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HomeMy WebLinkAboutBEAR VALLEY BLK 2 LT 5Bear Valley Block 2 Lot 5 #020-431-18 Municipality of Anchorage Page of a DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW9600`7l0 PID Number: 0@0449116 Name: `T'+towtas "{�oss�A N(c vat�.1 Wastewater System: El New O-Upgrade Address: A"xfil'Air— 9191 Nor�THflow ��iR AA SI(. ABSORPTION FIELD Phone: No. of Bedrooms: ❑Deep Trench 11 Shallow Trench ,>irZBed ❑.Mound ❑Other LEGAL DESCRIPTION Soil Rating: 0.7 Total Depth from original grade: GPD/S . Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe s BEAP-VAU-CI o. ® r Ft. • S Ft. Township: _ Range: _ Section: _ Fill added above original grade: '-6 r Gravel length: Ft. Ft. WELL: P New ❑ Upgrade • Gravel width: f Number of lines: a- Distance between lines: Li �)(I STI w Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: ASTM 2t V AT>E' Ft. Ft. 6.5-0 SQ. Ft. F'816 /'D3034 Driller: Date D ' Static Water Level: Installer: -TwELc> DC Date installed: 4-(4- Q5 Ft. Yield: TUIp Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES VLSeptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: AwcHoRA161C jA*r((— Capacity in gallons: 1000 From Tank Field Station Tank Sewer Lines Well- f 04 r 14� Material: STEL Number of Compartments: SurfaceWater 1° + LIFT STATION — Lot1 ' I `— ` Size in gallons: Manufacturer: Line Foundation 1 4,31 _ _ , _ _ "Pump on" level at:. "Pump off' level at* High water alarm at: Curtain t4 t- kN Wlu Pump Make& M lectrical Inspections performed by: Drain r Rem S. S1P4R4rfo►V Drrr.;;,-c,j w,t)vf.-f BENCH MARK � rLf,41v4,STf(3 fRoivi S'i✓ 9n/d 0A AQJO.e1%1"0t1 Location and Description: I'c .0-t:..0-t:.&AjZA,(oC p JLA$ 13CO TO Cvr'8Ar✓K ALJNfr RoAn P r rC-f-1 @ rp-c r of SLA3 C81l40c 6r.4k IMA Ato w,4Tr&4 fr4EPi FP-um Cc,r44AIK Assumed Elevation: }Oval Ft- /}rr0 ar r[. F! •s pRY. r4lw14 6rtUy'N.0 VA7"4/1 4Pr4j.4R, >u 13¢. swOw &.4rto ENGI E po f� - OF AL 1F C VT9;4,v < fI v ®t3SERN¢ 0 IDU &,I V Ak 04-ri f-Vi T 0 Dr r ra Sroty CCV4F e. y�r� �ti��►� S & S ENGINEERING �S aoad, *Owes:1st� •9t s�»i••t� 0, Inspections performed by��o,; a ��=�-� I � Eagle River, Alaska 99577 2nd h - 3 -9S '' »•» ""' ""�•••••""� a RtDBERt C. COWAN CE - 8801 Department of Health and Human Services approval oo it%.,, y1 Date: '�2 -9r • ,�• �,� ,! AW t}�#�"��ra;�.�►.�sa�"' .. Reviewed and approved by: 72-013 (Rev. 9/91) MOA 25 Permit No. SW950076 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 9 Anchorage, Alaska 99519-6650 *Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 5, BLOCK 2, BEAR VALLEY S/D PID No.: 02043118 �Tl ...... 25' "'f61 .... 2-'--- . . ..... ........ . . ..... .. . .... ........... ............... . . . ................ ..... ST2 29' 68' C01 30' 70' CO2 31' 71' CO3 61' .65' C04 64' 67 0:0.5....8.5,:.. 1-20................... . ........................... ............... .................... ............. ................ ...................... . ... ......... .... ............. ........... .......... .......... .. ........ C06 87' 122' N MT1 63' '66' t-04 RT1 MT2 86' 122' ... ..................... CQ6' .............. .................. .............. . ...... ................ ... ..................... ............. ............................ ...... . ........... ............................................................ C051 B WELL ST2:: • EXISTINQ T R E N C H EXISTING' ABANDONED COMPLETELY BDRM .......... .......... A ...................................... ............. ............ .......... ... ...................... . .............. . NEW 1000 GAL ''«., SEPTIC TANK *� y� 70 *A" ROBERT C. COWAN 4 SCALE 1" = 40.. CE -8801 4 AW 72-013 A (1/93) - PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE 0211 u DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 s]~ — ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT 6' Z 'lr PERMIT NUMBER:SW950076 DATE ISSUED: 5/16/95 DESIGN ENGINEER:S & S ENGINEERING EXPIRATION DATE: 5/16/96 OWNER NAME:MCCOWEN THOMAS H & ROSEMARY OWNER ADDRESS: 16131 BKACK BEAR DRIVE ANCHORAGE, AK 99516-6907 PARCEL ID:02043118 LEGAL DESCRIPTION: BEAR VALLEY BLK 2 LT 5 LOT SIZE: 44145 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (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. SPECIAL PR RECEIVED B ISSUED BY: DATE: DATE: 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 ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN S&s� �-ineeninq May 9, 1995 70 .T. 1 rT1 rrl m OT D C•� w Cn n to m -� rI-I CJ1 `�' C MUNICIPALITY OF ANCHORAGE Department ob Heaeth and Human SeAvicee z P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 5; Btock 2; Bean Vattey Subdivi6 ion ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Request you issue, a permit to upgrade the septic 4 y4tem Aerv.ing the thAee be koom house on the neiexeneed pkopWy. A test hole was excavated and a pencota.t.ion test penbonmed. The appnoxi.mate tocat.ion of the test hole is Located on the attached site pta.n. At the time ob excavation water ways encountered at sive, beet and abten 6even day ground water monitonting, water ways again bound at jive beet. Attached .is the proposed upgrade da ign. We do not anticipate any adverse ebbecta on ne.ightboti.ng pnopentiu by the .in4tattat.ion ob the pnopo.sed 6eptic system. There ane no point.6 ob contamination within the pnopo4ed wett tad iuz which can be Aeen on the attached 6 ite pta.n. Ib you requite additionat .inbonmat-i.on ptea6e contact ud. S.incene.2y, ql�X-12 lizr-71, Robent C. Cowan, P.E. RCC/gk Enc toys une 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 " = 50' SCALE r 0 , \ moo \ ciH!;4 \\ ttm O \ H 'J ONO_ Z :CJ \(nD<N DOC (JlO N 7\ LO td n _ z '"IrCm0(A01p � .�(�w � No�W � U1 \gyp f• -i Z;o (n C)•3 m0DmG)Omtt r < 0 U1 / W-fr*)_< H ' o r -M J4" Cn Ori / Wx Dff z c c i gU) rC'q(-)ZD;u / Z mn:{ n LTJ D ;um0 N0 5-0 Z N n mM-� D� o Z:-��D ::E 9: r'l w SITE PLAN O 0 m0 W O HO ►--4 =� �� 0 �rn_v 000 ��-° C) \' O VD rZ T1 0p \ qOm <N 71 Ln '-f 3 \ r Z O nD-1� >WW p o \ TJ x �\ OH h� � r U Tl ONO_ Z :CJ \(nD<N DOC (JlO N 7\ LO td n _ z '"IrCm0(A01p � .�(�w � No�W MZorr-� n�rC:C) /)� U1 \gyp f• -i Z;o OV m0DmG)Omtt r < 0 U1 ]loll W-fr*)_< H ' o r -M J4" Cn Ori m0 W O HO ►--4 =� �� 0 �rn_v 000 ��-° C) \' O VD rZ T1 0p \ qOm <N 71 Ln '-f 3 \ r Z O nD-1� >WW p o \ TJ x �\ OH h� � r U Tl ONO_ Z :CJ \(nD<N DOC n _ z V) -niN�M�+crrlco Zm p i ZD�'1mj►F-+-ISN vm��NND m \ 0 r�*1 O ' � N ' 0-, Fm m--iK mr ' o�z rC'q(-)ZD;u Z ;u �x m MMM wmm N v mn:{ n LTJ D ;um0 N0 5-0 Z N n mM-� D� o Z:-��D ::E 9: 00 4 ZZ O� Z O 0 -I (n M Z T W O N ------------ \ ::0 H� OD 0 1 1 E0 O z I Z r I Ocrri e Z I / D� O+ts (�0Mtic;: con ��4 I CDD f�) E O f �� �ozo� I D m �`� » + x I -1 N N Ce N.T.S. PROFILE SCALE �m �p m 9 ttz V % fill V ► �0�0 U) m m I m D D z r I 1 11 I (IM ^D y (A 1 Zm 0 OJ 1 1 �U) 1 G7 1 O < p D n r 1 mcr— c� I 1 /J p 1 1 C D c, m D ii N w V 0 1 it 1 O I m m ) 1 Z cn 2 -0 V) __ r —i 74 m A m V) ITf � N O c n r "tee\�� j•°t +'� � p Z 0 ,`• 9�� n » "� M �Nr�9�z I m 1 ni • Co (7 co � M 9 O u<�mz7 `^zqi - p,. ol io%ii��^Apyo i:.•'6My,'��t m ckO z 1 ^.(F,. Rr EAL) . e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES ;. 825 "L" Street, Anchorage, Alaska 99502-0650 r, , SOILS LOG — PERCOLATION TEST R02ERT % T HC. . CO WAN r,3o RaSi9y �pWr. /�PERFORMED FOR: LEGAL DESCRIPTION:Z2 8*aR Township, Range, Section: EPTH VRLL&Y SA) SLOPE SITE PLAN (d 9- 10- 11 1011 , 6 T 12 - 13 c � 41516 14-- 15- 16 17 18 19 ua r✓ WAS GROUND WATER C,R&V4L, u,/ ENCOUNTERED? S S S'A" u 1. S r.. r S IF YES, AT WHAT L 0 DEPTH? P % E Depth to Water After S S �$/ °).i Monitoring? Date: Q.0. 0, Reading Date FF J EC Net Time Depth to Water Net Drop 2 `� ys< GM% SM � QRowN S�tNoS � 3 4 5-7z _ s4)toq57 Qr e`'/��, lv,4r/�et Liu✓el ,���1 GJ � 6 �•�,� �a 7 r" 8 r — (d 9- 10- 11 1011 , 6 T 12 - 13 c � 41516 14-- 15- 16 17 18 19 ua r✓ WAS GROUND WATER C,R&V4L, u,/ ENCOUNTERED? S S S'A" u 1. S r.. r S IF YES, AT WHAT L 0 DEPTH? P % E Depth to Water After S S �$/ °).i Monitoring? Date: Q.0. 0, Reading Date Gross Time Net Time Depth to Water Net Drop yi �a hov r" R4 Fru�o LI — a %k' — 1 „ ►•,,w S` ,, -;z 31 " 20 I I PERCOLATION RATE 7 • (minutes/inch) PERC HOLE DIAMETER �O ,r u / t / TEST RUN BETWEEN /� FT AND 3 /z FT COMMENTS a d L f '0V G 13 y AC -A *,tr, 3 Y S T L4 M S� PERFORMED BY: S & S ENGIN9SRtNG I �Tl- Zj�Z.J& -CERTIFY THAT THIS T ST WAS PERFORMED IN ACCORDANCE WIT eO34 EA 1 ,� Le�n bRRP&Mrl.1Ee9lveS IN EFFECT ON THIS DATE. DATE: / Bite Iver, Alaska 99577 72-008 (Rev. 4/85) S&S1 iineepunq ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS R"A+ ON-SITE WASTEWATER DISPOSAL SYSTEM (907) 694-2979 CONSTRUCTION PRACTICES FAX (907) 694-1211 and MATERIAL SPECIFICATIONS HEALTH AUTHORITY APPROVALS REFERENCE: Lot 5, Block 2, Bear Valley S/D May 5, 1995 SEWER & WATER GENERAL: MAIN EXTENSIONS 1. The scope of this project includes the installation of an absorption bed to serve the proposed three bedroom residence located on the referenced property. The SEWER&WATER existing septic tank is to be excavated to verify its INSPECTION integrity. If of poor integrity, the tank is to be abandoned and a new 1000 gallon septic tank installed. The existing leachfield is to be abandoned in place. ENGINEERING STUDIES 2. Construction shall be in accordance with thea roved PP AND REPORTS site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. WELL INSPECTION & FLOW TEST 3. The contractor shall be responsible for obtaining any necessary underground utility locates. SITE PLANS 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 ROAD DESIGN responsible for ensuring a satisfactory vegetation growth over the mounded area. 5. Contractors installing wastewater disposal systems SOILTEST 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. PERCOLATION TEST SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified STRUCTURAL& septic tank manufacturer. Construction shall include INSPECTIONS ICAL two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 5, Block 2, Bear Valley S/D May 5, 1995 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. 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. Page Three Lot 5, Block 2, Bear Valley SID May 5, 1995 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. 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 5, Block 2, Bear Valley S/D May 5, 1995 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 14 ON, 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. 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. Page Five Lot 5, Block 2, Bear Valley S/D May 5, 1995 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 72-013 (Rev. 3178) v MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION T ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE XNEW p T �'�-O M A S C O W �%� 197S-- V&92— UP RADE MAILING ADDRESS •� 1 V . t/6 4 I _ LEGAL DESCRIPTION LOT �� q �/� lc VIf L- A L.I_ E LOCATION NO. OF BEDROOMS DISTANCE TO: Well I �� f Absorption area 10 Dwelling 7J9- PERMIT NO. rsZ®2 2Y . F- ZQ Manufacturer ' Mater'a� No. of compartments LU �. ti i C C. L vIG 0 Liq. capacity igallons IF HOMEMADE: Inside length Width Liquid depth Y DISTANCE TO: Well Dwelling PERMIT NO. JC7Z = z< Manufacturer Material Liquid capacity in gallons o DISTANCE TO: Well 3 Foundation (p Nearest to ine 90 PER N 9 VO2 w= 3 J LL Z No. of lines! Length of each line Total length of lines Trench width Distance between lines F Z W / _3>0 inches Top of tile to finish Material beneath tile Total grade qr_ effective a ption area o4 p jf inches 67 Length Width Depth PERMIT NO. W Qa F Type of crib Crib diameter Crib depth Total effective absorption area wa W DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. J W 3: DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS 3D 3 SOIL TEST RATING INSTALLER LU REMARKS p V r vV• OFAt i� o O � � • ..„gyp . � 2 .. No. 225-E 0' 25 1971 APPROVED DAT LEGAL d s ,(I 9 L Q �� 2 S' � 2, �- -CIx'4 r 72-013 (Rev. 3178) v !Wl I -A 141 x K0 x f"s 1.. 1: -f- "VA C-) & ��--' ��H. ---. �� DEPARTMENT HEALTH AND ENVIRONMENTAL rNOTECTION ` 825 'L' STREET, ANCHORAGE, HK. 99501 264-4720 ���� F-1 54 EN CA PA --- Sw X -T- ErE I E`_ F F-` E_- FZ 1l'-1 I "T" PERMIT NO. ( 820243 ) APPLICANT THOMAS H. MCCOWEN P.O. BOX 4 FF 276-4808 LOCATION BLACK BEAR DR. LEGAL LOT 5 BLK 2 BEAR VALLEY SOB LOT SIZE 44145 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MHXIMUM NUMBER OF BEDROOMS ] SOIL RATING (SQ FT/BR THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: JL(Ev ��r-49*_3-r"= 1527 C3FQF&V'oE­L_ E5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHIWFIEL[> THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE HND THE BOTTOM OF THE EXCAVATION (IN FEET). En'= A- CA CA CA Ci F1 L_ L_ CA V&nE� PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ___ _T_ U4 < '--m 1 tyl "o, F" E07 ("I -ITF 1 CA r -4,E. ��1EE �FE" 0_1 9_9 1: F-�_ E U .. ___ BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET HND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F=y 0 F;! 011 -1- E=7 -C & I ��Es C? Eo F1 E3 Eo FQ 'I AL ����02.1 I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS. SIGNED: HPPLI MCCOWE ISSUED Y4,0 i_x5 i 't iia T rte t+� OF 4i4* 1 04 M40 c`:E'tl T C r I j)t i r -.jai }r• `t 1c» ! • i� €-%;:'•=: }-r '�: ( ggOL �3 tt #`p:: 1. -* i �' t . ,�- •# = = = - r� * s. OP 1 ? to t_t r t s.; •� v„c};c `,•'; �1_r_'r 4414!5 Sri-MArA-11- F+y:'E. #�`s.''•`� ±:� '..1.t [ i,. ti a"�':is .'.t-' T i #aid '�'r".� t°� f'4 i'a : f£:�.=3'•�i�� S.011- , RR I' £ i •ti3 0.X" F�' ra.TR [ �Y 'iT:'. ��i.11y; i. 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FEET +fit A i;0t,#-,0t,#a }��fi Lt�•��y y�! x5 ;-I� r 1 ��r y T i_ -XI L 1 CRA }iw rJ: (..;�_�.I �': 'i� CV.ID PRY -:T ��.� K (up •f -c- 11� HE 0E!!:w A- T METHIM e tot ;' `; Y,: + f •F r' ' �! 1 '.y I'Ti' Y IlFri y. : F •rc. t i" 1,_;1 r f i t_±If- ;"1r s f t ?9 : kit`f IC_ [ t4 f P4 RE jj 14=--PJ�,.i't '= ! t 3 i ° `S t T 54--- k-: P3 R"In I - VL .t. S Ri S T p t.� I! _k. Lr?•� i_ T'�-#; ` 'r" ;£:M tN t4_x:'t: mt 7 i t'I # ' 1�±,: - t : £ T;*�_, '1M.� t 1 E :•F, fE'R #`1A :� � .tt,1 £ �'� �� i,� i 7`� r t p n+4 �.�� z�.�'r•�::�� [� �`�r•rt�rg�--t���x rt; t!•at�..���: r'�_+�� ��1���! �. ��cti�+„��r��• *5 IGNED: APF1- I ►• T ri likit ra H MC*Ai 0 ani r# - f �•rnrn irrar•.rrr•rrr 0i->.+..•.w.,..»..w,.w�uw+.r.w.•"-°-•..••••,•-•• �-' SOILS LOG M MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: (Sill v– e4P_S�/S�/1 4 �r'CQ—{M• DATE PERFORMED: e-1�� Z� LEGAL DESCRIPTION: �� ' 1� l ►`` 2. " aJ p` )i SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 /O -X /. 5 COMMENTS 074r= 11 ` ■SIE■ ■NINE 10110E ■MiN■ ■MIEN ■ESN■ OMEN ■■��■ MMIEE ■EIS■ WAS GROUND WATER S ENCOUNTERED?�_ L O P IF YES, AT WHAT E DEPTH? .y / 1 / Reading Date Gross Time Net Time A4,/v Depth to Water P -f Net Drop t q -1q --S 10:11-7 .GAS' -� �- i D-, 7 10 10 :.5- 7 % r 7 1 3I :07 /-U 10 Z .0'1 11 08 -7 70 -7- ilIs 10 .6- ^07 S %, 97 'l "11 Y -z 10 07 %Z 8 1 29 i 11 3 % 10 , G PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN / FT A1\16' -- FT / 3$Sn 2 PERFORMED BY: kil/�� �� v,y /�l�C. t' CERTIFIED BY: - 72 -008 (6/79) Z DATE:` Vr /vIr% WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Permit No. LOCATION OF WELL (Please complete either la, Ib or Ic.) A.D.L. No. la. Borough Subdivision Lot Block b 1/4 gtrs. Section No. TownshipN❑ Range E Meridian S❑ W❑ Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL: -y Address: e � .C, 1Y c %T; c) Street Address and Area of Well Location 2. WELL LOG Feet Below 4, WELL DEPTH: (final) 5. DATE OF COMPLETION Surface r:� 1 55 f t. r-� Material Type Top Bottom fi,a°l j_ j,. (, ��j 6, ❑Cable tool Q Rotary ❑Driven ❑ Dug ❑ Auger ❑ Jetted ❑ Bored ❑ Other j ,,. ( I r 7. USE: 4 Domestic ❑ Public Supply ❑ Industry ❑ irrigation ❑ Recharge ❑ Commerical ❑ Test Well ❑ Other: 1, I,: I('• Y 7 1 ;;.'1}" k) 8. CASING: ❑ Threaded ;❑t Welded diam In. toi� }} ft. Depth Weight Ibs./ ft. diam. in. to ft. Depth Stickup ft. ;� � •f � to i ;0 f01 T 7j I I f,,l iii) 9. FINISH OF WELL: Type: Diameter: Slot/Mesh Size: Length: Set between ft, and ft. Backfilling Gravel pack 10. STATIC WATER LEVEL: [1 ft. ❑ Above or Q Below land surface Date Equipment used: I I . PUMPING LEVEL below land surface and YIELD ft, after hrs. pumping (.1 g.p.m. ft after hrs. pumping g.p.m. 12.GROUTING Well Grouted: ❑ Yes ❑ No Material: ❑ Neat Cement ❑ Other: 13. PUMP: (if available) HP__ Length of Drop Pipe ft. capacity g.p.m. ED Subm. ❑ Jet ❑ Centrifical ❑ Other 14. REMARKS: i y 1 PJ (�. i1.i� L i. i. t 16. WATER WELL CONTRACTORS CERTIFICATION: 15. Water Temperature ° ❑ F ❑ C This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief; Or 1J, Tire Registered Business Name Contract License Number i i r.).'.' C. i. Z tl61 l.T1l.Ft.-i�" r•r Address: ..t .1. ._ Signed: Date: Authorized Representative Form 02-WWR (11/81) Copy Distribution: WHITE-Staie DGGS, PINK -Driller, CANARY- Customer 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage (les 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. 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 doscribod the porformance of the system under the conditions encountered at the time of the fast, 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 nuctuato 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 solo benorit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will It confer any legal right whatsoever. 5. DSD SIGNATURE _AZ Approved for 3 bedrooms. Disapproved. Phone 337-6179 Date 6I o o ,......... ',ysN J..' ........ ........ Gar ss:. 13 7 r' .FG Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other .5- R I((((((( `v L �ZY OFM'riii SO ... •. Cy%, ON-SITE WATERAND ; m? WASTEWATER : PROGRAM -n8 By: 'I0 i i'� Original Certificate Date: ✓/ / (R".Ivas) Municipality of Anchorage \ Development Services • Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: _ BEAR VALLEY S/D• LOT 5 BLOCK 2 Parcel ID: Q Z O • Y ;?/ -/$ A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 7/1982 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 150 ft, Cased to 85 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 7/1982 5/1/2008 Static water level 61 ft, 74 ft. Well production 10 g.p,m, 3.8 g.p.m. WATER SAMPLE RESULTS: Coliform — colonies/100 mi. Nitrate 1_59 mg./L. Other bacteria _0 colonies/100 ml. Arsenic: 0 ug./L. Date of sample: 4 21 2008 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed - 6/3/1995 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping _ 5/29/2007 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA BELow EXISTING RADE Date installed Soil rating(jp.d. or ft'/bdrm � ) 0.7— System type BED Length 65 ft, Width 10 ft. Gravel below pipe 0.5 ft. Total depth 3.0+ ft. Elf. absorption area 650 ft' Monitoring De tube YES Depression over field NO Date of adequacy test 5/1 /2008 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test DRY in, Water added 450 gal_ New depth 1 in. Elapsed Time: 5 min. Final fluid depth DRY In. Absorption rate >= 450+ .g-p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - D. LIFT STATION Date installed "Pump on" level at in. Size In gallons 'Pump off" Manhole/Access water alarm level at in. r, , Cvcles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on tot 100'+ On adjacent lots 100'+ Absorption field on tot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer (septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 10'+ Building foundation 10'+ Water main N/A Property line g Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines In effect on this date. Engineer's Printed Name JEFFREY A. CARNESS Date -6Y%-OB COSA Fee Date of Payment Receipt Number (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Cin . CERTIFICATE OF ON-SITE SYSTEMS APPRZSVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 6010-4451-1? COSA# eq to 1. GENERAL INFORMATION Expiration Date: �S — ;P— 1 — o Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address BEAR VALLEY S/D. LOT 5, BLOCK 2 16131 BLACK BEAR DRNE. ANCHORAGE AK, 99516 SUSAN TEBES Day phone 345-8693 1120 HUFFMAN RD, ANCHORAGE AK. 99515 Day phone CAROLYN W/ALASKA REAL ESTATE BROKERS Day phone 297-2908 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat axed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SUITE 101 ► ANCHORAGE, AK 99507 Engineer's Printed Name ,JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the lost, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the solo benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE M Approved for bedrooms. Disapproved. 337-6179 Date S /a9 Conditional approval for 5 bedrooms, with the fllowing stipulations: t..'/ .I....::P. Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Well Flow Advisory Nitrate Advisory Maintenance Agreements Supplemental Engineer's Reort Other By: (! •' Original Certificate Date: (Rev. 11*5) k Municipality of Anchorage (• Development Services Department \ Building Safety Division' On -Site Water & Wastewater Program " 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: BEAR VALLEY S/D; LOT 5, BLOCK 2 Parcel ID: (5 R P A. WELL DATA Well typePRNATE If A. B, or C provide PWSID# NIA Well Log (Y/N) YES Date completed 7/1982 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 150 ft. Cased to 85 ft. Casing height (above ground) 12+ In. FROM WELL LOG AT INSPECTION Date of test 7/1982 5/1/2008 Static water level 61 ft. 74 ft. Well production 10 g.p.m. 3.8 - g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Nitrate 1.89 mg./L. Other bacteria _0 colonies/100 ml. Arsenic: _mug./L. Date of sample: 4/21/2008 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date Installed 6/3/1995 Tank size 1000 gal. Number of Compartments 3 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 5/29/2007 Pumper A+ HOME SERVICES C. ABSORPTION FIELD DATA I -BELOW EXISTING GRADE Date installed 6/3/1995 Soil rating .p.d./ or ft'/bdrm) 0_7 System type BED Length 65 ft. Width 10 ft. Gravel below pipe 0.5 ft. Total depth ""2.5 ft. Eff. absorption area 650 ft' Monitoring tube YES Depression over field NO Date of adequacy test 5/1/2008 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test DRY In. Water added 450 gal. New depth 1 in. Elapsed Time: 5 min. Final fluid depth DRY in. Absorption rate >= 450+ g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — "ONLY 1.5' OF SOIL COVER OVER DRAINFIELD. REOUESTING CONDITIONAL"APPROVAL. SEE ATTACHED LETTER D. LIFT STATION Date Installed Size in gallons Manhole/Access (YIN) "Pump on' level at in. "Pump offrlevel High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 100+ Surface water 100'+ Driveway, parking/vehicle storage' 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS DateS�/Di3 COSA Feeg q 90 i (I 5 k f lv"" Date of Payment5 Receipt Number (Rev. 11105) Waiver Fee �oaov i o pF op , / ... ................ .J rness.- I E 4�0 r'�ofeaalo�°a� �40000�0 ; Date of Payment Receipt Number GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS May 27, 2008 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Request for conditional Certificate Of On-site Systems Approval, Bear Valley Lot 5, Block 2. During our inspection of the aforementioned property, the soil cover over the drainfield was found to be inadequate. Also, the septic tank was located underneath the driveway. We have sent the homeowner bids for the site work needed to fix these items. She has paid them in full but we cannot com} ete the work until 6/15/2008. We arc requesting conditional approval for the benefit of the b(i�j �.r and seller of the property. leu have aVy Aueskions, please contact us at 337-6179. Thank you for your assistance. P.[:.. M.S. 3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507-1259 Ph: (907) 337-6179 • Fax: (907) 338-3246' Website: www.gamessengincering.com GARNESS ENGINEERING GROUP, Ltd. - CONSULTANTS & GENERAL CONTRACTORS - - - —. May 5, 2008 Municipality of Anchorage Department of Health R Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Request for conditional Certificate Of On-site Systems Approval, Bear Valley Lot 5, Block 2. During our inspection of the aforementioned property, the soil cover over the drainfield was found to be inadequate. Due to excessive snow cover, we are requesting conditional approval until this matter can be resolved. If you have an)/4uestions, please contact us at 337-6179. Thank you for your assistance. P.E., M.S. 3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507-1259 Ph: (907) 337-6179' Far: (907) 338-3246' Website: www.gamcssenginccring.com SGS Rcf.N 1081587001 Client Name Gayness Engineering Group, Ltd. Project Name/N 16131 Black Bear Client Sample ID 16131 Black Bear Matrix Drinking Water PIN SID 0 All Dates/Times are Alaska Standard Time Printed Date/Time 04/302008 17:03 Collected DateMme 04212008 14:20 Received Dole/Time 04212008 14:45 Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results PQL Units Method Container ID Limits Date Date Init Metals by SCP/MS EP200.8 Arsenic ND 5.00 Waters Department NRB Total NitmteNitrite-N 1.89 0.100 Microbiology Laboratory (<10) Colony Count 0 Total Coliform 0 Fecal Coliform 0 ug/L EP200.8 C (<10) 0424108 0428/08 NRB mg/L SM204500NO3-F B (<10) 0428108 LCP coV100mL SM209222B A (<200) coV100mL SM209222B A (<I) coV100mL SM209222B A (<I) 0421/08 DLC 0421/08 DLC 0421/08 DLC • •t�rs A FULL 00J' A+ HOME SERVICES, INC. 7501 E. 140th Avenue Anchorage, Alaska 99516 345-1890 CUSTOMER Lot v°�\�� 4_5� INVOICE# DATE DESCRIPTION AMOUNT %I ..� Lot v°�\�� 4_5� INVOICE# DATE DESCRIPTION AMOUNT ..� 1.:... .. ...,>. _ ... �..�� iii.. TOTAL REMARKS Gallons - Septic Leach Area Holding Tank /'. ❑ PROBLEM AREA —CALL FOR MORE INFORMATION ❑ NEEDSTO BE DONE AGAIN IN 6 MONTHS ❑ Good Shape 0 sludge buildup on bottom ❑ Jim cap missing or ❑' Cut standpipe to 1' above ground needs replacing Standpipes, ' Time ❑ Floater on top ❑ Needs Septictrine mm m m=z zOy \ c� 050 O O3zm SO \ T \ o Mr / o p mo0 ?OA A \ \ \ v 1 ,p /n d b � \ wt AIX � •r�}c, ��}:,sap. moi. r 0 N ..n '.ate m c 1 9 0 r �J m O l`eb Lo V r- 0 -q cv 6l' O rn K1 OD W N V A Municipality of Anchorage Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Jeff Gamess Legal description: Bear Valley Block2 Lot 5 ❑Permit ®C.O.S.A. []Inspection Report The attached paperwork has been reviewed and is being returned for the following reasons: 1. Survey locates septic tank under drive. Need permanent barrier installed to prevent driving over septic tank. Name of reviewer. Poet Date: May 21, 2008 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK Da : P.. hone r ju.Z'/F NORTHWEST PROPERTIES Da Phn 278 a00' �ti ,eau=r�,���;;.�.,,_...... ... ,. ..� ... ., ,�-.r,.m__�. �. — ''' ,.> r.,�., .. ,.��.n.� •�.'-, h Public water t > � )WW x, if community.well system,. written confirmation from StatekAQEC provide ing to the legality and status of system.Avli if S .... . 'l'd.A§�,,:i? ks F WASTEWATER DISPOSAL:',', �z folding tank, , t, ,�.� ,;►�¢ ommiunity-on site imunity wastewater system, provide written confirmation from State ing to the legality and status of system. x, 5. STATEMEIIT OF, INSPECTION Blf ENGINEER As certifi by my seal affixed hereto and as of the validation date shown below, I verify that my investigati n of this Health Authority Approval' application shows that the on-site water supply and/or was' ewater disposal system is safe; functional and. adequate for the number of bedrooms and type ofstructure indicated herein I further verify that based on the information obtained from the Municipality of Anchorage files andfrommy invest�ation 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 Fi�m S i S ENGINEERING Phone 6 a y - Xq -7 17034 Eagle River Loop Road Na 204 Address - - Engineer's �ignature Date " µ_ _ •.s . a _. A�cf y�to CE - 8801 AM: 6. DHHS SI NATURE - ,.• �� proVeSfo bedrooms.. ,t�•a�r.�.+ ,�.�" Dt pni7Ved.. .�...+•. r� r1,,.4'x ':t'3i :�'r Hvx - .yY T ...-X.ta.✓7N'Si's;t!r'h,:gl�,r.+. }.-CeiR'%t.'. Jii d va7'K.» 4Y i, r.. .. ...:..:`R.'1d 14'G' ?y75, :6. h;,y iYF.. ✓.{ aYin.d{C...+F 7 nditionat approva4`foK t bedrooms„`with the foliowmg stipulations v ..s5. >�. ;'�+ s �S' st• d �r +'S m' i A�9 �`� - s5:; 'i� i ,1;�' `R' 3 ,*.{ti! A- Y Ne a I+r”^;tr. ', iv reeve r'� v f9n1r t vs,z l�tiFiit it ser -.r Iw�itir".�:**i+V7ENc�k#h�+.ia laror cP Ks; .:. ,r.Y<:: ,x �t r:� tK Vii;.i,J,'er-nirdl # f i ` J` '% Y Tx t M"- �' syt '4r r+5'�M•Mn .wr+ 's -rte^ iF .'� RPh P t a sa - f^Y `�+ � ya � -i Addifional':Comments �} .,.. Ss � .. rN; ..: w P;t?•? . s k?:a , ::;aa - - - y�f � .x� 6 a,hRl.: y ". Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST 'BE.Ak VAtcEY Legal Description: ��7` �, BLOCK o2 5/0 Parcel I.D. A. Well Data Well type "a21 va-r L' If A, B, or C, attach ADEC letter. ADEC water system number Log present &Y N) \/G -s Date completed Driller V6RJ4Z> -DR.1ztIM& Total depth /5-b Cased to g5 Casing height 8 Sanitary seal ON) yes Wires properly protected (9N) YeS FROM WELL LOG AT INSPECTION +� Date of test Static water level 6 7 r v Well flow to g.p.m. 41, `i -11 g.p.m. tet', ra p Pump levels Z/0, 83 '`- ® an T < v Qy RIMTIeICT�Ebun (7cJMP t7{PiN� N p SEPARATION DISTANCES FROM WELL TO: !�• / / cn O Septic/Melettank on lot On adjacent lots /fid '` 7 - Absorption field on lot Absorption /cao t� ; On adjacent lots Public sewer main "IA Public sewer manhole/cleanout /v/A Sewer service line o2 �'+` Petroleum tank "O"le K&10tAJy WATER SAMPLE RESULTS: Coliform Nitrate 1' 3 Other bacteria �-- Date of sample: 6 - 4 96- Collected by: �IyrapvL'�k/�C-� B. SEPTICA0110110WTANWDATA Date installed Tank size /000 b �'� L Compartments Cleanouts �N) Vg -G Foundation cleanout ON) yf-5 Depression (Y/6) h/a High water alarm (Yo Dl n Alarm tested (Y(9 Nb Date of pumping N/� — ��'e Pumper �- SEPARATION DISTANCES FROM SEPTI -TANK TO: Well(s) on lot 1/2 On adjacent lots /40 4TH Foundation 2,! To property line `2 Absorption field Water main/service line /a Surface water/drainage 72-026 (3/93)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DIST. lot D. ABSORPTION FIELD DATA Date installed &- 6' 9 i5 - LIFT STATION TO: On adjacent lots Length Length GS ' Width /o/ Manufacturer Manhole/Access (Y/N) Soil rating (GPD/Ft2) at Surface water 0.7 System type Gravel thickness .57 Total depth Total absorption area (010 146 Cleanout present 19N) Depression over field (Y6) Nv Date of adequacy test NA// A, -6w n,sr11'4 Results (pass/fail) for Bedrooms Water level in absorption field before test After test Peroxide treatment (past 12 months) (Y/N) If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot i On adjacent lots 10014 `fid14 Property line I $ t To building foundation ``i To existing or abandoned system on lot /O, On adjacent lots 10 / - Cutbank 01.5 /4 Water main/service line /v �t Surface water /0^:0 Driveway, parking/vehicle storage area /ems 14- Curtain drain ,yoAie, k'A0tyL -r- WAIVC/t 1g6UJ14arto oA✓ JwS06e-r'0ty tU.�^v27. E. ENGINEER'S CERTIFICATION ! certify that ! have checked, verified, or conformed to all MOA and HAA guidelines ' e -MfthA S this inspection. .9th ..:s......�i Signaturejoy _7 : Engineers Name Ro 8,f,e r.� 1� <.,.� CE :;�,��, Date HAA Fee $ �D i Date of Payment S Receipt Number 76 C-Ja / 72-026 (3/93)• Back Waiver Fee $ Date of Payment Receipt Number ME Environmental Services Inc. �■■ Laboratory Division ►+iiiii+ilii+iiiiiiiiiiiiiiii+iiiiiiiiii+iii+ii CT&E Ref.# 95.2247-1 Matrix WATER 7 7 Laborator`, p Analysis Report Client Sample ID LS B2 BEAR VALLEY S/D Client Name S & S ENGINEERING RUSH Order 15227 Ordered By R. COWAN Printed Date 06/08/95 @ 10:00 hrs. Project Name Collected Date 06/06/95 @ 10:00 hrs. Project# Received Date 06/06/95 @ 11:10 hrs. PWSID UA Technical Director STEPHEN C.;EDDE/ Released By Sample Remarks: SAMPLE COLLECTED BY: BOB C. QC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init -------------------------------------------------------------------------------------------------------- Nitrate-N 1.38 mg/L EPA 353.2 10. 06/07/95 DJS * See Special Instructions AboveUA== Unavailable = ** See Sample Remarks Above NA = Not Analyzed tF = Undetected, Reported value is the practical quantification limit. LT = Less Than Ib = Secondary dilution. GT = Greater Than ri 200 W. Potter Drive, Anchorage, AK 99518-1605 — Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA - V CT&E Environmental Services Inc. .Azatikk Laboratory Division„-v��,ii-i-i►iirioiii�•rii�s�i�r1��•rod Drinking `dater Analysis Report for Total Coliform Bacteria 200 W. ?ot`ar Drive Y P anchorage, AK 99519-1505 REND INSTRUCTIO:VS ON REVERSE SIDE BEFORE COLLECTING S.-1:41PLE Tel: (907) 302-23=3 =ax: (907) 501-5301 MUST BE CO,1fPLETED BY WA i -R SGPPLIER ❑ PUBLIC WATER SYSTEM I.D. ,`sS PRIVATE WATER SYSTEM -�'• Send Results S� Send Invoice Sb S �lvGt�C�� I1rC- 130p C. W.ur system .';— Ompany `Nanta Co.= nacre Ynone . umaer rlx-Su n,oer A\,W ng 1ddms 95-2247 Gv Sue Z:o Cxe ❑ Send Results ❑ Send Invoice C .oany Same Cuncac:.u�e NI.Luty ,Aaa—S Dn:e z:, Cade SAMPLE DATE: 0 I L Fq F Sl .Month Day Year SA:\vIPLE TYPE: Routine ❑ Treated Water ❑ Repeat Sample (for routine sample &i Untreated Water with lab ref. no. ) ❑ Special Purpose Time Collected S.kNIPLE LOCATIOiti Collected By L.DT S nLK 2 t3E/42 v4i-j-jc,1 U� 1p;JC ffry 8c C. Please Print Comments: TO BE COMPLETED BY LABOR --,TORY Analysis shoe's this Water S.A IPLE to be: -?� Satisfactory ❑ Unsatisfactory ❑ Sample over =0 hours old, results may be unreliable ❑ Sample too ion,- in transit, sample should not be over -S hours old at examination to indicate reliable results. Please send ne"v sample via special delivery mail. Date Received v/0 Time Received Analysis Becan Analytical ;)Method: ?-"Nfembrane Filter Sent to a.D.E.C.finch Fbis Jun 11 Faxed Date: Time. Client notified of unsatisfactory results: Phoned Spoke with Faxed Date: Time: BACTERIOLOGICAL WATER Ati_ALYSIS RECORD NINMO-SMUG Result: Total Coliform E. Coli Membrane Filter: Direct Count C__J Colonies/100 ml Verification: LTB BGB Fecal Coliform Confirmation I Final Membrane Filter Results rc, Reported By z V `�� Date `� a 7 /S— COLIFIRM ryrc- r," :ya-eraar ro c+a„ r Coliform/100 ml Time ���bN ErSO F TWO TO FO LLO SGS%i S Member of the SGS Group (Societe Generale de Surveillance) 011 - (*her Bacteria _NVIRONMENTAL FACILITI_S IN ALASICA, CALIFORNIA, FL ORIOA, ILLINOIS, MARYLAND. MICHIGAN, MISSOURI, NEW JERSEY. OHIO, WEST VIRGINIA ❑ Nf'.\'t0-NfUG Number ofcolonies'100 ml. Lab Ref.No. Result" Analst 95-2247 --ml r -a Sent to a.D.E.C.finch Fbis Jun 11 Faxed Date: Time. Client notified of unsatisfactory results: Phoned Spoke with Faxed Date: Time: BACTERIOLOGICAL WATER Ati_ALYSIS RECORD NINMO-SMUG Result: Total Coliform E. Coli Membrane Filter: Direct Count C__J Colonies/100 ml Verification: LTB BGB Fecal Coliform Confirmation I Final Membrane Filter Results rc, Reported By z V `�� Date `� a 7 /S— COLIFIRM ryrc- r," :ya-eraar ro c+a„ r Coliform/100 ml Time ���bN ErSO F TWO TO FO LLO SGS%i S Member of the SGS Group (Societe Generale de Surveillance) 011 - (*her Bacteria _NVIRONMENTAL FACILITI_S IN ALASICA, CALIFORNIA, FL ORIOA, ILLINOIS, MARYLAND. MICHIGAN, MISSOURI, NEW JERSEY. OHIO, WEST VIRGINIA -,Db r,,-Laj q Q mof Lij - Time APPLK NT FILLS OUT UPPER HAI ONLY %�C�ti/4SS.ui�%.ice}/%�.ilGweiY-4���'C�`:� ]��E,t' Property DWnLr =� Phone(rf / Tim qbj-'L ' P CY��]�G Mailing Address Zip Code Buyer Date Date Address Zip Code _) " Lending Institution Inspector Phone Ei 44»V Cc.CO1 �C�: w,,eC" Address Zip Code Realty Co. & Agent Field Notes: Phone Address Zip Code t ( Legal Description 40 ��"r �Do k. tG�' UQ,tI�\f S V 68 - C G' T2 91982 Street Location RECEIVED (`3) APPROVED BEDROOMS Type of Residence OF APPROVAL ( ) DISAPPROVED Single Family ( ) CONDITIONAL APPROVAL' ❑ uitipie Family No. of bedrooms — 1 " ❑ Other DATE Water Supply �dividual n ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community j For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Well Log Received A16 Septic Tank Size /OM Sewer Disposal �Tndividual ' �a 0a Llj Year Individual Installed: ❑ Public Utility r ',) _� When Connected to Public Utility: ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. -,Db r,,-Laj q Q mof Lij - Time Time Time .fel �� ill CIj lyj Tim qbj-'L ' P Date Date Date IT _) " Date Inspector Inspector Inspector Inspector Px a �A MUNICIPALITY OF ANCHORAGE Field Notes: DEPT. Cr ;1= `-T' ! g, ENVIR'JAJPJirPiiA , :;u, CTION G' T2 91982 RECEIVED (`3) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' 1 " DATE BY:y Soils Rating Date Sewer Installed Well To Absorption Area Oa Well Log Received A16 Septic Tank Size /OM fT — $ Z Well to Tank •-j-1© O 72023 (3/82) - 4 ZF 00 F m m e R W�a m P _ _ M£N _ U W J v � `a � m N❑o: J m r � � � � � � �$ � '� ul 7 u u � � S° ✓�9 a ip� � 5 � � 'rte ,,,,. t � �. 2�I R h _ R20 c �$ d R Q 9 gg i,1LW17 ,.Oi a $ �fi z"4 d Hwrl a afF S� �LLa W W C e 1aI 11 Lw �+ c . C1 i i °dJ J WW. s = 8'� o �'<<- qWx m�W `° SmW QF rc 3 J LL~2 3 G Qq q y 1�� 2 x vqp \ m a x; N ` Q~ 19 P 3� <� z a N cG4i m ,9b'bb93 - 3, LO,ZZ°00 S ,£Z'ZZEI I ,£Z'ZZ£i �m 1 E a LQ U aI E Ev LL eg ryyc ,18'OzEI-3rz9,b1o00S F� Z21 �p----2960E----'00'0£z----------00'o EE--- o oui o €o 5 -- wmm m oaa IV ml �° i m rN 3LV EI o00S . 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