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HomeMy WebLinkAboutFINLEY LT 3Finley Lot 3 #015-112-46 U Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of www.ci.anchofage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM ANDIOR WELL INSPECTION REPORT Permit Number: �l/t�OD037v PID Number. Q1Y_00?— /�1 6 Name: ✓Oe I J •\/!J /` /,/n/U vurtn4e,5 Wastewater System: ElNew (Upgrade Address: �1 ABSORPTION FIELD Phone: -3 / % _ / / /"D /1 Number of Bedreo= f � 0 Deep Trends 0 Shallow Trench P(Bed ❑ Mound ❑ Other. Hi' lFl• 7 (/J� l//� "T Soil Rating:`� Total Dep Pram original grade: LEGAL DESCRIPTION , / GPDIFz 1,5addcd Block: Lot:Subdivision G e Depth to pipe bottom from original grade: Gravel depth beneath pipe: 3 ! !✓1l Opt. Township: Range: Section Fill added above original grade: `—� Gravel Lengttc S FL Fl. Gravel widthj Numbe(_ot lines: Distance between lines: Well: ❑ New ❑ Upgrade 1 %§ [�{ FI. i s 5 Ft. Classification Private, 7Lp Total Depth: Cased to: Total absorption area �/1 Pi a Material: G )e 15 7 %tel AP%/'UL{ / 6l p Ft. FL 1 Sts A57 -M D303 /F-igID Driller. Da SlaficWater Level: Installer. (/+{(� /1 r Date Installed: (0 ) Ft Yield: Pump Set at Casing Height Agave Ground GPM Fl. FL TANK SEPARATION DISTANCES ❑ septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding Public/Private Manufacturer. Capacity. From ) Tank Field Station Tank Sewer line 1x1 5 1"'? 1 ------- � —Gal. Well ! a g t I ,rte• It Material: Number of Compartments: Surface Water I0O+ 700 + \ / LIFT STATION L/ Size: Manufacturer. Lot Line p T g '_�_ Gal. f , Foundation 93k / \ in. 'Pump on' level at: 'Hluuy �• "'a" High water alarm at: (, in. �/1 '� Pump Make & Mode Electrical Inspections performed by Curtain Drain — --�—' luo le owy, —• — /' Remarks: d /e p 111 �V�J �A101 r4 pP1-�Ve4 BENCH MARK /�f/ //"1/ (`/(y Location and Description: j� 15a nd 1* 1�� v - �To F-At5Tr-G �O Yl��'Yf � - f (w/� �l1 C04 iaA °Fid v7NE� 3c� % j a��� 11 Assuva;iot. P JHr 100 Fl. S & S ENGINEERING (r4�1. 17034 Eagle River Loop Road, Inspections performed by: Eagle R;var, Alaska 94577 s. 1sc 2nd ) ©'S 0�i g BERT C. COWAN r 4C Development Services Department Approval CE• soot ` �,[� j L Reviewed and approved by: 1 Date: Z 11 1503 �tSe� �c0 p: »>� `�y (R., .00) / \:tLi�.�i'i�~yys• 0 ti PERMIT NO. SW020376 PAGE 2 OF 3 DEPARTMENT OF TH AISD HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,0 Box 196650 •Anchorage, Alaska 99519-6650 *T ele hone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR one: WSPEOTION REPORT LEGAL LOT 3, FINLEY S/D W � MT1 n H#4 / / / / Q / v TH#2 DOUBLE CLEANOUT) EXISTING 1250 GALLON SEPTIC TANK (INSTALLED 1996) LOT 2 )T P.I.D. NO. 015-112-46 100' WELL RADIUS LOT 4 ok, P� SCALE; 1" = 40' A 3 ROBERT C. COWANr�C a .8801 (`amu' "•...= ..•^��, \ vy, PERMIT No. SW020376 PAGE 3 OF 3 Municipallt of Anchora e DEPARTMENT OF HE4LTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P 0 Box 196650 • Anchorage, Alaska 99519-6650 • Tete hone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR V�ELL INSPECTION REPORT LEGAL LOT 3, FINLEY S/D P.I.D. No. 015-112-46 93.1 CO, ?Tl MT2 CO2 93.1 FINAL GRADE 2" INSULATION - —III—Ill KY hCHFt'!{�{!{14JikA Rf1' =I _ =M=m " 1 SAND —IIIII Ili 111111 n 111111 iI 'I — 1 ORIGINAL GRADE 89.9, 1 X89.5' 89.3'1 L-90.0 A NO WATER FOUND 81.3' B.O.H. A 8 C01 106.0' 132.5' MT1 96.5' 123.0' CO2 105.0' 146.0' MT2 114.0' 154.0' N. T. S. Y MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW020376 Legal Description: FINLEY LT 3 Design Engineer: 0003 S & S Engineering Owner Name: Joel Schwantes Owner Address: 10500 Finley Circle ANCHORAGE, AK 99516 - This permit is for the construction of: I❑✓ Disposal Field ❑✓ Septic Tank Date Issued: Sep 30, 2002 Expiration Date: Sep 30, 2003 Parcel ID: 015-112-46 Site Address: 010500 FINLEY CIR Lot Size: 52325 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 ❑ 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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. Received By: Issued By: Date: ai ( ;P ./C , Date: 7/30/0 Municipality of Anchorage O Development Services Department Building Safety Division On -Site Water and Wastewater Program $ A F E T YA 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015— 11 a` q6 Permit Number SWOZO374 Property owner(s) -TQ 6 L Ski WA N T"k- -S Day phone 3'Vb 6 6 9 Mailing address (1) 10 S"O o PWL,4, y C.c/0-ct,� Mailing address (2) /(iN'L4()XA--6. U Zip Code cl'?S �—� I Legal description (Lot, Block & Sub'd.) L 0-t 3 y 1` r elle i9 Legal description (Section, Township & Range) Lot Size �1��� Acre /Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. S & S ENGINEERING 17034 Eagle River Loop Road No. 204 Fwgjn Rivww, Ala*9 99577 (Signature of property owner or authorized agent) Permit Fees Date of Payment. Waiver Fees: Date of Payment: Receipt Number: 0 a, G a XS! Receipt Number: (Rev. 12100) September 20, 2002 HEALTHAUTHORITY MUNICIPALITY OF ANCHORAGE APPROVALS Development Services Department P.O. Box 196650 Anchorage, AK 99519 SEWER &WATER MAINIDGENSIONS REFERENCE: Lot 3, Finley Subdivision ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 69+1211 WSPECTIONTER It is requested that you issue a permit to upgrade the septic system serving the existing four bedroom dwelling on the referenced property. Test holes were excavated and percolation tests performed. The approximate locations ENGINEERING STUDIES of the test holes are located on the attached sitelan. At the time of excavation .9/'T%� (rw AND REPORTS p water was not found. After monitoring, the tube was dry. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve WELL INSPECTION aFLOW TEST areas 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. SITE PLANS If you require additional information, please contact us. Sincerely, ROAD DESIGN Robert C. Cowalrt SOILTEST RCC bJj Enclosure PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP - SURE 204 • EAGLE RIVER, ALASKA 99577 z 0 N LJ 0 Pring LEGAL LOT 3, FINLEY S/D DRAWN BY: CHECKED BY: B.J.J. R.C.C. DESIGN CRITERIA: 4 BDRM = 600 GPD SOILS = 0.7 GPD/SQ.FT. 600/0.7 = 858 SQ.FT. REQ'D. 17034 EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577 PHONE/ (907)694-2979 FAX/ (907)694-1211 DRAINFIELD CRITERIA: 1.5' DEEP I � 0.5' EFFECTIVE I 15' C° 15' WIDE I F- ^MT —60' LONG I I AGI) 1 M:c).4. I �Q I I I I A'J'P?,a14i-d SAr0I � I I t o \ ~TI#4 a I V) o I— L—J MT>—" I ZI co I WI I :2I UI F- LOT 1.� w UI 16 B W ;W U I WI IJ �I I� I I� �I I_ OI !o wi 1 I FI I ALL PORTIONS OP SYSTEM I OI WITH LESS THAN 3.5' OF COVER REQUIRE INSULATION-) TH#2A DOUBLE CLEANOUT I DATE: CONTRACTOR IS REQUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. p, ROBERT C. COWAN i , A CE - 8801 x, ILIr Performed For: Z-0 6 L_ Legal Description: Lor 3 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.0 s (907)343-7904 Soils Log - Percolation Test '`V*k%xW_ .� C- H ty A -N 7 iG —S Date.Performed: 1 7 / Q Pi N L & y Township, Range, Section: Slope Depth �1 (Feet) ae-cJ - 2-.- 3- a� 4- ` av-�- -- Ct-A-fAlid 6-" 7—== y� 7-/(.wr 13.0 w WAS GROUND WATER ` o )4 Q- ENCOUNTERED? S 10- IF YES, AT WHAT DEPTH? L 0 Depth to Water After P 11- Monitoring? E 12- Date:9 13- 14- 15- 16- 17- 18- 19- 20- COiMMEN T S Site Plan S c c �-rTR-�H�7� IQ L00/v Reading Date Gross Time 1 Net Time + Depth to Water II Net Drop I L%sl i T'#*s V truTC� I PERCOLATION PATE �(r..inutes.irc'j TEST RUN BETWEEN Fr AN FERC HCLE DIAMETER 6 3 FT S &r S ENGINEERING IVZ1,7A CERTIFYTHAT THIS TEST Y,AS PERFORMED 8Y: 17034 E491 R�' §tCST , PERFORIMED INA R NCE ! F A_ RFPANAi,20*AL GUIDELINES N EFFECT ON THIS DATE. DATE: e�iver, �feska 99577 ROBERT C. COWAN, F.E. ROBERT A. SHAFER,QE. ON-SITE WASTEWATER DISPOSAL SYSTEM CH(907)6944-2979ILE -2979 s CONSTRUCTION PRACTICES FAX (9071 694-1211 and MATERIAL SPECIFICATIONS HEALTHs�`�TM REFERENCE: Lot 3, Finley Subdivision September 20, 2002 GENERAL: SEWER&WATER MAINEXTENSIONS �W>rT /✓4, c. s s s/e¢. yJ 1. The scope of this project includes the w1ifivation of The cnialiug, Ncptiu tank, installariDn of a 1250 gallon septic, tank if requirod, and installation of an SEWER&WATER absorption bed to serve the existing four bedroom residence located on the INSPECTION referenced property. 2. Construction shall be in accordance with the approved site plan and design ENGINEERING STUDIES drawings, Municipal permit or ADEC Authority to Construct with any AND REPORTS special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. WELL INSPECTION 3. The contractor shall be responsible for obtaining any necessary underground &FLOWTEST utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible SITE PLANS for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. ROAD DESIGN 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department or ADEC if required, for system installations. Owners installing their own systems must also receive prior approval from SOIL TEST the Municipal Health Department. SEPTIC>ANLATION: rl l A PERCOLATION 1is to be constructed by a certified nlc manufacturer. TEST on all include two 4" cle or pumping access. 2 tank sh sufficiently bedded to prevent settling or shifting of STRUCTURAL& MECHANICAL INSPECTIONS 3ipes on the septic tank shal end a minimum of 12 inches above ngrae. ONSITE WASTEWATER DISPOSAL.SVSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page 2 Lot 3, Finley Subdivision September 20, 2002 N14 4. Septic tams installed with less than 4 ft. of cover shall be 5. A foundation clelwmt shall be installed one tpKur feet from the building foundation. In the line between the and the le field there shall be two adjacent cleanouts. These cleanouts shall be loca on isturbed soil not more than 10 ft. from the tank. The first cleanout, in line, sh a lean toward the leachfield. The second cleanout shall be to clean toward septic tank. 6. Final gradi ver the septic tank shall be such th positive slope exists away from these 'c 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. 2. 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. 3. Sewer rock shall be placed uniformly throughout the entire bed. Perforated distribution pipe must be installed level with perforations down. Gravel depth below the perforated pipe shall be a minimum of six (6) inches. Gravel depth above the perforated pipe shall be a minimum of two (2) inches. The total gravel depth throughout the entire bed shall be a minimum of twelve (12) inches. 4. The perforated distribution pipes must be no more than six feet apart. The distance between the outermost perforated distribution pipes and the sidewall of the absorption bed must be no more than three feet. 5. Silt barrier material must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 6. 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. 7. 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. Page 3 Lot 3, Finley Subdivision September 20, 2002 8. A mound system is to have the upper six inches of top soil and be seeded for vegetation. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pibe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current MOA or ADEC requirements. 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. Page 4 Lot 3, Finley Subdivision September 20, 2002 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached MOA permit or ADEC Authority to Construct. 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. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER Municipality of Anchorage Page I of z 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: PID Number: 015 - Name: JOEL SG W WRMIT6S Wastewater System: ❑ New ❑ Upgrade Address: ,ABSORPTION FIELD 2-Lo°j GUrzEK ST. rJLtiop ts.Ge k -MSQ Phone: No. of Bedrooms: ❑Deep Trench D Shallow Trench $j Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: 0--7 Total Dppth from origirql grade: 1 � T ° a i o jAn/a Bor GPD/Sq. . Ft. - Lot: Block: Subdivision: Depth to pipe bottom from original rade: Gravel depth beneath pipe _ 3 —,dl.6y -I-' 1 -5 (ABe� Ft. m•`� Ft. Township: Range: Section: Fill added above original grade: Gravel length: if r`rd H.$• Ft. S Ft. WELL: New 11 Upgrade ' Gravel width: /$f Number of lines: 3 Distance between lines: 1 Ft. q.'5 Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: ASTM to3as I 9I A-TE Ft. Ft. 615 SO. Ft. IP810 Driller: Date Drilled: Static Water Level: Installer: G0.1:t S EXGA� Date installed: S-Zq - 9 L Ft. Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES 19 Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines A#jr-l4p(LAc-a Thaw IZSO Welt, t 100 + foot + t Material: Number of Compartments: ar —' — LIFT STATION Water Water /001-1- /oot-}• — Lot r Size in gallons: Manufacturer: Line -76 Foundation —. _ -- "Pump on" level at: "Pump off' High water alarm at: (0 3or+ Curtain Pump Make Electrical Inspections performed by: Drain f4 aril ArtrDt 1 Remarks: I "J r o 3 SAN 0 C' dAat o rf S BENCH MARK /A V'A,4VhL f/✓S rALL.rtQ RONI T/d,NA-e- Location and Description: Tgr4 = Tof of Cmu T k,sT NOSE C 3 CKr-.4vATfd To Assumed Elevation: FY C N VA7'to/✓ 0j DL&SE - /00. %.I Fr ST,4Tforl Nd T !r S741-L�ED EN ..... 4 L OF gt'tsL *d I:, 3 Inspections performed by:� & I INGI eR I Loop es:1 st 5- 28 Reid, No. X04 2n 5-29 -9L ROBERT C. COWAN f Nplo River, Aletka 99877 � lL4� 6-4-7G Department of Healto�ic d Humak-4 rvices approval lcC[-f3L01 Reviewed and approved by'��-- -` Date: 72-013 (Rev. 9/91) MOA 25 FC ST ST DB DB CC CC MT MT Permit No SW960021 Pale 2 of 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 3, FINLEY SUBDIVISION PID No. 015-112-46 72-013 A )Rev. 9/91) MOA 25 FV0101;1 SINAL DE 11"7, — — 10' UTIL — ESMT. ------ D—� FINAL GRA E ST1 00 7 ST2 NW 9 .2' 250 GAL 95 IJ1Lr. 'i. S.T. TH#2 ISmE I ♦TH#1 LC01 / \4S FINAL GRADE MT z ♦o cc 1 MTI MT2 CO2 BL2 DBLI 5T2 /b 96.6' 97.2' STI CO2J FC A Ll INSU J 94. B 93.7' OR 93.6' 3' LAKE OU GRAVEL GR SCALE I" = ao• zj '�"' 2%713.n!'T 9 93 WELL �•'`5t5 * .'* A IB I c 795. 2S3', 15.5' 38'_1L ... ....................... ��,� ROBERT C. CO AN 18-51 . 2 19.5' 41.5' FINLEY 40.5' - 4' — CIRCLE °-;��,� cE-ssol 60' 4 .5' — 62.5' 5'k''' 72-013 A )Rev. 9/91) MOA 25 FV0101;1 SINAL DE 11"7, 08/12/1996 15:43 9072726650 SCHWANTES PAGE 01 1 ,n t ANCSQ111AaICp ALARKA 344=7714 SIX INCH WATER WELL DRILLED ----------OUT TO THE DEPTH OF 241 ft. DRILLED AT THE RATE OF 11,14,00 PER FOOT. Steel co ;ing Geptad out to ?41 ft. PROPERTY OWNER LOCATION OF WELL ••!'. Noel i i•t.)131k. 77u -1961 (Tri -Co DRILLER Ferri , -r,! of ?dam^L)rt Drilling Work,?. D CCL11/cit -- WELL LOG: AUG ?, 3 1996 0 - 1,,11:0tN. •-rvi.y brown clay with 30% gravel. Ni Anchorage 18 , K" 1'n"' r"' ••r -vel rti th 40% blue clay— Dept. Heath Human Services 63 - "31 TT-:—` _n, cemented rvgj One four ft boulder at 85-8 1?3 - 1.Rh' Coc••r— ^r^v-7�1. 1vith 15% clay, I,ever I mall boulders. 186 _ ?031 .+rest �l , y with 1()% fine , revel . '5!ater showing at 103 ft. but poor -,rodlict;inr. :;,ter wo,.tld stGrt to -umr cleen & then come in _grs . 203 - X391 ;�;,-nd but -oor yr -)ter nuelit.y. ?0% gravel miters=?1. ?39 - 2411 rood co,trFe gravel r,i.th .:-r Minim -)l IMOUn.t Of fi.np sand ^rod.uci.n,- 15 =nuifer i5 good high ouality, lone, l -,,sting �ctuifer. Inter r- rcov ^v �'r ,i to within 110 ft. of surface. One horse,--ovaer Gub- mer�a.b'o t1m ^bout ten feet off bottom for best um i.ng result ,. 11,500,00r.;•j_.; :t! 111y on this ''fell by Joel Schi:ePtes. No ch�irre for et -u, or mob or rre for extending the csi.na two ft. Charge of x_30.00 for Vu.n . ^rv: - Cost of nril7.ing: "174.00 or ft. x ,?41 ft: 15,784. 14?84.00. 31L,284.00 'A.u.> 130,00 for "Jell C , $4, 314,^n COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF 54, 314.00 THANK YOU VERY MUCH. BER IE CLAUS OF RAMPART DRIL41NG WORK$ DATE tl=e 3, 19% Ph-.nk Vou for w:, 1 ^ t,; ince Jo-,] . SERVICE'CHARGE OF I .% WER MONTH WILL SL ASSESSED ON PAST DUE ACCOUNTS. Municipality of Anchorage t DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST F2 ROBERT C. COWAN PERFORMED FOR: TU E L S LN Gj A N 1-E- j DATE PERFORMED" LEGAL DESCRIPTION: LOT .3 F, N j. ✓4 Y SID Township, Range, Section: DEPTH '7. G $ H U L-� H 3 SLOPE SITE PLAN 1 (FEET) L 1z. 0%llti4v�cS .P 1N c, u � 2 3- 0 4�.a 5 S1� T- -6 6- 7 7 NL T- CnwNS0- 8 9- 10- WAS GROUND WATER w0 ENCOUNTERED? 11 s IF YES, AT WHAT L 0 12 DEPTH? P E 13 Depth to Water After _ Monitoring? Date: 14 Reading Date Gross Net Depth to Net Time Time Water Drop 51617 15- 16- 17 d 18 19 20 PERCOLATION RATE (mmutesnnch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS S & S ENGINEERING PERFORMED BY: 17-�0,'�4p Eagle Rivem Loci, ss''ss.r,_� i __ f. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITFW9AW1ATl *91`9WAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ? / ` 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. EOX 196650, 825 "L" STREET, ROOM 502 kNCHORAGE, ALASKA 99519-6650 nTi-RTTF. WRT.T. ATQT-) WAFETR.WATRR T)TgPngAT. SYSTEM PERMIT PERMIT NUMBER:SW960021 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SCHWANTES JOEL F & CAROL J OWNER ADDRESS:10500 FINLEY CIR ANCHORAGE, ALASKA 99516 PARCEL ID:01511246 LEGAL DESCRIPTION: FINLEY LT 3 LOT SIZE: 52325 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT I:S FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 �^y l DATE ISSUED: 2/20/96 EXPIRATION DATE: 2/20/97 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. AL PROVI:SIOm9l. _ ---o__ _ ___�ILT�E�R7 LAYER MUST BE A CLEAN COS' SAND WITH 4% OR LESS PASSING THE #100 SIEVE AND 2% OR LESS'' ;.PASSING THE #200 SIEVE. A SIEVE ANALYSIS MUST BE PROVIDED- muc cn>\TD 1QA nr-Gi - VED SOURC RECEIVED BY: DATE: ISSUED BY:4L-��'� / , u/�� DATE: 2 S&S HEALTHAUTHORITY APPROVALS SEWER& WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. January 18, 1996 CIVIL ENGINEERS (907) 694-2979 FAX(907)694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE; Lot 3, Finley Subdivision Request you issue a permit to drill a well and install a septic system to serve the proposed three bedroom house on the referenced property. Two test holes were excavated and percolation tests performed. The approximate location of the test holes are located on the attached site plan. solL5 ocsr-E- y r. o �')tk INS;:;M,r 1tSw173Joi/ ("14,C0 )-"xi1j /2ael /ay/ply At the time of excavation no water was encountered in the test holes and after seven day ground water monitoring, the monitoring tubes were found to be dry. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. There are no points of contamination within the proposed well radius which can be seen on the attached site plan. If you require additional information, please contact us. Sincerely, Robert C. Cowan, F.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 LEGAL LOT 3, FINLEY SU DRAWN J.L.M. I CKD. DESIGN CRITERIA: 3 BDRM = 450 GPD SOILS = 0.7 GPD/SQ.FT. 450/0.7 = 643 SQ.FT. REQ'D BED DESIGN: VISION DATE 1-18-96 I SHT. 1 OF 2 STRUCTURES, EASEMENTS, OR ENCROACHMENTS SHOWN ON THIS SITE PLAN ARE AS SHOWN ON AN AS -BUILT SURVEY DRAWN BY: IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY EASEMENTS, REQUIRED SEPARATION DISTANCES, AND PROPERTY LINES PRIOR TO 1'+ DEEP CONSTRUCTION. 3' LEVELING COURSE(LAKE OTIS GRAVEL OR EQUAL) ----------- 0.5' EFFECTIVE 10' UTiL. DISTRIBUTION PIPES TO BE PLACED 10' UTIL. ESM_T_. ON 6" OF SEWER ROCK WITH 2 Seo oe.x OF SEWER ROCK TO COVER ESMT. CONTRACTOR IS REQUIRED ----------- OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. CE - PROPOSED 15' WIDE `PRESSURIZED 43' LONG ALTERNATE ABSORPTION BED I SITE DISTRIBUTION SYSTEM: �� ` � C�C� PUMP = 20 OSI 05HH 5 STAGE(30 GPM MT � 6 LATERAL n 18.5' LONG EACH = 5 GPM LAT. 7Hn2A MT 1 7 HOLES/LAT. O.C.) I 43' ADD 1 EXTRA HOLE TO ONE LATERAL PROPOSED 1250 GAL i l A'"' 43 HOLES TOTAL = 0.7 GPM/HOLE S.T.E.P. SEPTIC TANK J i j I / 3/16" DIA. HOLES FACED DOWNWARD MH MTI MT / Igo -b.•',�% 1" DIA. LATERALS Co / 1 1/2" DIA. SOLID MANIFOLD �g �S FCO / PROPOSED Ioo yy 3 BDRM lvLLL o° HOUSE V) J WELL _I I :DI 9 PROP. WELL i I ALL PORTIONS OF SYSTEM WITH LESS THAN 3.5' OF SEPTIC ` FINLEY � COVER REQUIRE INSULATION. ARE.A� / CIRCLE \ TO S X�sT//V TRUO, Gr CLIENT WELL kH- ENGINc R NAY kWiY :HE EXACT DIMCZ]C.S AND DE kON . A.AW s IN THE P.E1 'c M=ARY. TO Mc -'i SFE CGI« TIONS. LEGAL LOT J7 w J w a w G DS FINLEY SUBDIVSION DRAWN J.L.M. I CKD. R.C.C. I DATq -18-96 I SHT. 2 OF 2 I MT 2" INSULATION 3 LqK� 6" TOPSOIL & SEED FILTER FABRIC 15' PROFILE MT AL GRADE 2' DEEP REMOVE ORGANICS) ROGER? C. CO'A'AN CE - 8801 r -*-ORIGINAL GRADE DISTRIBUTION PIPES TO BE PLACED ON 6" OF SEWER ROCK WITH 2" OF SEWER ROCK TO COVER. 1 1/4' DIA. LINE FROM S.T.E.P. SEPTIC TANK 3'(TYP.) ----------------------- ---- ------- i ! SENDS CAPPED(TYP.) I I q C MT 4.5'(TYP.) 3' 0. C. MT Li) ADD 1 EXTRA HOLE TO THIS I MTS 1" DIA. LATERAL 1 1/2" DIA. MANIFOLD 0NAT LATERAL(2.6' O.C.) i CAPPED(TYP.)-�---------------------------------(TYP )----------- CLIENT 3,'(TYP.) 43 THE ENGINEER MAY VARY THE EXACT DAES'ONS AND DESIGN PARA�iECY DETAIL NECESSARY, iN THE cSFE DETAIL NECESSARY, i0 MEET SFE DDNDfTIOnS. VA /'PERFORMED i f r.. LEGAL DESC DEP (FEET) Sw 4- r ° Municipality of Anchorage j DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST 5 i Date Gross Time 6 Net Drop 7 SPr IC 8 i 9 10 11 12 13 14 /VbL ' N." I (NowI♦ DATEPERFORMED: Township, Range, Section: SLOPE SI L.fe Mow? 70 WE? 0 jQ�AfF �E E- ';-ou.s Lcw -6L T, H. 10 2 F6R, Per4-- 1N rtRs b+YG9, 15 16 17 18- 19- 20- COMMENTS s1920COMMENTS EL—MuIVE WAS GROUND WATER SITE PLAN ENCOUNTERED? IUo _ — S L IF YES, AT WHAT O DEPTH? P E Depth to Water ter Monitoring? Date: Reading Date Gross Time Net Depth to Time Water Net Drop SPr IC 5 84 /1 r• � IN 7�'. 3/J rr ftPPFO wc+lcfx: 49 — Ll 16 I' — GO s s'/ I C, PERCOLATION RATE (minutes/Inch) PERC HOLE DIAMETER _ 6 1 EST RUN BETWEEN FT AND FT w/ 7,' '�At-JD f;L7,GY1L PERFORMED BY: S & S ENGINEERING I!J CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 EagleNRiiver�Loop Road No. 404 2 �� 2_ 3 ACCORDANCE WITH�J ffy *GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) a Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST RFORMED FOR: 4,A-TNt.EEl� • • `rn/ rty/9' DATE PERFORMED: LEGAL DESCRIPTION: L.Q��-�Gc4� Township, Range, Section: Township, Range, Section: 7�i \ SLOPE SITE PLAN !FIEF€T, t.�'�'• l �dU714 1'" J I I I I' --I 2 I I •I SM o i 3 d _ Sw (NEIL• GRfiDFo sR►+D • � w �Son..i, GRnuet- 4 5 » SEF_ SotLs Lors doe TIH,;L( I, tea- 1�ERc IN T/1tS LayF� 6- 8 9- 10- 12 13 14 15 16- 17 18 19 20 ML — PENSE 14A01S7 SwT -13to4N. WAS GROUND WATER `a ENCOUNTERED? M S I. IF YES, AT WHAT O DEPTH? P E Oe to Water Adler, , Z I q 3 Mandnilorinpl .✓��__ Date: :R:,)a:ding ev.�-.tGIY y]I.Y�.•,.. 'wya._V,•�`»�A jA 04 Net Depth to Time Water Net Drop 4 else# r+ RFORMED FOR: 4,A-TNt.EEl� • • `rn/ rty/9' DATE PERFORMED: LEGAL DESCRIPTION: L.Q��-�Gc4� Township, Range, Section: Township, Range, Section: 7�i \ SLOPE SITE PLAN !FIEF€T, t.�'�'• l �dU714 1'" J I I I I' --I 2 I I •I SM o i 3 d _ Sw (NEIL• GRfiDFo sR►+D • � w �Son..i, GRnuet- 4 5 » SEF_ SotLs Lors doe TIH,;L( I, tea- 1�ERc IN T/1tS LayF� 6- 8 9- 10- 12 13 14 15 16- 17 18 19 20 ML — PENSE 14A01S7 SwT -13to4N. WAS GROUND WATER `a ENCOUNTERED? M S I. IF YES, AT WHAT O DEPTH? P E Oe to Water Adler, , Z I q 3 Mandnilorinpl .✓��__ Date: :R:,)a:ding Date Gross Time/�/� Net Depth to Time Water Net Drop Q Q 4 v PERCOLATION RATE AOLD 4-F (minutes/inch) PERC HOLE DIAMETER — C Ole TEST RUN BETWEEN FT AND FT PERFORMED BY:S & S ENGINEERING I 43 CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop Road No. 204 ACCORDANCE WITH�eSW&AX6M t"Eft GUIDELINES IN EFFECT O THIS DATE. DATE: -- 72-008 (Rev. 4/85) HEALTHAUTHORITV APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER& WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSVSTEM DESIGN s&S� ?Ineemnq ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 3, Finley Subdivision January 18, 1996 GENERAL: ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX(907)694-1211 1. The scope of this project includes the installation of a 1250 gallon wastewater S.T.E.P. system (septic tank) and a pressurized absorption bed to serve the proposed three bedroom residence located on the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 3, Finley Subdivision January 18, 1996 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. LEACHFIELD BED INSTALLATION: 1. 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. 2. 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. 3. Sewer rock shall be placed uniformly throughout the entire bed. The distribution piping is to be of PVC (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. 4. The distribution piping must be as shown on the design. The distance between the outermost perforated distribution pipes and the sidewall of the absorption bed must be no more than three feet. Page Three Lot 3, Finley Subdivision January 18, 1996 5. 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. 6. 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. 7. 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. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). Page Four Lot 3, Finley Subdivision January 18, 1996 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. Page Five Lot 3, Finley Subdivision January 18, 1996 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 Municipality of Anchorage • �e Mr�� Department of Health and Human Services dhh5 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 February 24, 1994 Mario & Kathleen Alvarez 13248 Stephenson Street Anchorage, Alaska 99515 4039 Subject: Lot 3 Finley Subdivision Permit #SW930021, PID #015-112-46 The subject permit, issued February 24, 1993 by this office for a single family well and/or on-site wastewater system, has expired as of February 24, 1994. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as -built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sindrely, o Smith P. E. ogram M nager n -site Services enc: Copy of Permit cc: S & S Engineering MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930021 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:MARTIN MICHAEL C & OWNER ADDRESS:302 SOUTH WHITNEY MARSHALL MN. 56258 PARCEL ID:01511246 LEGAL DESCRIPTION: FINLEY LT 3 LOT SIZE: 52325 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 2/24/93 EXPIRATION DATE: 2/24/94 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 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: MUST INSTALL A MINIMUN OF THREE FT. SAND FILTER UNDER THE GRAVEL LAYER. RECEIVED BY: ISSUED BY: I v v DATE:- Z Z ' DATE : ��' MA, `"' AIS ROBERI SHAFER, P F ROGER SHAFER, P �Jr e ruary—T7_----.. _------- , I CIVIL ENGINEERS < (907)694-2979 FAX 694. 1211 Municipality of Anchorage HEALTH AUTHORITY DEPARTMENT OF HEALTH AND HUMAN SERVICES APPROVALS 825 ILI Street P.O. Box 196650 Anchorage, Alaska 99519-6650 SEWER& WATER MAIN EXTENSIONS REFERENCE: Finley Subdivision, Lot 3 SEWER & WATER INSPECTION Request you issue a permit to drill a well and install a septic system to serve the proposed five bedroom house on the referenced property. ENGINEERING STUDIES AND REPORTS Two test holes were excavated and percolation tests performed. The approximate locations of the test holes are located on the attached site plan. The monitoring tubes within the holes have been checked and found to be dry. WELL INSPECTION &FLOW TEST This property has enough area for a septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. SITE PLANS IIf you have any questions, or require additional information for your review, please contact us. ROAD DESIGN Si cerely, ames P. Williams, SOIL TEST Roger J. Sha er, P.E. PERCOLATION TEST RJS/JPW/LSU/lsu STRUCTURALS MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 I 1 1 LEGAL FINLEY SUBDIVISION, LOT 3 n�IhP DRAWN CKD. DATE 2//7/93 sHT. Of 41 L. S. ULSHER R.A.S. 8 MT a�� �• R" P OA n�Ps� 36' FROM S T. '5. o. c. 3" SOLID MANIFOLD OMT 3' TYP. 30' DETAIL ,'• = /0' PLIES 150208 s� DISTRIBUTION SYSTEM.' PUMP = 20 OSI 05HH - 5 STAGE (-30 GPM) 6 LATERALS - 24' LONG EACH = 5 GFW/Lar z� 5 HOLES/LAT (5' 0. C.) - 30 HOLES TOTAL = / GFw1maLE Vo" DIA. HOLES FACED DOWNWARD IVs" D/A. LATERALS CAP ENDS 3" SOLID MANIFOLD MT 0 AL7 1ZNf� (� CyS7EM J/'Flv�E AS TKUr"bsc.0 , �JuT 'REQ ULeS A a' Sf}NlJ ilL7E2, MT MT FINAL GRADE 2 AW1C DIST. PPES 2'INSULA FILTERFABRIC 3. I•g�OPF 4WERMEAB RRIER esm •� 3' SAND FILTER _ _ �— ORIGINAL GRADE PROFILE I,. = /0' k' .^^ k A A/E SUPPLIES 150208 LEGAL FINLEY SUBDIVISION, LOT 3 DRAWN L. S. ULSHER CKD. R.A.S.DATE 2117/93 SHT. I OF 2 OR DESIGN CRITERIA: DISTRIBUTION SYSTEM.• Sl3R 6- ISO GPL7 REMOVE ORGANICS (2'+) O Cs D INSTALL 3' SAND FILTER GSD /SF 6" GRAVEL UNDER & OVER DIST PIPES �U i0�1 S r REQ 30' X 36' I l0' UTIL. ESMT. I 3 %wt I PROPOSED LOT 3 PRESSURIZED 1 ABSORPTION BED rH I S �� jERNAPE x2 I S � II rH xl �I M -ROPOSED Ml . 750 GAL Co _ S.T.EP. SYSTEM 3p' co FCO FCO LOT 4 I ROPOSED BORM —I U WELL /00' WE RAD U HSE / PROPOSED WELL \ / l WELL RADIUS LSETIC 1 FINLEY AREA CIRCLE �c o A1.4140 ! S .215 r�� �����a�• a.osO�Y �� SEPTIC -AREA /00' WELL RADIUS LOT 2 HSE \ j ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 3, Finley Subdivision 10500 Finley circle February 21, 1993 GENERAL: 1. The scope of work on this project includes all labor, materials, and equipement to construct the proposed pressurized absorbtion bed (mound system) on the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be resposible for ensuring a satisfactory vegetation growth over the mounded area. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. PRESSURIZED MOUND SYSTEM INSTALLATION: 1. Any peat or organic matter must be removed from the elevated mound site (cut approx 2' over entire bed area). 2. The bottom of the basal bed area as well as the top of the 3ft. sand filter is to be within two inches of level. 3. The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. 4. The side slopes of the top layer of the mound system must not be steeper than 33% (3:1). Page Two Lot 3, Finley Subdivision February 21, 1993 5. The top of the mound shall be covered with a minimum of 6 inches of topsoil and vegetated sufficiently to prevent erosion. 6. The distribution pipes are to be embedded in sewer rock. Care should be taken to backfill in such a way as to prevent damage to the piping system. 7. Silt barrier material must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 8. 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. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Page three Lot 3, Finley Subdivision February 21, 1993 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, it's gradation specifications must conform to AMC 15.65.060D. e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR:�AT'HZ-45:� A041ZE2- DATE PERFORMED: o2` LEGAL DESCRIPTION:L,�) I DEPTH (FEET) 2 I` e =-7 �• S�^ 3 a� �., SW 4 4 •'/ 5 6 7- 8910 8- 9- 10 11 12 13 14 b4L Township, Rance, Section: T H.0 1 <�A D wl✓ ;4sn� &%s-VrvC- Slt, c, M01S? TO WE? * 4 W' �E E• �tcs L«. -6L T, H,M 2 FFR, F fd I N -ra r LA-Yzx, 15 t &.O.", 16- 17 18- 19- 20- COMMENTS 81920COMMENTS Ei-alwE WAS GROUND WATER ENCOUNTERED? Ivo S L IF YES, AT WHAT O DEPTH? P E Depth to Waler Monitoring? Date: SITE PLAN Reading Date Gross Time Net Time Depth to Water Net Drop " Spe Ic — -5 5 5 It /J ;•4 Q ,e N } - 7 )tQpso w4-EeKcg5 — y'/a" — so S S S 6 6' �z" I to o S lb S/g '2 % " PERCOLATION RATE ---5— (minutes/inch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 3 FT AND Lt FT w l %' SA-rrD RL-A9vL PERFORMED BY: S & S ENGINEERING I '-t` 0 CERT IFY THAT THIS TEST WAS PERFORMED IN 17034 Ea le River Loop Road No. 204 ACCORDANCE WITH gkLI�T fi 66,A �l�J GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 99 e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST G aer n i , I f Q4 -kl� , Vrl -.1 PERFORMED FOR:���N��MANO / t.V/f LL:y/ rLI�A'%G�P- DATE PERFORMED: LEGAL DESCRIPTION: ���-X.r�7. Township, Range, S@CiIOnTOWnShlp, Range, Section: PFEP T) 1.Tc. I'- Seu7N-�SL SITE PLAN PF 2 1'I I'ISM o r 3 d _ . Sw (.Jir.l�. GlZYORo SR�+D W /90,4& Cs/uwu 4 Gt&q-Z sx?, 5S�rY Solt s Loci tie T H Fop- ?rnZC- IM _r0k9 LA16A 6 - pezc. 8 9 10 11 12 13 14 ML — DENSE ,tt067 SwY 0Iwo WEms 16 17 18 19 WAS GROUND WATER A rtb ENCOUNTERED? Iy S L IF YES, AT WHAT O DEPTH? P E Depthto Wale- "A�. Montt 2-- I q 3 Monitoring? ,K�•,I Date: Reading Date Gross Net Time Time Depth to Net Water Drop 20� ,�� ,� �09 PERCOLATION RATE r�� Tr (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 4 FT AND ?- FT PERFORMED BY: S & S ENGINEERING I o CERT-IFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop Road No. 204 -2- ACCORDANCE WITI-tWWA. X6&Mgft GUIDELINES IN EFFECT 011 THIS DATE. DATE: 72-008 (Rev. 4/85) Lot 3 Finley Subdivision #015-112-46 Proposing to build 3 story dwelling and have a child care center for 26 children in lower level. "My Little Blessing Child Care Center. Full meals for the children. Proposing a S.T.E.P. 1750 gallon system with pressurized distribution system in field. Full kitchen in lower level with two car garage. Full size kitchen in second level with dining area, living area and dischwasher, garbage disposal system. Top level will have 3 bedrooms with laundry facilities and 3 full baths. They are making proposals to the lending agencies and have sent a set of plans to MOA Child Care and State of Alaska DEH. Notify Larry Montgomery at 349-7343 if anything comes in on this. Laura J. Montgomery On-site Services July 20, 1994 ( 1 11 r lr WALTER J. NICKEL, GOVERNOR UI] U Ut1� � UU U U DEPT. OF ENVIRONMENTAL CONSERVATION DIVISION OF ENVIRONMENTAL HEALTH (907) 349-7343 800 E. DIMOND BLVD., SUITE 3-455, ANCHORAGE, AK 99515 Attn: Martha Anderson Municipality of Anchorage Department of Health and Human Services Child/Adult Unit P. O. Box.,,196650 Anchorage, Alaska 99519-6650 Subject: My Little Blessings Daycare Dear Ms. Anderson; July 21, 1994 �� r RECEIVED JUL 221994 Municipality of Anchorage Dept. Health a I;uman Services This office has completed it's review of the proposed residence and daycare facility located at Lot 3 Finley Subdivision. The plans meet the State of Alaska Environmental Sanitation Regulations, 18 AAC 30, if the following items are properly addressed: 1) If the day care serves greater than 15 children, a minimum of 2 toilets and 2 hand sinks need to be provided (18 AAC 30.810c). The application indicated 10 children, however, daycare area and yard are sized to accommodate an occupancy of 26 children. 2) Discussion with the applicant, Kathleen Alverez, determined that the daycare center's food service would include breakfast, lunch, dinner and snacks. This is considered full food -service and would be required to comply with the Municipal food service regulations (AMC 16.60, AMCR 16.60). This would include both municipal permit and inspection. 3) Both well and wastewater system are considered to be public or community systems, because of the daycare. Therefore, these systems must be in compliance with the State of Alaska Wastewater Disposal regulations (18 AAC 72), and Drinking Water Regulations (18 AAC 80). For plan review or further information on this, I recommend contacting ADEC's Anchorage District office, either Keven Kleweno or Michael Lu, at 349-7755. 4) The diapering are hand wash sink will be provided with soap and disposable towels during all times. 5) The mop/utility sink required for the food service (AMCR 16.60.022 E. 5.) may be used for cleaning infant toilet seats, if located outside the food preparation area (18 AAC 30.860e). If I can Abe of further assistance or if you have any questions, please contact me. Sincerely, Larry Montgomry, R.S. Env. Health Officer cc: Keven Kleweno, ADEC/ADO Jim Cross, MOA/DHHS/OSWQ Dr. Bob Baker, MOA/DHHS/ESan file Ro(3tiAT C. Co ,/# Municipality of Anchorage • Development Services Department Building Safety Division t On -Site Water and Wastewater Program - { 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 01S_— 11 X — 44P HAA# Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 3: Finley subdivision Location, (site address.ordirections) 10500 Finla) Cir Anrhnrage, AK 9os07 Current Property owner(s) Joel Schwantes Day phone 346-4609 Mailing address same Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE, OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 7�J Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and.State codes, ordinances, and regulations in effect at the time of installation. Name of Firm S & S Engineering Phone 694-2979 Address 17034 N File River Looe Ste, 204 Farle River, AK 99577 Engineer's Printed Name Robert: C. Cowan Date I/�310y 5. DSD SIGNATURE CRT C. COWAN CE -8801 VlF-�r,�4• V Approved for bedrooms. tai °�':; �•..� .,,, Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: 1 (Rev. 01102) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.alcus (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: � _OT 2 J ; F I t � -S b Parcel ID: A. WELL DATA Well type1e, VAI -TE If A, B, or C provide PWSID # Date completed fo 3 6 Sanitary seal (4N) —Y9 } Total depth 2 I ft. Cased to2U 1 fL FROM WELL LOG Date of test 3 L9 Static water level I Ic r ft Well production 15 g•p•m- WATER SAMPLE RESULTS: Coliform --0—colonies/100 ml. Nltrate�SL=mg./l. Arsenic: mgA. Date of sample: Lonjo Well Log((Ds) � Wires properly protected (Y)N) Casing height (above ground) I Z -F I in. AT INSPECTION IO 2' - I10C I ft. Ll- 2- g.p.m. Other bacteria - 0 colonies/100 ml. Collected by: �osk B. SEPTICIH LDING TANK DATA TankType/Materiai St a�Tic I STEE L Date installed 5 2g Tank size )=_ gal. Number of Compartments 2 Cleanoutsom YEs9 Foundation cleanoutV?N) ,&S Depression over tank (Y®D L High water alarm (Y/N) �!4 Date of pumping Pumper A -go DD itl� �cncr �ur'lPr��o C. ABSORPTION FIELD DATA �� "� System type Date installed �p�� Sail rating (g•p•d• or ftz/bdrm) 0. t O.S' ft. Length [.03 1 R Width S ft Gravel below pipe Total depth it Eff, absorption area -1 Lfe Monitoring tube _LS Depression over field AZ Date of adequacy test fo 2 O Result ail) ?�`'`- For bedrooms V Fluid depth in absorption field before test ?t; It in. Water added 663 gal. New depth in. Final fluid depth 9 in. Elapsed Time: k10 min. Absorption rate >= LOO + g.p.d. 0 Any rejuvenation treatment (past 12 mo.) (YIN & type) NV� ifyes. give date Qf_ Date installed NA "Pump on" level at NA in. Size in gallons tilt Manhole/Access (Y/N) K) H - 'Pump ofr level at A* in. High water alarm level at Llq in, Datum N A Cycles tested NIS Meets alarm & circuit requirements? W E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 12% r Absorption field on lot 1 25 9 9 Public sewer main N 14 Sewer/septic service line 2S r4 -- On adjacent lots rDb ..A On adjacent lots 10614 Public sewer manhole/cleanout_ &)A Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: A Building foundation y Property line %O Absorption field S 4 - Water Water main Al1r9 Water service line f n �4-- Surface water 1604 - Wells 604 - Wells on adjacent lots / b0 '4- SEPARATION + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line 12 i Building foundation 93 Water main Water Service line O t Surface water fC�b �� parking/vehicle Driveway, arkin / y p storage 1 D �- Curtain drain n9DY05 kAxxyi, Wells on adjacent lots !tom % F. COMMENTS G. ENGINEER'S CERTIRCA71ON l r�N.•.' 1 I certify that l have determined through field inspections and i+` ^% review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name �OB&.R T C- Cow q,✓ 1. Date _ 1 / 3 /oIt1a::'r; HAA Fee S '130. VV Waiver Fee $ Date of payment—, r 2 3/ d Y Date of Payment Receipt Number o 6 3 8& Receipt Number, (Rev. 12101) ,. I r MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH 8 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. # U 1 S 11 Z - 24 HAA # A mQ\ CVn Q 1__) (o 1. GENERAL INFORMATION Complete legal description Lot 3; Finley Subdivision Location (site address or directions) 10800 Finley Circle Anchorage, AK Property owner;, `-Joel Schwantes Day phone 277-1776 Mailing address "x!09 Eureka STreet Anchorage, AK 99503 Lending agency Day phone Mailing address Agent _ Address Day phone Unless otherwise requested, HAA will be held for pickup. 3 MUN�ENTAL Op ANCHORAGE 2. NUMBER OF BEDROOMS: EA►V1R0 NTAL SERVICES DIVISION 3. TYPE OF WATER SUPPLY: Individual well xxx AUG 1996 Community well RECEIVED Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA e21 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S& S ENGINEERING Phone G cl Y— �' 7 9 Eagle River LOOP Roa o,204 Address - Eagle River, Alaska 99577 Engineer's signature 6. DHHS SIGNATURE By: _X Approved for I bedrooms. Disapproved. Conditional approval for Additional Comments Date X/9 6 OF ROBERT C. COWAN Pi♦:� CE -8801 ISE r •''rE�,c,= .......... p.n1\h ;r•'a� bedrooms, with the following stipulations: CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-MMAv.1191) Back MOAM21 Municipality of Anchorage FNI,�'�Hi DEPARTMENT OF HEALTH & HUMAN SERVICES �t'o cpq Environmental Services DivisionFr 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4,774441/ �t-,c Health Authority Approval Checklist '1 F�. ?�1�'g61 Legal Description: LoT 3 Fj,jj.E r Parcel I.D.: 0157 - 112- y A A. WELL DATA Well type PK 14ATE If A, B, or C, attach ADEC letter. ADEC water system number Log present &N) 'if S Date completed 6 / 3 % ;7 Total depth a H I Cased to a iI Casing height (above ground) Sanitary seal (IDN) Y f S Wires properly protected (QN) Y# 3 FROM WELL LOG AT INSPECTION Date of test 3 q Static water level Well productionS g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform Nitrate �6U /%tA/L- Other bacteria 9--- Date of sample: �11 GI qU _ Collected by: S r s L-evl G B. SEPTIC/HOLDING TANK DATA Date installed 5-2-1-44 Tank size )2!;'C) Number of Compartments Z Cleanouts (-VN) y Foundation cleanout ON) � Depression (Y/Q a _ High water alarm (YAM Ill Date of; Pumping °.- Pumper C. ABSORPTION FIELD DATA Date installed 5-7-q- 9s• Soil rating (g.p.d./ft2 or ftz/bdrm) 47 400. System type GED Length Width Gravel thickness below pipe o- Is Total depth 6 1 Effective absorption area 675 0 Monitoring Tube present ON) y Depression over field (Y10 d Date of adequacy test 4 E: 0 Results (Pass/Fail) i For bedrooms Fluid depth in absorption field before test (in.); ^ Immediately after= gal. water added (in.): Fluid depth (ins) Minutes later: Absorption rate = "— g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)" D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES "Pump on" *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons Septic holding tank on lot / oo't On adjacent lots Absorption field on lot /00J + On adjacent lots "Pump off" level at* /0014 /Oo t 1L. Publicsewer main '`1 �h Public sewer manhole/cleanout A /A Sewer /septic service line l o + Lift station tJ /A SEPARATION DISTANCES FROM SMMOHOLDING TANK ON LOTTO: i Foundation C Property line 751a - Absorption field 26' f Water main/service line /o l- Surface water/drainage /oo l+ Wells on adjacent lots /oo' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line t o t Building foundation 301 a- Water main/service line / o �+ Surface water /oo 1f Driveway, parking/vehicle storage area Sot Curtain drain /00 t t Wells on adjacent lots 10614- F. oota- F. ENGINEER'S CERTIFICATION F i certify that t have determined thru field inspections and review of Municipal record 0 s are in conformance with MOA HAA guidelines in effect on this date. Signature Engineer's Name p ttoeeRw CCOWAN Date CE - 880101 HAA Fee $ ' e -,0p Date of Payment 9 Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number