OF 2 0 A • PPROXIMATE LOCATION OF GAS LINE. �•i THE CONTRACTOR SHALL HAVE THEI ••`.:•:.1, .t:, I KEY BOX 15 UTILITY EASEMENT GAS LINE TO BE PROFESSIONALLY 1,'<:::5:::.-. 4. LOCATED PRIOR TO CONSTRUCTION. ' APPROXIMATE LOCATION OF ABANDONED 1981 DRAINFIELD NORTHWOODS DRIVE APPROXIMATE LOCATION OF TEST HOLE EXCAVATED BY ANTHC(2018. SUS 14_4 *•" *•0 GARNESS ENGINEERING GROUP, Ltd' ; 4' . • ; CIVIL& ENVIRONMENTAL ENGINEERS ��,. ....� • • f 0 3701 E.TUDOR ROAD,SUITE 101•ANCHORAGE.AK 99507"PHONE(907)337-6179'FAX(907)338-3246'WEBSITE:www.gamesseng ineering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 0 e•I a '. Gar,-ss :•1- CRW ENGINEERING GROUP, LLC 907-562-3252 1 OF 2 ����,'�.� CE- 3 •�� PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦ .. ... ............................ . ��' •` Z g ��.•'��:� NORTHWOODS S/D; BLOCK 3, LOT 36 J.L.M. •,�0 �•• • _.1P, • TYPE OF WORK: DATE: LICENSE ,01 ESS1..�.� DESIGN OF SEPTIC TANK UPGRADE 6/28/2019 #AECC884 11���� Cp._..........}(.........--::-- $ .61W0,.* GRADE TO DR.AI i 4 i , / / // / / / ( / / / / / // / / \\ ,FINISH GROUND) / / / / / / / / / / / ' iV1'i/' / /// // // // / �// // / // / / // , / / NATIVE // / /////\/ /�\// / / /// / / // // / / /// 3;%CKFILL // /�\�/ / // / / / / / /\\ / // // // // Q/;,/,� // // // � ,- // // / , / NIAX \//\ ��/rt l 1- I I I I I / // �/ / / I I IJ / / N •' 1 .1 Q GEOFOAM ��h V/ // �•/ / I I ) I �/ / / / I I I 1 I I I ,/ ♦�0. ..� .,. -.•! --- ; - •: '• I ( ..• 4.- ..: .-1 : .. --. //, ••i . il .i • .-....,..ik /// i'.0 • \� ., '."';;S TYPE 2A _ /\��\ \/ \ 1 ) ! . ..A C)44 .. N...... ,N, `-‘,..... ''. 749th..-r\ ••4(6 VO/y//M S �^ _ _ TANK p: 11.... JOHN JOHN REESE LEAVITT• a `- INSTALL ON NATIVE - LEAVITT JOB 018015 002 jI SOIL BASE PER co �f,, NQ.CE 9217 •�C7, IM-SERIES INSTALLATION LEAVITT&ASSOCIATES 9f• .• • • •• a. INSTRUCTIONS ENGINEERS,INC. gF °pROFEssw�'� IIILK entuonATAL-CIVIL s SURVEYING w I- I- NOTES: 41116,1111rilaTIIIIIITMOUT14,11AUP4 SAND NM n044E(20WM- 1-71170 FM(20048341040 1-GEOFOAM(OR EQUIVALENT)2 FT MIN. ° 2-GEOFOAM TO EXTEND 1 FT BEYOND EDGE OF TANK ALL SIDES. if w 3-BACKFILL SIDES OF TANK WITH No 57 STONE OR EQUAL(3"MINUS TYPE 2A INFILTRATOR Z OR ROAD BASE MATERIAL) 4-6"MIN FILL OVER THE TANK(FOR GEOFOAM BASE) INFILTRATOR WATER TECHNOLOGIES U 5- WATER TABLE SHALL NOT EXCEED THE OUTLET PIPE INVERT ELEVATION4 Bootless Parc Rd T Crook.CT 06475 • 6-CC FILTER FABRIC SHALL BE AS APPROVED CURRENTLY BY HEALTH DEPARTMENT. (RD)OlddS4J6 O 7-COMPACT BACKFILL IN 1FT LIFTS(MAX)WITH HAND VIBRATORY EQUIPMENT OR EQUIVALENT INFILTRATOR IM-TANKS CC 8- THERE SHALL BE NO VEHICULAR TRAFFIC OR SIGNIFICANT LIVE LOADS Q (LAWN TRACTORS ACCEPTABLE) INSTALLATION REQUIREMENTS U 9-GEOFOAM SHALL HAVE CLEAN,NEAT CUTS AROUND THE RISER(S)OR STAND PIPE FOR INCREASED BACKFILL DEPTH 2 10-BACKFILL TO GRADE WITH SUITABLE FILL.SLIGHTLY MOUND FINAL GRADE TO SHED SURFACE 6 FT MAX.COVER -ALASKA ONLY- o DRAINAGE AWAY FROM THE TANK EXCAVATION AREA Down E AN GaIR 09/07/2018 11-GEOFOAM SPECIFICATION TO MEET OR EXCEED ATTACHED SPECIFICATION(INSULFOAM 40/60) !dc -•-=amid Cy !!rt 1 of 1 O Win. 4 NiINNTECHNICAL DSImo= � SPECIFICATIONS "/ WE PUT WATER IN ITS PLACE 107BC Series: Standard Series Material: HDPE Box Color: Black Lid Color: Green Lid Marking: ICV (Irrigation Control Valve) Box Weight: 1.04 lbs Lid Weight: 0.23 lbs Total Weight: 1.27 lbs Load rating: Pedestrian & lawn care equipment MADE IN THE USA B A " ,r' i_flstii { A - D Mouse hole: Irv'' • 2 3/8"x 2 3/8" E B Box Dimensions Lid Dimensions A.Top inside diameter 5 7/8" A.Top diameter 6 1/2" B.Top outside diameter 6 3/8" i B.Bottom diameter 5 3/4" C.Bottom inside diameter 71/2" �' C.Rim thickness 3/16" D.Bottom outside diameter 8 3/8" D.Overall height 3/4" 8 7/8" C E. Height D Li N.Harvard A�cnue /A„ " Lind.a).CA 93217 wit visit ndspro.com for specs, "mil INN 1:0 800-726-1991 ` detail drawings,and case studies wigI/ WE PUT WATER IN ITS PLACE • • Northern Comrnunities ‘....1i , (p Municipality of Anchorage Jr WI ill / V T 3733 ea r`' ,� sol 3118 i /VIWit., 3138 • .ti Pipe Types .. '9 ABS Acrybro8 m-8 o.oa-Styrene • - AC Asbestos Concrete CC Concrete Cylinder 801 j CI Cast Iron CIPP Cured In Place Pipe CMP Competed Metal tr. CN Concrete CU Copper 't' • a Due to Iron FC Famed Concrete IGI Galvanized Iron Huh Density PoNethylene 1� 101 MLCE Mortarned Concrete • _ PE Pdydryprw PVC Pofyvinylchbridc 3733 001 RC Reinforced Concrete ST Steal TC Iodate E• E LINK Unknown VC Verified Clay WS Wood Stave Legend WELL HOUSE. Q WST Welded Sall MCKINLEY UTIUTIES(OTHER UTILITY) Y 0 NP No Print ..r... ...�.�... :.��...�. - \ • PrNat•System ■� N : W. •...... fi 1 A liy _ 801 he 4...M ea 300 800 0 .......... V • • • F•N 43..e..+•�N, .fit'. 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YOU ARE 0500D TO DMA TO N _� y O� t ANCHOAAO0 VOTER A WVTeWain UTILITY 520 V EKLUTNA P2 STATION 7 IT' - `� +' OM'KM ORM eTMTNO O►RATIOIM. _• i HOMESTEAD VAULT ,t NW1459 Grid Number Water Distribution System I �„ {,... ,,y �,,�,� ,,�, (c/ MUNICIPALITY OF ANCHORAGE WATER CONNECTION — Location Record ACCT. NO. V' 7 ;(-- C7 l • NAME ADDRESS c2 (p O 7 W OC�,msto d S D ( LOT 3to BLOCK 3 ADDITION 11/erotklidetds Sy b SIZE CONN. DATE MADE NEW CONN. REPLACEMENT CONN. LOCATION: ALLEY El STREET El TYPE OF MAIN { ) SHOW SKETCH ON REVERSE SIDE CORP STOP THAW PLATE PERMIT NO. CURB STOP C TO C KEARNY WIRE CONNECTOR W. CURB STOP C TO I OTHER: CONN. CORP CONNECTOR INSP. COUPLING C TO I PERMIT X BRASS BUSHING TOTAL X GALVANIZED BUSHING COMMENTS: BROKEN MAIN, EXT. CONNECTION. EXTRA PIPE 2 PART UNION CASING, DELAYS, ETC. FT. @ 3 PART UNION PILA SERVICE CLAMP X ❑ PAID PREY. COPPER PIPE 0 W.M. # 1 1/4" KEY BOX ❑ PAID CASH 2" KEY BOX El SUB AGREEMENT THAW WIRE DISCONNECTS ALT. # LOCATION ,c' W o4 E. et- EXCAVATOR ❑ IMP. DIST. O-1 $ APPOINTMENT TIME: # TIME READY: El EXT. AGREEMENT CONNECTION MADE BY INSPECTED BY /-404, �m �eT # 7• "CO ♦1.1,9-,♦ KEY BOX AND SERVICE LINE LOCATION BY SKETCH INDICATE NORTH STREET ALLEY _ Kei D 15-1 31-058 (12/77) N 33 WATER:::::2:: \ s s u. _ f S 2:02,......7...., ATIOMIAS Iu 2.•nn c04"tc�c. o a o coNrtrlwnN LATtli. i '•.; k I3 LK 3 F I!_ �t�'t SPECIFICATIONS.ANCNOWE 9iANOM05 ,j. 5 A FIRE X1'MANT LOG.TN)t15 MULL S%r'%•• •o TEE FOR fIRVRE MTp4NT INSTALLATNMI�•e .21 'b (• x I Q to➢fD.LKtrlie{ ul1 `�ilsl b ime 4 2 3 1 j \ >r.w.nw axes"!the.mow.),to fir* R ,, .r /N� a(RN 1a10.!....E..N I; m ZA LOG e`.... m T�4.t M: 1 , n t.eIu r..soe.LTwµy a u...x,..cer to Ntiro iwaeu of.0*Os osa.y,r wiTn.o S -1014c soNtr61.1,,, �. Id Ti)•3 Lf B DIP CAST w,+ f ma S Nekti Al:NUR N R.G.S.19!41: o • \ `9. u [[r.Irorm do.Ire.4rL puss,. 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C•-. :«•R�.2,#��rt .a?l1^1��'3a7C1������ arid Aeeociatce rII tSOg.IICCt)-SUPYeyt/r• ' NORTHWOODS DP IICTIWi RECORD REVISIONS 2711-3771 ©1 I• ■ l'®.1-��� 2i2 E..Inr.mal At•an Roam /IW.r-a•DAT•ATTL:q•IF•gANC(0.1) CAL DATUM VRITICAL DATUM RAN CHECK netEo.r AI•tL. 99502 \•sEAL' SCALEVq I•.17,,,7,Na 7•-S / INSTALL"FLOWER POT" EXISTING U INFILTRATOR TANK NOTES: STYLE COVER OVER GRADE STANDARD TANK CONFIGURATION • PER INFILTRATOR SYSTEMS, INC., THESE TANKS HAVE A FLUSHING VALVE J IM-1060 IM-540 MAXIMUM BURIAL DEPTH OF 48 INCHES OVER TOP OF TANK. >� * * t * 4 D TO • TAL CAPACITY 1287 GALLONS 552 GALLONS PER INFILTRATOR SYSTEMS, INC., THE TANKS ARE TO BE O WORKING CAPACITY 1060 GALLONS 475 GALLONS LENGTH 127" 64.9" BURIED SO THAT THE INVERT OF THE OUTLET OF THE IM-1060 AND —INSTALL 1-1/4"TO 3/4"SCH. 0 WIDTH 62.2" 61.7" THE INLET OF THE IM-540 INFILTRATOR TANKS ARE NOT SUBMERGED40 PVC MALE THREADED HEIGHT 54,7" 54,6" TAI INLET INVERT 47" 44" DURING HIGH GROUNDWATER CONDITIONS. • FITTING(FOR ATTACHING Z OUTLET INVERT 44" N/A • IF GROUNDWATER IS ENCOUNTERED, THE CONTRACTOR SHALL :I GARDEN HOSE) E OVERRIDE FLOAT N/A 42" CONTACT THE ENGINEER TO EVALUATE IF THE EXISTING SOIL COVER LuHIGH WATER ALARM N/A 40" ON/OFF FLOAT N/A 28" IS ADEQUATE TO RESIST BUOYANCY FORCES, OR IF ADDITIONAL REMOVE AND INSTALL 1-1/4"SCH.40 PVC Z Lo NOTE:FLOAT LEVELS ARE FROM BOTTOM OF PUMP. BALLASTING WILL BE NECESSARY TO OVERCOME BUOYANCY FORCES. REPLACE EXISTING (9 N BALL VALVE(NORMALLY CLOSED) ii(. CT) THE CONTRACTOR SHALL INSURE THAT SOIL COVER AND/OR INSULATION cc O W m N w o BALLASTING IS PROVIDED AS OUTLINED IN THE INFILTRATOR"SEPTIC AND FILTER INSTALL 1-1/4" o f Lo m N > N TANK BUOYANCY CONTROL GUIDANCE" BROCHURE. FABRIC AS SCH.40 PVC cc cr Z~ z 0 z J co REQUIRED TO VERTICAL PIPE a 0 z rn w(N 3 ,ii( INSTALL NEW w i a a a —INSTALL 1-1/4" FLUSHING VALVESSWEEPING 90CFFITTING C a a a o 0 SJE RHOMBUS INSTALLER FRIENDLY SJE RHOMBUS MYSPY MESSENGER SERIES(IFS)TIMED CONTROL PANEL EXISTING 1-1/4" $ UNIT/INTERIOR ALARM(OR EQUAL). 11 . WITH DRY CONTACTS FOR INTERIOR PRESSURIZED TO BE INSTALL INSIDE RESIDENCE. ALARM OR EQUAL.INSTALLED ON DISTRIBUTION LINE c EXTERIOR OF HOUSE. INSTALL BURIED AND ABOVE GROUND WIRING FROM PUMP TANK TO CONTROL �U�U� `��i .01., ��.�� . ��• , '' Z PANEL PER MOA AND NEC REQUIREMENTS. a.a.�' ��x, �� .�� .�� �� ,'� .�� Q I- FINAL GRADE(SEE NOTE) '� �� �� ^� ^� �� ^� �� �� .� .� �� m O 24"INSULATED LID • -•-•-•••MitA •• W 0 24"RISER.TOP 4 FEET ���*�•W.�•�•�.�•OP•�•'O�� 3 INSULATED WITH SIM/TECH PRESSURE FILTER .�We.We..ps.^s.^s ;�.�ca.;••.;••.^s..•s. Z 4.••••• • • • • • • • • • • • i 4INCHESOFINSULATIONAND 24"RISER.TOP4FEET '�Or�Ow�OP'�0•'�OP"OOP0MalOP'.OP'�Val�'� F -JLID INSULATED WITH 4 INCHES. 4"CLEANOUT INSULATED WITH �� ;f �� �. �. ;. �� '. �e �� ►. �� ' h JLI2 INCHES OF INSULATION QUICK r-.-.•.-.-.-.-.-.-.-.-.4. Z DISCONNECT "-A�...I'.It.�:����v� .����"��'�, /.", ~J Z 0 DBL1 DBL2 UNION �, �+ OZe e FLUSHING VALVE DETAIL DRAWING �/ D 1�1tu- Y ::•:;•k: Ia Lu1' W4 - -J 14a' ~ 4"BY 4'WIDE RIGID Z C7 a co • !.:ii:: INSULATION CENTERED 2"OF INSULATION _81'I-+ P:::: Z 1- D OVER TANKS - > OVER PIPES �� 00 w 0 0 '48"MAXIMUM = ' :: W': p•j Z PVC CONDUIT - �'? Z `1 Q • FOR ELECTRICAL 1.: INSTALL STAINLESS STEEL BARBED FITTING FOR PVC TO HDPE PIPE TRANSITION. N Z C7 g 0 Y !• CONNECTIONS I ! : Z o O Z (FLOATS&PUMP) '': ,,:oneems,w w W v 1` e°f a�"d°°m�--1.5"HDPE SUPPLY LINE TO DRAINFIELD.SUPPLY LINE SHALL BE SLOPED TO m• U �i ,:ii O 1'' 1 DRAIN BACK TO PUMP TANK AFTER PUMP CYCLE.CONTRACTOR SHALL C o 0 Cfsi d gromr�eareme.i ).romr�������aromagoo o��u?gmym 6 1 °o�� ""¢D�. "�< 4-� �swer,o a INSTALL AND BED SUPPLY LINE SO THERE ARE NO BELLIES IN SUPPLY LINE. w INLET I II `� F� -- 4 4IIM OUTLET la I �j o p O ' r‘allWEEP HOLE 11��--�� g cc_ cc J I' 'TIMER OVERRIDE FLOAT (42") o LI ~ MI~ 0w w0- 475 GALLONS CAPACITY S oO o CC ,?, Q Z w CL OPERATING " C 3� `�, WHEN FLOAT IS ACTIVATED. 'FLOAT NOTE: MEASUREMENT IS WHERE FLOAT wLIQUID LEVEL • ��- WIRE ATTACHES TO PIPING WITH A 3.5 INCH J(1,094 GALLONS) 'HIGH WATER FLOAT(40") MINIMUM TETHER FROM PIPING TO FLOAT.ALL �����` ! 455 GALLONS CAPACITYFLOATS MUST BE NARROW ANGLE FLOAT . �4• F 11,E. v— , ,, WHEN FLOAT IS ACTIVATED. (SEE FLOAT INSTALLATION INSTRUCTIONS) .'P� 0 • ,./ \`��','j , 'LOW LEVEL CUTOFF NOTE:ALL PRESSURIZED PIPES ARE TO BE ' • FLOAT(ON/OFF)-(28") SCHEDULE 40 PVC UNLESS NOTED OTHERWISE. so . I ¢• 1\ * # 10 :-261 GALLONS CAPACITY "' j IM-1060 GALLON WHEN FLOAT IS DEACTIVATED. • 2-COMPARTMENT IM-540 GALLON SINGLE • • •'� INFILTRATOR TANK COMPARTMENT INFILTRATOR Q i i-y '. SS ✓ i TANK WITH INFILTRATOR GOULDS PE51 M PUMP OR EQUIVALENT ���' CE- •795 �' PIPE ADAPTER RING 1 2-CINDER BLOCKS-SIDE BY SIDE-FOR •♦•AF0.p X017:. ,� P\,"4,-- 'IN • PUMP STAND(SUPPLIED BY CONTRACTOR) I N ,ROFESS\�4. LICENSE 1j„"� #AECC884 Duwmffa.Nlt EAST 100.00 I • • L.J V I • • 1XCK War __► 949 t o SINGLE FAMILY o LcP FRAME HOUSE —"--. L4 ----'- i 1CANL �,5.� ._......._ 1CANL............. 9E '.ocr.t7CNJf....�..._.._: Y'" s L [.._._ WA(KWAY • • 1S'UTILITY EASEMENT EAST 10000 NOR THWOODS DRIVE 0��0000pp� �e_ OFA • oo�P 49 T TH %1\ . S-140Qi$4l j AS—BUILT SURVEY 1 " = 20 ' • i ` NO CORNERS SET THIS DATE o�ai°, SHANE A. HOLT • �Q� Q • LS-6914 0` I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY �4ap �a4 OF THE FOLLOWING DESCRIBED PROPERTY r°fessiona‘ vQo �ppO�bpo LOT 36, BLOCK 3, NORTHWOODS SUB. ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY EXIST OTHER THAN NOTED. CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS DATED AT ANCHORAGE,ALASKA THIS 1ST DAY OF NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOWN HEREON ( UNLESS INDICATED) MAY 2019 NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. HOLT LAND SURVEYING ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. 9309 GROVER DRIVE ANCHORAGE,AK 99507 14214,FB 196-25 345-5513 Municipality of Anchorage Page 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: ~lgR~O~O PID Number: Name: ~-4&'p-/~z-~ C~O-z~J /~c~ Wastewater System: D New D Upgrade Address: zz~o7 ~T~W~ D~. ABSORPTION FIELD ~h~n~: ~ No. of Bedrooms: ~o~/~,~ q~77, ~ ~Deepmrench ~Shallowmrench ~Bed ~Mound ~Other LEGAL DESCRIPTION so, Rating: Total Depth from original grade: ~.~ GPD/Sq. Ft. Lot: Block: Subdiv~ion: Depth to pipe bosom from original grade: Gravel depth beneath pipe Township: ~ Range:_ Section: Fill added above original grade: Gravel length: I /.~ Ft. /~ Ft. WELL: ~ New ~ Upgrade Gravelwidth: Numberoflines: Distancebe~eenlines: ~ Ft. ~ I / 0 Ft. Classification (Private, A,B,C): ~l~ Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: StaticWaterLevel: Installer: Date installed: Yield: GPM J Pump Set at: Ft. Casing Height Above Ground:Ft. TANK I SEPARATION DISTANCES ~ Septic ~ Holding ~S.T.E.P. To Septic Absorption Lift Ho[ding ~ublic/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines ~~ ~ Waif 2¢0 I& ~ ~ ~00 I~ ~ ~ ~ Material:~ Number of Compadments: Su,.ce ' ' LIFT STATION Water /~ /~ ~ /~ ~ Lot Size in gallons: ~ Man~cturer: Line ~' /~ ' ~ / ~ /~~ ~~ , "Pump on" level at: ~ "Pump off" leve~ at: High water alarm at: Foundation /~ ' ~0' /~ ~ ~1~I ~" ~" Cu~ain :Pump Make & Model ~ Electrical Inspections pedormed by: Drain - ~0 ~ < ~ ~ ~ ~ ~] ~~ ~P~/~O~ Remarks: BENCH MARK Location and Description: Assumed Elevation: E~[~'A SEA~ S & S ENGINEERING .~ ~.. 17034 Eagle River Leop Road~ N~, ~ ~; .... ~.~,~:;~.¢.,,,~,,,~; of Health, nd Hum~Services approval ~ ~; ..... Department Reviewed and approved by '- Date:// ' '~z,.~e~."~- ~'C~? 72-013 (Rev. 9/91) MOA 25 Perm'it No.Sw94°58° Page 2 of 2 Municipality of Anchorage 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 Legal Descriptio~ORTH WOODS SUBD.; BLOCK 5, LOT 56 PIDNo.: 05175146 C01 1 ~o ~ GAL ~S.T.E.P. ::SYSTEM C02 GRADE MT3&MT4) MT MT !97.9' MT 1 &MT2) 97.9 .. (MT3~MT4) ,89.4' NO WATER FOUND DRAINFIELDS SCALE 1" = 40' EXISTING 3 BDRM HOUSE 1500 GAL. I.T.~.P. SYSTEM 72-013 A (1/93) A B C D FCO 5.7 18.0 - - CO1 i6.0 10.0 - - C02 24.0 9.0 - - MH 24.9 10.5 - - M'$.1- ........................ 1.2,-7 .[4~5 MT2 69,7 70.7 MT3 25,0 15.2 MT4 71.4 69.8 N ;: A-PI,~$, NO~IE SERVICES From: "SPARROWS" ELECTRIC, INC., [O-~9-g~ l~l;§Oa~ p, Z of 2 PM: 344-5539 'i~E~EgQ~I_~[-~Q!~I¢; 7310 ~LEN DRIVE FAX: 344-5538 October 19, 1994 TO: A-PLUS HOME SERVICES RE: SEPTIC LIF'£ STATION WIRINC LOCATION: PETERS CREEK TO WHOM THIS MAV CONCERN: THE SEPTIC [.[FT STATTON ABOVE WAS WIRED BY CERTIFTED ELECTRICAL CONTRACTOR AND BY CERTTFIED JOURNEYMAN ELECTRICIANS,LICENSED IN THE STATE OF ALASKA_ THE SYSTEM WAS WIRED IN STRICT ACCORDANCE WITH STATE , NATIONAL AND LOCAL CODES, PS: (IF THERE ARE ANY QUESTION~ CONCERNING ABOVE STATED PROJECT PLEASE FEEL FREE TO CAI.I.) PROFESSIONALLY YOURS: (PRESIDENT) 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 (UPGR-~DE) PERMIT PERMIT NUMBER:SW940380 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:TIERCE GABRIELE OGDEN & OWNER ADDRESS:22607 NORTHWOODS DR DATE ISSUED:10/03/94 EXPIRATION DATE:10/03/95 PARCEL ID:05173146 LEGAL DESCRIPTION: NORTH WOODS BLK 3 LT 36 LOT SIZE: 20122 (SQ. FT.) NI/MBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: ~~ ISSUED BY: // DATE: September ~ 1994 ROBERTSHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER iNSPECTiON ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH ANDHUMAN SERVICES 825 'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 36; Block 3; Northwoods Subdivision Request you issue a permit to replace the septic system serving the three bedroomhouseonthe referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. The monitoring tube within the test hole has been checked and found to be dry. Attached is the proposed upgrade design. This property is served by a Con~uunity Water System. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. There are no protective well radii which encroach upon the property. During an inspection of the existing septic system, effluent was found to be surfacing in the area. If you have any questions, or require additional information for your review, please contact us. Robert C. Cowan, P.E. RCC/JA/gk 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 0 o~O oo~ 58' Z X ,.h o8 ':lCl¥~lOd n [ ' z >->- Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PEREORMED EOR: ~"~t..F.E 1 2 3 4 5 6 7 8 9 10 11 12-- 13 14 15 16 17 18 19 20 COMMENTS /'1, DATE PERFORMED: ~ Township, Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Deptl~ to Water Alter ..:.....,,~/ Monitorino? ~lcy Date: SLOPE SITE PLAN Reading Date Gross Net Depth to Net Time Time Water Drop I1: ~o ~ ~.', ~" PERCOLATION RATE __ TEST RUN BETWEEN . (minutes/inch) PERC HOLE DIAMETER FT AND ~ ' FT PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ROBERT SHAFER, P.E. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN REFERENCE: Lot 36: Block 3; Northwoods Subdivision GENERAL: 1. The scope of this project includes the installation of two five foot wide drainfields and a 1250 gallon septic tank effluent pumping (S.T.E.P.) system to serve the existing three bedroom residence on the referenced property. The existing pressure distribution bed is to be abandoned in place. The existing 1000 gallon septic tank and lift station are to be excavated, pumped, crushed and abandoned in place. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 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 Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 Page Two Lot 36; Block 3; Northwoods Subdivision September 14, 1994 3. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4' of cover shall be insulated. 5. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: i. 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 (roughed-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 and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 36; Block 3; Northwoods Subdivision September 14, 1994 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes ASTM D3034 (PVC) Yes ASTM F810 (HDPE) Yes ASTM D2662 (ABS) Yes Yes Yes No Yes Use of a type of pipe approved by the inspecting engineer. other than listed above must be 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, 140/N, or equal) must be installed between the leachfield gravel layer and the native soil backfill. Mirafi final 6. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four Lot 36; Block 3; Northwoods Subdivision September 14, 1994 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 contractor's 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 contractor's activities. Final acceptance of the contractor's work rests with the owner and the M.O.A. Page Five Lot 36; Block 3; Northwoods Subdivision September 14, 1994 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER  ~,~. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 'I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~'~/.,~ I PUONE ~NEW MAILING ADD~ES.~ / ~ ~ DISTANCE TO: Well. Absorption area Dwelling PERMITNO. ~ Z Manufacturer,s-i Material No. of compartments ~ ~ Liq. capaciw in gallons IF HOMEMADE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ Manufacturer /~ //~ Material Liquid capacity in gallons No. of lines ~ L~ngth of each line ' ~ ~ f~-- ] Total lengt~ lines Trench width Distance between lines -- ~ inches ~ ~ Top of tile to finish grade Matorial banoath the Total effecdve absorption ~ inchos ken,th .~ ~ ~idth ~ [ Deoth j / P[~MIT~O. ~M Typeofcrib Cribdiam~_ Cribd~th Total effective absorption area ~ ~ Well ~ f / ~ .BuiJdifl~unda¢on/ Nearest ot ne ~ Class a~ / ~ Depth ~k:'~ :-~e-: :. '" e;; .~ x~. D~stance to lot hne PERMIT NO. ~ DISTAN~ ~O' Building founda~ ~ewaf}ll~:, ~?~ Septic tank Absorption area{s) APPCVED /fi__ fi/ / DATE LEGAL 3 (Rev. 3/78) 825 "l" STREET ANCHORAGE, ALASKA 99501 (907) 264-411~ G[{ORGE M. SULI..IV/\N, MAYOR DEPARTiVlEN'F OF }-~ EAI_ T It ,'XNI) ENVII~O?,Jiv1L/,j I'A [ Pf-.'.OTEC FIOB} October 28, 1981 George Wilmoth 308 G Street, Suite 211 Anchorage,Alaska 99501 Subject: Lot 36 Block 3 North Woods Subdivision The on-site sewer system serving this unoccupied residence has flooded with subsurface ground water. This condition will cause back up and is not an approved dry absorption field. The absorption system will have to be rebuilt in an elevated mound manner designed by a professional engineer. The residence may be occupied in the interium of the septic ta~k is capped and a pumping routine guaranteed if you so desire. If there are any further questions, please call this office at 264-4720. Sincerely, Les N. Buchholz, R.S. Seni6r Environmental Specialist LNB/ljw ¢ F'ERMZ"F NO. FI F' F' L I C: FI l'-~. T L O C: FI T I 0 N LEGFIL LOT SIZE E8 8-..;2.~" Z-': J.. ;2P"~¢:'H::'p;::~ SKU_FIF.'E' FEET T'-:'F'E Cfi:' SO]:[.. FIBS;OF,'PTION S"r'S;TEM I:5: TRENC:H HRXIMLIM NUM[:}E:'R Of::' E~EDROC. ff,'IS = ][: SOZL. RFI]'ZNG (:5C.:! FT,?E:R)= THE REC!LI!FitE[:, 5:[ZE OF THE SOZL I:~,E:SOF.'.F:'TZON S'.?S;TEI'4. I.'S,: THE LENGTH DtHEN'.:~;I'Oi'.,I :[SE; THE LENC. iTH ET. Iq FEET) OF THE TRENCH OR DRF!tNI::'IEL. D. THE [:,EF'TH OF' FI TRENCH OR F'.'[T !:S THE [:,I:STFII'.,!CE DE'TI.,.IE:Ef'.,I THE "2:URFFICE: OF THE GROUNE:, FIN[:, ]"HE E',OT]"OM OF TFIE E::.::CFI',,,'FI]"ION ,::If'.,l FEET). TFIERE IS:; NO L;ET P.I'[[:,TH FOF.: 'TF'.'ENCHES. 'THE GF.:Ft',,,'EL [:,E:F'TH I':T.., THE MZNIMUH DEF'TH OF GRFI'v'EL BET.b.tEEN THE OUTFF:It....L. PIPE FIND TFIE BO"I'TOH OF' THE EXCFt',,,'FITION ,::ZN FEET....`. F'ERMIT I=IF'PLZCFINT HR'S; THE RE:,F .hlz,.Ic, Zl....[ F'~ TO ZNFORM "FFII:5 DEF'RR'T'HENT [:,LIIE:INC~ THE IN%'FFILL. t~]'Z :f.! ZNSF'ECTIOhE5 OF la[-~'t' I.,-IELLS flE:,JFICENT TO THI:~ F'ROF'ERT'¢ FINE:, THE NI_ ME:F:R OF RE~S I [:,ENCES 'THFIT THE t.,.IEI....L I.,.I I t_L. ':'FF" 'F' E~FIC:KF'.T.L.L:[NL~ OF Fil",l"r' %"r"::;]"EM P.II"I"Hcu'r' FII'.,tFIL !N'S.F'E'.':'T'ION FIF,~F, FIF'F'F.'Z','I::.[.. B'¢ TFII';'~ E:,EPFIF.:THE]'-,!T f.41 L.I.... BE '5. E .TE Z '1" TO F'RC 'E E "J. 'T '[ Z t'.,1. MINIMUH [)I'S"['RNCE BE"I"[,IEEhl R I.,.IELL RND RI',!'¢ ON-SITE SEI.,IFIGE DZSPOSRL SYSTEM ::L~3G FEET FOR R PRI',,,'RTE I.,.IELL OR :~..5¢ TO 208 FEET FROM R PUBLIC: HELL. DEI:::'EI'.,!DZNG UPON THE 'T'T'PE OF PUBL. IC I.,.IELL. HINIHUH [:,ISTFII'.,ICE FROM FI F'RIVR'TE !.4ELL. TO R PRIVRTE S;ENER LINE IS ;2:5 FEE]" RND TO F! COMMUNIT'¢ SEI4ER LINE I5 75 FEET. OTHER REC!UIREMENTS MR"r' t~F'PLh". 5PECIFICRTIONS RND CONS]'RLIC]-~ON DIFIGRRHS RRE R",¢RILFIE:L..E TO INSLIRE PROPER iNSTRLL. RTION. I CERTIF"¢ THFIT Z: I FIM F:FIHILIFIF: I.,.tITH THE REL.]U!REMENTL::; FOR ON-S;ITE L--.';EP.IERS FIN[:, t.,.tELL:S Fr..'~; SET FCJRTH D"? TFLE P'tLII'.,!ICIPFiL. IT'T' OF:' FINCHORFIGE. ;2:: I t.,.IIL. L. II",ISTRLL THE S'T'L:.TTEM IN FICC:OF..'E:,BNCE I.,.tITH THE CODES. 3: I LtN[:,ERS;]"FtNr.) ]"FIFIT THE ON-S:ITE SEI.,.IER .S'.¢:STEM I"1FI'¢ RE.:C!UIF.'.E EI'.,ILFIRGEMENT IF' THE RE'.:::I[:,ENCE I'."S RE:P'IO[:,ELED ]'0 I NCL. UE:,E HORE THRN Z':: BEDROOMS. :S I GNEE:, ' ........................................................................... IF I:- L I CFINT'.:-':]'E',,,'E L. :.'+;KFIGGS C ".)N'S;TK...'L ] T I '..] t'-~ / ,r - I'5'5_ Er., ~; .................................................................................... r_.h ! E.__/_-..&L_L.-.~_t - 264-4720 ~ * * * HANDWRITTEN PERMIT * * * . WELL AND/OR ~N-SITE SEWER PERMIT Type of Soil ~sorption System Is: Trench: Drainfield:'~_ Seepage Bed: Holding Tank: Maximum N~ber of ~edrooms: ~- ~ Soil 'Rating(sq.ft/br) The Required Size o~ Soil ~sorption Systgm Is: · The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet), There is no set width for trenches. The gravel depth is the minim~ depth of gravel between the outfall pipe and the bottom of the excavation(in feet). Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve, ~ TNO(2) INSPECTTONS ARE REQUIRED ~ Backfillin9 of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31j 1 9 8 1 * * * i certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. Signe~: Applicant SWP/024(1/81) 'O & E,ENL~INEERING & DEVELO~"MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 Performed for: SOIL LOG, Mailing Legal Description: ~-~c~,~-- Depth (feet) Earl Ellis 688-2280 Tel. No. Soil Characteristics 7__ 8__ 9__ 10__ 14__ PLOT PLAN C0~4.r~£ ~ (1' PERC. TEST Ground Water Encountered: Yes Proposed Installation: Seepage Pit If yes, what depth Drain Field ~ Comments: ,,...E %;. T ,, L:,,, F N./ HEFL. TH FINE> E},IVERONHENTFIL F-'ROTECT];ON ",-,,...-':";"= '"L.'" :STREE'F., FI~.Jt]:HZE'R":iF, FI~(. ~'"~ ~"..~ ..... =¥ 'T -8- EE e= ...... ~--. ~.~,, - F'ERH ~" NO. ( 8~..E~E:82 ::, RF'F'L. ZCRN'F %KRGGS CON%'TRUCTZON / FL O. E~i~:.: !-, "~ t F~r':RT Z I]KI NARTHI,1!Fff]F:,'::; ';..."D ~ / LEGFIL. L..Off ..3~: 8L.K 3 NC~RTH!,.tUODS ~D / LOT S.iZE 2808E~ SQURRE FEE]- f,¢R:,.:;Zr,IUH NUHE, ER OF E:EE:,~OCff,~% = ]:% I SC ZL RFCr"r~. 3 ~"=:E~ F'T.-.'Pk:," = ?4 e THE F:iEI]:!(..IIF:E[) E;i2~E OF THE SOIL R~,..,,.N=F' STEM THE [:,EF"T~ ()F R 'TRE~, OR F'Z~ ]E THE E:,'rqTF~.r'F F:E~HE~.~ TFIE GRFI',,,'EL. E:,B H ZS MZ!qZf UM DEPTH OF G~. BETWEEN THE FiND THE BO]'TE~ OF ]"~ ION (:~:N FEET~ PERM]:' FIPPL!CFINT HFI THE F..'F(':-';t::'-t'-~'ql'FT '["f".? Tn rRH THT': [:, DUF-:ZNG -L~-:' i"r'z":H INS, F'EE ['.'b.'~: OF FIN'T' WEL_LS R[ ']"HZS RN[.': ?'FIE .N..HEE:R RE'.'SIDENCEE; THR'I' THE WELL !4~ 7E E4: E: E:: .............. L E'¢ THiS MIN:[MUH WEEN R WI !E~E~ FEET FOR WELL ]-O UPON THE ]".r'F'E LIBLIC WELt.. H!NIMUH I}iSTFINCE FROH FI PRI'v'F!TE !4ELL TO Fl PI: TC R COHHL.INIT'¢ E;E!-,.IER, ,,L;IiqE~X'~:S 75 FEET. OTHER RE~;!LIIREi"IEN'!.,V-~;,/ M~.'r F!PP'I,~.¥. SPECtFI.]:FI]": ..... '" .f~ F~'.'.-."; 'T FILLFf T i ON. H, H]:~..ifl~L.E 'f'O Zi'.,IE;L . _ ~-E. F' E F: tr,! :']' T' ,.-... ET_ [.',ISPOSRL. '-5"¢5TE!'! iS ::i PUBLIC HEL. L DE?ENDZNG SEHER LINE i'S 25 FEET AN[::, D CONSTRUCTION DIRGRFIM:5 F~RE I CERT!F'¢ ]'.'HFIT :L: I FFiH:[ L. ! FR WIml'H REC!UIREME/T:.'.5 FOR ON-..L, ZITE E;,EHE:RS FIND HE..L'.E; F!S SET FORTH E:'¢ THE ML.tN.i']IF'FII.'[ .'iF' FINC:HC¢:RGE. 2: Z !4ZI_L !NSTRLL THE 5'T'STEM ZN F',C:C:ORDFINC'E .HZTH THE CODES. ~:: Z UNDERSTRN. D THFIT THE ON-SZ]"E SEWEF.' E;'¢STEM l'4. FI'-r' REQUZF:E ENLIhRGEMENT IF '].'FIE RESIDENCE: IS REPIODELED 'FO INCLUDE PtOF::E THFtN Z-': E~EDROOMS. S _f GNE[:,: RF'PL. ZCRNT SI-(FIGGS CONSTRUC ]." .,.' O!u; ;~. O & E ENG~rNEERING & DEVELOvMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performed for:Name: -~b~T~'~/~'/V~ /-' ~'~'/G~7~ ~/'/~"~-/~' Tel. No Mailing Address: ~ O, ,~O'~' ~)/ ~-/'/£~'~//'~/~. / /~,~', Legal Description: z~° 7' ~ / Z~'4'~'~ ~/~, ~.~/ /(~/z~,~7'-/-/Vv~ Depth (feet) 0 ~L Soil Characteristics 10__ 11 12 .. 13 14 15__ 16__ Ground Water Encountered: Yes ~ No If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: PLOT PLAN PERC. TEST Performed by: Date: '~/"7/P/ ! ( MUNICIPALITY OF ANCHORAGE ( DEPARTMENT OF HEALTH & HUMAN SERVICEs Division of Environmental Services - On-Site ServiCes Section P.O. Sox 196650 Anchorage[Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # O 5"/7 3 1 ¥ ~ 1. GENERAL INFORMATION Complete legal description Lot 36~ BloCk 3;'North' Woo~ Sub~v~on Location (site address or directions) _ Property owner Mailing address 22607 Northwoods Drive Day phone 22607 Northwoods Drive Chuglak, AK 99567 688-5587Y 552-3563 Lending agency Mailing address Agent Address AK. USA FEDERAL CREDIT UNION Day phone P.O. Box 196615~ Anchorage, AK 99519 Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well :" Community well ' XXX Public Water ",~'," NOTE: If community well system, provide wfi~en confirmation from State-ADEC ' ing to the legali~ and status of system. 4. TYPE OF WASTEWATER DISPOSAL: - Individual on-site XXX ', ' Holdingta k = . '- - .... ':': . :"' ': community on-site- " . ...... .- - '. - Public sewer . ..'-. ~ .. . _ NOTE: If community wastewater system, proWde wri~en confirmation from state attesting to the legality and Status of syStem:-: '- .,., . ':.,'- .:~.¥ 72~ (Rev. 1/91) Front MOA~I "' ' ' ' 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 inf'ormation 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 ENGINEERINC~ Phone ~q ~- ;LC/7 ~/ .-- 17034 Eagle River Loop Road Ne. ~0~ Address .:a¢~le ........ ~ EngineeCs signature ~- '~-?~-~' ~ - ~/~'""~ Date "~/~) ? DHHS SIGNATURE Approved for__./~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations gwen in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Em ployees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage ~s not · responsible for errors or omissions in the professional engineer's work 72.025 (Rev. 1/91) Back MOA¢~21 ' Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: .,{JO~-/-/~OOZ)5' ~o~D.j'/~oc/:_ $j Z;o?->~4Pamel I.D. A. Well Data Well type Log present (Y~) ~/,,~ Total depth Sanita~ seal (Y/N) II(~)B, or C, attach ADEC letter. ADEC water system number Date completed ,'J/~ Driller Cased to /F//g Casing height Wires properly protected (Y/N) '~ ,~,/~ -~--~_~~ROM WELL LOG ~ Date of test ~ ~_~:/~/__ Static water level _ / ~__ Well flow ~ g.P~ Pump teve/j~/-/ '"'"'"""~ ~ SEPARATION .DISTANCES FROM WELL TO: Septic/heica~ tank on lot Absorption field on lot 2 Od Public sewer main 25-~ '-~ Sewer service line ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample.~ ~ Nitrate ~ ~'-~' Other bacteria Collected by: B. SEPTIC/~C TANK DATA Date installed /~ _/~p. Ez./ Cleanouts (~N) ~/~'~ High water alarm (~1) Date of pumping /d SEPARATION DISTANCES FROM SEPTIC/~ TANK TO: Well(s) on lot To property line ?d / Absorption field b~ ' Surface water/drainage Tank size /o~o ~,~z, Foundation cleanout (~) ~/~-~ Compartments Z. Depression (Y~) ,,~/d Alarm tested {~1) Pumper Foundation Water main/service line 72-026 (3/93)° FrOnt CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y~ ,Uo High water alarm level Meets MOA electrical codes(~N) "Pump on" level at z/~,, Manufacturer Manhole/Access (~N) ,, "Pump off" Level at ~" Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot 2o¢ /+ On adjacent lots 20,~ ~ Sudace water D. ABSORPTION FIELD DATA Date installed /o - / ? - c~ ¥ Length / -~ o ' Width Total absorption area /; ¢ ? ~'.~' Cleanout present (Y~ Date of adequacy test ~,/~- ,,Jew ~ys'r-~-~ Results (pass/fail) Water level in absorption field before test Peroxide treatment (past 12 months) (Y,~ Soil rating (GPD/F¢) ~. Gravel thickness ~ l/ 6 ~or After test If yes, give date ...System type /¢~,~ ~ Total depth ~-' Depression over field (Y~)J ,,,j/~ _Bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 2o© To building foundation On adjacent lots Surface water On adjacent lots 2oo '4- Property line To existing or abandoned system on lot Cutbank ~'o '> Water main/service line Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in .~ff¢ct~E~ ~l~,te of this inspection. Signature Engineer"s Name ~.~ HAA Fee $ ~.~(~%0 Date of Payment Receipt Number 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number  MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES t °e ~ ~" ~ / p'~''' 343-4744 CERTIFICATE OF INSPE~ION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. , ~/ 7 ~ / ~ HAA, 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t. block, subdivision, section, township, range) Location (address or directions) (b) Property owner ~,~- Mailing Address Telephone: (home)/,,g-~-~'E~ Business (c) Lending Institution Mailing Address 1~ (d) Real Estate Company and Agent Address Telephone Telephone (e) Mail the HAA to the following address: (or check here ~, if hold for pick up.) List contact person and day phone number below: ~ 1 2. TYPE OF RESIDENCE Single-Family'l~ Number of bedrooms 3. WATER SUPPLY Individual Well~,. Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-sitel~$.. Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5, ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, Iverifythat'myinvestigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in.6ffect on the date of this inspection. ~, -~'~ /v /) ~~/ Telephone . '-* ';~ - Name of Firm ~' o-O~'--LC~z'¢- ~' '~ 7'~i '/ Address v~'- .~ /" ~'/ /''~- ' 6. DHHS APPROVAL Approved for .-~ bedrooms by Approved --~ Disapproved Terms Of Conditional Approval Conditional The MunicipalityofAnchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph S above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHSdo not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 .~__.~ MUNICIPALITY OF ANCHORAGE (MOA) [, e~,~ Health Authority Approval (HAA) MU~//OF ANCHO~t~IECKLIST - FEBRUARY 1984 ~NV[ROk~=~,L £E[,~VICES DWI$ION 343-4744 ?!'~ii/ ~ ~! ~88 Legal Description: A. WELL DATA Well Classification Well Log Present (Y/N) Total Depth__ Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments Date Completed Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) . Yield Pump Set At Sanitary Seal on Casing (y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date B. SEPTIC/HOLDING TANK DATA Date Installed '7/B/ Size Standpipes (Y/N) y Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) No. of Compartments T ¢J O y Foundation C!eanout (Y/N) IN/ h///~k, ;for Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well To Property Line To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course To Building Foundation To Disposal Field /o h Comments · 72-026 (Rev. 7/88) Front Page 1 of 2 C, ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed /k/o ~, Width of Field ~ O Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test Type of System Design Length of Field Depth of Field Gravel Bed Thickness / Statndpipes Present (Y/N) Date of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line ~, C.~ To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line ~ To Existing or Abandoned System on ; On Adjoining Lots ;> ~' To Cutback (if present) IO D. LIFT STATION Date Installed J~ v/ Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed / I Company Engineer's Seal Date MOA No. Receipt No. ~,/~S Date of Payment /,/_ Amount: $ /"70' U 72-026 (Rev 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME : DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR MUNICIPALII¥ Or ~,~ .......... MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &  DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC'~I~RONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 OOT 1 3 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C El V E D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts De page 1. Incomplete requests will not be processed, Please allow ten (10) days for processing. MAILING ADD~ESS PROPERTY R ESI DENT (If different from above) MAI LING ADDRESS 3. LENDING INSTITUTION MAILINGAOORESS ~ O / ~' ~ ~l "4. REALTOR/AGENT MAI LING ADDRESS 5. LEGAL DESCRIPTION STREET LOCATION fi. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [~ SINGLE FAMILY [~] One [] Four [] Other [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six 7. WATER SUPPLY [] INDIVIDUAL* [] COMMUNITY PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM *ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) [] INDIVIDUAL/ON-SITE** ~ PUBLIC UTILITY / ~ ~)','/ YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1, TYPE OF RESIDENCE NUMBER OF BEDROOMS ~ SINGLE FAMILY [] ONE E~] THREE E~i FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX ~ERMIT NUMBER 2, WATER SUPPLY ~;~ INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED ~ERMIT NUMBER 3. SEWAGE DISPOSAL SYSTEM pNDIVIDUAL/ON -SITE DATE INSTALLED UBLIC UTILITY Connection Verified INSTALLER [~eptic Tank or [] Noldin§ Tank Size://_.~.~ _ If Tank is homemade SOILS RATING live dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES Septic/H°lding Tank IAbs°rpti°n Area Isewer Line INearest L°t Line WELL TO: Absorption Area to nearest Lot Line 5. COMMENTS ~L~;~-~IpTRI oONv~~ APPROVAL (letter must accompany certmcate, DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE / 3601 C STREET, SUITE 1334 / ANCHORAGE, ALASKA 99503 STEVE COWPER, GOVERNOR 563-6775 DATE: November 9. 1988 PWSID: 213001 To Whom It May Concern: According to the records on file in this office, the CHUGIAK UTILITIES/NORTHWOODS Water System is in compliance with the State of Alaska Drinking Water Regulations. VEC:pkk Sincerely, Vera E Craig Environmental Field ~icmr