The URL can be used to link to this page

Home My WebLink AboutT11N R3W SEC 2 SW4SW4NE4NW4&SE4SE4NW4NW4^•, _ � 'amu. S- `auul d � � } MUNICIPALITY OF ANCHORAGE „lcnr On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road�- Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 ^` http://www.muni.org/onsite J Del,artment On -Site Wastewater Disposal System Permit Permit Number: OSP241039 Effective Date: 3/27/2024 Work Type: Septic Upgrade Expiration Date: 3/27/2025 Tax Code Number: 02004206000 Site Legal Address: T11 N R3W SEC 2 SW4SW4NE4NW4&SE4SE4NW4NW4 G:3238 Site Mailing Address: 15931 AMBERWOOD CIR, Anchorage Owner: PFEIFFER SHAUN J Lot Size in Sq Ft: 217800 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 5 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: S Such %T - Issued By: Date: Date: MUHMPAUTY OF ' NCHORQGE Community Development Department Phone:907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON -SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 020-042-06 Property owner(s) Shaun Pfeiffer Mailing address Site address NSN Amberwood Circle Legal description (Sub'd., Block & Lot) Day phone Legal description (Township, Range & Section) T11 N R3W SEC 2 SW4SW4NE4NW4&SE4SE4NW4NW4 Lot Size 217,800 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field X❑ Initial Single Family (SF) X❑ Septic Tank ElUpgrade (w/wo ADU) Holding Tank ElRenewal ElDuplex (D) ❑ El Multiple Multiple Dwellings ElPrivy and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. /Cl" (Signature of property owner or authorized agent) Permit/Rush Fees:- q5 Waiver Fees: Date of Payment: 3/11 A Date of Payment: Receipt Number: 0054�; /G Receipt Number: Permit No. 05P2 � IQ�,Waiver No. Permit App_-'- : . _.,:c Pannone Engineering ServiceS LLI Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panenPak.com Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99519 Subject: T11N R3W SEC 2 SW4SW4NE4NW4&SE4SE4NW4NW4 Septic System Permit Request Septic System Design Narrative Municipality of Anchorage On -site Water and Wastewater REVIEWED FOR CODE COMPLIANT OSP241039, Curtis Townsend, 03i2; 18 March 2024 This is a design narrative for a permit for a septic upgrade on the subject property. The proposed system will serve a proposed five -bedroom (5) house. The lot was previously developed, but the existing house has been removed. The existing well will remain and the existing septic will be abandoned per code. This lot and surrounding lots are served by private wells. Currently there are no wells within 100 feet of the proposed system. 1. Soils: A test hole was performed on this lot by Pannone Engineering Services, LLC in January of 2024. Groundwater was not observed during the excavation of the test hole, and bedrock was not encountered. Groundwater was not observed in the test hole monitor tube after 7-days. Based on the results of the percolation tests, overall soils appearance, and the selection of the proposed drain field; an application rate of 1.2 gallons/day/square feet was used for a conventional wastewater system in the area of the test hole. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100' of proposed septic system. 4. Topography: See attached site plan for area topography. Slopes in the area are near 25% in places. Where the slope exceeds 25% the provisions in the code for steep slopes will be met. 5. Drawing Markings: The Drawings are marked "For MOA Review Only". When written notification that the review is complete and no further comments are received from MoA On -Site Department, the note will be removed and "For Construction" drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at (907) 745-8200. Sincerely, SRP Steven R. Pannone, P.E. F. ASCE Owner/Civil Engineer Mailing: P.O.Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 and REVIEWED FOR CODE NOTES & SPECIAL PROVISIONS: OSP241039, Curtis Townsend, 1. GENERAL NOTES: 1.I' ANY MODIFICATIONS TO THE ATTACHED PLANS NEED TO BE APPROVED BY PES AND THE OWNER OF THE PROPERTY. ,2.PES SHALL BE NOTIFIED A MINIMUM OF 48 HOURS IN ADVANCE BEFORE CONSTRUCTION OF THE PROPOSED WASTEWATER TREATMENT SYSTEM. 1.3. PES SHALL BE NOTIFIED A MINIMUM OF 24 HOURS IN ADVANCE TO PERFORM A MINIMUM OF FOLLOWING INSPECTIONS: 1.3.1. A PRE CONSTRUCTION MEETING IS REQUIRED BY STATE AND MUNICIPAL REGULATIONS BEFORE A ONSITE WASTEWATER TREATMENT SYSTEM MAY BE INSTALLED. 1.3.2. TOP OF SEPTIC AND OR HOLDING TANK (TANK IS SET IN PLACE LEVEL WITH ALL PIPING ATTACHED (CLEANOUTS, MANHOLES, INLET AND OUTLET PIPING). 1.3.3. BOTTOM OF EXCAVATION OF THE DRAIN FIELD/S. 1.3.4. AFTER PLACEMENT OF FILTER SAND (IF NEEDED). 1.3.5. AFTER INSTALLATION OF THE DRAIN ROCK WITH ALL ASSOCIATED PIPING IN PLACE INCLUDING DISTRIBUTION LINES CLEANOUTS AND MONITOR TUBES PRIOR TO INSTALLATION OF FILTER FABRIC AND INSULATION (IF NEEDED). 1.3.6. FINAL GRADE INSPECTION. ENTIRE SYSTEM IS INSTALLED AND BACKFILLED. 1.4. THE ENGINEER (PES) HAS NO CONTRACTUAL RELATIONSHIP WITH THE CONTRACTOR (THE INSTALLER OF THE SYSTEM) AND, THEREFORE, HAS NO AUTHORITY, CONTROL OR RESPONSIBILITY FOR THE CONTRACTOR'S EMPLOYEES, THE QUALITY OF WORK, THEIR COMPLIANCE WITH THE DESIGN DRAWINGS/SPECIFICATIONS OR THEIR MEANS/METHODS OF CONSTRUCTION. AT APPROPRIATE INTERVALS, THE ENGINEER WILL VISIT THE WORKSITE TO OBSERVE THE QUALITY OF THE CONSTRUCTION AND TO DETERMINE IN GENERAL IF THE CONSTRUCTION IS PROCEEDING IN ACCORDANCE WITH THE DESIGN DRAWINGS/SPECIFICATIONS.THE ENGINEER WILL NOTIFY THE OWNER IF DEFICIENCIES ARE OBSERVED: HOWEVER, THE FAILURE OF THE ENGINEER TO OBSERVE A DEFICIENCY WILL NOT RELIEVE THE CONTRACTOR OF THE RESPONSIBILITY FOR CORRECTING ANY SUCH DEFICIENCY. THE ENGINEER WILL PREPARE RECORD DRAWINGS AND SUBMIT THEM TO THE REGULATORY AGENCY HAVING JURISDICTION OVER THE WASTEWATER TREATMENT SYSTEM (ADEC OR MOA). FINAL APPROVAL OF THE WORK AND CORRECTION OF ANY DEFICIENCIES IS BETWEEN THE OWNER, THE CONTRACTOR, AND THE REGULATORY AGENCY HAVING JURISDICTION OVER THE WASTEWATER TREATMENT SYSTEM (ADEC OR MOA). 2. SCOPE AND SPECIFICATIONS, 2.1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MOA COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON -SITE WASTEWATER DISPOSAL SYSTEMS AND AND IN ACCORDANCE WITH AMC 15.65 AND 15.55. 2.2. CONTRACTED WORK WILL BE IN COMPLIANCE WITH MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) DIVISION 10 & DIVISION 20 AS APPROPRIATE. 2.3. SCOPE OF WORK: INSTALL SYSTEM IN ACCORDANCE WITH THE ATTACHED DESIGN AND SPECIFICATIONS. 2.4. GROUNDWATER WAS NOT ENCOUNTERED TO A DEPTH OF 18 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE.. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 18 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. 2.5. STRUCTURES DEPICTED ON THE SITE PLAN ARE BASED UPON ONE OF THE FOLLOWING: CONCEPTUAL PLOT PLAN DEVELOPED BY OWNER; A PLOT PLAN DEVELOPED BY RLS: OR A SURVEY AS -BUILT. 3. CONSTRUCTION SPECIFICATIONS, 3.1. ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM THOSE USED TO PREPARE THE DESIGN 3.2. EXCAVATE THE DRAIN FIELD. BOTTOM OF EXCAVATION SHALL BE LEVEL AND SCARIFIED. RECORD ELEVATIONS AT BEGINNING, MIDDLE AND END OF TRENCH BOTTOM. CONSTRUCTION EQUIPMENT SHALL NOT OPERATE ON THE FLOOR OF THE EXCAVATION. ANY MATERIAL COMPACTED BY THE OPERATION OF THE CONSTRUCTION EQUIPMENT SHALL BE REMOVED AND REPLACED WITH UNCOMPACTED MATERIAL. 3.3. PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO t1" PRIOR TO INSTALLING THE PERFORATED PIPE. 3.4. ALL PIPE SHALL BE PVC CONFORMING TO ASTM D3034 OR ENGINEER APPROVED EQUAL. MINIMUM SOIL COVER SHALL BE 3 FEET OVER THE PIPE AND 4 FEET OVER THE SEPTIC TANK. ONE INCH OF INSULATION MAY BE SUBSTITUTED FOR 1 FOOT OF SOIL COVER. 3.5. ALL INSULATION SHALL BE 2" THICK DOW HI-40 INSULBOARD OR ENGINEER APPROVED EQUAL. CENTER INSULBOARD WIDTH OVER SEPTIC TANK OR LINES. 3.6. GEOTEXTILE SHALL BE MIRAFI 140S OR ENGINEER APPROVED EQUAL. LAP ALL JOINTS 2 FEET MINIMUM. 3.7. COVER THE DISTRIBUTION PIPE WITH A MINIMUM OF 2" OF SEWER ROCK AND COVER WITH GEOTEXTILE BEFORE PLACING INSULATION AND BACKFILL. 3.8. MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS, TRASH AND CONSTRUCTION DEBRIS. 3.9. SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MINIMUM SLOPE AND 3:1 MAXIMUM SLOPE AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MOA CODE. 3.10. RECORD THE FINISH GROUND ELEVATION OVER THE BEGINNING. MIDDLE AND END OF SYSTEM. 3.11. MAINTAIN 5' SEPARATION BETWEEN PERCOLATION HOLE AND THE DRAIN FIELD TRENCH. 3.12. EXPOSE, PUMP AND FILL LOG DISPOSAL CRIB OR CONCRETE TANK WITH SOIL TO ABANDON TAW WITH MOA CODE IF NEEDED. 4. CONTRACTOR RESPONSIBILITI S� 4.1. THE CONTRACTOR SHALL FAMILIARIZE THEMSELVES WITH THE SITE CONDITIONS AND LOCATIONS OF ALL LOT LINES, EASEMENTS, WELLS (E & P), SEPTIC SYSTEMS (E & P) AND SHALL MEET MINIMUM SEPARATION DISTANCES OR AS NOTED. 4.2. THE CONTRACTOR (BOTH WELL AND SEPTIC SYSTEM CONTRACTORS) SHALL HAVE ANY WELL LOCATION AND SEPTIC LOCATION STAKED AND ANY LOT LINE AND WELL RADIUS SHOWN ON THE PLAN WITHIN 30 FEET OF THE PROPOSED SYSTEM STAKED BY A REGISTERED LAND SURVEYOR BEFORE STARTING THE WORK. 4.3. THE CONTRACTOR IS RESPONSIBLE FOR ALL R.O.W. AND OTHER REQUIRED PERMITS, OTHER THAN THE ATTACHED. 4.4. THE CONTRACTOR SHALL CALL FOR LOCATING OF ALL BURIED UTILITIES. 4.5. THE CONTRACTOR SHALL PROVIDE 24 HOUR NOTICE TO THE ENGINEER PRIOR TO START OF WORK. ALL SURVEYING AND LOCATES SHALL BE IN PLACE PRIOR TO NOTIFYING THE ENGINEER. 4.6. THE CONTRACTOR SHALL NOTIFY THE ENGINEER OF ANY DISCREPANCY BETWEEN THE APPROVED DRAWINGS AND SITE CONDITIONS/LIMITATIONS POTENTIALLY CAUSING THE NEED TO MODIFY THE DESIGN. 4.7. AT THE COMPLETION OF THE WORK, THE CONTRACTOR SHALL SUBMIT RED -LINE AS -BUILT DRAWINGS TO THE ENGINEER. THE RED -LINES SHALL INCLUDE PIPE LENGTHS, ORIGINAL GROUND ELEVATIONS, PIPE ELEVATIONS, AND TANK ELEVATIONS. 4.8. THE CONTRACTOR SHALL PROVIDE PHOTOGRAPHS OF THE SYSTEM INSTALLATION TO INCLUDE BOTTOM OF EXCAVATION, TOP OF PIPE WITH CLEAN -OUTS AND MONITOR TUBES INSTALLED, INSTALLED TANK AND FINAL GRADING. 5. THE CONTRACTOR SHALL CERTIFY THAT ALL WORK WILL BE PERFORMED IN ACCORDANCE WITH THE APPROVED PERMIT, AND ANY AND ALL CHANGE ORDERS, AND THAT THE AS -BUILT REDLINES ARE TRUE AND ACCURATE REPRESENTATION OF THE PROJECT AS CONSTRUCTED. BY ACCEPTANCE AND CONSTRUCTION OF THE ATTACHED PLANS THE OWNER, CONTRACTOR AND APPLICABLE REGULATORY AGENCY AGREE TO THE PROVISIONS SET FORTH ON THIS PAGE AS APPLICABLE AND ANY SUBSEQUENT SPECIFICATIONS (IF ATTACHED). FOR CONSTRUCTION PANNONE ENG SVC LLC (C.1. 1088) P.O. BOX 1807 PALMER, AK 99645 PHONE 907 745-8200 FAX 907 745-8201 OFAl ' '' , ••' ••••••• ••t},,,;, g anno,1D 2 4.D34/8 REVISIONS DATE 3/18/2024 SCALE T11N R3W SEC 2 SW4SW4NE4NW4&SE4SE4NW4NW4 SHAUN PFEIFFER NSN (AMBERWOOD CIR) ANCHORAGE, AK P.I.D. NO o2 os DRAWN DRM NOTES IT NO. PEosPXXXXXX SHEET 2 OF 3 PRIMARY/ RESERVE SEPTIC SYSTEM NO. BEDROOM: 5(750 gpd) 5A 1 TANK SIZE: 1 ,500g (MIN) PERC RATE: 1.1 MPI SOIL RATING: 1.2 GPD/SF AREA RQD: 625 SF SYS. TYPE: DEEP TRENCH 8.O'ED MIN LENGTH: 39 LF USE: 40LFx2.5'Wx8.0' E.D., 12.0' TD I TOTAL AREA: 640 SF I 2 � I 5A�� LOTS >200' % and Wastewater FEVI=41O39Cgcurti's!!vCoseMndp F OSI, ABBREVIATIONS TH TEST HOLE (P) PROPOSED (E) EXISTING _ CO CLEAN OUT NO. FC FOUNDATION CLEANOUT FS FLOW SPUTTER MT MONITOR TUBE NO. TYP TYPICAL R.I. RIGID INSULATION i le W WATER LINE / WELL RADIUS SS NEW SEPTIC —7 5 I/ ! 1 /f/ / SCALE: J / J ) / / //PRIMARY/RESERVE DRAIN FIELD (P) 1r 00' / / /� 4oLF x 25W x 8.0'ED x 12.0'TD f r I \ j l / // INSTALL CLEAN OUT AND J _MONITOR TUBE AT EACH END ( I I I I I MINIMUM 1 6' SPACING BETWEEN ALL FIELDS \I INSTALL 1500g (MIN) SEPTIC TANK (P) A I I k , I ( I I WITH DOUBLE CLEAN OUT AFTER I I I \ I ` `� \ INSTALL FOUNDATION CLEAN OUT jh 5BR HOUSE Jl i 11 I i I J I ) I I / 1/ l /� J / I I (P) o�To(�Q' GARAGE (E) L,IfC Eemt or Teti CEA� fie: Ul I I DRAIN 'FIELD (E) SEPTIC AREA (E) / ABANDON PER CODE I SEPTIC AREA (E) / /. SEPTIC AREA (E)?, REMOVE ANY PART FOUND TO BEI l/ I I�� WITHIN 16' OF PROPOSED FIELD \ I / jt \I AND REPLACE WITH CLEAN FILL. M/ 'Ix M M AMA M ( / 11 B / SEPTIC AREA (E)-\,�� y ! 1 N 3 FOR CONSTRUCTION PANNONE ENG SVC LLC (C.1. 1088) REVISIONS DATE P.O. BOX 1807 PALMER, AK 99645 OFAl 3/18/2024 PHONE 907 745-8200 FAX 907 745-8201 SCALE • 1" = 100' T11N RM SEC 2 SW4SW4NE4NW4&SE4SE4NW4NW4 •••• •Iti P.I.D. NO DRAWN DRM SHAUN PFEIFFER •'even onnope 020-042-06 CE 8149 ,QPERMIT NO. SITE PLAN NSN (AMBERWOOD CIR) t2024.o3.Ie.' OSPXXXXXX ANCHORAGE, AK SHEET 1 OF 3 SOILS LOG — PERCOLATION TEST On -site Water and VI REVIEWED FOR CODE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 TEST HOLE 1 BOH ORGANICS SILTY SANDY GRAVEL SLOPE X TH WAS GROUND WATER ENCOUNTERED? N IF YES, AT WHAT DEPTH? - DEPTH TO WATER AFTER MONITORING? -DRY' DATE: 2/14/2024 DATE PERFORMED: 1/12/2024 PEROLATION RATE 1.1 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS: Test hole excavated by BROWNSON BROTHERS. PERFORMED BY: PES. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS READING DATE CLOCK NET TIME WATERTIME LEVEL READING NET DROP 1 1/12/24 1:10 — 2.75 — 2 1:14:35 — 8.75 6 3 1:15 — 2.75 — 4 1:20 — 8.75 6 5 1:20 — 2.75 — 6 1:25:20 — 8.75 6 7 1:26 — 2.75 — 8 1:31:10 — 8.75 6 9 1:32 — 2.75 — 10 1:38 — 8.75 6 11 1:38 — 2.75 — 12 1:44:15 — 8.75 6 13 1:45 — 2.75 — 14 1:51:10 — 8.75 6 15 1:52 — 2.75 — 16 1:58:25 — 8.75 6 17 1:59 — 2.75 — 18 2:05:15 — 8.75 6 19 2:06 — 2.75 — 20 2:12:20 — 8.75 6 FOR CONSTRUCTION PANNONE ENG SVC LLC (C.I. 1088) P.O. BOX 1807 PALVER, AK 99645 PHONE 907 745-8200 FAX 907 745-8201 OF '•.• '•" • "•"" ..41<eve� annime z8�4 �e REVISIONS DATE 3/18/2024 SCALE T11N R3W SEC 2 SW4SW4NE4NW4&SE4SE4NW4NW4 SHAUN PFEIFFER NSN (AMBERWOOD CIR) ANCHORAGE, AK P.I.D. NO DRAWN DRM SOIL LOG ERMIT N . PEosPxxxxxx SHEET 3OF3 I 1 „T Amberwood Circle EAST 660.01 ' 1 50' Front Setback Detoil 1 "=30' ---------------- N 2.2' O O ` N ' a M I O ty h o N Q N O I 8.0' o - O I J.0' -; - 0 I 50.0' N ## 10Utilit Esmt yo —-------------- T 12 N, R 3 W o SW1/4 SW1/4 NE1/4 NW1/4 j & SE1/4 SE1/4 NW1/4 NW1/4 I I � I®I 295.4' .Existing Well O L-----------------------I0 -- — — — — — — - 24.0 -- — — — — Existing Cleanouts GM f 50' Rear Setback O Q � Exist�g �c,1 EM Sho AL - EAST 660.00' 30' �30' 20' Utility Esmt CZ — — 20' Utility) Esmt— — � Q) f, r NOTES 1. Bearings and distances are record per referenced plat unless otherwise noted. 2. It is the responsibility of the person constructing the location of any improvements to verify that the location does not encroach adjoining parcels, Rights -of -Way, Easements or zoning setbacks. 3. Elevations and contours shown are based upon the 1972 Mean Sea Level datum. 4. Spot Elevations are interpolated from MOA LiDAR topo, no field survey conducted. F,-- of a- - sll� 49 TH •. ......�• ........ Robert 0. Lumpkin No. 10459 AdW 1ki` R04SSIONN� r` $30 20' Utility Esmt A PbD'r FL/Jv�� O &7J, Ly Farpolnt Land Services, LLC SURVEYING, MAPPING, LAND PLANNING, G15 1 131 E. 7Gth Ave., 5ulte 1 OI Anchorage, Alaska 90518 FarpolntAK.com • (907) 522-7770 • survey(§farpolntak.com SURVEY CERTIFICATION: FARPOINT has conducted a physical T 12 N, R 3 W, SW 1/4 SW1/4 NE1/4 NW1/4 survey of the subject property, the improvements situated & SE1/4 SE1/4 NW1/4 NW1/4 thereon are within the property lines as shown. Anchorage, Alaska EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions WORK ORDER No: DATE: SCALE: ZONING: FEB 16,2024 1"=50' R6 which do not appear on the Plat used for this survey. 20409 DRAWN: CHECKED: GRID No: FB BOOK/PAGE: NOTE: Plot plan to be used for Design &Permitting CB ME SW3238 165/61 Found Rebar g05 Spot Elevation ### Address Marker C) Tree �W Well Clean Out ❑GM Gas Meter ❑EM Elec. Meter Dan Beek Municipality of Anchorage Page I of a DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: EWqr�C)yOg PIDNumber: pao"DO& Name: �LNRIL Wastewater System: El New .0 Upgrade Es � v112CylNIA Address: AA p A�. ABSORPTION FIELD 15931 LONA S't- N6JCHO�A6� l�sl� . Phone: Sys-al3a No. of Bedrooms: 3 j-Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: I I • �- GPD/Sq. . Ft. ..; mac: r %y, Depth to pipe bottom from original grade: Gravel depth beneath pipe G.V SWII/g, Swl/ N✓; Nw%y SE S,%y,h1w�,Nw/.4 Ft. Ft. Township:_ Range:Z Section: Z2 Fill added above original grade: Gravel length: I 5 St`C 0.51— if Ft 3 Ft. WELL El ❑Upgrade • EXlSTI"G Gravel width: SI Ft. Number of lines: Distance between lines: Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: `�' Pipe material: As-r+ —t QtVATE Ft. Ft. LI`i 1 SO. Ft. Driller: Date Static Water Level: Installer: Date installed: Ft. \f4 EEp EX. Yield: Pump Set at: Casing Height Above Ground: TANK f� GPM Ft. Ft. SEPARATION DISTANCES Septic ❑Holding ❑S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: / ANC!4OVA6L- IAN>Z Capacity in gallons: IDOO From Tank Field Station Tank Sewer Lines WeIY Material: Number of Compartments: Wafers '+ ,��- — �— — LIFT STATION LotI Size in gallons: Manufacturer: Lime S2 7� t "Pump on" level at: "Pumpoff" level at: er alarm at: Foundation -7 D' 30 — _ Curtain tJ b K /7 W IJ Pump Make & Mo c rlcal Inspections performed by: Drain BENCH MARK Remarks: L x 1 S 7 c S//71C TA/✓K Location and Description : i UIMPk--0 C,,Qv %H6o �"NO A,34NOtN£l0 P Tb 0t7- A-,PHALT C'O\P-NER /vrt. AR NEw 5EF7-1c 79N/C, A Assumed Elevation: IQo_Of E �'P•C�,,.. .. �qs e�8f t S& S ENGINEERING Inspections performed b034 Eagle River Loop Road, No.20bates:ls t tI-� 9� Eagle A : ^•••� River, a5 a2nd 4/o t ROBERTYC. COWAN �` t�J•.4 CE r •. Department of Health and Human Services approval Ott r;;,_•,• .\ .; p by: �� / �� Dater Reviewed and approved G 72-013 (Rev. 9/91) MOA 25 Permit No. SW950409 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report SW4 SW4 NE4 NW4 &SE4 NW4 NW4, SEC 2, T11N, R3W 02004206 Legal Description: PID No.: 72-013 A (Rev. 9/91) MOA 25 STI ST2 MTI CO3 & C04 73.6' FINAL GRADE & MT2 99.8 NEW SR 9 .I' 1000 GAP94 70.1' SEPTIC TANK B ST1 9 84' ♦58.8' NOW ER FOUND 12-14-95 ST2 99' 90' C01 100, 91' , FD 1,02' 93' CO3 135' 137' MT1 134' 138' C04 124' 147' MT2 125' 146' MT3 118' 79' NEW TRENCHWEL 100' RADIUS WELL CD4 MT2 lrfA NEW 1 00 GAL LliOiSEPTI TANKCO30 o � y OJ �'9tt EXISTING SYSTEM I ABANDONED SUCH THA1nR MAY Bim• ROBERT C. COWAN /,Q ' L - MT3 SCALE r = 40' n9f°C CE • 8801 r\�k• 72-013 A (Rev. 9/91) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950409 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:CLARK JAMES A & VIRGINIA M OWNER ADDRESS:15931 LUNA ST ANCHORAGE, ALASKA 99516 PARCEL ID:02004206 LEGAL DESCRIPTION: T11N R3W SEC 2 SW4SW4NE4NW4&SE4SE4NW4NW4 LOT SIZE: 217800 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 1/02/96 EXPIRATION DATE: 1/02/97 r�6�R5 I l 3cl .v� 2:3d„µ -2 ('.'e'50 r 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 S. THE FOLLOWING SPECIAL, PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY ISSUED BY DATE: /- �p - DATE: I_Z-%6 HEALTHAUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWERMATER WATER INSPECTION ENGINEERINGSTUDIES ANDREPORTS WELLINSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSVSTEM DESIGN ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. December 12, 1995 CIVILENGINEERS (907)694-2979 FAX(907)694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: SEI/4, SEI/4, NW1/4, NWl/4, Section 2, T11N, R3W, SM, AK. Request you issue a permit to upgrade the septic system serving the existing three bedroom house on the referenced property. A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation no water was encountered in the test hole and after seven day ground water monitoring, the monitoring tube was found to be dry. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. �S///i/JAncerely, /� z/z 4�-- Robert C. Cowan, P.E. RCC/gk Enclosure DEC 1 419D5 Municipality of Anchorage Dept. Health & Human Services MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION MUNICIPALITY OF ANCHOUAu6 ENVIRONMENTAL SERVICES DIVISION 1 LT 1995 RECEIVE -D 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 1,' = 60' SITE PLAN UPGRADE SCALE O rye,' r < 3r M N - r m -u z o n m o ?$ NUC' Z O O a O 4 W T. rWim W N m c0 a A W W d > D O o nX N� -� NO tt r z m — O—m z m n V 7 m " FTI p �J r z —1 \ V1 Nzz z 0 mz o O O Z p n �-y 0 mzc 2 0 m � 4 = mem < x II 11 rri G)cn N p0,—] fJN -Ott f'l m Z' 35' o A v mr L9 3 AT O G As O Z -- Jr W p 0 . o ---I m 0 •o oa \ Oooy zxw O Z -N O� O ? UNA STREET mc) m ASA=o�z0 �m nN�m WOA z >DrAi��y=n ZO� 7\-O $ AZA <Om D X \ mNZ m Cn W W EXISTING 3 o a A m spm- BDRM HODS n o r Am<�>> n wzO \ vr^i mmx mZ N Z O >�y0 m n0 co �mzp EXISTING c Ami o N N W o� A GARAGE �n0 _� m b a ni Ox x o:j> zm co OO zz r0 zA zN Z RECEIVED � w DEC 14 IM oxwo ter, licipalilyofAnchorage AAzv Dept. Ith & Human Services o c 0 v Z >FO �- 'r 0 1 L••'.9 rn ~ S °' STI yzy� Dy0 > m A S,� >Lv�, '•�a = 40' SITE PLAN DETAIL SCALE nay C. n: 10 CI) (14 01 0—cu p � m OzpM--00 iv II AE m--A�-'.��' -3 z m NII x Z d --4 0, s� AZO 'ov' U7pO ti -i D Gmi z co U \ c� Ul�U] w:n G1 ppm �7 Z r U ci ys 0 U) m - y.iy D = x m' r M m3m - �sc� <Co 3S' o m m i - a 7u� 0 o n 0 0 -1 - ➢ V) V) I O ^ O^ m O-)O� ZS-{ I I O Z OU)(D « A nA v 0 v \ V)yDSC •/ a'7 M -1'� 1 N Z -Oi O (J)0 N cm-m00o0A C� u 0 _m LI) -< �CZr^ Z -)m \ Oymm�-ri�� 70 Az_ a X 77O u n W=�mZ -Di fTl w In m zm— D-<��rcn n 0-6 Z �m �DZ- N z�G7 O,'/ If U0�`c O 1 O n h�----_Z_ I A\\m m S m m m N Z CA ZD (E�XISRTING 3 �J 'p0 (npmDQ N L7DR1V1 ;em0 NO < D HOUSE M o c r C' AtiA =O2 N Z 0DCDi �m O OOH EXISTING0 0 0 z A z C N � �� mz GARAGE Dm o ;M �zb oc b4$peE agpZZ "aoZ �@ �=m RECEIVED a A .9� o a gK DEC 141905 A X o -;; m dd am i (7��. n i n p n n �N� s: 0 z unicipallty of Anchorage < D c r, i+ De t. Health & Human Services D m �6 tI O A ^ N PERFORMED FOR: TIM M LEGAL DESCRIPTION: S DEPTH (FEET) ti L 6kGdl )C S t L � 2 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST i)t ci RO3ERT C COWAN P CE . 8801 r DATE PERFORMED:` /-7 N w '/Y N w 'r Township, Range, Section: T I/ A/ 11 R 3 w S z c r i4N al SLOPE SITE PLAN 19 RECEIVED DEC 1 4.19115 Mun!^:p_;!:y 3 Dept. Hoalth 8 Hurnan Servlces (} f,4v;' C- 4 r.- t)-/T/9s' i)L ,T M/xr0hE 5 U.. �. 1 M N 7 3)r 6 U' 1 7 3;Y2 `f Y1.. Y2" o`. 3 • Y 1 8 t/2. r 3'.vY Y /> 9 - d . 10 17 f' .c 12 13- 3 14- 1415 15 °.. 16 s 17 G = 19 RECEIVED DEC 1 4.19115 Mun!^:p_;!:y of Anchorage Dept. Hoalth 8 Hurnan Servlces (} f,4v;' C- J -.q „lj t)-/T/9s' i)L ,T M/xr0hE WAS GROUND WATER ?V 0 ENCOUNTERED? S IF YES, AT WHAT L O DEPTH? P E Depth to Water After Monitoring?nQ y Date: 2- ) Reading Date Gross Time Net Depth to Time Water Net Drop fRlf Ao[ t)-/T/9s' 3 ; 3g 3 39 1 M N 7 3)r 3;Y2 `f Y1.. Y2" 3 • Y 1 10 " t/2. r 3'.vY ro V q /> 20 " PERCOLATION RATE a (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND 7 FT COMMENTS �% �"AVA 76P /i y T/v 4- d i' X'. S & S ENGINEERING PERFORMED BY: EagI CERTIFY THAT TH/I/g, TEST WAS PERFORMED IN ACCORDANCE WIl-iakRiMIKE�AWO RLUMAL GUIDELINES IN EFFECT ON THIS DATE. DATE: �` ' H A S 72-008 (Rev. 4/85) HEALTH AUTHORITY APPROVALS SEWER & WATER MAJNEXTENSIONS SEWER & WATER INSPECTION ENGINEERINGSTUDIES ANDREPORTS WELL INSPECTION &FLOWTEST SITEPtANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. ON-SITE WASTEWATER DISPOSAL SYSTEM CIVIL ENGINEERS (907)694-2979 CONSTRUCTION PRACTICESFAX QZ)694-1211 and \\`V�// DMATERIAL SPECIFICATIONS EHEC 1 419a5ww SEI/4, SE1/4, NW1/4, NW1/4, Sectio5unibip IityofAnRcl1"LS(aoeM December 12, 1995 Dept. Health & Human Services IGENERAL: 1. The scope of this project includes the installation of a 1000 gal septic tank and leachfield trench to serve the three bedroom residence located on the referenced property. The existing 1000 septic tank is to be excavated, pumped, crushed, and abandoned in place. The existing leachfield is to be abandoned such that it may be used in the future. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP - SUITE 204 - EAGLE RIVER, ALASKA 99577 Page Two SE1/4, SE1/4, NW1/4, NW1/4, Section 2, T11N, R3W, SM December 12, 1995 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. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level.. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier 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. 4. Monitor tubes shallbe of four (4) inch diameter, installed approximately in 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 shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three SE1/4, SE1/4, NW1/4, NW1/4, Section 2, T11N, R3W, SM December 12, 1995 5. 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 finish grade over the trench 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). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Four SEI/4, SEI/4, NW1/4, NW1/4, Section 2, T11N, R3W, SM December 12, 1995 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. 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. Page Five SE1/4, SE1/4, NW1/4, NW1/4, Section 2, T11N, R3W, SM December 12, 1995 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 Loc:.; loll OF WELL (Please complete either to, It, or Is.) WATER. WELL RECORD STATE OF ALASKAN' DEPARTMENT OF NATUFAIL RES OURES Divblon of Goologlo/{ol a Geophyslool Surveys Drilling Permit No.(l l (/ A.D.L. No. 14 se .Dago I Subaiylkion I Let Black Ib. 1/e arra. Becflon No. Town•Mp N a) Rang• EC) Meridian _ S❑ 3 w@SW4,-SW4.-NE4,-`N m ii c. STANCE AND DIRECTION FROM ROAD INTERSECTIONS S. OWNER OF WELL: James A. Clark - Address: ' _of Address and Area of Well Location x =•-;.L LOG FeelBelow Surface q, WELL DEPTH: (final) 5. DATE OF COMPLETION Material Type Top Bottom 0 ft. 0-5 99-- 97 Q 3 8. []Cable fool K'Ralory, ❑DAven - .❑Dug ❑Aag•r ❑ Jetted .-❑ Rated +::❑OINr: L -:-green clay - 3 8 Ul_c-;n till see a e 8 12 �-USE:QO.me.fl. ❑ Public Sao,],..0Industry ?- ❑ Irrigation ❑ R.aharg. ❑ Commerlcaf` 12 38 H":I—: ockYa3'18 95 Teel Well ❑ other: 4th- - - - 95 1 00 8' CASING: ElThreaded ZXWaldkd - glass. _I.. t.45 f 4V.'Depth Weight_Ib../ft. m . tu n. D.Pm seomp_n. IIP.:I•`.sture gi l'.i.11 o ---- 9. FINISH OF WELL: T...: open hole DI ... is,, _ 100, kgpm 5Io1/M..h SI..; Length: Set bpbeen ft. and Baoklllllna Gravel Pack - 10. STATIC WATER LEVEL: 14' f1. - --- __-'- - - - ❑ Above or )o Below land surto.. Date -- -- Equipment uud: - I1. PUMPING LEVEL below lead surface and YIELD fl. alter _hn. pumping 7 g.P.m.' —_fl. atter _hre. pumpinp _ IB.GROUTING Well Grouted: C] Yes ®No F Material: ❑ Neal Cement ❑ Other: IS. PVMP; (If avolloble) HP Length or Drop Pipe _O. capacity p. P. in. -- ❑ Subm. ❑ Jet ❑ Contriflcol -❑ Other ITEMARKS: old well1 rout sealed cut off 6 feet be�ow ground level ___ - --- cap welded on; pitless adapter.<:`' :. ._r Ea WELL CONTRACTORS CERTIFICATION: installed.- 1a.: Water Temperature ❑ F - ❑ C s «ell *at drilled under my 7urlsdm Ran and this report is true to the best of my knowledge and belief - Ala:;!<a Now-Well/Vern' D illing & Ent AA 3327 reentered Business Name Cantron License Number -._..,,:12241 Avion Street Anchorage, Al - ..•e:�r u✓.✓O Date: f1p Au AI .bed Rear...ON. Iv.... -WWR(II/81) "Copy Distribution: WHITE -State DGGS, PINK-Orilleq CANARY -Customer 14 se r\ `�� if j�� DEPA�IV, EIT OF HEALTH AND ENVIRONMFNTAL PROT�CTIO� f% INAK 99 6 264-4720 DAT� ISSUED: 05/27/97 �� P7LICA��T� JAMES A, CiARK ' p�C��3S: i��31 AM�FRNO[ip CIRCL[ � 8�� /"�D^,� �� / �� l� ��/T ~��~ � �� u�� f% INAK 99 6 ��T��CT �HD�E: 274-8596 LEGAL DESCRlP: SUB�lVISJON: SW4,Pw4,NE4,NW4 LOT: NA BLOCK: NA SECTIO�: 2 T��N7HlP: 11N RANSE: 3W LOT SIZE: 5A (SQ,FT. OR ACRES) LOT L[]CATION: 1-1L3O AUJ LOT SE4,SE4,Ny4,N�4 I certi�y t�a�: 1 I �ro �ami�i�r with ��e requireme. Ur on-�it�� sewers and wells as �eL i, I, oT Anchorage (MOA i1 -1e 9ta laska. 2. I wil! install the system in accor�anc� vlith all MC0 co�es an� regulatj"ns, a�d in compliance �viL� �he �esign cr��eria o[ this permi�, 3. I will adhe/e to all MOA and State o� A]aska requirements [or the set �ac� �istances �r"m any existing �ell, wastewater disposal *y�tem or pub�ic sowerage system on r�any adjacen� or near�y lr�. � 8�� /"�D^,� �� / �� l� ��/T ~��~ � �� u�� 8�� /"�D^,� �� / �� l� ��/T ~��~ � �� u�� `4 O f O 15.0 x 3.0 m 4¢� Co,ucxcTE P� .� 240•' 4.5' 24.9' Q � L O O 3.5 c w Z ` v r cn hW� �RA T 330.00 , t 1 zI c n \•1• � �.•1n 1 31 I 1 -^ a C R£COAO LL SIGN I I LJ (EAST 330.00) 3.8' i i As BUILT IS Dec 82 RS-el11LT CERTIFICATION a, �� h..•� eno csn<nm.cnm•nt. 't <I unt„'1e •= r' Erclasion Note I' 40.1 E. fireweed Lane :. tI.e•In....e ..l to ?[ Anchorage, Alaska 49503- 2197 ^elt• •. ,.vo a.a ', »»»-I P Filo i J -„� FD .. 1 �� G r10 Oale � W env 'i•.c. �. Gordon Sheret - f� Sca,e a �1 IJJ Orawn - 1 Ck. f'1 .d snt. .amunci��..�o ,i... OETAtt.. Scn E I":40' '•al'l I I - n r _ - n i5. 4609 •: _{: �� C °��"'^c-<«;.,. •�.r�. r iN 1/4 S W 1/4 NE 114 N N 1/4 '� G 2—T I I tJ. R'3IAI S. M. AL:.St(q (,ti89'S&'46"t 660-00') - O f O 15.0 x 3.0 m 4¢� Co,ucxcTE P� .� 240•' 4.5' 24.9' Q � L O O 3.5 c w Z ` v r cn hW� �RA T 330.00 , t 1 zI c n \•1• � �.•1n 1 31 I 1 -^ a C R£COAO LL SIGN I I LJ (EAST 330.00) 3.8' i i As BUILT IS Dec 82 RS-el11LT CERTIFICATION a, �� h..•� eno csn<nm.cnm•nt. 't <I unt„'1e •= r' Erclasion Note I' 40.1 E. fireweed Lane :. tI.e•In....e ..l to ?[ Anchorage, Alaska 49503- 2197 ^elt• •. ,.vo a.a ', »»»-I P Filo i J -„� FD .. 1 �� G r10 Oale env 'i•.c. �. Gordon Sheret - f� Sca,e a �1 IJJ Orawn - 1 Ck. f'1 .d snt. .amunci��..�o ,i... I i5. 4609 •: _{: �� legal Oeecnpbon: 1/4 1'VW1/4 °��"'^c-<«;.,. •�.r�. r iN 1/4 S W 1/4 NE 114 N N 1/4 '� G 2—T I I tJ. R'3IAI S. M. AL:.St(q 72-013 (Rev. 3/78) 'MUNICIPALITY OF ANCHORAGE `. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 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 m _l ❑ UPGRADE MAILINGAD�D/RE S Y LEGAL DESCRIPTION ll .MV,,,,V t GI El '' `` 1� i �1 1 �1 1 LOCATION r NO. OF BEDRO 5 DISTANCE TO: WellO /� ^ j (JY Absorption area• Dwelling I PERMIT N _Y a Z Manufacturer Material No. of compartments_ wI. d rn Liq. ca pa it allons IF HOMEMADE: Inside length Width -- Liquid depth --- 0 Y DISTANCE TO: Well Dwelling PERMIT NO. Jt7Z = z H Manufacturer Material Liquid capacity in gallons D DISTANCE TO: Well �/ Foundation 9D/ Nearest lot line t PERMIT NO J U- z No. of lines Length of ch line Total lengthof II est Trench width Distance betwe��11 F Z w % �p y inches Fes- Top of tile to finish grade 7 Material beneath the Total effective absorption ayea 0 51 tea- 647 Length Width Depth PERMIT NO. w (7 Q H Type of crib Crib diameter Crib depth Total effective absorption area wa Us Well Building foundation Nearest lot line DISTANCE TO: J ClassDISTANCE Depth Driller Distance to lot line PERMIT NO. J w � T0: Building foundation Sewer line Septic tank Absorption area(s) OTHER Y -NVI ON SEN AI. ROT CTI hC PIPE MATERIALS r Q SOIL TESTATI N3G �✓ &z4jMVj _ IV k INSTALLER Q—fpvm Ll - I REMARKS n K o /ova 1 t oR- 'ar� \ ti APPROVED DATE LEGAL w c y 9 72-013 (Rev. 3/78) hi,_'" I a_- I F=` n L_ I -F % 'D F= F1 t4 c Fl Cl Fl Fl C3 E= - DEPARTMENT DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK • 99501 264-4720 _ iDr-4—!E5 I -IF FEE = EL-A EF_' FjEF'I''9 I T PERMIT NO: 840363 DATE ISSUED: 05/21/84 APPLICANT: JIM COURTNEY ADDRESS: 5344 RIVERTON AVENUE ANCHORAGE, AK 99516 LEGAL DESCRIP LOT SIZE: LOT LOCATION MAX BEDROOM_, SUBDI''rISION: NA LOT: SEE BELO BLOCK: NA SECTION: 2 TOWNSHIP: 11N i RANGE: 3W 5A (SQ.FT. OF ACRES) SEI/4SEI/4NW1,'4NWir4&SWI/4SW1/4NE1r4NWY4 LI_zTED BELOW ARE THE OPTION= AVAILABLE TO YOU IN DESIGNING YOUR SEPTIC SYSTEM. CHOOSE THE OPTION THAT BEST FIT': YOUR SITE. - - - - - - - - - - - - - -. T fi? E=7 4 K0 h 6- - - - ED Ev E> L4. E> FQ Fs I ro-4 DEPTH TO PIPE BOTTOM (FT.) 4.0 4.0 4.0 GRAVEL DEPTH OFT.) 5. 0 ✓ 0. 5 3 5 TOTAL DEPTH (FT.) 9. Ohl-- 4.5 7.5 GRAVEL WIDTH ':FT.::. 2. 5 V 18. Ci 5. t GRAVEL LENGTH <FT.:? 43. O 36. 0 46. 0 GRAVEL VOLUME (CU. YDS. ) 21.8 24.0 34.0 TANK SIZE (GALS) 1,500.0 :k P -1,500.0 x:r• 1,500.0 SOIL RATING (SQ. FT. /BR) 85 15 85 a:w TANK MUST HAVE AT LEAST TWO COMPARTMENTS I CERTIFY THAT: 1. I AM FAMILIAR !•LITH THE REQUIREMENTS FOR Cita-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOR CODES AND REGULATIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE 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 5 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 PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND O3? THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGPdEC?----�'=�-�-------------- APPLICANT: JIM COURTNEY � �� d• ISSUED BY ------------------------------------- DATE: DATE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST SOILS LOG V- 63( ❑ PERCOLATION TEST PERFORMED FOR:a_ tl !n -P tl DATE PERFORMED: LEGAL DESCRIPTION: o?I Cmc-) 1 (GP) 2 3- Date Gross Time 4-" 4 U Net Drop 5 7 8 9- 10- 1011 11 12 13- 314151617 14- 15- 16- 17 18 19 20 S. m G2at:ellt�, �� It Sw dy Grnuel, ReGL �ard� G7rrzo�L 91`0wn, LooSE S: I+L� Cyatx�-L WAS GROUND WATER S ENCOUNTERED? L O P E IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE TEST RUN BETWEEN .-- c•_ / /o.. PERFORMED BY: P P MC Gi n+9I CERTIFIED BY: t'noR s-1- 8�1-o aq 72-008 (6/79) FT AND MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ; '1 — C HAA # � `-1 I r C -C1 C'1 1. GENERAL INFORMATION Complete legal description T11N; R3W; Sec 2; SUP9;SU14;NE4;NU14;& SE4;SE4; N(iJ4;NU/4 Location (site address or directions) 15931 Anbvtwood Ciac2e. A. _I_ AV Property owner Jame -6 9 Vigai is Clank Day phone 345-2132 Mailing address 15931 Aribetwood CikeP_e Anehonage AK 99516 Lending agency Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1191) Front MOAk21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Read pie, 2041 Phone Address Eagle River, 91eska 99577 Engineer's signature , 6. DHHS SIGNATURE Y Approved for 3 bedrooms. Disapproved. Conditional approval for Additional Comments M G iy - 3 76j Date ' •r•�T,. ... ..�• a(.j ROBERT G COWAN `d. ••.� CE • 880141 .•': 2 ±;•'�2 1 bedrooms, with the following stipulations: Date / — /6/) ` y� The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72025 jRaV. 1M) Back MOA #21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 a Anchorage, Alaska 995010 (907) 343-4744 Health Authority Approval Checklist? 9 ,,9,96' S W'/y S V /.yNL'/,y NYv PY SF SE / A/w%y Nw'/y. r/�� Legal Description: T -I / n/ R a u S£c7.0 v Parcel I.D.: 0 -aO O y 2- Q eel A. WELL DATA Well type If A, E, or C, attach ADEC letter. ADEC water system number Log present &/N) YES Date completed S-4- 9/ 8 7 Total depth )S-0 Cased to Y s Casing height (above ground) Sanitary seal (ON) 'Y6 -S Wires properly protected (9N Y S FROM WELL LOG AT INSPECTION Date of test c-/ a g S 7 Jy� aS/ Static water level Well production -7.0 g.p.m. 7 g.p.m. WATER SAMPLE RESULTS: Coliform a Nitrate O • Other bacteria 0 Date of sample: 1 S �7 Collected by: S & S ENGINEERING 17044 age rver Loop cad o. - - B. 6iPTIC OLDING TANK DATA Eagle River, Alaska 99577 Date installed 'IS -176 Tank size A00 Number of Compartments Z Cleanouts (3)/N) YE f Foundation cleanout (YAS D Depression (YO) /`'o High water alarm (YIN) ^/49 Date of Pumping fvl tik Pumper C. ABSORPTION FIELD. DATA 064.4 Date installed (/ 6 / q Soil rating (g.p.d./ft` or 112/bdrm) J. A System type -rej& C- /{ Length 3E- Width �) • S Gravel thickness below pipe 6. 3 Total depth /0 Effective absorption area H `i J Monitoring Tube present®/N)i°OS Depression over field (Y16 N OO Date of adequacy test '�,)(/ 4 - "It �J Results (Pass/Fail) For , bedroo Fluid depth in absorption field before test (in.); Fluid depth (ins.) Minutes later: Immediately after_ a . water added (in.): Absorption rate = Peroxide treatment months) (Y/N) If yes, give date D. LIFT STATION Date installed Manhole/Access (YM) _ High water alarm level al* E. SEPARATION DISTANCES Size in gallons *Datum "Pump off' level at* SEPARATION DISTANCES FROM WELL ON LOT TO: i Se tic folding tank on lot 16 9' ; On adjacent lots Absorption field on lot / q 3 i On adjacent lots Public sewer main )✓ Public sewer manhole/cleanout ,v 1A Sewer /septic service line � S -E- Lift station SEPARATION DISTANCES FRO EP -H HOLDING TANK ON LOT TO: t i Building foundation 7 S Property line r D� Absorption field H Water main/service line a 5 -Surface water/drainage )00 Wells on adjacent lots_ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 130 Water main/service line /0o 4 - Surface Surface water t 0 O 4- Driveway parking/vehicle storage area 3 i S- /00 / i 0 "f Curtain drain NO N4- tc,v d w i✓ Wells on adjacent lots / 0 8 f Property line 7 e/ F. ENGINEER'S CERTIFICATION \ ! certify that ! have determined thru field inspections and reviefv of Municipal records p/ P ;I)ALLt "14; % n con%rutnnce fvtth !l 1 l l delines f effect on this date. �� fJ'.. i -11+r r '' � pis,: Signature ,4.✓ p t, Engineer's (�� e; f CZ✓R __ g iCd CUG✓AiJ t�Gm�rnecthngSeat ere En ' . : ;• . ROBERT C. COWAN i Date 1 °I / �/ 6 l�c;�l� CE • 8801 J, , HAA Fee $ 100 , UU Date of payment / A / 7,(, Receipt Number Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH / DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 0 ' APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date _ 584 (a) Legal Description (include lot, block, subdivision, section, tovmship, range) 5E i/4' of 5E�4 o�Alyn 114 sF NW%g d SW�4 fs7V1L4 {�AE%4 a�'Al V SEc Z 7 Location (address or directions) p31 (b) Applicants Name %ink C g7--1 Tblephone 4qS X44; Applicants Address 5e Z648 kl�5s �q 4k (c) Applicant is (check one) Lending Institution ; Owner/builder Buyer Other (explain) ; _ (d) Lending InstitutionN/E_%Z_ 154Telephone 276.-80,5< Address gt9 (e') Peal Estate Co. & Agent Address _ Telephone — 2. Typo of Residences Single -Family Multi -Family Other (describe) Number of Bedrooms 3. Water Supply Individual, Well Community Public Note: If community well system, must have written confirmation from the State Department of Environmeiztal Conservation attesting to the legality and status. Is the well adequate for the number of bedrooms specified in this HAA (YIN) Y 4. Sewage Disposal Onsite Public F-_ community (::� Holding Tank Is the wastewater disposal system adequate fcr the number of bedrooms [Page 1 of 21 2-1 �1 5. Engineering Firm Providing Inspections, Tests, Data and Information I certify that I have checked, verified, or conformed to all MOA HAA Guicblines effect on the date of this inspection. Signed Naive of Firm Address /50 � ti/, Signed by ry Date_ 6 Z�` 6.2HEP Approval Approved for Approved (ENGINEER SE bedroom Disapproved,. -----' Terms of Conditional Approval Date GS 8¢- '56/-/345— Conditional "I The Municipality of Anchorage Department of Health and Environmental Protection dr. not guarantee the continued satisfactory performance of the water supply and/cr ti wastewater disposal system. This approval indicates that, as of the validation d: shown above, based on the data and information furnished by an engineer registerec the State of Alaska, the water supply and wastewater disposal system is safe and 1 tional for the number of bedroars and type of structure indicated. (CHEP SEAL) 7. Mail the HAA to the following address: —` KB2/d5/s G y"x./ [Page 2 of 21 2--1.5-84 n A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 a3ni��3� b866 � r� n r N010310Sd 1V1NVIN0211NN3 18 HIMH 40 '1d34 BOVdOHDNV d0 "1Vd171NnY1 Leyte/ Desc�pf'�� 5T_ f4 fSE%4 NWP4 FNW1s fsw'r4.FSWra.F NB% nFAIW% SECZ�r//^/ R3W Well Classification iNo/V/0vA4- If A, B, or C, D.E.C. Approved(Y/N) Well Log Present (Y/N) N Date Completed Yield /3 2Lm Total Depth io5' Cased to (/vkw,i Depth of Grouting U"rW°wr./ Static Water Level //'8rr Pump Set At 9z/ Casing Height Above Ground /Z/' -F Sanitary Seal on Casing (Y/N) Y Electrical Wiring in Conduit (Y/N) � Y Depression Around Nbllhead (Y/N) A/ Separation Distances from Well: To Septic/Holding Tank on Lot 700`4 On Adjoining Lots oo 'f To Nearest Edge of Absorption Field on Lot /oo'* ; On Adjoining Lots /oo'-4 To Nearest Public Sewer Line N/A To Nearest Public Sewer Cleanout/Manhole Nll To Nearest Sewer Service Line on Lot NIA Water Sample Collected Byn a� ; 7,84- Date 5 17,L8± Water Sample Test Results r/ Water `\ COm ents klgeL Ma r.4,vEh /j c.~ 2!r 37M4, KMAX 294WNaJ ±6_0 a/J /;'i6Y! %4 RECH4+CC,E 6F 350 B. SEPTIC/HOLDING TANK DATA Date Installed S�8¢ (^F-' Size�G' No. of Ccmpartments Standpipes (Y/N) Y Air -tight Caps (Y/N). ' Foundation Cleanout (Y/N) Depression over Tank (Y/N) /V Date Last Pumped n/Ew 5YS7_&r /Ail T4crEo,V 5184 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 /oo ` F To Building Foundation 'S /'t To Property Line /O'rt To Disposal Field '514 To Water Main/Service Line /O r� To Stream, Pond, Lake, or Major Drainage Course Vc E No D Comments iE,�T/L ';V5r& 4 "E,l �4 INSTA-C.t.D rN 5/84 (Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design Date Installed '/a4- Length of Field Width of Field Depth of Field Gravel Bed Thickness Square Feet of Absorption Area Depression over Field (Y/N) Date Results of Last Adequacy 'Lest Standpipes Present (Y/N) of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well To Property Line To Building Foundation To Existing or Abandoned System cn Lot ; On Adjoining Lots To Water Main/Service Line To Cutbank(if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedrocm Rating Against HAA Request ** :[ certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of is inspection. Signed Date 615184 - Company 8¢Company e2�< MOA No. 5v=B40,oi KB1 /d5/s [Page 2 of 2]