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HomeMy WebLinkAboutDRAKE BLK 1 LT 1Drake Block 1 Lot 1 #017-461-25 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221440 Effective Date: Work Type: SepticTank Upgrade Expiration Date: Tax Code Number: 01746125000 Site Legal Address: DRAKE BLK 1 LT 1 G:2834 Site Mailing Address: 12441 Lake Otis PKWY, Anchorage Owner: SMITH DAGNY & TODD M Lot Size in Sq Ft: Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: This permit is for the construction of: "Al cnt S v De partine nt 1/11/2023 1/11/2024 83807 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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: • Confirm at the time of construction that the assumptions used to justify the trenches under the driveway are correct. -Reeeive L.S-1Ue t tQ Gl Date: Issued By: Date: ZLI 2 �j 5 MUMCIPAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-461-25 Property owner(s) DAGNEY SMITH Mailing address 2600 HUFFMAN ROAD *ANCHORAGE, AK Site address 2600 HUFFMAN ROAD *ANCHORAGE, AK Day phone 907-802-9989 Legal description (Sub'd., Block & Lot) DRAKE; BLOCK 1, LOT 1 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms ,,6 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field L�, Initial ❑ Single Family (SF) ❑ (w/wo AD U) Septic Tank El Upgrade ❑ (D) ❑ Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: '2' x- , 1/1 Date of Payment: / U Z a l l k2,2 Receipt Number: n / (0 Permit No. 63 a ltILAD Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building SafetylOn Site Water and WastewaterTorms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221440, Deb Wockenfuss, 01/11/23 3 P, o - � W o 0 = 0O N LL h Q V W CL z _0 u v N Q Q N W a a crZ o �_ o J CC N W G ~ W N LLJ O J d dLn EL J D D O §I -IaIW Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221440, Deb Wockenfuss, 01/11/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221440, Deb Wockenfuss, 01/11/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221440, Deb Wockenfuss, 01/11/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221440, Deb Wockenfuss, 01/11/23 w i ,o os I D Ld Z a W um LAW I •a LLJ uj LAKE OTIS PARKWAY C,--, 4 16 21: 4 3 t j ag, "Ive- 11 & P urip Ser 90724230749- bevelopment Services Department Building Safety bivision On -Site Water & Wastewater Program Well Drilling Permit Nu.mber:�W' 47(,10 Elmore Rood ,0.0. Sox 196650 Anchornoe, AR,' 99507 507) 3 3-7904 Punip Installation Log Parcel Identificatior-i _Number:. 01 r7 - � � 1- 2 5 Date of Issue: f , Z7X0 ",'/ / - -, M Mftlifiolv. Tbe 'N")N ideant.alp log (,,) Uw, EiSD w:thin 30 ditys of -varej Municipality of Anchorage Page of % 72-013 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: �W 5y0 y2S^ PID Number: /o 1,7 Y6 125 Name:/Za ✓ %7 Wastewater System: ❑New Upgrade Address: ABSORPTION FIELD Phone: No of Bedrooms: 3 El Deep Trench Shallow Trench C1 Bed D Mound 11 Other LEGAL DESCRIPTION Soil Rating. 8 Total Depth fromoriginal grade 3• of GPD/Sq Ft Lot. Block'. t Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe 0" K E /.0 Ft. Ft. Township: Range: Section Fill added above orjgmal grade: Z. 4D Gravel length: Ft Ft. WELL: 4114 ❑ New Ll Upgrade Gravel width. S0' , Number of lines: Z Distance between lines: 1-5- I S FL Ft. Classification (Private, A, B,C): Total Depth: Cased To: Total absorption area : Pipe material: Ft. Ft, SOD SD. Ft. YW JD VC. ,a Driller: Date Drilled: Static Water Level: Installer'. 11 GONS'ruc1 Date installed: Ft. 67AC10e _.5)!//q� Yield'. Pump Set at: I Casing Height Above Ground: TANK GPM Ft Ft. SEPARATION DISTANCES /Septic ❑ Holding ❑ S.T.E.P. r, To Septic Absorption Lift Holding Public/Private Manufacturer. DapaC ity In gallons: From Tank Field station Sewer Lines Ap.<�jp�n ,9" /5 � Well 97' Sys i I63 z ��T,ank Ay///9 165, Material. STElL Number of Compartments: 2 Surface M11 NSA N4 NIA LIFT STATION Water Lot' 90 023' r Size in gallons: SpQ Manufacturer: ilticHc�gG Line Foundation b" �� �S ' /✓/A 18 • "Pump on' level at'. "Pump off' level at: c/ High water alarm at: 9s�z 9s o z.o CurtainPump /V14 N1,q A,14 N14 V1.4 Make & Model Electrical Inspections performed by: Drain c?/ZE--,,fio Remarks: BENCH MARK Location and Description: (/ 6 �D Ari' Si r NCn,ilG T o Lew... -z. Assumed Elevation: /OZ. /n FT ENGINEER'S SEAL 6.cgrgcti"Nl, PUTH.R� Inspections performed by: Dates: 1st ✓ 2nd Department of Health and Human Services approval 9l�s��, ee z 4- f Reviewed and approved by: Date: 74-9f 72-013 (Rev. 9/91) MOA 25 Ferr iit Nlcc, Page ), of W. 0. 94141 Municipality of Anchorage 44-7-94 Department of Health and Human Services Date ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Yell Inspection Report Legal Description: LOT 1 BLOCK 1 DRAKE SUBD. PID No. Q 7 y 6 .L5 EXIST. GRADE 1250 GAL TANK/LIFT STATION 7 3 1 6.. -- ------ 10 4 0)*7' e I ELEV. 92. - 2' DOW HI -30 INSULATION OR APPROVED EQUAL. SEE NOTE 12 GEOTEXTILE FABRIC. SEE NOTE 13 2'-6" MIN. COVER (2'-0" MIN. AFTER SETTLMENT) SEE NOTE 15 4" MONITOR TUBE -------------- — SEWER ROCK PER MUNICIPAL SPECS. SEE NOTE 10 1 1/4" PERF. PVC ® 5' O.C.(TYP) INVERT --` CAP ENDS __ CiEF 1�a.Ak) -SAND FILTER PER MUNICIPAL SPECS SEE NOTE 9 A TYPICAL SECTION HOR: 1" VERT: 1" = 5' SENTEC Inc. SURVEY ENGINEERING PLANNING TECHNICAL MANAGEMENT SYSTEMS 7801 E. 36th Ave. Suite A Anchorage, Ak 98504 Ph. (907) 333-M1 Fax. (807) 333-1085 1-013 A (2/21) MOA 23 G FR. 001-S3 Permit No. Page of W.0. 94141 Municipality of Anchorage Department of Health and Human Services Date ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 1 BLOCK 1 DRAKE SUBD. PID No.0/ .7,/,) , 5 HUFFMAN ROAD 1BM — TOP OF REBAR O PROP COR. ASSUMED ELEV=102.6 0 WELL EXISTING HOU E INSTALL UFT STATION ALARM do CONTROL PANEL LOCATE AS DIRECTED BY OWNER ROPOSED SEPTIC TANK k UFT STATION, REMOVE AND DISPOSE OF EXISTING SEPTIC TANK v O\J5 y N S, 9�, �'�'.:^. LOT 2A EXISTING DRAIN FIELD 1.25" SOLID PVC (TYP) SEE NOTE 11 \ PROPOSED PRESSURE DISTRIBUTION SOW TREN SYSTEM �7 X 5' �@ t 1iX 5'— 5911 SF} M O 1150%B APP.RATE — 562 SF R 0 IR Water Le 192.7' 2.5' (TYP) \ 1.25' PERF PVC (TYP) W/ 3/16' HOLES TES s O 2'2' SPACING INV ELEV. = 199$ (LOWER), /ltl90.U,aUP PER) H 5' (TYP) �7 � EXISTING MONITOR TUBE (TYP.)) DRAIN 35'' FIELD 1 10' PROPERTY UNE OFFSET LOT 1 r? unpER • �aw�2 GREGO M. UT SCALE: 1" = 30' ,J1� CE 7s92••����� G Fla 001-S Permit No,— Page 4—of Municipality of Anchorage W,0, 94141 Department of Health and Human Services Date 10-2-94 ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650' Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 1 BLOCK 1 DRAKE PID No. NOTES: 1 ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS OF THE MUNICIPAL CODE AS CURRENTLY AMENDED. 2 SITE TOPOGRAPHIC SURVEY CONDUCTED ON 11-12-93. EXISTING STRUCTURES, WELLS, SEPTIC SYSTEMS OBSERVED WITHIN 200 FT. OF PROPOSED SYSTEM SITE ARE SHOWN ON DESIGN DRAWINGS. 3 ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZED BY THE ENGINEER PRIOR TO ITS INCORPORATION INTO THE SYSTEM. 4 CONTRACTOR TO LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATER WAYS, SURFACE AND SUBSURFACE DRAINAGE FACILITIES, LAKES, PONDS, AND OTHER FACILITIES REQUIRING SEPARATION DISTANCES FROM THE PROPOSED SEPTIC SYSTEM. NOTIFY THE ENGINEER OF ANY OBSERVED CONFLICTS PRIOR TO CONSTRUCTION. 5 NOTIFY THE ENGINEER 24 HOURS PRIOR TO COMMENCING WITH CONSTRUCTION. A MINIMUM OF THREE INSPECTIONS ARE REQUIRED. THE FIRST INSPECTION SHALL BE OF THE SUBGRADE, PRIOR TO PLACING SAND FILETER. THE SECOND INSPECTION SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION PIPING, STANDPIPES, TANK, AND OTHER COMPONENTS AS SPECIFIED. THE THIRD INSPECTION SHALL BE AFTER THE WORK IS COMPLETED. 6 CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED -LINED, AS -BUILT DRAWINGS SHOWING ALL DATA AS SPECIFIED IN SEC. 15.65.F.2, 3, 4, 5, 6 OF MUNICIPAL WASTEWATER DISPOSAL CODE WITHIN TEN DAYS OF THE FINAL INSPECTION. INVERTS AND SWING TIE LOCATES SHALL BE TO THE NEAREST TENTH OF A FOOT. THESE AS-BUILTS SHALL BE USED TO DOUBLE-CHECK THE ENGINEER'S INFORMATION PRIOR TO SUBMITTAL TO DHHS. 7 STAKE ALIGNMENT OF SYSTEM WITH MARKERS SHOWING THE PROTECTIVE DISTANCES FROM WELLS AND PTHER BODIES OF WATER PRIOR TO BEGINNING INSTALLATION. g ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER. 9 EXCAVATE THE ABSORPTION FIELD. BOTTOM OF EXCAVATION SHALL BE FREE OF ORGANICS AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING, MIDDLE, AND END OF BED BOTTOM. CONSTRUCTION EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF THE CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND REPLACED WITH UNCOMPACTED MATERIAL. 10 PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE ROCK WITH NATIVE MATERIALS OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO t 1" PRIOR TO INSTALLING THE PERFORATED PIPE. 11 ALL PIPE SHALL BE PVC CONFORMING TO ASTM D3034 OR ENGINEER -APPROVED EQUAL. 12 ALL INSULATION BOARD SHALL BE 2" THICK DOW HI -35 INSULBOARD OR ENGINEER -APPROVED EQUAL. CENTER INSULBOARD WIDTH OVER PIPES, FIELD, AND SEPTIC TANK. 13 GEOTEXTILE SHALL BE MIRAFI 140S OR ENGINEER -APPROVED EQUAL. LAP ALL JOINTS 2' ,MIN. 14 MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS. 15 SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MIN. SLOPE, AND 3:1 MAX SLOPE, AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MUNICIPAL SPECS. 72-013 A (3/91) MOA 25 C. ill. 493-S7 WIN to I PAL M W Q0 fyn QAY�Tv A)m in 10,-i 1500 VOW ThUnr too,,! oil 551:1 10 q Q ? c T y Q � � 00 OnT MOM TYK OnTrr''. 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:SW940425 DESIGN ENGINEER:LANTECH OWNER NAME:HOLMAN RALPH OWNER ADDRESS:12441 LAKE OTIS PKWY ANCHORAGE, ALASKA 99516 PARCEL ID:01746125 LEGAL DESCRIPTION: DRAKE BLK 1 LT 1 LOT SIZE: 87020 (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: DATE ISSUED:11/07/94 EXPIRATION DATE:11/07/95 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 PR RECEIVED B ISSUED BY: DATE: / DATE: //-7-7 Jt Permit No. Page of W.O. 94141 Municipality of Anchorage Date 10-7-94 Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 1 BLOCK 1 DRAKE SUED. PID No. HUFFMAN ROAD EXISTING HOUIE INSTALL LIFT STATION ALARM & CONTROL PANEL LOCATE AS DIRECTED BY OWNER 7ROPOSED SEPTIC TANK & LIFT STATION, REMOVE AND DISPO E OF EXISTING SEPTIC TANK • • pp. w CL EXISTING{ \ DRAIN FIELD Water Level 92.7' TES . HOLE SCALE: 1 " = 30' IBM - TOP OF REBAR ® PROP COR. ASSUMED ELEV=102.8 0 WELL LOT 2A 1.25' SOLID PVC (TYP) SEE NOTE 11 PROPOSED PRESSURE DISTRIBUTION SHALLOW TRENC SYSTEM (32'X 5' + 86'X 5'g 590 SF) 3BDR O 1150/.8 APP.RATE 562 SF REOUIR 2.5' (TYP) 1.25" PERF PVC (TYP) W/ 3/18" HOLES O 2'2" SPACING INV ELEV. = 98.2 (LOWER), 99.2(UPPER) 5 (TYP) EXISTING 1O' MONITOR TUBE (TYP.)) DRAIN 35'' FIELD \LINEOFFSET OF Atg144 � P ee•e....••es � go goT go /go P 0000 00000000 � a REGORY M. PUTNAM a qj ♦�9% 0 CE 7892 e • •v Professor DATE ,�\\���� Permit No. Paae / of (� W.0. 941 41 Municipality of Anchorage Department of Health and Human Services Date 10-7-94 ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 1 BLOCK 1 DRAKE SUED. PID No. HUFFMAN ROAD TBM - TOP OF REBAR O PROP COR. ASSUMED ELEV=102.6 I O WELL I EXISTING HOU E INSTALL LIFT STATION ALARM & CONTROL PANEL LOCATE AS DIRECTED BY OWNER ROPOSED SEPTIC TANK & LIFT STATION, REMOVE AND DISPOSE OF EXISTING SEPTIC TANK ^' LOT 2A P Z' EXISTIN DRAI FIELD q 1.25" SOLID PVC (TYP) SEE NOTE 11 PROPOSED PRESSURE DISTRIBUTION BED SYSTEM (15'X 40' = 600 SF) \ 3BDR O 150/.8 APP.RATE - 562 SF REQUIRE Water Level 92.7' � �� 2.5' (TYP) 1.25' PERF PVC (TYP) W/ 3/16" HOLES O 2'2* SPACING TEST 5, (TYP) EXISTING MONITOR TUBE DRAIN f35'r FIELD 10' PROPERTY LINE OFFSET.�%ILIL\, LOT 1��Qr At � e � e•°eeseeeeq SENTEC Inc. Ar ,`P . �S��♦ SURVEY ENGINEERING PLANNING i e� T • 0 TECHNICAL MANAGEMENT SYSTEMS /e eee ee a eeeeeeeeee 7801 E. 36th Ave. Suite A � fi Anchamp, Ak 98504 • 00000000000 Ph. (907)333-6661 Fax.(907)333-1085 o G EGORY M. PUTNAM ♦�` s t AN ". CE 7892 ." �`� SCALE: 1" = 30' ♦ �� °.• e.• i ♦ r� ••....•• • ♦1 � Profess�o'��� DATE 1\�►��►���0 6 C. flli . 001-S3 Permit No. Page 2 of (� W.O. 94141 Municipality of Anchorage Date 10-7-94 Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 ' Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 1 BLOCK 1 DRAKE SUBD. PID No. 2" DOW HI -30 INSULATION OR APPROVED EQUAL. SEE NOTE 12 GEOTEXTILE FABRIC. SEE NOTE 13 2'-6" MIN. COVER (2'-0" MIN. AFTER SETTLMENT) SEE NOTE 15 4" MONITOR TUBE EXIST. GRADE 3 3 �1 t � 6., r- ------------------------ - I3r11N 24... l 1250 GAL �- -H SEWER ROCK PER MUNICIPAL TANK/LIFT SPECS. SEE NOTE 10 STATION oI 1 1/4" PERF. PVC ® 5' 0.C.(TYP) `O INVERT - CAP ENDS ELEV. 92.`SEF Pi -AHS SAND FILTER PER MUNICIPAL SPECS SEE NOTE 9 A TYPICAL SECTION HOR: 1" = 10' VERT: 1"= 5' SENTEG Inc, SURVEY ENGINEERING PLANNING TECHNICAL MANAGEMENT SYSTEMS 7801 £. 36th Ave. Suite A Anchorage, Ak 98604 Ph. (907) 333-6861 Fax. (807) 333-1085 72-013 A (2/81) MOA 25 Permit No. Page .3 of (a 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 Description: Lot 1 Block 1 Drake Subdivision PID No.: Site Narrative The proposed upgrade to the existing system will improve conditions for the existing lot and the surrounding lots. The existing septic system on this lot was observed to have standing water in the drain field during a time when the house was unoccupied, so it was assumed that the observed water in the monitoring tube was ground water. The proposed mound system will raise the level of the system to be well above the highest observed ground water level. The two existing private wells who's radii are shown on the plan, are the only wells within 300 ft of the proposed system. The wells will not be adversely affected by the upgrade but will benefit by the reduced risk of contamination from the old system. The existing septic system on lot 2A immediately to the east is the only other septic system within 300 ft of the proposed system. It will not be adversely affected by the proposed system. Since the present improvements to this lot are concentrated in the northeast corner of the lot, the entire south half of the lot is available for reserve space, (over 50,000 SQFT out of Appx. 2 ACRES ). There are no foreseeable adverse drainage impacts from this project. No streams or obvious drainage channels cross the property and the area of the proposed improvements is well drained towards the south west unused portion of the lot. beyond that drainage proceeds into the Lake Otis Street drainage. a Municipality of Anchorage .� DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST or Gross Net Time Time Depth to Net Water Drop ooi o• ••• •eaeoYnoe� • ° GR G RY e TTY i• Y M. PUT;z PERFORMED FOR: TCM //z \/ (A/,: DATE PERFORMEQ� lJif ��e LEGAL DESCRIPTION: 4 C) 8)-k / D R Akr Township, Range, Section: T/ 2 N t� ("J sc. /0 SLOPE SITE PLAN i -I 1 I.- 8R.N, T)C.H I 2 A 3 ; o' 4 A �-- 5 6 & Get (� RAV 1L�� 8 9 Q, 10 �' a WAS GROUND WATER y F S ENCOUNTERED? 11 s IF YES, AT WHAT L L O DEPTH? "! S 12 P E 13 Depth to Water After Monitoring? Date: 14- 15 16- 17 18- 19 20 COMMENTS Reading Date Gross Net Time Time Depth to Net Water Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT PERFORMED BY: _SJ CT Oa 1 AIA fit 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) 5/6 C� 4 / e/ . � _ _ -L?-----------__-----...�_ A A- A T,,\ L /, �04G ___ t _h�___ _ -- MAN c P,- — 3.5 (yo r `fi --- .... ... .... PM 3t6 plv� .... ... .... I -- --------- Dj Permit No. Page of� W. 0. 94141 Municipality of Anchorage Date 1 Department of Health and Human Services 0-2-94 ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 On—Site Wastewater Disposal System/Well Inspection Report Legal Description: LOT 1 BLOCK 1 DRAKE PID No. NOTES: 1 ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS OF THE MUNICIPAL CODE AS CURRENTLY AMENDED. 2 SITE TOPOGRAPHIC SURVEY CONDUCTED ON 11-12-93. EXISTING STRUCTURES, WELLS, SEPTIC SYSTEMS OBSERVED WITHIN 200 FT. OF PROPOSED SYSTEM SITE ARE SHOWN ON DESIGN DRAWINGS. 3 ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZED BY THE ENGINEER PRIOR TO ITS INCORPORATION INTO THE SYSTEM. 4 CONTRACTOR TO LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATER WAYS, SURFACE AND SUBSURFACE DRAINAGE FACILITIES, LAKES, PONDS, AND OTHER FACILITIES REQUIRING SEPARATION DISTANCES FROM THE PROPOSED SEPTIC SYSTEM. NOTIFY THE ENGINEER OF ANY OBSERVED CONFLICTS PRIOR TO CONSTRUCTION. 5 NOTIFY THE ENGINEER 24 HOURS PRIOR TO COMMENCING WITH CONSTRUCTION. A MINIMUM OF THREE INSPECTIONS ARE REQUIRED. THE FIRST INSPECTION SHALL BE OF THE SUBGRADE, PRIOR TO PLACING SAND FILETER. THE SECOND INSPECTION SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION PIPING, STANDPIPES, TANK, AND OTHER COMPONENTS AS SPECIFIED. THE THIRD INSPECTION SHALL BE AFTER THE WORK IS COMPLETED. 6 CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED—LINED, AS—BUILT DRAWINGS SHOWING ALL DATA AS SPECIFIED IN SEC. 15.65.F.2, 3, 4, 5, 6 OF MUNICIPAL WASTEWATER DISPOSAL CODE WITHIN TEN DAYS OF THE FINAL INSPECTION. INVERTS AND SWING TIE LOCATES SHALL BE TO THE NEAREST TENTH OF A FOOT. THESE AS—BUILTS SHALL BE USED TO DOUBLE—CHECK THE ENGINEER'S INFORMATION PRIOR TO SUBMITTAL TO DHHS. 7 STAKE ALIGNMENT OF SYSTEM WITH MARKERS SHOWING THE PROTECTIVE DISTANCES FROM WELLS AND OTHER BODIES OF WATER PRIOR TO BEGINNING INSTALLATION. g ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER. 9 EXCAVATE THE ABSORPTION FIELD. BOTTOM OF EXCAVATION SHALL BE FREE OF ORGANICS AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING, MIDDLE, AND END OF BED BOTTOM. CONSTRUCTION EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF THE CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND REPLACED WITH UNCOMPACTED MATERIAL. 10 PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE ROCK WITH NATIVE MATERIALS OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO f 1" PRIOR TO INSTALLING THE PERFORATED PIPE. 11 ALL PIPE SHALL BE PVC CONFORMING TO ASTM D3034 OR ENGINEER—APPROVED EQUAL. 12 ALL INSULATION BOARD SHALL BE 2" THICK DOW HI -35 INSULBOARD OR ENGINEER—APPROVED EQUAL. CENTER INSULBOARD WIDTH OVER PIPES, FIELD, AND SEPTIC TANK. 13 GEOTEXTILE SHALL BE MIRAFI 140S OR ENGINEER -APPROVED EQUAL. LAP ALL JOINTS 2' MIN. 14 MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS. 15 SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MIN. SLOPE, AND 3:1 MAX SLOPE, AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MUNICIPAL SPECS. 72-013 A (2/91) MOA 25 C. rd.: 493-57 Muni,,ipalhy of Anchurage 0* Department of Health and Human Services 825 "L" Street Rick Mysrrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor 343-4744 July 6, 1995 Greg Putnam, P.E. Sentec, Inc. 7801 East 36th Avenue Suite A Anchorage, Alaska 99504 Subject: Waiver Request for Lot 1 Block 1 Drake Subdivision Waiver Request #WR950030, PID #017-461-25, SW950425 Dear Mr. Putnam: Your request for waiver(s) of the required 100 foot horizontal separation of a septic system to a private well has been approved. The approved separation distance(s) are a private well to the septic tank of 97 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, Az� '� W'P--tr Daniel J. Roth Civil Engineer On-site Services DJR/ljm MUNICIPALITY OF ANCHORA( Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR#PID# 017-461-25 HA# Permit # SW940425 Date Received: June 27, 1995 Legal Description: Lot 1 Block 1 Drake Subdivision Engineer: Greg Putnam, P.E., Sentec, Inc. 7801 East 36th Avenue, Suite A, Anchorage, Alaska 99504 Applicant: Ralph Holman Waiver Requested: Private well to septic tank on lot - 97 feet Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: t ,,,cw" Date: 6— 2 9' By: 1919-41 /? 0 7-1-1 Name of Reviewer Rec #: 01030/ Amount: $ 625.00 Date Paid: 6-27-95 �a z ter ivFR RF_ Qu Esr caR tar I oz -H I pi?,#KE 5uov1v1s1av wAI VER R F- qUE . r NU q&,Eo4 W fi g FOO 3 o Gv#1 v,En RF -,q uEsr FoR o~r wfct. ro sEPric rlf vt OF 9'7 rwor. $EPr/c rlMlk PAM - 7 -HE SEP;r/c rlaK /,v QuFSr/opt/ W s /FS 7-140 EN61NAER Sr/9rE,s L / Pr sr4Tiov co'MB/Avlfrra" uAvir rMi9r HliS 9EE.v /Nsrf44fp �"IP,PvN/ous[I (vires owE cm#st APPPUxIA+,vrFt. Y THREE Foss r A iveAv l40 Foor a-oll. R#D/ous, TMI s o cc u►tRFp o�v �'- if =gf', ovvloNsL r rye ,re0lle. rowt S ORA vo NE w rr frF of mm mar reGKvoc aG r. I r /x f_ ou l/oeo &./r I LL of TUE FQa #RJPtlCNr ro ICESP IT Pi?c114 LsNk IMM, rlrE s'ai`S Ir rs (VmSl'RuGTfP IN AWE sltrY G!?y-vBLs Of rt-4,Os &-t{ICN fKDuLo 7WeAr #Aly 007TAO'1`yf4- 4041(46,6 O r x faM r#,* S eeric rit,-sk /A Qw� S7"icw, - w J51.1- oil- 7-19- - %H& G.rta. I,v 4,temovv DOES Noi IY,9vE A t.,-51-4 L 06. r/-fEIPE /s U -IE vEIQ MK m ER ou.f LvP,1 G 1 065 71511E 1 MM EtltNrE 'RBA, rl-ce-SE L -ELL toes , A Plc rre nett -r r/-fEIPA C&,-r"at( CPU s stsD� srRl*rA-r r004 PR rsifv aF s a r7r cLIw 9s & VhoeROE/Z PNvrzcr/A-L rHe *PK,,ffeR Ar 74 TKi'S aoAF,Av/4.G rHc /t'fv PES eaA,r*,— r:r pR rK oE G 9 ow•rG s K vP A,-ftE «a oaa Z Z OF R, ,P. E, C. S. P. W. G. fa S. C, lf, a. IN 1� 1"En r�©c F 5 on. s oR err o�v If t or p�Rrl�� 8�4 i rY `1z t G �3 ls. %;- 4—, x=. - 2 2.y GJ?#NO MrhL (4p CL Lel -v SEMTEC Inc. 7801 E. 36th Ave. Suite A Anchorage Alaska 99504 Thursday, June 22, 1995 Phone (907) 333 6881 M.O.A. Dept of Health and Human Services Fax (907) 333 1085 P.O. Box 196650, RECEIVED 825 "L" St. W.O.#: 94141 Anchorage, Alaska 99519 Ph: Fax: sJ U N 2 71995 ATTN: Dan RothMunicipality of Anchorage 9 (y -N Dept. Health & Human Services RE: Irvine Septic Design L1, R1 DRAKE SUBD. Mr. Roth This Letter is to request a "Seperation Distance Waiver" for the above project. Please find attached the asbuilt plan and section drawings. Also attached are a copy of the general contour of the area and well logs from surounding wells in the area. The situation that exists is a septic tank/ lift station combination unit that has been installed erroniously with one corner approximately three feet within a 100 ft. well radious. Considerations relevant to this situation are as follows: - Soil test logs from this site and surrounding indicate a water table at about 7'. The well logs in the area indicate static water levels around 40 to 60 ft. The static waterlevel of the will on this site was measured at 53'. Well logs indicate the waterbearing soil layer is located between 70 and 90 ft. This indicates the water encountered at the 7' level is a perched water table and aquifer providing water to wells is much lower. -Well logs indicate that there are several relatively impermiable soil layers between the perched water at the 7' level and the well aquifer at 40 to 60 ft. - As shown on the attached area contour map, the the gradient of the area indicates a ground water flow in a direction perpendicular to the line connecting the well and septic carrying potential contamination away from the well on this lot. In response to your other questions, the pipe supplied by Anchorage Tank and Welding is Schedule 40 PVC. The attachtd Lift station data sheet indicates the pump on and off elevations. Anchorage Tank and Welding indicates that package system is recertified with DHHS every year h+ and a full set of drawings should be on file at your office. If you have any questions, please don't hesitate to give me a call. Thank You. rn a r M fV Sincerely, -- "� D M y < <Z R1 � ti z Greg . Putnam 0 O O m Z (_0 . a1-`iS- L-X�Lo ,jam (-N (L H- t.3l 0�,4o/ %Co�)S,vv r .• I certify the above trur and coarct, 1)rtllcr r Swofford DrillinGUAIMV Spenard, Alaska 11`c d%i%t volt to ttttirh this ccttificatr to lour NCf.INION4 WINI Mi081*0 a It 41WM ,!O '1430 r,. ani• ` ., , ,* ��.• ' fo"ft. r+it f F ,�•�.i= � ,yam. -moi ,�* .�{� ��;1, t • F Y`., ""�` t` - #i'� ►' ...@'t. 5y� Yh'R. if 4 ! a e _� y I Y`T+l."�/ ` _ v � k + x � t i a p Certified Well ., A t ►►r : 5 el ............... ..................................... ....rA/l/�.fit .....30B.z l.xattcrni'.Lu•/./s/irk._..-,GcRIt�,............ .............. .... ..... ...«......., :�, �,, . hate cntnhletrd . a r c t...t ..... .y. -.1`.,l .. »'�................................................ ; td .................................................................. ,.:R, ► -111C of Casing ...... ,«....... .6 :,.:&................... ........ .... .............. .................. ............. .. Dio.ince it) water... • `M ................I oince to Nater while pttmping....... .....w.tit rite of _ ."........,.k'�' r:i"..........•... gallons per hour. I certify the above trur and coarct, 1)rtllcr r Swofford DrillinGUAIMV Spenard, Alaska 11`c d%i%t volt to ttttirh this ccttificatr to lour NCf.INION4 WINI Mi081*0 a It 41WM ,!O '1430 r,. ani• ` ., , ,* ��.• ' fo"ft. r+it f Ile4crlp12ot1 of forttuttwq ,k ti r` 'y„ _ from to y r.• � k + x � t i a ., A 4 Y•' ; td S I certify the above trur and coarct, 1)rtllcr r Swofford DrillinGUAIMV Spenard, Alaska 11`c d%i%t volt to ttttirh this ccttificatr to lour NCf.INION4 WINI Mi081*0 a It 41WM ,!O '1430 r,. ani• ` ., , ,* ��.• ' fo"ft. r+it f y r.• � k + x � t i a ., A 4 Y•' ; td S I certify the above trur and coarct, 1)rtllcr r Swofford DrillinGUAIMV Spenard, Alaska 11`c d%i%t volt to ttttirh this ccttificatr to lour NCf.INION4 WINI Mi081*0 a It 41WM ,!O '1430 r,. ani• ` ., , ,* ��.• ' fo"ft. r+it f � C% " -LD O�C:j Department : HealthLand Environmenta r `? ' 825 L Street, Anchorage, AK. y9501ection �j,^ I,�, ' 264-4720 �b Permit # X Y \S -/C/ * * * HANDWRITTEN PERMIT * * WELL AND/OR ON-SITE SEWER PERMIT Applicant:y� � Mailing Address: ?4f)a<) Location: Phone Number: 73 Type Legal Description: �Q%'!� ��� � L u Type of Soil Absorption System Is: Lot Size: _Z20- Trench: Drainfield: Seepage Bed=�/ Holding Tank: Maximum Number of Bedrooms: (\ Soil Rating(sq.ft/br) The Required Size of the Soil Absorption�Pystem Is: Q DEPTH —3L, LENGTH _ GRAVEL DEPTH & I, WIDTH I / 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 the bottom of the excavation(in feet). There is no set width for trenches. the bottom ofravel ptheth lexcavat s the on(in feet). of gravel between the the outfall pipe and * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ �� _ GALLONS Permit applicant has the responsibility to inform installation inspections of any wells adjacent to this department during the ofof residences that the well will serve. property and the number Backfilling of any system Twithout Nfinal linspectionQand ONS ARE Ea will be subject to prosecution. PProval by this department 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 311 19 3 3 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 the r sidence is modeled to include more th quire enlargement if bedrooms. Signe3: /T % Issued by: Applicant Q Date: 040 i SWP/024(1/81) he �� ALASKA NUIROfl nTAL COf1TROL SEWICES, inn. Engineering & Environmental Studies SPECIFICATIONS FOR ELEVATED BED ALTERNATIVE WASTEWATER TREATMENT SYSTEM— LOT 1, BLOCK 1, DRAKE SUBDIVISION 1.0 GENERAL 1.1 THE DRAWINGS, SHEETS 1 THRU 1, SHALL BE A PART OF THIS SPECIFICATION. 1.2 ALL MATERIALS AND WORKMANSHIP SHALL MEET THE REQUIREMENTS OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERMIT. 1.3 ALL EXCAVATIONS AND DEPTHS ARE ADVISORY AND ARE TO BE VERIFIED OR MODIFIED IN THE FIELD BY THE CONTRACTOR. 2.0 THE LIFT STATION (NOT USED) 3.0 SEEPAGE BED 3.1 THE GRAVEL FOR THE BED SHALL BE SCREENED TO THE SIZES INDICATED. 3.2 THE BOTTOM OF THE EXCAVATION SHALL BE RAKED WITH THE BACKHOE BLADE TO INSURE THAT THE BOTTOM HAS NOT BEEN COMPACTED DURING EXCAVATION. THE BOTTOM ELEVATION SHALL BE PLUS OR MINUS 2". 3.3 AN OBSERVATION PIPE SHALL BE PLACED AS SHOWN IN THE DRAWINGS. IT SHALL BE RIGID PVC, ASTM 3033 D-3034. THE SECTION SHOWN WITH HOLES MAY BE EITHER DRILLED 0.5" HOLES @ 6 INCH CENTERS ON OPPOSITE SIDES OF THE PIPE OR A REGULAR SECTION OF REGULAR PERFORATED SEWER MAY BE CLAMPED TO THE SOLID SECTION WITH A NO HUB COUPLING OR SOLVENT JOINT. A RUBBER RAIN—CAP (JIMCAP OR EQUAL) SHALL BE PLACED ON THE TOP OF THE PIPE. 3.4 IF INSULATION IS REQUIRED, THE INSULATION SHALL BE DOW EXTRUDED BLUE STYROFOAM INSULATION BOARD OF THE THICKNESS SHOWN ON THE DRAWINGS. 3.5 THE TOP AND SIDES OF THE BED SHALL BE PLANTED WITH A WHITE CLOVER AND RED FESCUE MIX OR BLUE GRASS.' 3.6 THE SEPTIC TANK OF BED MUST NOT BE CLOSER THAN 100 FT TO ANY EXISTING WELL OR BODY OF WATER. 3.7 THE GRAVEL SHALL BE COVERED WITH A LAYER OF UNTREATED BUILDING PAPER OR A NONWOVEN FABRIC SUCH AS MIRAFAR FIBRETEX 200 GRADE, OR POLY—FILTER X OR EQUAL. - 3.8 THE DISTRIBUTION PIPE SHALL BE 4 -INCH RIGID PVC OR POLYETHYLENE. THE PIPES SHALL BE LAID LEVEL.' 3.9 THE SAND SHALL HAVE AN EFFECTIVE SIZE OF 0.4 TO 0.6 MM AND A UNIFORMITY COEFFICIENT OR NOT 14ORE THAN 4. 3.10 THE BERM AROUND THE SEEPAGE BED SHALL__BE CONSTRUCTED OF IMPERMEABLE MATERIAL, AND ON A SLOPE OF 1 FOOT VERTICAL PER 2.5 FOOT HORIZONAL. 1200 West 33rd Auenue, Suite Q . Anchorage. Alaska 99503 • (907) 276-1361 ALASKA ENVIRONMI(TAL • ' CONTROL SERVICL INC. • 1220 West 25th Avenue Suite B • ANCHORAGE, ALASKA 99503 276.1361 279.2917 JOB— SHEET OB SHEET NO. OF / CALCULATED BY TS • DATE CHECKED BY i R E D D ES 1 G - _.;_ r _ �""� j SIGN .! ..FO2_.__3 . REDROOM. ..HOu5� _;._ yci/7H.._.._Z_.OF . _.SAND. AF_/JCff'TK- :.. GRAVEL 1 _.l - . f i 1 ®00.5E RVH T/O/JIPIPEAlr I : , •'i _.L _.,._. — i _r._i_Y.._ ._.�._i _1 -._—i .�;-.I'--T`-i"'--i-- -_`_. i---- "--?--�I'___I-` �.w ••w w• .r I I - f •aOSERvAT/ON PIPE / `lo 2251-t — I R IJ. --•-.- .SOLID._P,V,G;. _ �l.4r OF.tAR7N FILL Aii� ri�'o �' v Ce arA4ING - -- - /- TMoaATED - - - -- I ' .,. z'_`SifA1D FILL. _ 4 Ill I , L I`I I I , jJOTE:.iEXCAVg7r 770_.7 oM.TO_(�5_W�LJ9.YE2..-- —_NOTE: __.11DROF11•15 _Iv EIVJ•_MAd•P*k D£PE/JDAX-. GrtI.LOCA7/O/V cO�/F�G!/2A7lOA/_..__L.__ � rrnn ti, r.,7 e v w r., .•,•• . SOILS LOG.. ' • MUNICIPALITY OF AN0'WROM Of AN O'MAM PERCOLATION DEPARTMENT OF HEALTH AND ENVIROWaiA4.RA0KtqKQk TEST S25 L. Strwt. An owmp. Atm 99501 264.47720 4 M3SOILS LOG - PERCOLATION .137 T aF�c� C RECEIPERFORMED.-_D PERFORMED FOR: v L d -r- � � �..,� t �� a�.� a v��� s • S i 0 rJ LEGAL DESCRIPTION: SLOPE SITE PLAN E M� -r 2 4 Ci•Zr\JELL�` S� �.1 5 6 •� a •a 84- 9 ' \J e TTn wt b �= WAS GROUND WATERS, ENCOUNTERED? z.S O P 12* E IF IES, At WHAT DEPTH? - 13- 14- 15 314 15 16 17 18 % 19 20 1 PERCOLATION RATE - (ff~01koh1 TEST RUN gETWjjN �+ FT AND OT OR 1 rr lit COMMEN".i o I 1 _ OVA.. PERFORMED }!r �� CERTIf1ED Nr' ,�`,,..,__ ALASKA ENVIRONMENTAL )NTROL SERVICES, INC. 1-v0 WEST 33RD AVE., SUITE B ANCHORAGE, ALASKA 99503 PHONE 276-1361 IEEE] Job: \a R:)\ (--\7-- \K \ K ELEV.ELEV. T H T H DEPTH DEPTk (FEET) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 <-_ S r 1` ij> -�' '�b G''a�� Q�A i-- ✓ Azo c;a�v` �G+� C7- TG4� p T ?VT oQ ?Zil'c. Sr 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18• 19. 20 - � ('.�> Tis SEEP rlv.b tA;AA�tri4t_ 0 U k C b n �1 r FW TS 1I11m11 15 h=1 15 m a � :ice �2bk ��n oz ii o m noo XM°� 0 m w TS 1I11m11 � h=1 o m m w r ti G N ma dao b a °'a 2 y a "i'\ g n 7 0 rn z O y � TS 1I11m11 � h=1 m w r G N vl p � r � N r 2 a r n 7 m z a y � HEAD IN FEET ca m w 1.1 T J J 1- NO hm a 2 no50 n cn m z a y � � a g � 2 rn+, � z a o U a � r r y N a ti N a r N U O M1 U V U b W V O U U 01 b U N D N V t D r r O v N < ra- n n} A O Q N to V a1 r O i a r NI O r n 0 A NJ rn o �1 O 0 0 W a a p A r r p � � n_ a V n b U Q v n V W V a b O O ar r r ca m w 1.1 T J J 1- NO hm Parcel I.D. 017-461-25 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION 2. description Lot 1, Block 1, Drake Expiration Date: ddrss) 2600 Huffman, Anchorage, AK R Mailing address. - t2eal Estate Agent',-, .;t Petter Jarratt ,O�f¢ TYPE OF DWELLING: I] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 2 Day phone Day phone (907) 257-0175 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Waters stem Y ❑ Public Sewer ❑ - - --- - - -- W"500;36 9500;36 Waiver/Variance request for: Privat2Zvel eptic tank - (granted 6/21/95) 97 feet Received bc�� Date: '7 /2 6 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 'D2214•0 Q Waiver Fee $ Date of Payment - -711 95L Zot u Date of Payment Receipt Number 0I P6f Receipt Number COSA#(TO) ILo /fig �- Waiver# 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm AEC Address 501 East Heather Way, Wasilla, AK 99654 Engineer's Printed Name Glen Verplancke 6. DSD SIGNATURE System #1 Approved for 2— bedrooms System #2 Approved for _ bedrooms Disapproved Phone (907) 315-2805 Date 7/18/2016 Conditional approval for bedrooms, with the following stipulations: ��� Original Certificate Date: %- ZS `l h The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible forerrors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f c If more than 1 septic system Is on the lot: COSA Checklist # _of _ Structure served by 0jis system Certificate of On -Site Systems Approval Checklist Legal Description: Lot I Block 1, Drake A. WELL DATA Parcel ID: 017-461-25 Well type Private If A, B, or C provide PWSID # N/A Well Log (YIN) N Date completed Unknown Sanitary sea[ (YIN) Y Wires properly protected (YIN) Y Total depth 109 ft. Cased to >40 ft. Casing height (above ground) 26 n. i6lcyk.<� �, E,�iuCr /lluswK 6gp.Aa� FROM. WELL LOG AT INSPECTION Date of test Not avallibie Static water level Not AvailihlA ft. Well production Not availible g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 0.09 mglL Arsenic 1.03 ug/L Date of sample: 6/14/2016 6-7-2016 71' ft. 5.5_x— g.p.m. Collected by: Glen Vern[ancke B. SEPTIC/HOLDING TANK DATA w x Tank Type/Material Septic/Steel Date installed 5-15-95 Tank size 1,500x gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping 12-13-15 Pumper McDonald's Pumping Service C. ABSORPTION FIELD DATA x x x Soil rating (g.p.d./f:2 or tt iX 0.8 System type Shallow trench i! x Width 5 ft. Gravel below pipe 0.5 ft. absorption area 560 x _ft' Monitoring tube Yes Depression over field No 2016 Results (Pass/Fail) Pass For 2 bedrooms before test 0 in. Water added 502 gal. New depth__O in. Final fluid depth 0 in. Absorption rate >= 502 g.p.d. ast 12 mo.) (Y/N & type) Unknown If yes, give date N/A Date installed 5-16-95 Toy' a t95 F d'de. Ela3&MV Any reju 1> D. LIFT STATION , Date installed 6-16-1995 Size in gallons 500` Manhole/Access (Y/N) Y "Pump on" level at 95 in. ,,Pump off level at 92* in. High water alarm level at 95.2 in. Datum NE Prop. Corn. Top of RebarR Cycles tested 2 Meets alarm &circuit requirements? Y E. SEPARATION DISTANCES WELL ON LOT TO: XKD4a5t(dhtIKX Septic tank/lift station on lot 97 FT (WR950030) On adjacent lots > 100 FT Absorption field on lot >100 FT On adjacent lots > 100 FT Public sewer main >75 FT Public sewer manhole/cleanout > 100 FT Sewer /septic service line >100 FT Holding tank > 100 FT Animal containment areas > 50 FT Manure/animal excrete storage areas > 100 FT SEPTIC/HOLDING TANK ON LOT TO: Building foundation 11 FTS _ Property line 75 FT Absorption field 42 FT Water main >10 FT Water service line > 10 FT Surface water ' > 100FT Wells on adjacent lots > 100 FT ABSORPTION FIELD ON LOT TO: Property line >10 FT Building foundation 42 FT Water main > 10 FT Water Service line > 10 FT Surface water > 100 FT Driveway, parking/vehicle storage > 10 FT Curtain drain > 50 FT Wells on adjacent lots >100 FT F. COMMENTS • Information obtained from MOA data base 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 Glen Verplancke Date 7-25-2016 COSA canary sheet_2-5-15.doc 11 .HU•FFMAN ROAD N • / N 90'00'00'E 269.99' R=100 00 — PROTECTIVE RADIUS WELL 7 N 80.2 ry \ N .2 N SEPTIC PIPES MANHOLE 10.0'x1 \ /DECK GRAVEL �' DRIVEWAY 20.2'x11.5' SHED O LotSEPTIC PIPES 83,964 s.f. — 10' UTILITY EASEMENTS — Lot S 0' UTILITY STORY RESIDENCE PATIO Lot 2 Lot 7 PLOT PLAN AS BUILT X SCALE __I:_= 60' GRID SW 28.34 Project No. 16-196/At Lan & Associates inc.11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 rax'QF A kenOlongsurvey.com / jonathanOlangsurvey.com `�••••.."• C T I hereby certify that I have surveyed the following described properly: �Qr' LOT 1, BLOCK i, DRAKE SUBDIVISION (PLAT 65-106) ;?:' 49 Anchorage Recording District, Alaska, and that the improvements situated thereon are ........: within the property lines and do not encroach onto the properly adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed.. .. ••• premises and that there are no roadways, transmission lines or other visible KEN G. easements on said property except as Indicated hereon. QO 4- L•a+(b Dated this the I1�" Day of ZU& G at Anchorage, Alaska Q '......-•202�y0 M is the responsibility of the owner to determine the existence of any easements, IONAL e covenants, or restrictions which do not appear on the recorded subdivision plat. r ��f t f t � , �t� � Yk `Nix �'j ��t,C? �'f� at�� �4� !•� ��� � ? f E 1 V w'' • 11 , •�' a �" f Ig f J, y q XPPRo1 s>r i I Parcel i b. # .GENERAL INFORMAT16 Coft iete l6gai descelptlofi #; 1 ,r (( I pvt Location r(ste addrdss ltir' dii r...Y TP �A �y�kHf T,rr A Property vwher{�� �A a '', kti '< til 1/�iV}l{+ yj y'i Mailingradciress ' N`?-tj Lending agency Mailing dddress „—r kr- kXtAgent t x � , 6;--F'° ill H rya.rL4 ( f� Yt •fi': MAMMA- WYl89�:V� y►� 9+li,^ ' tai r]� IN LEdil'IriiI.i vst. v �? a�Fr'19iz,p'� , , �+ri 0 },fir p t d, ,d' 15'�INi01 A4GaK, C rFli`16 {,� I l t� q - n A'" .bay phone 3 N.3' 3 W? 0 ���s� i ,•,�' �t '` L l tf3r•. /j Jw,W�P�.vr >r d bay phone *' #Cj l�kljrry4re^ i�Y f 4t ;!71r.iL�l#� �,1.'• � ri I. �'�• >•i r i. ' 777 1 ' �,r 'NOTE x' It dominunl � elf syetem,;�ibrdv de wrltt� � n III matit5n41e' tin�State�AD bitfest-`' i ! a •' q ¢ , d� j,i , �. t fh, -oxt &t { F� ing to the 1 ► 11ty ahO ata�Us tib sys �B,,gSi d � iti h.nilt ryt Y^yt%rtar�'y'1"^' '' �t w V f • { {, ' �r.,�11 ;� �i;y%,�( �iaf S ' Ffll,��', f 4C,��'YPE OF WASTEWAT R I R ,h '' t ri r i k itv rj'�Sa�r'i lit t f i#. r=r t�;• t i :'►.�.*. i9 =». rr,fj�4 dk v.Ff t Fi fi f 1;{ r,:fff,fti t ".�,'.. '„,t�9,�".,,"" *..-.,,' r..✓ 1�.� 'd E „ lhdliridU oniii ,� (��yj�j yi ,�t �ytAtfdl�fl-f�.Fk `11'rYI7V1_Cillfl t hk 1(;t lip' ''is • '#I t'rN1 � 5 'T' C+ i r� h u a .# iq s• f'' w Comun�t 'f*-�.' 1.x�at . �it�.1�. ?ffFY '� . trAi �t .,l�..:t:Y; �.i.::di gu , -�y/r ,. AQC`_ .. , .<p:!•'. ..x: `rr' MAIN S. STATEMIEhf '.OF INspEcin6h: if 6laffixed her As certified , y my sea a , " - ffit investigation of this Healt6Aut' and/or wastewater. disposal syster and type 6f,structure indicated hot the Municipality of Anch6ri 6111c supply and/or,wastewater ,dispose ordinances, and regulationsineff Name of, Firm Address 9 6 Engineees,tlgnaturej..�� h4-; j �%I!I�i -J- If X AL A p�i6ved foe, jIF r C -, 41 4, 1 11 1P� n4ii ona,, pprov 'A f �lv, Wni` 411M U. "If!! h4 AN U. 'Additional ornments rj ;1 %F tiR 3 !jz -, .,,Approval Gertl kl,01466basdddhly:Upi ')n�6g Meted In tl e N If kof9ssl6i 1", hd t 61r land r 'itli6tlOnO in orda ' f to conductJnspe6tG1IAd or-'ahaly"iA',de1,d responsible for errors or omissions In 72-M (ROV. 1/01) Back MOA 011 1: Pstemls In corm on th6►dat4of c pl s shown 1, 1. verify,that my a t nsite water, supply 111; , 11..111,,� t ate for-the,number of bedrooms , - -,, ; , - Oe information obtained from ol inspection,'the'on-site water all Municipal and State codes, to'14,i t.{ Phoneoe Datel' ki, WAV A 0 gi., 2 iiif 0 �f, r.;'! ` the, joll n ,,stipulations!—� IT yl.i WII IA :I N,7 L I Ij ealth'46th6r ' agr phIt!§6vWby art Independent a thisasa coUrtosy td purchasers of homes 'U 16:'$ 1 'yeas ofDHHSdonot g,n P M W � I I 0' "A nchbrage Is,not' u M!"C' � t R < MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 / CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # oil-4o—a5_ HAA # H.A&I 40 teff 0 1. GENERAL INFORMATION Complete legal description 1-01- l 03 •t6 QX I 1DR A x E S Cc. 2s —?/ I J4 &� iy 5 ./") Location (site address or directions) / 2 4 2 / )_ AJ« C) -F) o kW Property owner A6 L 1::H N 0 L M A At) • Day phoneLI,4) 6.13 - Ll9 5 Mailing address Lending agency Day phone Mailing address C7. Individual on-site Agent G Day phone Holding tank a F! �C `� • ° Address Community on-site Unless otherwise requested, HAA will be held for pickup. Public sewer NOTE: if community wastewater system;, provide written confirmation from State ADEC attesting to the legality and status of system. 2.. NUMBER OF BEDROOMS: PL1' 72-M (Rev. 1/91) Front MOA #21 a o 3. TYPE OF WATER SUPPLY: Individual well X Community well i>'i°'1 N Public water CAU. o M"' , 4L1.J'� ` /, •, NOTE: If community well system, provide written confirmation from State AP9C'attest- ing to the legality and status of system. ' �`IV- 4. TYPE OF WASTEWATER DISPOSAL: 4. C7. Individual on-site a , Holding tank a F! �C `� • ° 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-M (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S£ N i F C i N Phone Address �) S'2) ) 5 . 3 (-+h.. �\1 C i- A . Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms. Date a- Pol'i �...{ :.� ,ani «:. � � w► . �;. E;ORY P1. PUTIiANI 7892 Disapproved. Conditional approval for bedrooms, with the following stipulations: The replacement septic system approved under permit SW940425 must be installed by not later than June 15, 1995. Additional Comments 00 7 l+l Date CAUTION,+ >>Th� Mu�1 �ipality 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 engineers work 72-M (Rev.1,91) Beck MOA #21 Municipality of Anchorage Department of Health and Human Services 16 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L 7 7 8 L /< 1 D R AK E So 6) P Parcel 1. D. A. Well Data Well type Y Ri VATS �,_)cc.Z If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) N 0 Date completed Total depth Sanitary seal (Y/N) f Date of test _ Static water level _ Well flow _ Pump levell _ Cased to FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Driller Casing height Septic/holding tank on lot- �– �- » /� ; On adjacent lots Absorption field on lot t) ; On adjacent lots /' Public sewer main 61��� Public sewer manhole/cleano/ut>9 Sewer service liner Petroleum tank) WATER SAMPLE RESULTS: Coliform -- - Nitrate Q) . Other bacteria ('?� — Date of sample: 11130Z"ZZ Collected by: , 4� 7'1_fA B. SEPTIC/HOLDING TANK DATA Date installed _P/ Tank size Cleanouts (Y/N) Foundation cleanout (Y/N) High water alarm (Y/N) Date of pumping Compartments Depression (Y/N) _Alarm tested (Y/N) Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot On adjacent lots To property line Absorption field Surface water/drainage Foundation Water main/service line 72-026 (3/93)• Front CONTINUED ON BACK PAGE rn properly protected (Y/N) e £ Ste_ _Wires AT INSPECTION a a C 7 �; liil � m C g.p.m. / g.p.m. M 0 to 4%- A&_WC Z M &_W C z Septic/holding tank on lot- �– �- » /� ; On adjacent lots Absorption field on lot t) ; On adjacent lots /' Public sewer main 61��� Public sewer manhole/cleano/ut>9 Sewer service liner Petroleum tank) WATER SAMPLE RESULTS: Coliform -- - Nitrate Q) . Other bacteria ('?� — Date of sample: 11130Z"ZZ Collected by: , 4� 7'1_fA B. SEPTIC/HOLDING TANK DATA Date installed _P/ Tank size Cleanouts (Y/N) Foundation cleanout (Y/N) High water alarm (Y/N) Date of pumping Compartments Depression (Y/N) _Alarm tested (Y/N) Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot On adjacent lots To property line Absorption field Surface water/drainage Foundation Water main/service line 72-026 (3/93)• Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed 7h� 1�f (la S Manufacturer OD ,%G -AJ CS�� Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots D. ABSORPTION FIELD DATA Manhole/Access (Y/N) "Pump off" Level at Cycles tested Date installed CO d7C -J/Y Sr` )LL6a)Soil rating (GPD/Ft2) p� C S l & /,) r_ /p ITA c H C () Length Width Gravel thickness Total absorption area Date of adequacy test Cleanout present (Y/N) Results (pass/fail) Surface water System type Total depth _Depression over field (Y/N) for Bedrooms Water level in absorption field before test After test Peroxide treatment (past 12 months) (Y/N) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: If yes, give date Well on lot J 5 On adjacent lots / 0 Property line To building foundation On adjacent lots Surface water Curtain drain l`k r->. 31� E. ENGINEER'S CERTIFICATION To existing or abandoned system on lot Cutbank Ij -K Water main/service line N '� Driveway, parking/vehicle storage area ! certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effe tat -da e if this inspection. r.,fo°4 n o4. a L`''9'�Sr • �{. Nc. q � u e 2. �'� Signature Engineer's Name ,tel . )2 0 7 A h''1. �•• Ei1 �" iXly7°l �` �.:' ����1 • C E 7 Date //�3 0 t/ F •. -.> ,°°�;^ _0FESSi�i� HAA Fee $ ltu . d'0/ Date of Payment � 4 �i ZeZ Receipt Number 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number