HomeMy WebLinkAboutCROMWELL HEIGHTS BLK 1 LT 9Cr'omwel I
Height
lock I
Lo1' 9
015-332
-10
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1 of
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: OSP111191 PID Number: 015-532-10
Name:
JEFF LEONARD WastewaterSystem: [] New · Upgrade
Address:
11000 MOUNTAIN LAKE DR. *ANCHORAGE, AK 99516 ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 440-8040 4 [] Deep Trench [] Shallow Trench · Bed [] Mound [] Other
LEGAL DESCRIPTION ~ol, Rating: Total Depth from original grade:
0.8 GPD/Sq. rt. SEE DWG. Ft.
Block: Lot: Subdivision: Depth to pipe bottom from original grade: Grovel depth beneath pipe:
1 9 CROMWELL HEIGHTS SEE DWG. rt. 0.55+ rt,
Township: _ Range: _ Section: Fill added above or;ginal grade: Gravel length:
SEE DWG.
/ : Gravel width: Number of lines: Distance between lines:
WELL: [] New [] Upgrade 15 rt. 5 5 Pt.
Classification (Private, A,B,C): Total Oep[~:l;~~ Cased TO:(BEDROCK Total absorption area: Pipe material:
Date Drilled: Static Water Level: Installer: Date installed:
Pt. WILCO CONTRACTORS 8/18-19/11
Pump Set At: Casing Height Above Ground:
rt.rt. TANK
GPM
SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P.~ [] Other*
i~ To Septic Absorption Lift Holding Public/Private
;From ~ Tank Field Station Tank Sewer Lines ~- -~-~~
Well (.~ 100'+ ~ - 25'+ Mate~ Number of compartments:
Su,aoeWoter ~_ 100'+ ~ - - LIFT STATION
Lot Line __ ~ 10'+ (j~ _ _ Size in gallons: M~nufa~
~'~ X "Pump on" level at:__--~l "J~ot: IHigh water alarm at:
Curtain Drain ' NONE KNOWN ~ Pump Mak cUons erfo
I I
Remarks: OLD BED WAS REBUILT, ALL CONTAMINATED BENCH MARK
Location and Description:
MATERIAL WAS EXCAVATED OUT AND REPLACED WITH SAND. BOTTOM OF SIDING, SOUTH SIDE OF HOUSE.
As .... d Elevation: 100.00 rt.
ENGINEER'S SEAL
Inspections performed by: CEC, Ltd. Dates: 1st 8/18/1 1
Development Services Department Approval ~.~
Conditional approval: Da re: !;.'
J~/ffCe~
"*'"'"""'*-": AS BUILT DRAWING
OSPl 11191 - O15-$$2-10
MT1 34.36 18.74
~ ~ MT2 I 41.42 30.84
~ MT3 77.79 52.16
MT4 81.27 57.75
\
"; '.";'""::":.'::" !' ?i"; i:.!.'.. :":v;':'.'
~","".'.;,.'(~ '.) '; '". i .. ....... .'~ '..,. i; .'.
%,,' : . ':~ EXISTING 4
.' ; ~ GALLON STEP TANK. I
JEFF LEONARB I 440-~040 I 2 OF 5 i~,_ '-J~¢k¢~
,~,, ~C,,TO, ,,,~. ,~. k' ~ '/¢
ASBUILT DRAWING 8/22/11
A B
MT1 34.36 18.74
MT2 41.42 30.84
MT3 77.79 52.16
MT4 81.27 57.75
(Rev. 01/05)
AS BUILT DRAWING
OSP111191 - 015-332-10
*LIMITED TO REMOVAL OF CONTAMINATED SOILS. BlED WAS TOPSOILED AND SEEDED
/-- FINAL GRADE
= 101.82+ ~ INSU~TION
~ ~ FILTER FABRIC
/
MT ~ / / MT *ORIGINAL GRADE
~ / / / '~"i' ~ CON~i~IA;V~5~F~oIL.
.... .... .... : ~:,. :;-.. ~. ..... :, ~-..~ .~.~ .-~...,. x, ,~.~ .~.-, ................ . .................. ~ ~
"' i"~'.'"~"".':''' ":' "':~':'"" '" ':. ~ ~' ,':?.' ':" ' :' .... .}~ ' ; '~".'~
= 99.10 (AVG.) ........ ' ........ ' ................. ' ............. ' ..... ' ....
....... ...: ,, ........ ,, ~:...,,...,:...; ...:.:.; ~.,:.. ~.~. ,..,..-.;.:,.. :.,,,,.: ,:: ,.:.....,,.: ::.: ..~ ~., ,->p :-% :';:% ;:,....~.,...?..,,.~,~
,BOSOM OF /= 15'WIDE //
EXCAVATION /
= 97.46-97.86 /
(AV0.) ~
THE DISTRIBUTION LINE IS 1.25 INCH PVC WITH
~ INCH HOLES SPACED 60 INCHES ON CENTER.
(10 HOLES PER ~TERAL/50 HOLES TOTAL.
G.A'RNESS
JEFF LEONARD [ 440-80~0 I 3 OF 3 ['~
LECAL DESCRIPTION: DRAWN BY: ~VO~
c~o~w[Lb HmHTS; 8bOC~ ~, LOT 9 PNe ~,
~PE OF WORK: DATE: % .~ OtesslO~']
P.omE a.AW~N~ S/22/~ ~
Permit Number:
Tax Code Number:
Work Type:
Permit Effective Dates:
Design Engineer:
Subdivision:
Site Legal Address:
Owner/Address:
Site Mailing Address:
On-Site Wastewater Disposal System Permit
OSPl11191
01533210000
Septic
August12,2011
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 EImore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
Upgrade
to August 11,2012
GARNESS ENGINEERING GROUP LTD
CROMWELL HEIGHTS
CROMWELL HEIGHTS BLK 1 LT 9 G:2639
LEONARD ALASKA COMMUNITY
PROPERTY TRUST LEONARD J & S / TTES 11000 MOUNTAIN LAKE DR ANCHORAGE AK 99
11000 MOUNTAIN LAKE DR, Anchorage
Lot Size in Sq Ft: 28800
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field N 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.
Special Provisions: 1. The septic tank is not required to be inspected.
MUNICIPALITY OF ANCHORAGE
Community Development Department
Development Services
On-Site Water & Wastewater Program
Phone: 907-343-7904
Fax: 907- 343-7997
Mayor Dan Sullivan
On-Site Sewer/Well Permit Application
For A Single Family Dwelling
Parcel I.D. 015-332-10
Property owner(s) JEFF LEONARD Day phone C/O AGENT
Mailing address 11000 MOUNTAIN LAKE DRIVE *ANCHORAGE, AK 99516
Site address NHN BUFFALO STREET *ANCHORAGE, AK 99516
Legal description (Sub'd, Block & Lot) CROMWELL HEIGHTS; BLOCK 1, LOT 9
Legal description (Township, Section & Range)
Lot Size Sq. Ft. Number of Bedrooms 4
THIS APPLICATION IS FOR:
( [] all that apply)
Absorption Field []
Septic Tank
Holding Tank []
Privy []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR:
N/A
I certify that the above information is correct. I further certify that this application is being made
for a Single Family Dwelling and is in accordance with applicable Municipal codes.
GARNESS ENGINEERING GROUP, Ltd.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
Permit No. C~ ~ f~
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
(Rev, 01/11)
GARNESS ENGINEERING GROUE Ltd.
CONSULTANTS & GENERAL CONTRACTORS
August 2, 2011
Municipality of Anchorage
Development Service Department
On-Site Water & Wastewater Program
4700 Elmore Rd.
P.O. Box 196650,
Anchorage, Ak 99519-6650
(907) 343-7904
Ref: Proposed Septic Upgrade for Cromwell Heights; Block 1, Lot 9
To whom it may concern:
The existing 4 bedroom house is served by a private well and septic system. The septic system is in a state
of failure and needs to be upgraded. Because of the extensive landscaping in the yard and newly
constructed decks around the property, installing the alternate site would cause a significant amount of
damage to the yard and decks. To avoid the damage we are proposing to rebuild the existing drainfield.
The existing drainfield was installed in 1999 with 4.5 feet of separation to groundwater, at that time the
MOA requirement for separation distance between the bottom of the drainfield and groundwater was only
4 feet in any given month. Groundwater was checked in June 1998 and was at 5.5 feet, requirements
today seek for 5 foot separation from the groundwater for the month of June. We are proposing to raise
the bottom of the bed to an elevation of 99.10 feet to meet 5 foot groundwater separation.
We are unaware of/~ny adverse impacts this installation would have on adjacent wells or septic systems.
If you have any questions, please contact us at 337-6179. Thank you for your assistance.
~~' cerel~' ' Pres~en~ I
3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com
DESIGN CI~ITERIA:
NUMBER OF BEDROOMS: 4 NOTE: THE CONTRACTOR
GALLONS PER DA~ (GPO): BO0 GPD SHALL HAVE THE EAST
PERCOLATION RATE/S: 2.5 MIN/INCH
PROPOSED APPLICATION RATE: EASEMENT, AND ALL WELL
M~N~MUM ORA, NFIE~ SQ.~.: 750 ' RADII FLAGGED BY A
DRAINFIELD DESIGN: REGISTERED LAND SURVEYOR I
MAXIMUM DEPTH: REMOVE CONTAMINATED SOIL PRIOR TO CONSTRUCTION.
I
WIDTH: 15 FEET
LENGTH: 50 FEET
M.O..A. APPROVED SAND FILTER: REMOVE ~, ,
CONTAMINATED SOIL AND IMPORT SAND TO AN I MOUND MUST BE TOPSOILED z, SEEDED J
ELEVATION OF 99.2'
EFFECTIVE: 0.50
ACTUAL SQ.FT.: 750
GEG, Ltd. HA~ A 7 PAGE SPECIFICATION THREE 1.25" PVC LATERALS O 48' LONG EACH
LETrER THAT PERTAINS TO THIS DESIGN. 10 HOLES PER LATERAL (5'5' O'C')- 30 HOLES TOTAL I
TO OBTAIN A COPY OF THE LETTER ,3/16" DIAMETER HOLES FACE DOWNWARD
CONTACT GEG. BY PROCEEDING FORWARD
WITH THIS INSTALLATION. THE ENGINEER.
WELL DRILLER, CONTRACTOR AND ~ ~, ~'~': .~' ,?
PROPERTY OWNER AGREE THAT THEY x ~,.¥,~.,-~:, .~'-.J~::-" ...,..x~ .
HAVE READ THESE SPECIFICATIONS AND x ~ ~'" ~ ''~'~' '":' "'~
AGREE TO ACCEPT THE TERMS AND \ {,~:.<.,:'~:ir~- '~'~ ~ ~.~..~'.;
CONDmONS OUTLINED. \ ' ,.?. ..... ' "~ ~ '~'"
.- '..".,: · ., .'.... · ' .."' ,', ' "i'~ -k'_o ''~''s''~ ..:}' :L
· . ;., .'f: ';. ,. ; .,... ,..., ,:; 'j ... . ~ ,, ~. ~ ,'~:.,:,; ...?; :: ,
· . . - ~ · o ,- · .. · .. \~.~ ~ - , .
~' .~:: '., i,-,:. :.: ,','. ,": ~".: i ;~.." :':'i," ' ':iv,, .~??;,Z,.'~;'"':"
:": '""' '"'"':' ';' '~" *:'" ~'~"; ;" '"" BEOROOM EX,~,G ~ / "' ¢O~'~'~'XG~ON %~TI,G ~, 1500 TAN~ I .
...... % .ous~ 'rD .~- ~ ,. I
/ ,-.- PLACE.
~,~r.~-...--.~ I/~V ,__^ ,.",,,~ ,,~ TBM- BOTTOM OF SIDING. /
~.-/d;~-. ~kl,,~ t'"l::..' ~ .o-",~ &'~ X ELEVATION= 100.00 I 50'/ ! I
--/..~- ~ ]u f Ollj J A HIGHER I
I
'",~"u..r..: ~, 'V_ r.,.~.C c~', r,,~,,",, ELEVATION.
' 1--,o. ' /
· : ....
3701 E.
PREP ......
I eft Garn ss
LEGAL'~,. u~-~. ----~t-e~ /
TYPE OF WOR~: DAf'E:..
SEPTIC DESIGN UPGRADE 8/10/11
· Municipality of Anchorage Page / of
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: ~'V,/(~o~O,~ "/,~' PIDNumber: 01~-~-/0
Name:~U~S ~ y ~ ~O~ Wastewater System: ~ New D Upgrade
Address: / ~ ~ O ~ ~/~ ~-~ ABSORPTION FIELD
Phone: ~_~/~/ ~N°'°fBeT°ms: ~ Deep Trench ~ Shallow Trench .Bed DMound DOther
LEGAL DESCRIPTION so,, Rating: O. ~ GPD/Sq. Ft .... Total Depth fr~originalgrade:
Lot: ~ Block:/ ~o~Su~iv~i°n:~ ~/~ Depth to pi~ bo~omo. ~fr°m original grade: Ft. Gravel deptho.~neath~ pipe Ft.
Township: ] Range: ~ Section:__ !F added a~ve original grade: Gravel length:
Number of lines: ~ Disan~ ~n lin~:
WELL: ~ New D Upgrade Grave~ width:/~ Ft. ~ ~ ~- ~ Ft.
Clarification (Private, A.B,C): Total Depth: Cased To; Total absorption ama:~ Pipe material:
~1VA~ ~ ~t. ~ Ft. ~O ~ SO. Ft.
Driller: Date Drill~: Static Water Level: Installer: Date installed:
Pump ~t at: ~ ~ing ~ight A~ve Ground:
~'*'~: & ~.~ ~d~d ~.l ~ ~- TANK
SEPARATION DISTANCES ~ Se,tic ~ .o~ing
To ~ptic Abso~tion Lift Ho~i~ Public/PHoto Manufacturer: ~pacity in gallons:
From Tank Field S~tion Tank ~., Lin. ~E ~O~4 ~ ~A~
Sudace
wat~ /~o+ /oo~ /o~ LIFT STATION
Lot ~/ ~ / Size in gallons: I Manufacture~
Line ~ / ~/ /~00I
Foundation I ?' J 3' 39, "Pump on" level a,:~ ,, j ..,u~, o,. ~v,, ,,:~ High water alarm at:
Cu~ain Pump Make & M~I, ~ Electrical Ins~ions ~edormed by:
Drain WO~ ~0~ -- )00~ 05~, ~. O.
Remarks: BENCH MARK
Location and De~ription:
m ~um~ Elevation:
Inspections pedormed by: ~ ~1..).r L~ ,--a, ~: 1st ?-~-~E ~~~'~'"
~e Rl~r, Ala~a ~5~ 2nd ?- 5o ~ ,
Depa~ment of Health and Human so.ices approval
72-013 (Re~. 9/91) MOA 25
PRimlT NO. SW980245 PAO~ 2 oF 3
H_.u Qi_.c i p. 9 I. i "i;. y._o. ? Anchor~ne
DEPARTMEN/ UI-- HI-AL/H AND HUPTAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 e Anchorage, Ataska' 99519-6650 · TeLephone, 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LOT 9, BLOCK 1, CROMWELL HEIGHTS
P.I.D. NO. 015--,552--10
SEPTIC 'RESERVE ~,""
j LOT 8 AREA :,
r','l
NEW' 1500 GAL.
S.T.E.P. TANK
,P TIC AREA~
LOT 4
BED 1'
PTIC ARKA'~
LOT 10
ROBERT C. COWAN
CE - 8801
':~,.,.', . .~': .......
PERMIT NO. SW980245 PAGE 3 OF 5
Municip. aLi~ o? .A~choraae
DEPARTMENT OF HEA~_TH AND HuIvrAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 e Anchopage, Akask~ 99519-6650 · Telephone, 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LOT 9, BLOCK 1, CROMWELL HEIGHTS P.L9. NO. 015--552--10
ST1
99.3'
94.2~7
ST2
MH /ym~
NEW ~
1500 GAL
$.T,E.P.
N.T.S.
GRADE
A 8 c
FCO 52.5' , 20.5' -
ST1 40.0' 28.5' -
ST2 44.0' 55.5' -
MT1 - 52.5' 78.0'
MT2 - 27.5' 5g.0'
MT2
.-msu~o~\ 1/101
.7'
MTI
'%08
15' .2'
93.6'
WATER FOUND
90.0' BOH
~ec 2! 98 09:4~a p.~
Harle~ Sudsbur~ 696 1612
/--.~
SULLIVAN X l,En WELLS
P.O. BOX 670272, CHUG~ ~ 99567, ~PH~E 688-2759
OWNER OF LAND
LEGAL DESCRIPTION
PERMIT NUMBER~ Date of tssue~-~.~.
T~ iNDENTIFICATION NUMBER
Is well Io~ at approv~ ~ Io~tion? '~ ~ No
Method of Drilling:
~Pth of well:
Casing Ty~ ~~11 Thinness , ~0 inches
Diameter
in.es, depth., ~ feet
~ner Type:_ ~'~
Casing Stickup Above G~nd: ~ ~ ~ feet
S~tic Water Level (from gmu~:level):. }~ .. feet
Pumping level:, f~t affe~hm, pumping ~pm
Re~ver Rate: ~ _g~.
Meth~ of Testing:
Well Intake O~ning T~: ~n End ~ Open Hole
~ Scmen~; S~ f~t Stopp~ ~t
~pth: ~m.. ~ _~t, to ~ ' .feet
Pump ln~ke ~pth: f~t
Pump Size hp Brand Name
Well Disinfect~ Upon ~pletion? ~s ~ No
BORE HOLE DATA
,tT, toO. Ci, FI~.
JAN 26 1999
Method of Disinfection: ~..~
A~ENTION: It is ~e ~nsibili~ of t~ pm~ owner to submit a ~py of the ~11 log to ~e ~r a~he~. Mun~ipal~
ef An~omge: ~~nt ~ Health & Human Sewices an~or Depa~ment ~ Envimn~n~i Collation. MatSu Bom~h:
Depadment of Envimnmen~l Con~wation.
anee m
'ROBERT C. COWAN, RE.
ROBERT A. SHAFER, RE.
Date:
CIVIL ENGINEERS
FAX (~07) 694-1211
I"IE/~TH AUTHORITY
APPI~)VAI.~
8EWER & WATER
MAIN EXTEI~IONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
NqD REPORTS
WELL INSPECTION
& FLOW TEST
SJTE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
ME~
I~I~PECTIONS
ON~ITE
WASTE'WATER
E~d~'~. SY6TEM
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
RECEIVED
AUG $1998
D Municipali of
epL H ~.~. ~. . Anchora
REFERENCE
The septic ingpec~ions for the ~eferenced property were
performed on'7/~/~? and D/~/q~. Prior to submitting
the On-site Wastewater Disposal System ~nd/or Wel/Inspection
Report we are waiting for the~$8, ur Nv&v,y/~~o be
completed.
If we may be of further service please contact us.
Sincerely,
~? n, P.E.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Jul 16, 1998
Expiration Date: Jul 16, 1999
Permit Number: SW980243
Legal Description: CROMWELL HEIGHTS BLK
Design Engineer: S & S Engineering
Owner Name: Sudsbury & Sons
Owner Address: 16906 Riddell
Eagle River, AK 99577-
1LT 9
Parcel ID: 015-332-10
Site Address: 011000 PHILLIPS ST
Lot Size: 28800 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
~-] Disposal Field [~ Septic Tank r-] Holding Tank [] Privy
Private Well [] 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 engineer must notify DHHS at least 2 hours pdor to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
An additional soils pemolafion test shall be performed according to EPA guidelines at the time of construction
Received By:
'"~'~Z ~______--~--lv~. Date: 7-'Z°-a/~
ROBERT C. COWAN, RE.
ROBERTA. SHAFER, RE.
June 29, 1998
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK. 99519
REFERENCE: Lot 9, Block 1, Cromwell Heights Subdivision
Request you issue a permit to install a septic system and well to serve the'~four
bedroom house on the referenced property.
A test hole was excavated and percolation test performed. The approximate location of
the test holes are located on the attached site plan.
At thc time of excavation 6/1/98 water was encountered in the test hole. After seven
days the ground water monitoring tube reflected that water was found at 5.5 ft.
We do not anticipate any adverse effects on neighboring wells, septic systems, , or
drainage patterns by the installation of the proposed septic system. The construction of
this system will not prevent any future development on any of the adjacent properties.
We request you expedite the issuance of this permit due to the unsanitary conditions.
If you require additional information, please contact us.
Sincerely,
RCC/mg
Enclosure
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
Municipality of Anchorage.
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG -- PERCOLATION TEST
PERFORMED FOR:
LEGAL DESCRIPTION:
-,c~)/v J
cow . 2;-1
DATE ...............
Township, Range, Section:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
2O
WAS GROUND WATER
ENCOUNTERED?
SLOPE SITE PLAN
IF YES. AT WHAT
DEPTH?
Delah to Water Nt~r
Monitering? Date:
Reading Date Gross Net Depth to Net
Time Time Water Drop
.. ~/,/~y /o';ti -_' ~v~.,, _
t0 '. ~-/ - ~' '%,' --
/0 ', ~ - ~--'/~" -
~0 '~ - ~ '~z" --
l/~ ~o s~ ~,~ ~',~" 2"
PERCOLATION RATE~ ~' ~ (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN ~ ~/~*~ ~ '/,~
FT AND FT
COMMENTS
PERFORMED BY:. ........... ~,;,~=~ ,~ ~.,.~ I
ACCORDANCE vrI~I~I~i~ltI~I~II~i~I~PAL GUIDELINES IN EFFECT ON THIS DATE.
72-~8 (R~. 4/~) .~
CERTIFY THAT THIS TEST WAS PERFORMED IN
DATE:
ROBERT C. COWAN, RE.
ROBERT A. SHAFER, RE.
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAiN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTIONS
ON SITE
WASTEWATER
DISPO~AL SYSTEM
DESIGN
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
REFERENCE: Lot 9, Block 1, Cromwell Heights Subdivision
June 29, 1998
GENERAL:
The scope of this project includes the installation of a 1500 gallon wastewater
S.T.E.P. system (septic tank) and a pressurized absorption bed to serve the
proposed four bedroom residence located on the referenced property.
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.
o
The contractor shall be responsible for obtaining any necessary underground
utility locates.
Unless specifically agreed otherwise, the property owner shall be responsible for
final grading areas subsequently depressed fi:om soil settling. On all leachfield
mound systems, the property owner shall be responsible for ensuring a
satisfactory vegetation growth over the mounded area.
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 fi:om the Municipal Health
Department.
SEPTIC TANK INSTALLATION:
A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
The septic tank shall be sufficiently bedded to prevent settling or shilling of the
tank.
All standpipes on the septic tank shall extend a minimum of 12 inches above
final grade.
17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577
page Two
Lot 9, Block 1, Cromwell Heights S/D
June 29, 1998
4. Septic tanks installed with less than 4 fi. of cover shall be insulated.
A foundation cleanout shall be installed one to four feet from the building foundation.
In the line between the tank and the leachfield there shall be two adjacent cleanouts
(unless an effluent pumping system exists within the septic tank). These cleanouts shall
be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in
line, shall be to clean toward the leachfield. The second cleanout shall be to clean
toward the septic tank.
Final grading over the septic tank shall be such that a positive slope exists away from
the septic tank.
LEACHFIELD BED INSTALLATION:
Excavate the proposed Bed Area to the depth shown on the design. The bottom of the
excavation shall be within 2 inches of level. If the bottom of the excavation becomes
smeared, it must be raked or scratched (ruffed-up) before gravel or sand placement.
If a sand layer is required, place sand over entire excavation to the required depth shown
on the design. The top of the sand layer must be within 2 inches of level.
Sewer rock shall be placed uniformly throughout the entire bed. The distribution piping
is to be ofPVC (ASTM D3034 or equal). All joints are to be solvent cemented. Gravel
depth below the distribution pipes shall be a minimum of six (6) inches. Gravel depth
above the perforated pipe shall be a minimum of two (2) inches.
The distribution piping must be as shown on the design. The distance between the
outermost perforated dislribution pipes and the sidewall of the absorption bed must be
no more than three feet.
o
Silt barrier material must be installed between the final gravel layer and the native soil
backfill, unless insulation is used, then the silt barrier should be installed over the
insulation. Ensure the silt barrier covers the entire gravel surface before placing
backfill.
Monitor tubes shall be of four (4) inch diameter, installed at the locations shown on the
design, and extend a minimum of 12 inches above final grade. The portion of the
monitoring tube extending through the gravel depth shall be perforated six (6) inches
below the bottom of the horizontal distribution lines. The monitoring tube should not
extend below the bottom of the gravel surface.
, !
Page Three
Lot 9, Block 1, Cromwell Heights S/D
June 29, 1998
MINIMUM MATERIAL SPECIFICATIONS:
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 finished grade over the bed must be mounded to prevent the formation of a
depression after settling.
Any septic tank proposed for installation must be constructed by a Municipally
approved septic tank manufacturer.
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
Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco,
or equal).
A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the//200 sieve.
When sand is being used as a filter material, its gradation specifications must conform
to current M.O.A. or D.E.C. requirements, which ever specifications applies.
Page Four
Lot 9, Block 1, Cromwell Heights S/D
June 29, 1998
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of
the wastewater disposal system. These inspections will occur as follows:
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.
The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting
engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a
pre-construction meeting will take place on-site. The inspecting engineer will not coordinate,
direct or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these
specifications and plans and in accordance with the attached M.O.A. permit. There will be no
contractual arrangement existing between the contractor and S & S Engineering. S & S
Engineering shall be the owner's representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the contractors work rests with the
owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor
to carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR/INSTALLER
CERTIFICATE
FOR A
Parcel I.D. 015-.352-10
1. GENERAL INFORMATION
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
OF ON-SITE SYSTEMS
SINGLE FAMILY
APPROVAL
DWELLING
COSA#
Expiration Date: !./' ,~ ~ -//
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
CROMWELL HEIGHTS; BLOCK 1, LOT 9
11000 MOUNTAIN LAKE DRIVE *ANCHORAGE, AK 99516
JEFF LEONARD
11000
Day phone 440-8040
MOUNTAIN LAKE DRIVE *ANCHORAGE, AK 99516
Day phone
Mailing address
Real Estate Agent
~.. Mailing address
Unlessothetwi~:.requested, COSA will be held by DSD for pickup.
2...NUMBEROF BEDROOMS: 4-
BARBARA MICHELSON W/ PRUDENTIAL Day phone
5801 CENTERFIELD DRIVE *ANCHORAGE, AK 9950.3
250-5577
TYPEOFWATER SUPPLY:
Individual Well ·
Individual Water Storage []
Community Class Well []
Public Water System []
TYPE OF WASTEWATER DISPOSAL:
Individual On-site []
Individual Holding tank []
Community On-site []
Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of 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 vafidation 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 GARNESS ENGINEERING GROUP, Ltd.
Address ,3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Phone 357-6179
Date
Engineer's Comments:
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, 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.
DSD SIGNATURE
Approved for bedrooms.
~: 0N-SITE
Disapproved.
~ · ~ STEWATER
Conditional approval for bedrooms, with the following stipulations:
Attachments: COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
(Rev. 11/05)
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: ~- ~. LC.. / /
CERTIFICATE
Legal Description: CROMWELL HEIGHTS;
WELL DATA
Well type PRIVATE
Date completed 8/1 2/98
Total depth 96 ft.
Date of test
Static water level 34
Well production 6
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi.
Arsenic: NB ug./L.
SEPTIC/HOLDING TANK DATA
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
OF ON-SITE SYSTEHS APPROVAL
BLOCK 1, LOT 9
If A, B, or C provide PWSID#
Sanitary seal (Y/N) YES
Cased to 96 ft.
FROM WELL LOG
8/12/98
N/A
g.p.m.
Nitrate 0.16 mg./L.
Date of sample: 7/27/11
Tank Type/Material STEP/STEEL
Tank size 1500 gal. Number of Compartments 2
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO
Dateofpumping ~/O~/[I Pumper AfOM, ftcJ '7-~ ~.
ABSORPTION FIELD DATA I'BELOW FINAL GRADE I
Date installed 8/'18-19/11 Soil rating (g.p.d./ft~or~ 0.8
Length 50 ft. Width 15 ft.
Total depth *2.72+ ft.
Date of adequacy test
Fluid depth in absorption field before test - in.
Elapsed Time: - min. Final fluid depth -
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
Eft. absorption area 750 ft2 Monitoring tube
NEW Results (Pass/Fail) PASS
CHECKLIST
Parcel ID: 015-332-10
Well Log (Y/N)
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
7/27/11
23 ft.
5.6 g.p.m.
YES
24 in.
YES
Collected by: GEG, Ltd.
Water added -
in.
Date installed 7/29/98-1/14/99
Cleanouts (Y/N) YES
High water alarm (Y/N) YES
gal.
NONE
Absorption mte>=
KNOWN
System type BED
.Gravel below pipe 0.53+
YES Depression over field NO
For 4- bedrooms
New depth - in.
600+ g.p.d.
If yes, give date -
D. LIFT STATION
Date installed
"Pump on" level at__
in.
Size in gallons Manhole/Access (Y/N__N.)_
"Pump off" level~at~. High water alarm level at
Cycles tested. Meets alarm & circuit requirements~
SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
100'+
Septic tank/lift station on lot
Absorption field on lot 100'+
Public sewer main N/A
Sewer/septic service line 25'+
Animal containment areas. 50'+
in.
On adjacent lots 100' +
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Holding tank N/A
Manure/animal excrete storage areas
100'+
F=
Water service line
Curtain drain NONE
COMMENTS
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5' + Property line 5' +
Water main N/A Water service line. 10'+
Wells on adjacent lots 100' +
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main
1 o'+ Surface water 1 o0'+
KNOWN Wells on adjacent lots 100'+
Absorption field
Surface water
5'+
100'+
N/A
Driveway, parking/vehicle storage 10'+
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 Na~ne JEFFREY A. GARNESS
Date (~ /'7.. ~ / ~ll
cos^
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
,00'091, =1,,00,90o0
10' UTILITY EASEMENT
40,4 220
,00'091, /V~,,OO,GOoO N
MOUNTAIN LAKE DRIVE
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
Parcel I.D. #
1, GENERAL INFORMATION
Complete legal description
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
015-332-10 HAA # ~-~1 ~'~
Lot 9, Block 1, Cromwell Heights
Location (site address or directions) I~ oo Mountain Lake Drive
Property owner
Mailing address
Jeffrey & Shawna Leonard Day phone 522-4139
1100 Mountain Lake Drive, Anchorage, AK 99516
/"Lending' agency Alaska USA/Jan/Shannon Coleman
Mailing address ao(3o cr,~a{ ~- .n{ nn ~{ w~ An~hnr~0~
Day phone 786-2800
Agent
Day phone
Address
Unless otherwise requested, HAA Will be held for pickup.
4
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual well
community well
Public water
NOTE: If community well system, provide written confirmation from State.ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
NOTE:
Holding tank
Community on-site
Public sewer
If community wastewater system, provide, written confirma!ion from State ADEC
attesting to the legalitY and status of system.
72-025 (Rev. 1/91) Front MOA #21
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 & $ ENGINEERING
iYO~,i Eagie ~Iver Loop ~<ead No. ';'uq Phone ~ ~/~ _ ~_ r~ -7 ~/
Address Eagle River, Alaska 99577'.,
J
SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms,
with the following stipulations:
Additional Comments
By:
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. ana!yz~,data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's wOrk.
72-(325 (Rev. 1/91) Back MOA #21
Municipality of Anchorage R E C E IV
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division JAN 2 7 199
825 L Street, Room 502- Anchorage, Alaska 99501-(907)~3u4~(~ATL~~ o~ ^NCHO~AGE
Health Authority Approval Checklist
LegalDescription: Lo~- ~ '~-¢c,c / ¢~~ I~r J ParcelI.D.: 01~--~ ~ -/0
A. WELL DATA
Well type ~o/~ ~v/~. T~ IfA, B, crC, attach ADEC letter. ADEC water system number
present[C~N),~x. ¥ ~ -~ Date completed ~ / / -z. ! ci ~
Log
Total depth c~ G Cased to ~ ~
Sanitary seal ~/N) ~ .r
FROM WELL LOG
Date of test ~' / ~ ~ / '~ ~
Static water level
Well production /o g.p.m.
Casing height (above ground)
Wires properly protected (~N)
AT INSPECTION
WATER SAMPLE RESULTS:
Coliform O Nitrate ~' ('' .C ~' Other bacteria
Date of sample: ~'/ / 7 ~/¢{~ Collected by: ~ '~ ~'
B. SEPTIC/HOLDING TANK DATA
Date installed w ! 3 o / ~ ~' Tank size
Foundation cleanout ~/N) Y'//fl'
Date of Pumping /v//~ -,v,~,,.
/ 5-o o Number of Compartments '3- Cleanouts (~/N) ¥ 4 £
Depression (Y/I~ ~a High water alarm ~/N) ¥,~ .r
Pumper
C. ABSORPTION FIELD DATA
Date installed '~//~o / ¢~ ~
Length 3~' 0 Width
Soil rating ~or fF/bdrm) ~?- ~' System type /~ ~- O
!
5- Gravel thickness below pipe (.0. ~ Total depth ~ ~/~--
Effective absorption area "75-o )~r '~Monitoring Tube present~/N). ¥'~ J Depression over field (Y/~)
Date of adequacy test '~/"~ -_ '" ~"~' Results (Pass/Fail) _ _-FerZ_ ~'
Fluid depth in absorption field before test (in.); ~,~~r__ gal. water added (in.):
Fluid depth ~ (ins~ Absorption late =_ .g.p.d.
Peroxide treatment (p months) (Y/N) If yes, give date
72-026 (Rev. 3/96)*
bedrooms
LIFT STATION
Date installed '~ I 3,3
Manhole/ACcess ~)'N)
High water alarm level at*
Cycles tested
E. SEPARATION DISTANCES
Size in gallons
"Pump on" level at* ~ .3
*Datum ~ o ~- T ~ ,~
"Pump off" level at*
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ! q Property line '~ ~,, Absorption field
Water main/service line )o .t Surface water/drainage JO 0 4- Wells on adiaeent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
Surface water
Curtain drain
Building foundation I '5 Water main/service line
Driveway. parking/vehicle storage area
o ~,, ,.~ Wells on adjacent lots ] o 0
ENGINEER'S CERTIFICATION
I certify that I have determined thru field inspections and review of Municipal
.....
in conformance w, th MOA. HAA guidelines ,n effect on th,s date.
Engineer's Name A. ~/J a ~ ~ ~ . ~o ~ ~ ~
Date I/ ~ ~ / ~ ~
HAAFee $ '~D'-D ' ~
Date of Payment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*