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HomeMy WebLinkAboutNORTH WOODS PHASE 2 BLK 2 LT 2Northwoods #i Block 2 Lot 2 #051-741-31 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number OSP151335 PID Number: 051-741-31 Dwelling: [' Single Family (SF) [' Duplex(D) ❑ Multiple(SF and/or D) Project: Q New ❑■ Upgrade Name: John West ABSORPTION FIELD Existing Address ❑ Deep Trench El Shallow Trench CI Bed [' Mound 22245 Whispering Birch Dr. Chugiak, AK 99567 ❑■ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 301-4277 Three GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot Ft. Ft. North Woods #2 2 2 Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Tank Line Ft2 Ft. Well >100' NA >100' N/A >25' TANK ❑Septic ©S.T.E.P. 0 Holding 0 Other Manufacturer Capacity Surface Water >100' NA >100' N/A Anchorage Tank 1,250 Gal. Material Number of compartments Lot Line >5' NA >5' N/A Steel Two - , NA Foundation >5' NA >5' N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Anchorage Tank/Orenco 1,250 Gal. Pump on level at Pump off level at High water alarm at Remarks Existing STEP Tank Decommissioned in Accordance with Municipal Code. 42 in. 38 in. 44 in. Pump make and model Electrical Inspections performed by OSH P2005-11 Power, Lighting & Cont. PIPE MATERIAL House to tank D3034 Tank to D3034 Installer drainfield Royce Martin Drainfield CO/MT D3034 Inspector W. Roberts BENCH MARK (Assumed elevation) 100.0 ft Inspeec s 1st 7/21/16 2w7/21/16 Location and description dataro Orn Garage Slab COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date Z,N'' •' \i'_## � *' 49TH t . 10 ,'„.MICHAEL E. ANDERSON :',.. ,,,w• i Jr.. CE-4381 /4-,atet, I,f�',.!D--9-/7 •.eyv- 41. Approved ccuuta Date 10/t)0/ 17 �44IPROFESSIO�+��� Inspection Report_9-1-12.doc Municipality of Anchorage Page 2 of 3 Permit Number: OSP151335 DEVEOPMENT SERVICES DEPARTMENT / 4700 Elmore Road Anchorage, AK. 99519-6655-343-7904 PID No. 051-741-31 r NORTH WOODS NO. 2 t' r BLOCK 2, LOT 2 29,354 S.F. '....N NOTE: Existing STEP Tank Decommissioned I//:iI in Accordance with Municipal Code. / Tank Only Replaced Under This �wZ / ,��. \ v\Qr DO Permit. PV2 r•••• • / 4.,- Bio \ // Bedroom \ Home \ FCO A B \ Nic -� ` S1 S1 19.8' 25.3' % MH MH 25.8' 30.6' / / �� 1/ ..., --..„. ----, � �� 44.1 . 0 / Existing Absorption / Bed Remains in `S 63. Service. / '.+000 `MIii. 232 00 ,� P.E .• •• 34• / ,^. .) Jeff 14 ' 49Th "� `• s = LEGEND 7 E4 i MT — Monitor Tube MICHAEL E. ANDERSON ?[ i 1 1 1 1 Y 1 1 BUILT ECO — Foundation Clean Out 1,5 ••irk,• No. CE-4381 ':tib`. = TH — Test Hole CO Clean Out • /0•p/7...." 4, SCALE 1' 40' MH — Mon Hole Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On-Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP151335 PID No. 051-741-31 99 5 in U �Finished Existing ■IIiie 1.250 Gallon STEP Tank 94.7 NOTE: Tank Only Replaced Under This Permit. Existing Absorption Bed Remains in Service. lowswiiiiitlisi •t_ OF 4/4 � 49th •r /"J t •, MICHAEL E. ANDERSON ; t PROFILE AS-BUILT • •.•Kph:.. No. I-4�1 : ``- No Scale t„ , P� 4p' Mike Anderson From: Aaron <plc.chambers@gmail.com> Sent: Monday, October 9, 2017 2:32 PM To: andengr@gci.net Subject: 22245 Whispering Birch Drive The Orenco system installation at 22245 Whispering Birch Drive has been successfully completed and function tested. Direct buried wire was used going out to the vault,the pump and floats were connected in the jbox using the water proof wire nuts provided. The remote alarm was installed in the laundry room and tested.We reused the existing circuit for powering the controller and lift pump. If there are any questions please call. EADE 1831 Aaron M.Chambers Power, Lighting &Control LLC 13841 Savage Drive Eagle River,AK 99577 plc.chambers@gmail.com (907) 242-5211 1 On -Site Water and/or Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP151335 Tax Code Number: 05174131000 Work Type: SepticTank Upgrade Permit Effective Dates: September 30, 2015 to September 29, 2016 Design Engineer: ANDERSON ENGINEERING Subdivision: NORTH WOODS PHASE 2 Site Legal Address: NORTH WOODS PHASE 2 BILK 2 LT 2 G:1559 Owner/Address: WEST JOHN H & PATRICIA JANE PERROZZI 22245 WHISPERING BIRCH DR CHUGIAKAK 995675450 Site Mailing Address: 22245 WHISPERING BIRCH DR, Chugiak Lot Size in Sq Ft: 29354 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program /r V ' ON-SITE SEWERIWELL PEW Parcell.D. 051-741-31 Property owner(s) John West & Patricia Perrozzi Day phone 301-4277 Mailing address 22245 Whispering Birch Drive Chugiak, AK 99567 Site address Same Legal description (Sub'd., Block & Lot) North Woods Phase 2, Block 2, Lot 2 Legal description (Township, Range & Section) Lot Size 29,354 Sq. Ft. Number of Bedrooms Three (3) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank 19Upgrade FXDuplex (D) ❑ Holding Tank ElRenewal F-1 Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 4 3W. ap— Waiver Fees: _ Date of Payment: ql w,45 Date of Payment: Receipt Number: jF34g4 Receipt Number: Permit No. 19&0j5Lj&5 Waiver No. Permit App__- : ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX September 11, 2015 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 2, Block 2, North Woods Subdivision No. 2 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The 1,250 Gallon STEP Tank on Lot 2, Block 2, North Woods Subdivision No. 2 has failed and must be replaced. We are proposing to replace the tank and lift station with a new 1,250 -gallon STEP tank to serve the three-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new tank to serve the home. The attached Site Plan and backup documentation identify the location and configuration of the existing septic system and the location of the new STEP tank. Also identified on the plans is the existing water service on the lot. The subdivision is served by the AWWU water system. No conflicts exist between the water service and septic system on this lot and those on adjacent lots. The existing tank will disposed in accordance with Municipal Code. The drainage patterns on the property will be maintained after construction. The ground surface on the lot is basically fiat in the area of the new tank. The tank will be placed near the same location as the existing tank at nearly the same elevation. It will then be tied in to the existing service line. The tank will be constructed in conformance with Municipal requirements. If the tank is constructed in accordance with our design the following statements apply: The tank, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The tank, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. Lot 2, Block 2, North Woods No. 2 September 11, 2015 Page 2 of 2 3. The tank, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The tank, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, RE Attachments 49th MICHAEL E. ANDERSON 111 O N �Z � I _ VJ Lc 0 N w N O M i c y Y C a oa m 10 ~ oa c n w oN n (naco y � U O � w J Q U w�0'.c.- 0 3 N w / vJ?�.� LLJ E O Z o O4% 0- O E p „ I, �. 0 � N o• -a E.Ln ac Li a XH U E 2 QC/ Of w V) Q� mo VJ/ U - z mm ,Q%. Qj i �0E �le vm w J Q U 6113 -7g"L, Municipality of Anchorage Page I or '2 - 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: 5w9wOno PID Number: 06"17 Lf 131 Name: astewater System: ❑ New O -Upgrade Jo A. e SUSAN .SK/�uNtrz Address: ABSORPTION FIELD rO 22,245 I.t1rfISPaRWF tRct+ Da. ,phone; No. of Bedrooms: Deep Trench ❑ Shallow Trench ❑ Bed 5� Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: O.1' GPD/Sq. . Ft. /' Z Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe 2 Z ORTt{ WOOPS PffASF L 4 - S Ft. • 5- Ft. Township: Range: Section: Fill added above original grade: 12--Ft./00 Gravel length: Ft. Gravel width: Number oflines: Distance between line: • ❑New ❑Upgrade WELL • / Ft. 3 +5 Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Commy,017-YFt. Ft. 4 ,500 SO. Ft. q 7,W D3034 P. Y. C. Driller: Date Drilled: Static Water Level: Installer: Date installed: Ft. WEED 'EXC-RVAT/N(r 1 $'"27-94 Yield: Pump Set at: Casing Height Above Ground: f� TANK GPM Ft. - Ft. SEPARATION DISTANCES ❑ Sep ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity In gallons: From Tank Field Station Tank Sewer Lines Material: r of Compartments: Well, 2001+ 2001 i- 2001 t, f 25 4 - Surface Surface ' a LIFT STATION Water 100 f -F- 100 + f 100Lot Size in gallons: Manufacturer: I Line58a /Q S� --- 125Q cHoiZAGc hN "Pump on" level at: "Pump off' level at: High water alarm at: Foundation /3 �y a p / yZ as 3z as yN" Curtain 1 -73, 1 / _, *38. Pump Make & Model Electrical Inspections performed by: Drain 3y al Qb-N// evs Remarks+ �11 Ir -1 lam ty BENCHMARK Location and Description: 7'0P OF MAN 01-6' Assumed Elevation: /00-00 ENGINEER'S SEAL sly P ,r, / 6'9 17034 Eagle River Loop Road, No. 204' w w Inspections performed by: Eagile River,Alaska 99577 Dates: lst s-27 2nd s -27 -9ti m, wQv A.Wia+51t'gA N rtt.... Department of Heal and H n eryices approval Reviewed and approved 72-013 (Rev. 9/91) MOA 25 Permit No. SW9401 10 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 e Anchorage, Alaska 99519-6650 *Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report NORTHWOODS SUBDIVISION #2, Legal DescriptiorpLOCK 2, LOT 2 PID No.: 05174131 1 4 CO2 r MH 1250 GAL S.VET. 4' MT1 99.5 If INSULATION GRADE--. IMPERMEABBIER FILTER FABRIC_ .......... ....................... 1.2' SAND FILTEJ W - I SCALE 1" = 40' 3A (1/93) - C01 26.5 19.0 CO2 30.0 23.5 M.H. 31.0 25.0 MT 52.5. 72.0 - MT2 49.Q 70.5 - MT3 52.$ 30.0 - MT4 56.5 35.0 - r NEW 1250 GAL. S.T .5' BARRIER I ENGINEER'S SEAL 4" U, W & 14SY-9 VALDEZ, ALASKA 99606 WORK ORDER �O'J'j ela'ic' inc, CONTRACTING 3138 COMMERCIAL DR.& JIM No. 4303 ANCHORAGE, AK. 99501 PHONE 212-4591 Quantity DESCRIPTION Price Amount q H S N v I rt -12 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 (UPGRADE) PERMIT PERMIT NUMBER:SW940110 DATE ISSUED: 5/03/94 DESIGN ENGINEER:S & S ENGINEERING EXPIRATION DATE: 5/03/95 OWNER NAME:SKINNER JOE A & SUSAN OWNER ADDRESS:22245 WHISPERING BIRCH DR CHUGIAK, AK 99567 PARCEL ID:05174131 LEGAL DESCRIPTION: NORTH WOODS PHASE II BLK 2 L T 2 LOT SIZE: 29354 (SQ. FT.) NUMBER 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 OR 343-4681 AFTER BUSINESS 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. F�7mIoo�-11m 101MCO 00Nl Ps RECEIVED ISSUED BY: BY: e DATE: DATE: April 28, 1994 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street P.O. Box 196650 SEWER &WATER Anchorage, Alaska 99519-6650 MAIN EXTENSIONS REFERENCE: Northwoods Subdivision; Lot 2; Block 2 SEWER &WATER INSPECTION Request you expedite issuance of a permit to upgrade the septic system serving the three bedroom house on the referenced property. THE ENGINEERING STUDIES AND REPORTS EXISTING SYSTEM IS IN A STATE OF FAILURE AND CAUSING UNSANITARY CONDITIONS. During an inspection of the existing septic system, effluent was found WELL INSPECTION to be surfacing in the area of the leachfield, therefore we request &FLOW TEST that you expedite issuance of this permit. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is SITE PLANS located on the attached site plan. At the time of excavation water was encountered at 6 feet and after seven day ground water monitoring water was found at 4 feet. Attached is the proposed upgrade design. ROAD DESIGN This property is served by a Community Water System. There are no protective well radii which encroach upon the property. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. SOILTEST If you have any questions, or require additional information for your review, pl se contact us. PERCOLATION Sin rely, TEST STRUCTURAL& t A. Shafer, P.E. MECHANICAL INSPECTIONS 6SZLSU/jk ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 ¥ $ \ ) § --i I a w Li 0 F x N N =t rn O1 N N L 0 U O m 0 V) o� >0 0 7 W Z � a O Z z w a NZ ih �-o o wZ (o2O g3 Qat- O � SS Z<a. aN Zao 0 w Of 0, V) CJ VI O.. 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Z Q WW m= Li w Z� Of D a Z Q w 3 J O oz3(A0or vigC<e,z>-u� o I-aoSF w Cj�Nr z 0�via wQ M e w - Z� a a W V1 w m z w a cr 0 X W N N O a w o I = m(n zz > r � ZO m w w v S o S - ZD O of �S Q In 7 Q VI �O �Z ZF-Ox F - SZ ONO OMFEO cnVla I-oc> c)oa-3 C) >i X HZ Hu � c11 3 Vl E•-' II A ��� Q W MSV) U� o EP, Fz Q II�3P. NW 1 p F a�Pi . oU W Izoo� a a~wwF \ N =oo�Fvrn \ o2F=WV FWao \� d_ Pu O C, g : - \ sC Nati El WP]d� W II)w QY4 \\ � M<o oo\ o O 10 01 > a ocr oow� w2gW - m�o Zo zW W J� � 00 «I w0-4 N oLn (1) `E [Z SOW •SI\\ /'n lyQ•I N 'r4 u'R rE a W 0 www Zz iEi]Mq Eq \ z �, WF6 `� Wd ON 31VOS NVld 311S '09 J- now her Qin?z �N'LO -ZZMgg2 w¢¢uh0 R- , -g.. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS R1?R'p32F.NCE: Northwoods Subdivision; Lot 2; Block 2 GENERAL: 1. The scope of this project includes the installation of a 1250 gallon septic tank effluent pumping (S.T.E.P.) system and two five foot wide pressurized distribution drainfields to serve the existing three bedroom residence on the referenced property. The existing 1000 gallon septic tank is to be excavated, pumped, crushed, and abandoned in place. Also the existing leachfield trench is to be 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. 3. All 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. Page Two Northwoods Subdivision; Lot 2; Block 2 April 28, 1994 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' 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 (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. 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. Page Three Northwoods Subdivision; Lot 2; Block 2 April 28, 1994 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 140/N, 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. 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. Page Four McCabe Subdivision West: Lot 5 April 26, 1994 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. 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 (ENGINEER'S SEAL) 4 Y e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST r PERFORMED FOR: �Oi-- Sl�lo�aS-�- DATE PERF LEGAL DESCRIPTION:,�-f g2' / o9z Jorz. YO Township, Range, Section: SLOPE SITE PLAN 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS TI &A/l — R--Uou)N MOtb7 511-7Y rz'�o. 5,C,7 y BAJO iv Src.7, t 1 WAS GROUND WATER— T ENCOUNTERED? S IF YES, AT WHAT L O DEPTH? P E Depth to Water After �1 ( I y Monitoring? —! Date: Reading Date Gross Time Net Time Depth to Water Net Drop �! 9 75 t/L 1/4,i )�1 1 PERCOLATION RATE 3'� (minutes/inch) PERC HOLE DIAMETER 6 „ TEST RUN BETWEEN 3 FTA --Lj— FT V034 Eagle River Loop Road NO - ;9 PERFORMED B Emla a River, Alaska 9"77 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUI 72-008 (Rev. 4/85) / E IFY THAT THIS TEST WAS PERFORMED IN IN EFI CT ON THIS DATE. DATE: _1\ . MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME / /� / /�. f��L G / PHONE GNEW Ci%�Zf J ❑ UPGRADE MAILING ADDRES / //2 Qe °7 LEGAL DESCRIPTION LOCATION / 0ec Al NO. OF BEDROOMS / U y DISTANCE TO: WellN le:Z_A � j' Ab on area J Dwelling /(� PER T (� w Q Manufacturer G�— ��. l /, h iv p� % / No, of compart ents HF Liq. capacity gallons �JGJ 'i.J IF HOMEMADE: Inside length Width Liquid depth Y J0Z DISTANCE TO: Well _ Dwell i PERMIT NO. _ F Manufacturer Material Liquid capacity in gallons W DISTANCE TO: IN�jI, �� n (9 [� /'7 Foun Neares I;line� Ci/ T PEIT 2 •.J J LL No. of lines / Length ofpoel} ling Total le .oi lines Trench 'dfq !i Distance be ee lir}6l: Q Coo CJ CJ inches /7 To of vile to finish rade %✓t-� Werial bend tll.etile // Total effec 've absorption area 517 p /� 4 7^� G1 Z -ZX .�� � inches Length Width Depth PERMIT NO. W 0 a a W Type of crib Crib diameter Crib depth Total effective absorption area LU DISTANCE TO: Well Building foundation ` Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER s PIPE MATERIALS SOIL TEST RAVNG INSTALLS F3, s y- ze X , REMARKS h. l� �1����✓�te 70 �� re, .NIA .a.�attll .. CIF Al INS A �OFESSI. '° t7 _ v z APPROVED �„> q�g I �� Ilii DATE EGAL " 72-013 (Rev. 3/78) S 7 x — / / 7- r_TAA r-1 uwa l r x F--i 41 x -r te IDP DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L_STREET., ANCHORAGE, AK 99,501 264-4720 rte,r4— ; _ -r F= -_sEt4r=F;z F::,-F Fri _ -r PERMIT NO: 840305 ENGINEERED DESIGN CRATE ISSUED: 05r'07/84 AFPLIdANT: LIFESTYLE IND ADDRESS: SRA 1452T ANCHORAGE, AFS; 99507 LEGAL DESCR I P : - SUBDIVISION: NORTHWOODS #2 LOT 2 BLOCK 2 SECTION: 3 TOWNSHIP: 15N RANGE: :1J LOTSIZE: 2954 (SQ, FT. OR ACRES) I CERTIFY THAT: i,: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALASKA. 2. I WILL INSTALL THE 'SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. 3. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING WELL, WASTEWATER DISPOSAL 'SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT CSR NEARBY LOT. i IF A LIFT `NATION IS IN_wTALLED IN AN AREA COWERED BY MOA BUILDING CODES, THEN <1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BU.ILTS WILL, NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT: AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED �s�d-5 � DATE APPLICANT: LIFE'S ,•'LE ND i ISSUED BY GATE : -------------- -- Ga ail3. d r"r MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION ` 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 w ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME V z' =jjh7 PHONE NEW ❑UPGRADE MAILING ADD ESS LEGAV 617—TI �. G i� &o C( 6 LOCATION NO. OFgEDROOMS U Y DISTANCE TO: Wel Absorption area Dwelling !0 PEf�Nf�.I N0 �"" 70 a ZQ W F Manufacturer Pi No. of co artments y Liq. caps y' allons !` CC����==`` IF HOMEMADE: Inside length Width Liquid depth p Y Jaz DISTANCE TO: Well Dwelling PERMIT NO. C) Z C 2—F Manufacturer Material Liquid capacity in gallons p w= DISTANCE 07W Well - Foundation Nearest lot line PERMIT NO. J LL Z P Z W No. of lines Length of each line Total length of lines Trench width inches Distance between lines F p Top of tile to finish grade Material beneath tile inches Total effective absorption area W Length Width Depth PERM N [�-�' aType W of crib Crib diann to Crib depth Total effective absorption area y DISTANCE TO: Well Q� Buildingation s u Nearest lot line O J i J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE M RIALS p / SOIL T R/ATI G/n'� INSTALL_ 9 0 / o REMARKS l 1� 1 t r trl Iry APPROV DATE LEGAL 72-013 (Rely Z/78) r f 1 A PERMIT NO. PlUr-4 10 11"1 1 -r'-e OF=- F=lr-40,"7F;;?F=113F= DEPARTMENT i. tpHEALTH AND ENVIRONMENTAL _,OTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 n, -AA.,,) 264-4720 0 r-4 -!F. I "T F= !F. F=t4 FE F;;,' F=* f� FZ Ul I '-F < 821026 ) APPLICANT LIFESTYLE IND SRA 1452-T 99502 345-3891 LOCATION LEGAL L2B2 NORTHWOODS PHASE II LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SO FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL ABSORPTION SY$,TEM IS: x(g -- F= F=m -r lc_ r_)l F= F=" 7r F= -r FZ C3 1=1 %-* C - THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). F -"F= C-4- 11 1 F? EE 01 ==. F= F=" -r 11 �-F n r -J F< !:-; 17.x= -1 C_;t 10 &0 1:3 F4 L_ C-1 PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. -rWID < IZ� -r I RD n F? FE - C4 U I R-0 E- - - - FRI= Er -w BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F='F=FZM I -r F=XF=" I FREE:F. 0mE=0F=ME$F=Fes' -1 !F-4:0 fz� I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. It 8J SIGNED:---------------------------------------- i .>C� 1 � APPL I CANT IGNED:---------------------------------------- APPLICANT LIFESTYLE IND ISSUED BY(f) TL)-- - �a -A ------------ L- L4 A,TE--- F ' � wr .' . . .rte .. �' �'� � - � g'�_�'` -• �� ; `z t 1 r iy it,: isR yAk �, SOILS LOG MUNICIPALITY OF ANCHORAGE y" DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION II TEST - 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: l --I — S TV r� C /N -}. DATE PERFORMED: LEGAL DESCRIPTION: LU7 r:C ,.(Slk r / t"O�%l� ��%000� U ����s`G ..La•-• D - T SLOPE SITE PLAN E ) QYyO.(A% i L So I I S -- - --- 1 v "�iL• SAw01 (jrftui L �%ILc,W SIF 2 S /. O N b L-3) L i c�� l S; (t '£ t \t 6 L 10 11 wns cR NCOUNTERED? 12 13 X 14 as 15 a ®F .p L.S9��9 16 m� 1 .. /�L� 17 III dA' :• Itoiert A. Shu ,r << ';� . No. 1457-E 19 20 COMME PERFORMED BY`. wiaw.� 4•4 IF YES, AT WHAT DEPTH? ry() � - O P - E Reading Date Gross Time Net Time Depth to Water Net Drop r� s` PERCOLATION RATE I ! ( (minutes/inch) TEST RUN BETWEEN FT AND FT CERTIFIED B DATE:73 Municipality of Anchorage -�1 Development Services Department, Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite I 0 /Z'7106 (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL +FOR A SINGLE FAMILY DWELLING r� Parcel I.D. ['Z51- C4 1- 3 1 COSA# 08037 — 1. GENERAL INFORMATION Expiration Date: - / 0 , �? S — !21 Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address NORTHWOODS #!2 LOT 2 BLOCK 2 22245 WHISPERING BIRCH DRIVE ' CHUGIAK, AK 99567 DANIEL AND LISA DEAN Day phone C/O AGENT 22245 WHISPERING BIRCH DRIVE ' CHUGIAK, AK 99567 Day phone ALEX MITCHENKOV w/REMAX PROPERITES Day phone 257-0427 16600 CENTERFIELD DRIVE * EAGLE RIVER, AK 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class A Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage riles 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 Finn GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date to 17-3104a Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines Q Regulations. The reported results described the performance of the system under the conditions encountered at the time of the lost, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the flowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Nitrate Advisory Other By: (R.. I WS) P�\iY OF G,ic. ON-SITE •-��= WATER AND ; rn= t. WASTEWATER PROGRAM Original Certificate Date: / C9 - �)'5 - 0 O � Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: NORTHWOODS #2 LOT 2, BLOCK 2 Parcel I0: A. WELL DATA Well type _A Date completed COMMUNITY WATER If A, B, or C provide PWSID# 21 3001 Wires properly protected (YIN) To�Ltlapt ft. Cased to ft. FROM WELL LOG Date of test Static water level ft. Well production -9 -P.M. WATER SAMPLE RESULTS: Coliform colonies/100 mi. Nitrate mg./L. Arsenic: Dale of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./STEEL Tank size 1250 gal. Number of Compartments 2 i Foundation cleanout (Y/N) YES Depression over tank (YIN) NO C. Casing height (above ground) in. AT INSPECTION ft. g.p.m. colonies/100 ml. Collected by: Date installed 5/27/1994 Cleanouts (YIN) YES High water alarm (YIN) YES Date of pumping 10/4/08 Pumper JR'S PUMPING ABSORPTION FIELD DATA BELOW EXISTING GRADE] Date installed 5/27/1994 Soil rating (g.p.d./ft'o t /bd 0_3 System type BED Length 100 ft, Width 15 ft. Gravel below pipe 0.5 ft. Total deplh!2.91 —3,25ft. Eff. absorption area 1500 ft= Monitoring tube YES Depression over field NO Date of adequacy test 8/28/2008 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test DRY in. Water added" 1840 gal. New depth DRY in. Elapsed Time: 0 min. Final fluid depth DRY in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date — ••HOUSE WAS VACANT FOR MORE THAN 30 DAYS PRIOR TO TESTING D. LIFT STATION Date installed _5/27/1994 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at 42 in. "Pump off" level at 32 in. High water alarm level at 44 Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: COMMUNITY WATE R Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic serves On adjacent Me, Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain •73' Wells on adjacent lots 200'+ F. COMMENTS *PER MOA INSPECTION REPORT 1994 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 1o1z3/04a COSA Fee Date of Payment Receipt Number- (Rev. umber (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number � � U■ $ k Q �00 ~ _ |,| / E w llo� I I wx � � 2 ~ § 4, ® . llo� I I wx � � 2 IU/09/2008 07:31 9073449821 JRS SEPTIC PAGE 01 Jts SepdC Pumping dbo Flintstone Enterprises P..^. `mt mass WW. Rkvr.All "sn-uls ALEX LEX PUMPED AND CLEAN TANK CLEAN UFT STATION REPLACED PUMP FLOAT REPAIRED UFT STATION BROKEN PIPES Plewa Make awd "ble to FUMdone Entonwfm M laonuro war l0 Yn aAl k uR1aU to YeweA wJ M aMtflew M'1 �.*v, .... ate: Plrone: "7.0444% Fax so -W-W21 Invoice: 8046 Job Loat itm: 32245 WHISPERING BIRCH CHUGtAKAK $165.00 $125.00 $125.00 $150.00 c MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section cffs P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING, Parcel I.D. # 051-741-31 HAA # 1. GENERAL INFORMATION Complete legal description Lot 2, Block 21 Northwoods Phase 2 Location (site address or directions)222a_s [n, ;ing Birch Property owner Joe & Susan skinner Day phone 688-3201 Mailing address Lending agency Northland/Trish Kastner Day phone 257-0133 Mailing address 2605 Denali St, Suite 100 Anchorage, AK A950� r Agent Remax Eagle River/ Brook Stiltner Day phone 694-4200 Address 16600 Centerfield Drive, Suite 201, Eagle River, AK 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well Community well Public water XXX 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 (Re . "1) Front MOA 021 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 forthe 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. S & S ENGINEERING Name of Firm -moi-- 04-Ea$le River 1 cop Road No 904 Phone Address Eagle River, Alaska 99577 Engineer's signature 6. DHHS SIGNATURE Approved for _ bedrooms. Disapproved. Conditional approval for Additional Comments By: UITIC 6 cl y—)L47 7q Date 9/73'/g5, OF 144 6P � Itf 4%. 0M N UVWAN ''1 �Q- CE - 8801r+`; i 7 / Il �>' S bedrooms, with the following stipulations: Date�24�� 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 a courtesy to purchasers of homes and their lending institutions in order to 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. 7191) Back MOA a21 D. LIFT STATION Date installed Sq Size in gallons /,{ 6-0 Manhole/Access N) "Pump on" level at* 2 y "Pump off' level at* High water alarm level at* `i7 *Datum _Ofk 130TToM Cycles tested 3 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Seaver peptic service line On adjacent lots On adjacent lots sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I Absorption field l o ' k Znrr _ Wells on adjacent lots c Foundation 1 "�) Property line Ygi Water main/service line 4n 14- Surface water/drainage 1Ck-:1 td- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: 3Z " i Property line 101 Building foundation I Y Water main/service line /D Surface water %too I� Driveway, parking/vehicle storage area Curtain drain 73 Wells on adjacent lots oZz�o F. ENGINEER'S CERTIFICATION I certify that / have determined thru field inspections and review of Municipal in conformance with MQ uiqlnes in effect on this date. Signature [% Engineer's Name a� 0,C f A -7" C. Ct of J Date q11- -/if HAA Fee $ Date of Payment' Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number OF A R08ERT't CpwAN;e-•�Q• ..CE-8801���`�� are M APPLIC NIT FILLS OUT UPPER HAL )ONLY Property Owner C %1'',. r✓ J -0, Phone Mailing Address Zip Code C Buyer Date Address Zip Code Lending Institution b;?K f% /4f (f t`1`1�. % �! �% tv 4 !"1r l �) t t Phone Address Zip Code — Realty Co. & Agent Phone Address Zip Code Legal Description %.� �-^ "GCi is �''}� ( �` �' CifC J i Ery/ c)t).S (.af j , (-�`7" i -rr Street Location (.3 ) APPROVED BEDROOMS Type of Residence ( ) DISAPPROVED Single Family edrooms ❑ Multiple Family No. of Bedrooms- - ❑ Other 0 DATE 12 -- BY: Z—BY: Water Supply Individual Soils Rating ATTACH WELL LOG. A well log Is required for all wells drilled since .June 1975. i� JZ Community - Well Log Received For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility '�.— �--' Well to Tank Sewer Disposal Individual f �} Year Individual Installed: 198 Z ❑ Public Utility When Connected to. Public Utility: ❑ Holding Tank - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector RAGE Field Notes: M DFPT C' _:,ON 'tt) 82 P,FCEIVED (.3 ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE 12 -- BY: Z—BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size '�.— �--' Well to Tank (z Uzi jam) 11 ADEQUACY TEST WATER AND SEWER INSPECTION WELL INSPECTIONS AND FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN EXCAVATION WORK Mr. chuck Tanner Lifestyle Industries SRA 1452 T Anchorage, Alaska 99507 r January 8, 1984 Dear Mr. Tanner, Reference: Lot 2; Block 2; Northwood subdivision Phase II ROBERT A. SHAFER CIVIL ENGINEER 694-2979 At your request we made an on-site visit to examine the septic system installed on the referenced property. The owner of the house explained he was having considerable problems with the system backing up into his home. A monitoring tube located in the seepage bed in the back yard was full of water at the time of the visit. The topography around the seepage bed causes all surface water from the rear of the house to drain onto the bed and could easily be the cause of the system's saturation. The original soil test performed by us September 24, 1982 was taken in an area now be in ron o e ouse. There is nn „;4+-,rN., frim the Munici ality s recor s a a w soil test n inity of bed which is It is suggested that one of the following alternatives may correct the existing problems: A. Install a curtain drain at the base of the slope in the back yard to eliminate surface water collected over the system and haul in fill material to mound up the ground over the system to assist all water to drain away from the system. B. Divert the water from the septic tank through a four inch PVC pipe to the front of the house and construct a new absorption system in the front yard. This will eliminate the collection of surface water on the system and in SRB 196X EAGLE RIVER, ALASKA 99577 �� page two Chuck Tanner accordance with the original soil test may provide more suitable soils for percolation. If we may be of further service, please do not hesitate to call. Sincerely, R, P.E. ']jAS/ss