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HomeMy WebLinkAboutBEAR VALLEY BLK 4 LT 5431 zo 000 Municipality of Anchorage ..;•` '•-, Development Services Department Building Safety Division .,...: Onsite Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 Paget of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: Sal/ O 3 0 Z'y2 PID Number: 4 2.O -Y31- ZO Name: To y RKbezrve 6�etb% Wastewater System: [] New R Upgrade Address: 93,11 Snow 6etrr Dom., M+Ch, P5761 I ABSORPTION FIELD Phone: Number or Bedrooms: 3 YS'- Ya 95- 0 Deep Trench Q Shallow Trench [3 Bed t7 Mould C-) W 10m'b Other. 0 r?4-1" PrArt LEGAL DESCRIPTION BeAaaa 3,o TatalDepdfromorrtivnalgrade: 1312 GPD(FP Fl. Diode Lot SubdMitiore Depth to pipe bottom tram arigirW grade: 113 Gravel depth beneath pipe: SAN11 Ded'I I H S- 6tar i-AettlRy Ft. t - "Ir F Ft. Township: Flange: Section: Fill added above original grade: Gravel Lengft 2•S Ft. 6'O Ft. Well: i5Xo F ❑New ❑ Upgrade or"wwt Nunberof finer. / Distance between lines: — .r Ft. Ft Classification (Private, A B. C): Total Depth: Cased to: Total absorption arca r� Pipe Material &�o Perf FL Ft COO FP _0 --?07Y NO,7 _ 00; F Driller. Date Drilled: Stagc Water Levet hummer. t Date Installed: � / D � Ft /A7 Yield: Pump Set at Casing Height Above Ground TANK GPM FL Ft SEPARATION DISTANCES []Septic ❑ Holding ❑ S.T.E.P. /t K-Zo 19 Ot`r. To From Septic Tank Absorption Field lift Station Holding Tank PubliclPrivat Sewer Une Maneladu'r" © ren ro n k^ Capacity. 15-00 Gal. Well ` /� 1. (j. -I tH3 /DY ,725. Material: Fetter la.cf Number of Compartments: 2 Surface Water ter, )fit > je,'t - LIFT STATION Size: Manufacturer. Lot Line q40 t IV s e:0 r 1 Jam® Gal. 0 re17 Co Foundation '23, 7 2' 2 3 ` — 'Pump on' level at l6 in. 'Pump air level at 25 In High water alarm at: I'Y . In. Curtain Drain Pump Make S Model 40 -Cl 112, hr Electrical Inspections performed by. _ I lFa es . e l ec l-rYC Remarks: rner e4 hG Ire Is am ®r./ BENCH MARK 41 trouts✓ erwA"el F be4.^rrc/on c;l-e Loatlon and Description Co "am of -cirai earner v4,r Gull 8#4t," PP((,,e /n1 %rltooe • & a1l6ca Assumed Elevation: /moo, O Ft Akre rw4c4 back f6 or-� '061 -coil als:E hot Gerd, A,;,1V w o4 v4, leo( 1'r y' TSo Engineer's Stamp 01: A Ohl . (f er sctnoC a(er sew er rex eie / r elerclioel 0n e4 , f dt,�� •• •• j#'% 0*IV en tia� ccs 'rn Fel ham e Inspections rto/-/Op TfC4 Dates: V1 7//7103�'�a performed by: -f"e e {� 2nd 7/6103...I�..... eaeaa::N �a Development Services Department Approval •a...... .::..�'.T:::1.. THEODORE F. AAOORE Reviewed and approved by: Date: `� 2 034aa j ,�•• CE - 3589 d = • a •, I PERMIT NO: SW030242 PID NO: 020-431-20 NEW 40 -FOOT LONG x 5 -FOOT WIDE SOIL ABSORPTION DRAINFIELD w. 0.5 EFF. GVL AND 1.4' FILTER SAND "BULL RUN" VALVE T.H. a..aaaa ORIGINAL ' DRAINFIELD SNOW BEAR DRIVE I PAGE 2OF3 NEW 1500 -GALLON ADVANTEX Ax -20 MODE 1a TANK T.H. #2 -------- - - - - - - 1 i WELL— SWING TIES: FROM: COR. "A" COR. "B" COR. "C" TO: �,ea�•�dy� TANK C.O. "0" 25.5' 49' j°>Q, OF 4' TANK M.H. "E" 31' 59.5' .. "�","• • • • <- P VALVE "F" 32' 62' to FIELD y S.R.�� FIELD C.O. "G" 84' 77' rt ; 497}1 FIELD M.T. "H" 88.5' 87' ..�". ". �....... •....N r.N. FIELD C.O. "1" 94' 97' .,`THEODORE F. aapORE ; AV' LOT 5, BLOCK 4, BEAR VALLEY w � 35s9p SEPTIC SYSTEM UPGRADE A+ ••. ...".• .�. f rv� 4f 4 AS -BUILT PLAN VIEW "•^=sat Ey�,.�..a::f'='�' PERMIT NO: SW030242 PAGE 3 OF 3 PID NO 020-431-20 RECIRC. SPLITTER VALVE (RSV) rncrwan INV. 95.5 ; /- FINAL GRADE f M.T. C.O.-� .._■i� ' • • nu' , PERF -7 "ADVANTEX" AX -20 MODE 1a PRETREATMENT UNIT INV. 85.7' 1.4' ISF FILTER SAND ELEV. 85.2 t • •. • • ... ................. EX ... .r `�— BOTTOM C. ELEV. 83.8 INV. 85.T RESIDUAL DISPOSAL DRAINFIELD BOTTOM T.H. #1 ELEV. 77.0 WATER 0 80.3' Or At ',% 49TH �w..{{{�N�{•�HH�bA4•H..Niew.� F't a wTt'iODORE F. #ADORE ,<,.'. CE - 3589 4 JUL-21-2003 10:0'.#; FROM:A+ HOPE SERVICES, IN 907 -BW -67M TO: 3451355 P:1111 w July 21, 2003 ED'S ELECTRIC INC. ""SAGE P.O. Box 210767 1907) 2r2•4591 ANCHMAGE, AK 89521 Fax: (eon) 2n-4590 A !"come Services 1441" Avenue Anchorage, AK 99516 Subject: Septic Lift Station. 9341 North Snow Bear, Anchorage, AK Ed's Electric, Inc. installed alectrical on subject project, meeting all code requirements of the National Electrical Code and all requirements of the Municipality of Anchorage. Thank you, Dwayne R. t3runs - Ed's Electric, Inc. JUL•21-2@03 YON 08:S6AM IO:A+ HOME SERVICES, INC. PAGE:1 w MUNICIPALITY OF ANCHORAGE Development Services Department tt On -Site Water & Wastewater Program 1 C `O 4700 South Bragaw Street J 6 ii P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 14, 2003 Expiration Date: Jul 13, 2004 Permit Number: SW030242 Legal Description^B:AR VALLEY f3LK = L`T Design Engineer: 0019 Flattop Technical Services Owner Name: Jo & Richard Gable Owner Address: 9341 SNOWBEAR DR ANCHORAGE. AK 99516-6913 Parcel ID: 020-431-20 Site Address: Lot Size: 49756 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of., ❑✓ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 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. 5. The following special provisions. System shall NOT be operated until a Maintenance Agreement is signed by owner. Received By: .,,�... xc. lo� Date: % / Issued By. ���r 4a' &±16-- Date: / "% 7 " 0 3 i 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.us (907)343-7904 ON-SITE SEWERNVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. - `� >) Z Q Permit Number SW 03 a 4 a Property owner(s) cir rr� If' _ _ Day phone Y093— Mailing address (1) 23Y/ N. ,.51)6 w beck'- D►�r•-e Mailing address (2) AnCho ce f—e , A -k Zip Code 9ps/6; Legal description (Lot, Block & Sub'd.) ke-, Legal description (Section, Township & Range) Lot Size_ Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms Y Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 12 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. A (Signature of property owner or authorized agent) Permit Fees: w0a 'Wo Waiver Fees: Date of Payment: 7 /3 /0 ? Date of Payment: Receipt Number: _ Receipt Number: (Rev. 12100) n ., CIVIL k ENYMONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS THEODORE F. MOORE, P.E. 14S30 ECHO ST. PH: (907) 34S-13SS ANCHORAGE, ALASKA 99516 July 2, 2003 M.O.A. DSD P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to upgrade the wastewater disposal facilities on Lot 5, Block 4, Bear Valley S/d, located at 9341 North Snowbear Drive. Soils logs, perc test results, a site plan, design drawings and specifications are enclosed for your review. Because of limited available space on the lot due to required separations from surface water, wells and steep slopes, combined with a shallow water table and a slow percolation rate, we propose to install an "Advantex" AX -20, Mode l a pretreatment unit that discharges effluent into a 5' wide soil absorption drainfield. The proposed absorption system will be constructed in the vicinity of the west end of the existing drainfield, and a `Bull Run" valve will allow subsequent diversion of effluent back into the original drainfield as desired. As can be seen from the soil log for test hole #1, the native material between 1 and 4 feet below ground level is a gravelly silt with a measured perc rate of 19 minutes per inch between 3.5 and 4.0 feet below ground level. The material encountered in test hole #2 does perc a little faster, however steeper slopes and proximity to surface water puddles makes this latter area less desirable. We feel the pert rate of 19 minutes per inch measured in T.H. #1 is representative of the soils that will be encountered in the area of the residual drainfield, and the enclosed design is somewhat more conservative than your guidelines allow for that percolation rate. It is my understanding that the "Advantex" AX -20 Mode 1 a, has been granted DSD approval as a Category III Advanced wastewater treatment system, which would allow a soil application rate of 4.0 gpd/sq. ft. in soils with a perc rate of 16 - 30 minutes per inch. In an effort to be somewhat conservative, we have actually based the design on a soil application rate of 3.0 gpd/sq. ft. Thus, the required absorption area for this 4 -bedroom residence is (4 x 150)/3 = 200 square feet, which is achieved by a 40 -foot long, 5 -foot wide drainfield with an effective gravel depth of 0.5 feet. To further enhance the performance of the drainfield and inhibit the formation of a clogging mat on the bottom, we plan to place 12" of M.O.A. filter sand under the drainfield. We also propose to install a `Bull Run" diversion valve allowing the effluent from the "Advantex" filter pod to be diverted back to the original drainfield after it has dried out and had a chance to rejuvenate itself. Because the proposed 4 -bedroom system represents an upgrade from the existing 3 -bedroom system we have designated a site for a similarly sized residual disposal drainfield adjacent to the proposed one. .f The proposed project will have no significant impact on present or future water supply and wastewater, disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. I have requested the property owner to come into your office in order to execute the required maintenance agreement. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. UNSUBDIVIDED 25' CREEK ` EASEMENT - \ \ CREEK— ------------------------------------------% I116J1E.1 .i� 4e�.� t F jt A%. BLOCK 2 LOT 5, BLOCK 4, BEAR VALLEY SID m, �..••••..• (VACANT)_ WELL AND SEPTIC SYSTEM SITE PLAN TH /rrrirrrrrr•rrrrrrrrrr•:+:+� FLATTOP TECHNICAL SERVICES 1 INCH = 50 FEET 14530 ECHO STREET DRAWN BY TFM rr.r•rrr �� ��rrrr���� ANCHORAGE, AK 99516 THEODORE I'. MOORE AF JUNE, 2003 '. CE - 3584 4b' '•rrrrrr�•••••f � NOTE: THIS IS NOT A SURVEYED PLAT. i[► _ ., V� ALL LOCATIONS SHOWN ARE APPROXIMATE. -------- ---------------------- LOT 5, BLOCK 4 PUDDLES 8'"' `» C.O. BEAR VALLEY S/D - 28' ` SITE FOR REPL. DRAINFIELD CONSTRUCT DRAINFIELD 5' x 40' DRAINFIELD INSTALL "ADVANTEX" ; "REACTEX"`" TRTMT. UNIT as T.H. ADV. TRTMT. VALVEI #2 I .i� 4e�.� t F jt A%. BLOCK 2 LOT 5, BLOCK 4, BEAR VALLEY SID m, �..••••..• (VACANT)_ WELL AND SEPTIC SYSTEM SITE PLAN TH /rrrirrrrrr•rrrrrrrrrr•:+:+� FLATTOP TECHNICAL SERVICES 1 INCH = 50 FEET 14530 ECHO STREET DRAWN BY TFM rr.r•rrr �� ��rrrr���� ANCHORAGE, AK 99516 THEODORE I'. MOORE AF JUNE, 2003 '. CE - 3584 4b' '•rrrrrr�•••••f � NOTE: THIS IS NOT A SURVEYED PLAT. i[► _ ., V� ALL LOCATIONS SHOWN ARE APPROXIMATE. -------- _ . #1 8'"' `» C.O. EXISTIN - 28' SEPTIC EXISTING `'::::; DRAINFIELD TANK HOUSE ; "REACTEX"`" as ADV. TRTMT. SYSTEM WELL ,. R 100' R 100' WELL SNOW BEAR DRIVE a a a � � aaa , i as ' a a i Yom— �0/ - / ",Q LOT 6 .i� 4e�.� t F jt A%. BLOCK 2 LOT 5, BLOCK 4, BEAR VALLEY SID m, �..••••..• (VACANT)_ WELL AND SEPTIC SYSTEM SITE PLAN TH /rrrirrrrrr•rrrrrrrrrr•:+:+� FLATTOP TECHNICAL SERVICES 1 INCH = 50 FEET 14530 ECHO STREET DRAWN BY TFM rr.r•rrr �� ��rrrr���� ANCHORAGE, AK 99516 THEODORE I'. MOORE AF JUNE, 2003 '. CE - 3584 4b' '•rrrrrr�•••••f � NOTE: THIS IS NOT A SURVEYED PLAT. i[► _ ., V� ALL LOCATIONS SHOWN ARE APPROXIMATE. ABANDON EXISTING TANK & CONSTRUCT 40 -FOOT LONG x 5 -FOOT WIDE REPLACE WITH "ADVANTEX" AX -20 SOIL ABSORPTION DRAINFIELD w. 0.5 FEET — Mode 1a TREATMENT UNIT _7 EFFECTIVE GRAVEL & 1.0 FOOT FILTER SAND FROM HOUS TO ORIGINAL SOIL ABS. DRAINFIELD M.T. 40' C.O. �,•'��� ���`rpHNOR Y00 V'p00•NYI'•VpYNW blrM"YIrWbYWOOH �\ IIYYp YN11tlMM9Y Yp YpppYN1YYODwpOY YJ1Y Yw YpDll fY-w�.r W+wr W W.-• •Y W.rYI •YI-\F JMrw iw•rY 1 I i .rY'fY rY-YWiw N•v'Y-SYd•itiNV{1 WrIC•iYf W'►•- \..� .\..�I 1/NYY•YY'•IYY.YV111MYYY..WYVN.YNOVNIIYNV ,'._• " ... �, •• �...-J Y•MYYfJ rpppppNYpppwY..ppYOp VwOwYYpYOp•Yp YYYpYYV YW Ypp01\OYNYWRYY M•w1YWR1+Owp A14Y C.O. "BULL RUN" DIVERTER VALV "All PLAN VIEW SCALE: 1" =10' 4" D-3034 GRAVITY DISCHARGE LINE FROM "ADVANTEX" FILTER POD .j "All 4" DIA. F-810 PERF. PIPE C.O. /--- M.T. C.O. 3 �1 3'+ SOIL COVER ORIGINAL 3' ,I.. GROUND .. 1c h+OA FILTER Y.... FILTER ORIGINAL 49 FABRIC GROUND WASHED GRAVEL RESIDUAL DISPOSAL DRAINFIELD 4 DIA. F-810 PROFILE "A - A" PERF. PIPE VERTICAL SCALE: 1" = 5' BOTTOM OF EXCAVATION N`L� :•4✓THv` ••••/••_•.••••••••••••••%p16pp0 LOT 5, BLOCK 4, BEAR VALLEY S/D ��:.............. SEPTIC SYSTEM UPGRADE :YiHE p Aeooae ; ATCE - 3584 a :•• CE PLAN AND CROSS-SECTION �,�� t� �`••••••• FLATTOP TECHNICAL SERVICES SCALE: AS SHOWN 14530 ECHO STREET DRAWN BY: TFM ANCHORAGE, AY,, 99516 JULY 2003 � �" 1 4 1 r .Y'+4"�.V � aa."rurvq"YY�V1^!4a'SSy. - (� �_� fl t # k..��:.. + ..nw�ra....�r�.•••�• Y ' ca����j 'w.,:w. ,«++raaew++ws�a _—� � .. :fr��I�/�.:"'7rr n`�. ws w'�fi.vSm $4 $'vR A ..�- , �� K � x ��= x � * i x � 1 ��... � =� �� y � �x x � x �j o � x x x ■ xt ,.-.. . � -_ � I � 1 ' � �1� `x � X � 1f � 1* A� ire K � � "� : r � �R � � is � i �� - M � ■ r k� x' x �� L ®_ s l x � x � x � � i 5 t x i x t x M� x � x �� ® ' i _ 1 -f n x � �i i x M� x i x '� x w � 1 i — �� x� M• is x �� r l a i � = =� ,L� • r��u „ Jr ���� z ,_ �. �si� 1'tl� r - i�� ��� :. .- FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99518 TEST HOLE 0 1 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: Lot 5 Block 4 Bear Valley S/D DATE PERFORMED: June 13. 2003 PERFORMED FOR: Je & Richard Gable W E (feet) 1' 2' 3. 4 5' 6' 7 tl' 9' 10' 11' 13 14 1 Pt. MUGM Brown gravelly silt Stratum thicker & cleaner io W end ML Brown sift w. blue gray lens Dense, cleaner & drier @ west end SM Sand lens w. water seeps ML Dense silt B.H. f " .THEODORE F. AJOORE �' 1 e;t'' CE -3589 SITE PLAN Depth to Groundwater Date Se 0 " •.6 Date Reading Clock Tune Net Time Percometer (minutes) Reading Net Drop (inches) 13 " Pres ak 31 12" Resoak 31 Start 1 : 9 26314 25 Add r1:0915 27 02 1:39:15 30 / 1 /8 Add water 1:39:45 271/8 #3 2102A5 30 251121 5/8 L� PERCOLATION RATE 19 (minutestinch) PERC HOLE DIAMETER 8" TEST RUN BETWEEN 3.5 FT AND 4.0 FT COMMENTS:. This oerc test demonstrates that the upper portion of the ML stratum is able to accept water at an acceptable rate The Overlying MUGM is cleaner and will perc at a faster rate. This nerc test was conducted near the west end of the test hole PERFORMED BY FLATTOP TECHNICAL SERVICES. 1 15-.oe CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7/ Z I 4:2-? FLATTOP TECHNICAL SERVICES 14530 ECHO ST. ANCHORAGE, ALASKA 99516 TEST HOLE # 2 SOILS LOG PERCOLATION TEST LEGAL DESCRIPTION: Lot 5 Block 4 Bear Valley$/D DATE PERFORMED: June 13, 2003 PERFORMED FOR: Jo & Richard Gable nFPT14 cooezaooa SLOPE 6 7 8 ML Gray gravelly sift Hard g B.H. 10- 11- 12- 13- 14- 151 01112131415 18— Is- 20— PERFORMED 81920 10% 30% 150A Depth to Groundwater I Date OFar r,r •rr •••.•H••• HN►►� At- a C' - X39 .• ct w3 It 6' SITE PLAN 0% E.. Date Reading Clock Time Net Time Percometer (minutes) Reading Net Drop (inches) 6/13 2" Pre-soak 271/2 12" Re -soak 271/2 start 231/8 /4 Add voter1: 723518 2 4 Add water 1:23 239/16 93 1738 is 19 518 316/16 PERCOLATION RATE 4 (minutes/inch) PERC HOLE DIAMETER e" TEST RUN BETWEEN 3.25 FT AND 3.75 FT COMMENTS: Small Quddles on ground surface 94' downslope from test hole. PERFORMED BY FLATTOP TECHNICAL SERVICES. 1 ,J::� %?4s ►g CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 7 / Z / 15R�7 Flattop 7echnical'Seri*a 14530 Echo Stseet Andorage, AX 99516 ('hone (907) 345-1355 Lot 5, Block 4, Bear Valley S/D 9341 North Snowbear Drive Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of installing an "Advantex" AX -20, Mode 1 a treatment unit, which discharges filtered effluent into a 40 -foot long by 5 -foot wide soil absorption drainfield that has an effective gravel depth of 0.5 feet and is underlain by 12" of M.O.A. filter sand. 1.2 Construction shall be as depicted on the approved site plan and design drawings. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform to Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 "Advantex" AX -20 Mode la Treatment Unit: 2.1 The existing 1000 -gallon steel septic tank must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 2.2 The new 1500 -gallon, 2 compartment "Advantex" AX -20, Mode la treatment unit including fiberglass septic tank and filter pod shall be Municipally approved and shall be set level on undisturbed soil and backfilled in accordance with Municipal requirements as well as Orenco's and the supplier's instructions. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the filter pod and the soil absorption system shall have a minimum slope of 1/8" per foot. A cleanout shall be installed 1 - 4 feet from the building foundation. 2.4 The contractor shall be responsible to obtain the necessary Municipal electric permit and inspection, and shall provide a copy of the electrical inspector's report to the engineer overseeing the construction of the wastewater disposal system. 2.3 The second compartment of the tank shall be equipped with a watertight, insulated manhole riser and cover extending a minimum of 6" above final grade with positive surface drainage away from the manhole. The contractor shall be responsible for determining the necessary length of the manhole riser, and for properly positioning the Recirculating Splitter Valve (RSV) in the riser. 2.4 The control and alarm floats shall be set at the elevations specified by the supplier, and their proper operations shall be verified by the contractor. 2.5 The treatment unit shall be set up with a "VeriComm" remote monitoring system as supplied by the distributor, and the control panel for the unit shall be mounted on the side of the garage 3.0 Residual soil absorption system: 3.1 The soil absorption system shall be constructed by excavating a 5400t wide by 40 -foot long drainfield to a depth of 3 feet below ground level, measured along the high side of the drainfield. The long axis of the drainfield shall parallel a natural contour of the ground. 3.2 The bottom of the excavation shall be level. Any compacted or smeared surfaces shall be raked to allow proper infiltration. A 12 inch thick layer of compacted M.O.A. approved filter sand (as supplied by North Star Sand and Gravel — phone 745-1111) shall be placed in the bottom of the excavation to promote desired infiltration and to reduce the tendency to form a biomat. 3.3 A total of 1.Ofeet of approved sewer gravel shall be placed on top of the filter sand with the perforated distribution pipe laid level such that the pipe inverts are no less than 2.0 feet above the bottom of the sewer gravel. Sewer gravel shall be 0.5" - 2.5" screened gravel, with less than 3% passing the #200 sieve. 3.4 Monitor tubes and cleanout pipes shall be of 4" diameter and installed in the locations shown on the design drawings. The portion of the monitor tube extending through the sewer gravel shall be perforated. 3.5 Approved filter fabric shall be placed over the entire top surface of the sewer gravel. In lieu of insulation, a minimum of 3 feet of soil cover is to be placed over the filter fabric. 3.6 The top surface of the cover material shall be raised a minimum of 6 inches higher than the surrounding terrain to allow for subsequent settlement, and shall be graded to smooth contours. Fill slopes shall be no steeper than 3:1. 3.7 Unless specifically agreed otherwise the homeowner shall be responsible for arranging to have the site finish graded after the backfill material has stabilized, and for placement of adequate topsoil and seed to promote rapid revegetation of all areas disturbed by the construction. 4.0 Inspections: 4.1 A minimum of 5 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the native material has been excavated to expose the infiltrative surface to ensure that it is level and at the right elevation, and conforms with the soil test information, (3) after the filter material has been placed, (4) after the sewer gravel is in place and the distribution pipes have been laid and connected up to the septic tank, but prior to placement of insulation or filter fabric, and (5) after rough backfill and grading is complete. The "Advantex" treatment unit requires one inspection after the tank is set level and the piping connected, but prior to backfill. This inspection may be incorporated with any of the above inspections. 4.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. �,. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION rr& ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW UPGRADE MAILING ADDRESS "t" �U LEGAL DESCRIPTION tti DIN,I� LOCATION NO.O BEDROOMS 11 Vr i DISTANCE TO: Well f Q Absorption area ' D Dwelling a� PERMIT NO. 9-60170 Uy aZQ Manufacturer Material No. of compartments LU < k- - L N Liq. capacity in gallons r 0 0,® I IF HOMEMADE: Inside length Width Liquid depth 0 Y DISTANCE TO: Well Dwelling PERMIT NO. J o Z 0ZFQ- Manufacturer Material Liquid capacity in gallons 0 U, DISTANCE TO: Well Foundation �J Nearest lot line PERNUT NO. 5 D J0 Z No. of lines Length of each line Total len gt of lines Trench width Distance between lines P Z w b - inches _ HTop to finish Material beneath tile Total of tile grade 1 effective absorption area 0 ;;5 5 / ' inches �a Length Width Depth PERMIT NO. W 0 Q F- Type of crib Crib diameter Crib depth Total effective absorption area as w W Well Building foundation Nearest lot line DISTANCE TO: J Class ' Depth D ' er Distance tq lot PERMIT 9N�. -7 J ►( K � �_ l C)' ICS W DISTANCE TO: Building ;0),gdation - Sewer line .__ Septic tank/� Absorption area(s) OTHER PIPE MATERIALS t45T-�4 D SOIL TEST RATING INSTALLER � / ()� K.� i W t'. REMARKS v ,e Or A h 1 . rro _ No 2225--E—` JUKE 25, 1971 L APPROVED DA E LEGAL �� 4 — - J�bw 72-013 (Rev. 3/78) �/ �l ~ ( � �1LJ 1"M 1: 1:1 1: 1W act a_z -1 ED F= ON PA ED hi ED FT fo U3 E�:: DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 00_3 1 -I-EE E31EEh4EKFR in U41 Q L. L. 10" E7 1Fz 10 :1 -1 PERMIT NO: 850176 DATE ISSUED: 05/1` APPLICANT: KINCAID & SON C/O T SPURKLAND ADDRESS: 203 W 15TH' ANCHORAGE, AK 99501 CONTACT PHONE: 279-3916 LEGAL DESCRIP: SUBDIVISION: BEAR VALLEY LOT: 5 BLOCK: 4 SECTION: 6 TOWNSHIP: 11N RANGE: 2W LOT SIZE: 50800 (SQ.FT. OR ACRES) MAX BEDROOMS: 3 Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. J- lot ET 0A 171Vi~ 11 FT 1% AE 0,11 DEPTH TO PIPE BOTTOM (FT.)3.5 ** GRAVEL DEPTH (FT.) ' 1.0 TOTAL DEPTH (FT.) 11, 4.5 GRAVEL WIDTH (FT. 3.5 17 5.0 GRAVEL LENGTH (FT. 25 54 66.0 GRAVEL VOLUME ' 56 18.4 TANK SIZE (GALS) 1 0. 000. ** 1,000.0 ** SOIL RATING (SQ.FT. /BR) 40 J :3!;:3.;; 125 v ~ ** DEPTH TO PIPE BOTTOM < QC FT. MAY REQUIRE A LIFT STATION ** TANK MUST HAVE AT LEAST =O COMPARTMENTS _..... .... ..... ______ I certify that: ' 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MMA) and the State of Alaska. 2^ I will install the system in accordance with all MOA codes and regulations,, and in compliance with the design criteria of this-permit. 3. I will adhere to all MOA and State of Alaskarequirements for thc set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms and � � . any enlargement will require an addition!! permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY LICENSED ELECTRICIAN. ** GRAVEL LENGTH > 75 FT QUIRES ** TANK MUST HAVE AT LEATWO COM FT. EACH) I certi[y that: ...... .... ��� �amiliar with the requirements DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION {orth b ' the Municipality o[ Anchorage (MOA) 825 L STREET, ANCHORAGE, AK 99501 accordance with all������c��-a � regulations, and in compliance with the design 264-4720 ' 3. Iill adhere to all MOA and State o{ Alaska requirements {or the set back distances {rom any existing well, PERMIT NO: 850176 adjacent or nearby DATE ISSUED: 05/10/85 _ maximum o{ 3 bedrooms and APPLICANT: KINCAID & SON C/O T SPURKLAND ^ IF A LIFT STATION IS INSTALLED IN 1::, 203 W 15TH ANCHORAGE, AK 99501 CONTACT PHONE: ` 279-3916 REPORT; AND <3) THE ELE:.CTRICAL WORK MUST BE DON� BY A LEGAL DESCRIP: SU�DIVISION: BEAR VALL�Y LOT: 5 BLOCK: 4 DATE: SECTION: 6 TOWNSHIP: 11N RANGE: 2W --------------- LOT SIZE: IM, (SQ.FT. OR ACRES) MAX BEDROOMS: 3 - Listed belmw are the options available to you in designing your� septic system. Choose the option that best �its your site. ___ _..... ..... ..... _____... ..... ... ________..... ... ______ ..... ..... If DEPTH TO PIpE BOTTQM GRAVEL DEPTH (FT.> TOTAL DEPTH (FT.) 11.0 4.5 7.5 GRAVEL WIDTH (FT.) 2.5 28.0 5.0 8RAVEL LENGTH (FT.) 86 0 54.0 144.0 ** GRAVEL VOLUME TANK SIZE (GALS) 1 .0 ** 00.O ** 1,000.O ** SOIL RATINB (SQ.FT./BR) / ^� 4O0 ��-~--� 330 445 ** GRAVEL LENGTH > 75 FT QUIRES ** TANK MUST HAVE AT LEATWO COM FT. EACH) I certi[y that: �amiliar with the requirements �or on-site ells as se� {orth b ' the Municipality o[ Anchorage (MOA) an o� Alaska. 2. I will install the system in accordance with all������c��-a � regulations, and in compliance with the design criteria o{ this permit. 3. Iill adhere to all MOA and State o{ Alaska requirements {or the set back distances {rom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid {or a maximum o{ 3 bedrooms and any enlargement will require.an' additional permit. ^ IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIl' AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND <3) THE ELE:.CTRICAL WORK MUST BE DON� BY A LICENSED ELECTRICIAN. SIGNED DATE: ------------------------------------- APPLICANT: KINCAID & SON CVO T SPURKLAND --------------- ISSUED BY " ������������ BEAR VALLEY you in designing DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TOWNSHIP: your site. 11N SECTION: 825 L STREET, ANCHORAGE, AK 99501 OR 264-4720 DEPTH TO PIPE BOTTOM (FT.) _'E.: c -n .. ..... .... �������, PERMIT NO: DATE ISSUED: CONTACTPHONE: LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: 850176 05/10/85 - KINCAID & SON C/O T SPURKLAND 203 W 15TH ANCHORAGE, AK 99501 279-3916 SUBDIVISION: BEAR VALLEY you in designing your septic system. Choose the 6 TOWNSHIP: your site. 11N SECTION: 50000 (SQ.FT. 3 OR ACRES) DEPTH TO PIPE BOTTOM ~~ / / ^7 »~^u ( ~^ ~ LOT: 5 BLOCK: 4 RANGE: 2W Li ilable to you in designing your septic system. Choose the option that best [its ..... ..... your site. DEPTH TO PIPE BOTTOM (FT.) GRAVEL DEPTH (FT.) TOTAL DEPTH (FT.)CD8.0 GRAVELWIDT[Al GRAVEL GRAVEL VOLUME(CU.YDS.> 10 TANK SIZE SOIL RATING (SQ FT /BR) / ^/ 445 ^^ 445 ** GRAVEL LENGTH > 75 FT UIRES M / E RUNS (N[��E 5 FT. EACH) ** TANK MUST HAVE AT .... TWO COMPAR�4��NT� ____________... ^.______... ..... ..... .... ____..... .... '.... _.... ... ______ I certi[y that: {amar with the requirements {or on-site sewer and wells `.amt. se� If' orth by the Municipality o{ Anchorage (MOA) and the ate o� Alaska. 2. I will install the system in accordance with all MOA �odes and regulatiqns, and in compliance with the design criteria o{ this permit. 3. I will adhere to all MOA and State o{ Alaska requirements {or the set back distanc�s {rom any existing well; wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid [or a maximum o� 3 bedrooms and any enlargement will require an addi4iona1 permit. - IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOABUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS�BUILTS WILL NOT BE APPRO I AL INSPECTION REPORT; ..... (3) THE ELECTRICAL WORK M D ELECTRICIAN. SIGNED /� T. ..... �_��^..... ..... ~..... ..... _____..... _ ___..... .... ... ..... _..... ..... __..... ..... _ y°/�xn APPLICANT: KINCAIDf� SON C/O T SPURKL�.'." (n (.:,I BY DATE: to, IIl)zA �.V �.:. IDs: Tt t 1201 Ramona St. 99515 AN cn0RAc-�, ALasK x G Z'0444-7724 r__,4 5 ) 7 / y SIX INCH WATER WELL DRILLED ---------- OUT TO THE DEPTH OF 225 Teel, DRILLED AT THE RATE OF $23.00 PER FOOT. PROPERTY OWNER rilt- P.ich C 'Le 338-1394 aa � ���A LOCATION OF WELL SITE 4. 5 B-lk.. 4 Sub: Beat Uatiec4 Sc�.(1T,[� L4 0)//xJ DRILLR Be�vt.ie. C.tatte a Raait DA.f.GLln g lJv.tks. 5� i� � i'1 �2 G 7 /l� X �ejl 5m WELL LOG: N✓ 4 _ 0----17' s.i.l ic1 q&weL W,th 40% eta* binde. &let aia t"Aat. 17---49' T -tar- ghavcL wt th aeve.-mt z att bauLrr..a�t s. 15% ciaq. 49---74' R wet con. l oa3.e4a to 04 q lUWe- _ & hatdpan. Seue�ta.L bouide u. 74--225' Bed toc::. R aedLiraerit =,L toCA Rate✓%i.a.L. no wa.teA .412etd 4ho&b4 o¢ z4 n4- .iccnce, =t -U 155 .to 162 A. About. 3/4 WIR. BA 195 .to 201 Av ptodactian..cLzp ued .to C L04 e- .ta 1 1/2 CgPn, . R.� '.�: iue.Lq a.l.ow &eco ve4. at that depth. Ud.+'_Ltn ¢ �_cntZi u ed .to 2Z A-' c- egad. ;wP-e PnA au o mtea4 o;L wa t.&t beating 4t,? , to 220 �.t. 1Jct.��t cyto n e„�avea c Mate a� 160 a 180 ,Lorl� pew hacuu. The uaGtPJt .ea th,iid well. FuaAO-d cLarm. is 3 1/2 to 4 hound. The Vtel-d hoida good at- 2 112 .to 3 gPl"R. Q:tai2 rr e'2=4 vew SLCute.cov�,.{� i4 bac L. up- to "th a 38 A a -G 4LVi�=c 1.6 ga. &z a._ uatvz. pee yt..in 4e sews aupp llt, Su. =v%4 -i &tr_ Awns ahautd lietn4 n.Ll e_d .ta 275-220 A. (3/4 HaA4e_) 4 3 A I 3 J 31 N01103103d 1VlN3WN0lIIAN3 T a tad. Cogs t o D:t i.GLinct vJ&j4&Vj"0=jjWvA-' 4 X 2-25 4: 55175.00 Ila 4et ,up on tiuuL4poAtat Lcn, codt. COST INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF S5175.0 THANK YOU VERY MUCH.— 7 Gc BERME S OF RAMPART DRILLING WORKS DATE "'aq- 27th,, 1985 '� SOILS LOG MUNICIPALITY OF ANCHORAGE I' \ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION SII TEST 825 L. Street, Anchorage, Alaska 99501 264.4720 \\ SOILS LOG — PERCOLATION TEST PERFORMED FOR: k I N C.At 1 > C�� DATE PERFORMED: �IC94S LEGAL DESCRIPTION: EP SLOPE (..+.. c. SITE P O RGA N I G B3 ,A v- r 1 2 T3 q -O /til C L a G �t L"i �, S�N� V 0 P- AV C--- L jA) 4 0 l� W 5 I Tr 6- 7 V } O 9 10 WAS GROUND WATER j S C 11 ENCOUNTERED? _�V �J L O P 12 z. n ., s E IF YES, AT WHAT DEPTH? 13 14 15 16— Date Gross Time Net Time Depth to Water Net Drop J Cr A!��i� _ o _ O . _ •4 J 18 .A .. .. C2 1 1 O '30 3% �.2 a Ll Reading Date Gross Time Net Time Depth to Water Net Drop J _ o _ O . _ C, C2 1 1 O '30 3% �.2 a Ll 20 ill n t PERCOLATION RATE 611 (minutes/inch) TEST RUN BETWEEN FT AND �' FT COMMENTS Sy jl. [ A/ / 2.E- t4 C!4— W I b, I 13 E PtclkC /12 L/9 kE q61,4 C -U' C)I -Flo Iq �X10 �1.� PERFORMED BY: CERTIFIED BY: DATE: 6 72-008 (6/79) XSOILS LOG MUNICIPALITY OF ANCHORAGE j MUNICIPALITY OF AN©�LN�nEy�t�r,�)FNDArraWLLRRTppHEE&CCTTio��(( DEPARTMENT OF HEALTH AND EN�Xi�NIil1 ML PROTECT`IION PERCOLATION TEST � 825 L. Street, Anchorage, Alaska 9950 y6t42Qn�,)� SIA 1 ,. Ilyy SOILS LOG - PERCOLATION TEST RECEIVED• S PERFORMED FOR: � E +VI DATE PERFORMED: / LEGAL DESCRIPTION: LOT 5 19 4 Y B ^Ak VALLEY, SRC- tbe T I / "'✓ R A cl nOC SITE PI AN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 C�R6,ANIc-i SL ACK s l i.Ty, SANDY, G 9-Arvtz"L CMSM t�- ✓.� oP,wrse... WAS GROUND WATER ENCOUNTERED? NID COMMENTS 'eta. PERFORMED BY: 72-008 (6/79) IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop NA 7 �Xr PERCOLATION RATE � 6 CERTIFIED BY: i DATE: H --- Gross Time Net Time Depth to Water XJ} V.1�7Y, 4 i 1.1 t7 Y2 fa �4 A1► (� S 1 i—Ir 5 . , -m"j MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6850, Anchorage, Alaska 99502 276-2221 SOILS LOG — PERCOLATION TEST SOILS LOG ❑ PERCOLATION TEST PERFORMED FOR: CG1Vti'"p V ~ 111�tl Z= 0DATE PERFORMED: LEGAL DESCRIPTION: L B 1✓., '"7 135A?, \/Ik L»L.8 J S V JaD SLOPE _ SITE PLAN ON i C — -- II , --CS— ---- 3 --- Gross Time Net Time Depth to Water L 4 i 1.1 t7 Y2 fa �4 A1► (� S 1 i—Ir 5 . , -m"j I 6- 7 7 i 8- t y I 9 10 11 WAS GROUND WATER NI L ENCOUNTERED? O' 12 P� IF YES, AT WHAT" E 13 DEPTH? I 14 15 16 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop I i I Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) I r1 TEST RUN BETWEEN FT AND FT ` /� COMMENTS M L"r, 1G /boih watt 6-c-CJy.ocy— ai- IpI ! I">< � i++ICY 6^ed1rO!,i� 7 I`�i� 1� ®�1 ` �` I i C Y" 1+'J! % +r t Rc t' �' R�.*j't'rt�� ! _ PERFORMED BY: (� t) r �.—._ 1 ik.l�_ CERTIFIED BY: V .�3 {G� DATE: l'i / 72-008 (7/76) I y Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program : E, 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99518-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 420 - Y3/- 20 HAA Expiration Date: 10-;2,4 - 0 1. GENERAL INFORMATION Complete legal description 1-vts Slag y, ��ir Ualla�i S /p Location (site address or directions) 9 3 Yl Snow Seal' DrrLe Current Property owner(s) Te ' OF fitG%Gtre/ 6a yle Day phone _3ys =Yo9s" Mailing address 9 3Y1 Snow t eed' Dir�e10 An ef►�et 41c Lending agency &"r itry -cvic% MO,'Asia4e Day phone Mailing address _ Real Estate Agent Non FS CO Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. Pletwe call Clca rrr r 3 HS-�l09s GuS L/� /,NFA r-le�y 2. NUMBER OF BEDROOMS: _ 3. TYPE OF WATER SUPPLY:, TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 go 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 13 wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. d. 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 flce Tectinirc,! Ser��c� . Address 1 yS30 Ectio Sf• /I�+chc�cpgP, � 4 99S Engineer's Printed Name r—. Phone 3 VS--/X-Cr Date fv/y Z2, 2au_7 '•� ".THEODORE F. MOORE NO J 5. DSD SIGNATURE , � •.. CE - 3589 i A Approved for bedrooms.�� ��";"s `• :: Disapproved. X Conditional approval for 4 bedrooms, with the following stipulations: At the time of title transfer the new property owner shall sign the attached maintenance agreement which shall be returned to this pLUm before an uncon- ditional approval is issued. Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: _ Original Certificate Date: O 3 (Rev. 01102) n Municipality of Anchorage Development Services Department r Building Safety Division On -Site Water & Wastewater Program S 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 j s HEALTH AUTHORITY APPROVAL CHECKLIST i Legal Description: -1,* f S, Bloc&- `f, i eetr 1/0/1'ey S/b Parcel ID: D 20 -y3/ -2p j A. WELL DATA Well type 'Pv 1� IfA, B, or Crovide PWSID # P--N'-R', Well Log (YIN) Y i Date completed -El 271S. Sanitary seal (Y/N) Y Wires properly protected (YM) Y i p Total depth 22- ft, Cased to Zft. Casing height (above ground) 2 Y in. j E FROM WELL LOG AT INSPECTION Date of test -/ 27 / 85— 6- 3 /a 3 a Static water level 3 Fs ft. 3 ft. Well production 2. S - 3 g.p.m• 2.3 9— p.m-WATER SAMPLE RESULTS: I Coliform 2 _colonies/100 mi, Nitrate 1,0 6mg•fl• Other bacteria a I _ colonies/100 mi. I Arsenic: mg./I. Date of sample: � /G3 Collected by: Ffermap T{moi See { B. 'SEPTIC/HOLDING TANK DATA s Tank Type/Material _ lQdvcrrl 1-[x ,/r F lezu Date installed 714910? Tank size 5"60 gal. Number of Compartments 2 Cieanouts (YIN) Y r Foundation cleanout (Y/N) Y Depression over tank (YM) N High water alarm (Y/N) E Date of pumping ,y.,4. •( N-Icv) Pumper Al A. C. ABSORPTION FIELD DATA I s I Date installed/7 ,s/03 Soil rating (g.p.d./frz orfta/bdrm) 3.0 System type S "-�tde e6rrin Xele( f Length ti0 ft. Width -6 ft. Gravel below pipe 01 r t 1, ti' rts� Sena( Total depth AY. 3 ft. Eff. absorption area 20G f{' Monitoring tube ti" Depressionover field A/ , Date of adequacy test N- A• ( Necy� Results (Pass/Fail) Pcb�r For 41 bedrooms i Fluid depth In absorption field before test _0 in. Water addedl� gal. New depths in. Elapsed Time: _6� min. final fluid depth © In. Absorption rate >_ 6Gp g,p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date" Al- 3 Date installed 7 / 18/03 Size in gallons J_CQV Manhole/Access (Y/N) i "Pump on" level at L6 in. Datum lark of Bort ket E. SEPARATION DISTANCES "Pump off" level at ZS in. High water alarm level at 1A14 S in. Cycles tested 1y A Meets alarm & circuit requirements? Y SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 101-1 Absorption field on lot r H 3' Public sewer main N A Sewer /septic service line 7 2S' � On adjacent lots 7 106" On adjacent lots > 1001 Public sewer manhole/cleanout N• k. Holding tank N• A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 2 3' Property line `io Absorption field KOO Water main N.A. Water service line > to' Surface water > 100 ' Wells on adjacent lots > !Go ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 1 Z Building foundation 7 Z Water main N Water Service line > 10' Surface water l 100 Driveway, parking/vehicle storage Curtain drain 7 S-Z:P ` Wells on adjacent lots 14101+ F. COMMENTS G. ENGINEER'S CERTIFICATION //}ter 4 ••� �, 1 certify that l have determined through field inspections and "'•'• sod ••••••••••••••_•»� review of Municipal records that the above systems are inell ill ,� ••••�••'••�•�•••••� conformance with MOA HAA guidelines in effect on this date. �,l F. uooRE ; tt . 358Q ' Engineer's Printed Name Th CCyCPG'1 F /-sc�a.,C,` �••••••••••••W Tie r , ., Date T �i -� ?a,, „•7 HAA Fee $ 3 7S �' Waiver Fee $ Date of Payment 7 Z 3� LDate of Payment Receipt Number 3 T-1 `t Z C��_ Receipt Number (Rev. 12/01) 7-22-03; 9:27AM; ;907 8615301 M 3/ 7' w SGS Ref0 1034174002 Client Name Flattop Technical Srv. Project NameH/ Various Client Sample ID L 5, B 4, Bear Valley SID Idatrlx Drinking Watts , Sample Remarks: All DatesMmes are Alaska Standard Time Printed Date/time 07/18/2003 16:41 Collected Daternwe 07/14/2003 14:00 Received Date/rine 07/14/2003 16:50 Technical Director �F Gcpj;cpC. Ede Released �F-- Allowable Parameter Qualifiers Results PQL Units Method Conte =]DLintits � E1 snit Waters Department Nitrate -N 1.06 0.100 mSIL EPA 300.0 B (<-10) 07/15/03 JS microbiology Laboratory Total Coliform 40B,NoColi ool/100ml, SM189222B A (<-I) r, io' arscrrr 6�+SEsyE7r��-_ 2271 — - i7 ` -Ao' [.rr c z TN ES�•�T. � � `, �.os�.•»E,vr 1 i� • itis ( to W s'1 4 U NN y Irl L,J i 1 _J sy AVERAGE SLOPE = 21% stvrrc va vrs I j i; Cl• A 4�� Lo W • i /v/ it i � ... • .A. y1 �tr'1 `eve 00 0 0 B oo.vc. X ! • r b • • •�•9iF 4- /•l GJ'.V(.S �•.��• Vi IfX/arNrj'STltup reR' 1. . tlOexllT JON e, 11r f • 3� W ti° �, •., .• t:•' Co.vi. BL A• /1%tV AdAirpAl t:„ rLfi!,�f+,r•. � 0 7EMR ' td�R.vv.po.vo 8.2 NJ saf'3�'or t.v is'o,.y2 /oo�. Ptralvad0 `i�+isy .S/VO W .� hZ4R �� A9R. fsoo'r e4ev. V q,? R SURVEY TYPE`�---^--ISYMBOLS i 02 s. ®. AS - BUILT - NO CORNERS SET (Z) ASMZD ELEV. DRAINAGE E3PLOT PLAN AS•BUILT :. LOT SURVEY -TOPOGRAP\ HY a"$"a" WOOD FENCE s -+F-*-- CHAIN LINK FENCE, ❑ LOT SURVEY NOTE: Fences are shown in their approximate ❑ RECERTIFICATION AS -BUILT - NO CORNERS SET locations only. It is the responsibility of the builder or owner, prior to LgGEND stub & tock -found 0 Set a construction, to verify proposed building grade relative Iron rebor -fo=4 O set e to finished grade and utility connections and to determine iron pipe -found set O the existence of any easements, covenants or restrictions brass cap -found Set is which do not appear on the recorded subdivision plat. alum. Cap found Set Q Lot Survey Certificdtian Prepor d by 6 °F a�a°� • BENCIY li A n Pvc I hereby certify that 1 have. e• surveyed the property shown .���••""" •`••.,�tS`,f� Professional Lano Surve ots &A dew.lbed hemons and Or Scales Orownb r are improvements situated e'er. 1n$ r Y WAH i es an within the property s .�+', � .�:" Date Surveyed t 5- Checked byr linea and do not overlap or � 29.8E OGr4 encroach on adjacent property ! P' • r •i.� L: oc�erenpopertyoverlthsnpor �l� 0.1K6ic� Dots Drowm 5-30-$5 Grid: W.O. Oroencroach on the premises in t! r trete ,� 3234 85-06$ question ondIhot there art R�Fp�r99••re••.••'•� �,°' LegalOsearipiion, no roadways, utility firms or RSI pA�E.S510NAt�� atherMOMeaasemsntson Acid ex'itti•'� Lot 5, Block 4, Bear Valley Subdivision SIEa r° 2 os Wtrr Ft!c�.af�t^ Ctr/a,raf Cyt km r Uy �� dCatwns of 2003 Acl van%+x FrtedN Ar - bur M tnre. r7zrcre-7< • MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) 93q SNOWIlear. DatLvcW aoQs (b) Applicants blame PjCA4AV> C7AMIMLE Telephone - Home Business Applicants Address Ld SNo vv 'f3 A.R.- 1�P t Y (c) Applicant is (check one) Lending Institution; Owner/builder ; Buyer � ; Other � (explain); Act M; kk, Askkpv (d) Lending Institution µ®"E S4,vLNh5 a L,O&NS Telephone 2272-/qsj Address NS® N (e) Real Estate Co. & Agent N o w � Address Telephone (f) Mail the HAA to the following address: 2. Type of Residence Single -Family Multi -Family Number of Bedrooms ,� 3. Water Supp Other (describe) Individual Well Community Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite Public Community Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information 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 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, f 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 regula- tions in effect on the date of this inspection. {r Name of Address Firm // 0 blo•C e-1 S; u r kLe,'� Telephone P-0 --z> u�i J: Date A!, �« �� ."°" �0` Y' • ' �,e������ 1 rr f i Y (ENGINEER SEAL)•:+�►•�• �, • "o. pia JW-. 2a• 1971 6. DHEP A roval �• � S` pR" Approved for �C � Verdrooms By Date"' Approved liDisapproved Conditional _ 'v Terms of Conditional Approval _ CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE raPRESENT-- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP 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. (DHEP SEAL) RR4/ej/D18 [Page 2 of 21 T-199-84 A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION �JJG 3 0 94 RECEIVED Legal Description: LOT 5 %V 4_A r. V,JI•e.i Sec % . T//N. R0 L3 3 u!/ r Well Classification "{ZES If A, B, or C, D.E.C. Approved(Y/N) N/A Well Log Present (Y/N) YE --S Date Completed 51.2 71g-_6 YieldX. 5 1 Rj*7 Total Depth a95 Cased to 7V f Depth of Grouting NONE Static Water Level 3 8 Pump Set At Casing Height Above Ground a2 y f' Sanitary Seal on Casing (Y/N) .P Electrical Wiring in Conduit (Y/N) y Depression Around Wellhead (Y ) Separation Distances from Well: To Septic/Holding Tank on Lot ! O S v ; On Adjoining Lots > I v -,o To Nearest Edge of Absorption Field on Lot 11b ; On Adjoining Lots >;o-� To Nearest Public Sewer Line N ONE To Nearest Public Sewer Cleanout/Manhole No 9 E To Nearest Sewer Service Line on Lot > to Water Sample Collected By �'; S, / / //; Date gti9/mss Water Sample Test -Results. Sa-4i -q l-aC'Z ry Comments B. SEPTIC/HOLDING TANK DATA Date Installed C/,174_4 Size Iy-*- . No. of Ccmpartments Standpipes (Y/N) y Air -tight Caps (Y/N) y Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) jet Date Last Pumped W 4Ajr' C~S�%--- Pumping/Maintenance Contract on File (Y/N) ; for --- Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well 103. To Building Foundation Z 2. To Property Line 3 p f To Disposal Field 1 b To Water Main/Service Line 40 To Stream, Pond, Lake, cr Major Drainage Course N b N E Comments Receipt # '55= 0 Date Paid:-3�-� Amount: 45 (Page 1of2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design Y& %ti4NeA Date Installe 4/,q�g $ Length of Field Width of Field S r T: S. Depth of Field f� j 3-15 Gravel Bed Thickness Square Feet o Absorption Area�j--' Standpipes Present (Y/N) ON Depression over Field (Y/N) N Date of Last Adequacy Test N%,er X•r/ CONS/; - Results of Last Adequacy 'lest - Separation Di�tance from Absorption Field: To Water -Supply X11 Ilto To Property Line 3,0 To Building Foundation 3 j To Existing or Abandoned System on Lot ; On Adjoining Lots 36 4 To Water Main Service Line Y,� If To Cutbank(if present) No N L To Stream/Pond/Lake/or Major Drainage Course N 0 Nl= To Driveway, Parking Area, or Vehicle Storage Area 3 O -f' Comments D. LIFT STATION I N o N Date Installe Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Le 1 at "Pump Off" Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MDA Electrical Co s(Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or, conformed to all MOA HAA Guidelines in effect on the date of th s inspection,,., Signed _19, Company KBl /d5/s (Page 2 of 21 Date f C MOA No. 94r,% %O { *II EES . .. are ......... 0... .Q o. 2225-E ; �► JUNE 25. 1971iio AW 2-15-84