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HomeMy WebLinkAboutT14N R2W SEC 11 LT 3-A-1Onsite File
T14N R2W
Section 11
Lot 3-A-1
#050-173-18
Municipality of Anchorage
On-Site Water and Wastewater Section • (907) 343-7904 NOV, gaaGM of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number. OSP201287 PID Number: 050-173-18
Dwelling: ❑ Single Family (SF) ❑ with ADU 0 Duplex (D) ❑ Two Single Family Project: ❑ New M Upgrade
Name
SECRETARY OF VETERANS AFFAIRS (C/O JERI RODRGUEZ, AGENT)
A ORPTION FIELD
C01 De Trench ❑ Wide Trench ❑ Bed ound
Site Address
11139 MAUSEL STREET, EAGLE RIVER, AK 99577
Other
Phone
Number of Bedrooms
Soil RatingTotal
depth fr original grade
441-7194 (AGENT)
6
/sF
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from or'
I
EXISTING
depth beneath pipe
Ft.
Subdivision Block Lot
3-A-1 -
Fill added above original gr
Ft.
�Gr I length
Ft.
Township Range Section
14N 2W 11
Gravel width
Ft.
Beds: Number of Lines
Dist a between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total 0rption area
Number of trenches
Dist. between t ches
From
Tank
Field
Tank
Line
Ft2
Well
100'+
EXISTING
100'+
—
25'+
TANK ❑© Septic 9 S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER TANK
Capacity
1500/1000 Gal.
Surface water
100'+
EXISTING
100'+
—
Material
Number of compartments
Lot Line
j'+
EXISTING
5'+
-
NA
HDPE PLASTIC
Foundation
10'+
EXISTING1
0'+
-
LIFT STATION
Manufacturer
Capacity
Remarks REQUEST UPDATED AS-BUILT SURVEY BE
GREER TANK
1 000 Gal.
WAIVED. NEW TANKS NOT NEAR PROPERTY LINES.
Alarm location
OUTSIDE AND INSIDE
Electrical installed by
AARON CHAMBERS
Installer
PIPE MATERIAL House to tank D3034Tank to D1785/
drainfield D2665
NORTHERN EXCAVATION
Drainfield EXIST. Co/MT63034
inspector JODY MAUS, GARNESS ENGINEERING
BENCH MARK (Assumed elevation) 100.00 ft
Inspection v 10/13/20 10/13/20
Location and description
2"d
3rd _ 4d' _
BOTTOM OF SIDING AT NE CORNER OF HOUSE (POINT "A")
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
oI
0 4
Conditional Approval: Date
o ...........
..:..............�
Septic.J
ff Garness;
CE-7/53
r Z,'�,Z
App Date
�� p
Note: this approval does not include well permit requirements.
Opp rofessloo��
�0000�'
#AECC8a4
trcev uoiuu its/
PERMIT NUMBER: PARCEL ID NUMBER:
OSP201287 RECORD DRAWING 050-173-18
10' Utility Easement
INSTALL DOUBLE CLEANOUTS (DBL1 & DBL2) BETWEEN TANKS
NEW 1500 GALLON GREER PLASTIC
SEPTIC TANK (SINGLE COMPARTMEN
U)
—NEW 1000 GALLON GREER PLASTIC
SEPTIC TANK (SINGLE COMPARTMENT)
WITH PUMP SYSTEM
EXISTING
WELL
I
1"=30'
// /i L Jh• 7 17•t�� - J
GARNESS ENGINEERING GROUP, Ltd 0, .*
CIVIL & ENVIRONMENTAL ENGINEERS 10 0
3701 E. TUDOR ROAD, SUITE 101*ANCHORAGE, AK 99507 -PHONE (907)337 -6179 -FAX (907)33&3246*WEBSITE:w .gamewengine nng.mm ..4. •� • • • •••••••••••... ••••••••.•li�.0
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: o Cn •; y A-.GarAss 14i a,
C/O JERI RODRIGUEZ (AGENT) 441-7194 2 OF 3 # J,•••• CE -795 ' ��
PROJECT/LEGAL DESCRIPTION: DRAWN BY: # (`�� b 12.3
T14N, R2W, SECTION 11, LOT 3-A-1 J.L.M. 1� FQ •......•..•.••• ♦�
TYPE OF WORK: DATE: LICENSE ,PROFESS\.4♦
RECORD DRAWING OF SEPTIC SYSTEM UPGRADES 10/28/2020 #AECC884
■\\\S*
P
d
- d
��^`� •
� A
• d
° `�`
C01
d • ,
MT1 MT2
'' ``• d♦
•
CO2
• d �
uj
a
°
A/
• Asphalt
f—
d�
d
NEW CLEANOUT AND
d ` EXISTING
• ��
MONITORING TUBE EXISTING 63'X 5' WITH T OF
% ' b
6 -BEDROOM
INSTALLED ON WEST EFFECTIVE DRAINFIELD. PASSED
d •
d
DUPLEX
END OF TRENCH SEPTIC ADEQUACY TEST ON 7/2212020
Lu
A
°.
v♦
d
d
B
NOTE: OLD SEPTIC TANK WAS
DECOMMISSIONED PER UPC
PER THE CONTRACTOR
G
�
A B
FCO 1.5 43.7
MH1 16.0 55.3
i
ST1 19.2 55.7
DBL1 20.4 55.7
DBL2 21.3 55.9
ST2 23.3 56.5
+
MH2 27.7 57.9
NOTE:REQUEST REQUIREMENT FOR C01 30.6 43.4
UPDATED AS -BUILT SURVEY BE MT1 31.0 42.8
WAIVED SINCE NEW TANKS ARE NOT CO2 91.1 86.7
�.� 100' WELL RADIUS
NEAR THE PROPERTY LINES MT2 89.2 85.6
EXISTING
WELL
I
1"=30'
// /i L Jh• 7 17•t�� - J
GARNESS ENGINEERING GROUP, Ltd 0, .*
CIVIL & ENVIRONMENTAL ENGINEERS 10 0
3701 E. TUDOR ROAD, SUITE 101*ANCHORAGE, AK 99507 -PHONE (907)337 -6179 -FAX (907)33&3246*WEBSITE:w .gamewengine nng.mm ..4. •� • • • •••••••••••... ••••••••.•li�.0
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: o Cn •; y A-.GarAss 14i a,
C/O JERI RODRIGUEZ (AGENT) 441-7194 2 OF 3 # J,•••• CE -795 ' ��
PROJECT/LEGAL DESCRIPTION: DRAWN BY: # (`�� b 12.3
T14N, R2W, SECTION 11, LOT 3-A-1 J.L.M. 1� FQ •......•..•.••• ♦�
TYPE OF WORK: DATE: LICENSE ,PROFESS\.4♦
RECORD DRAWING OF SEPTIC SYSTEM UPGRADES 10/28/2020 #AECC884
■\\\S*
7PERMIT NUMBER:
MIT
OSP201287 RECORD DRAWING PARCEL ID NUMBER:
050-173-18
FINAL GRADE
TOP OF MH LID = 100.52 = 100.18-100.20 ST1
MH1
2" OF INSULATION PER CONTRACTOR
TOP OF TANK @ TOP OF TANK @
INLET = 96.30 OUTLET = 96.30
TO 1000 GALLON TANK
INVERT OF BUNG
@ INLET = 95.73 NEW 1500 GALLON INVERT OF BUNG
GREER HDPE @ OUTLET = 95.50
SEPTIC TANK
(SINGLE
COMPARTMENT)
DBL1 DBL2 ST2 FINAL GRADE TOP OF MH LID = 100.27
= 100.05-100.12
MH2
TOP OF TANK @ SIM/TECH PRESSURE FILTER
INLET = 96.17
2" OF INSULATION PER CONTRACTOR
TOP OF TANK @
OUTLET = 96.17
1.5" SCH. 40 PVC
FEED LINE
FROM 1500 GALLON TANK
WEEP HOLE TO DRAINFIELD
INVERT OF BUNG INVERT OF 5" BUNG OUTLET = 95.33
@ INLET = 95.50 'HIGH WATER FLOAT SET AT 11" BELOW
NEW 1000 GALLON TOP OF TANK PER CONTRACTOR
GREER HDPE *LOW LEVEL CUTOFF FLOAT (ON/OFF) SET AT
NOTE: PER THE CONTRACTOR, THE FLOAT STEP TANK 19.5" BELOW TOP OF TANK PER CONTRACTOR
SETTINGS WERE PLACED PER ANCHORAGE (SINGLE
TANK & WELDING DIRECTION AND PER THE COMPARTMENT) GOULDS PE51M PUMP
APPROVED MOA TANK DRAWING SUBMITTED
TO THE MOA FOR THE SEPTIC TANK EFFLUENT
PUMPING SYSTEM FOR THE 2500 GALLON MOA 2 - 8" CONCRETE CINDER BLOCKS
CONFIGURATION 6-7 BEDROOMS DRAWING FOR PUMP PEDESTAL - STACKED SIDE
BY SIDE (SUPPLIED BY CONTRACTOR)
�41P�� OF
GARNESS ENGINEERING GROUP, Ltd ....::...... ...............::.....0
CIVIL & ENVIRONMENTAL ENGINEERS ,� •0
3701 E. TUDOR ROAD, SURE 101 • ANCHORAGE, AK 99507 • PHONE (907) 337-6179- FAX (907) 33&3246' WEBSITE: www.gamewenglnming.mm •• • •�••••••••••.. .......... }!! 0
•• tC
PREPARED FOR: PHONE NUMBER: PAGE NUMBER: e• •ey A. Garness W Aw
C/O JERI RODRIGUEZ (AGENT) 441-7194 3 OF 3 �j��'• C -7 53 SLAV
AIV
PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦��� ••• I
Tl 4N, R2W, SECTION 11, LOT 3-A-1 J.L.M. �� `FO'"• •• �,�4W
TYPE OF WORK: DATE:LICENSEpR�%\��••
RECORD DRAWING OF SEPTIC SYSTEM UPGRADES 11/2/2020 #AECC884 I�
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MUNICIPALITY OF ANCHORAGE
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
On -Site Wastewater Disposal System Permit
Permit Number: OSP201287
Work Type: SepticTank Upgrade
Tax Code Number: 05017318000
Site Legal Address: T14N R2W SEC 11 LT 3-A-1 G:0151
Site Mailing Address: 11139 MAUSEL ST, DUPL, Eagle River
Owner: SECRETARY OF VETERANS AFFAIRS
Design Engineer: GARNESS ENGINEERING GROUP LTD
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
�0
� v
Depai*Micltt
8/4/2020
8/4/2021
40293
❑ Disposal Field 2 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
x-41, i o0o
ST E ►' -i a Lk -2 -i v
C;"A VVL vk�
Received By: Date:
Issued By: 49tcC4 �VZ'Zw/ Date:
A
Development Services DepartmentPhone: 907-343-7904
On -Site Water & Wastewater Section t=ax: 907-343-7997
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 050-173-18
Property owner(s) FORECLOSURE (C/O JERI RODRIGUEZ, AGENT) Day phone 441-7194
Mailing address 3801 CENTERPOINT DRIVE, SUITE #200, ANCHORAGE, AK 99503
Site address 11139 MAUSEL STREET, EAGLE RIVER, AK 99577
Legal description (Sub'd., Block & Lot) LOT 3-A-1
Legal description (Township, Range & Section)
Lot Size
Sq. Ft.
T14N, R2W, SECTION 11,
Number of Bedrooms 6
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
❑
Initial ❑
Single Family (SF) ❑
(w/wo ADU)
Septic Tank
E
Upgrade Q
(D) 0
Holding Tank
❑
RenewalDuplex
❑
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION
INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with --
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment: 7ZJU A0
Receipt Number: 07300G
Permit No. 0SPao 1-Z0Z
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc
A
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201287, Rebecca Carroll, 08/04/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201287, Rebecca Carroll, 08/04/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201287, Rebecca Carroll, 08/04/20
STA 50+69.va13-
PROMDE SSMHj1
BASIS OF STATIONING
PROPERTY LINE
CAUTION
GAS LiNE!
i 50 _ r
rq
a
a
a
305
300
chi
37.00'
GOVT LOT 17
i
k\
53+21.95 GENERAL
--- NOTE 6 STA i3t10:00 NOTE 15
PROVEDE SSMHf2
Q
4' SEY.'ER SERYTCE SIUBOUT
4' INV 0 MAIN=293.11 18A
- i 4' INV AT Q=293.91
2"z4'z8 FF MARKER
NOTE 12 & 13
a
c
OFFSET FROM
W
�
Z
0
0
SEWER LINE STA MATERIAL TYPE TO PROPERTY
ADJ. PROPERTY
F.a r-zvo:
DEPTH
LEGAL DESCRIPTION
® MAIN SIZE LINE
LINE*
DEPTH CW MAIN
PROPERTY LINE*
�
308.95 1 0.42Y
290 I ...__ .._
alcm.�, T 9 � 1 4
GOVT LOT 15 i I 00 2A I E-
I
. r
a' I I CAUTION u 1 C4
i 40.00 LF. 6° Dip I PRIVATE
f
C1-50, S 8 5.009 56+50.45 1 R7S.00' I .---- GABS/ t1NE. WATER I 1 lI i x
BLM ROAD RESERVATION 6.- 01J £NO STA 5Gi-49: a5- I It `UI�PA� i�j�� SOURC f i7 1 z p - - -
BOUNDARY I4 t,ENERAL WATER f /� �' j 1 I L I 10 1 25' 2� I
hVV = 292.88 (® bWN) PRONUE SSTJH$3 - 30'13 �\ VV SOURCE // \�' j i 1 25' I D
( R I- NOTE 15
L MAUSEL STREET 55+� - - _ �- - -01-4225"
_?ol +00 / % \ / / , ov- 730.7T.,CJ+00 N
x+00 G [ 50 W 0;{-OB'S5'4i-- _
S 32a. _ a
If�B° CL -50 DIP 8 N 00'01'20"'N-
- i8 �2 _ „32J08 TS §3 / N fA'S6'!9°�- --- - } ,.�. _ _ _' �• _ i - (_ _ __ - -
_32l.
^� �1 \ { � PRIVATE - - - - -- --- - 5 I �/-
I rl PROVIDE SEWfRL1NE 611 I ',� 3-A-2 II I U WATER / CAS L E1 TBM #1 - \ ` I / S
/ n 25' 25' 1 � - A f- � SOURCE ( 59+73.53 I STA 61+04.31 `i � 25' J ; 25'
STA 55440.45 T 3
6 SfIStER SEhYCE / P'97 I 3 j33 SFA 39#7i-78• I CONNECT TO EXISTING SSMH 71�'° o
S7U80Uf j 00' PROVIDE SSMHJ4 NOTE 10 I \
-
ROW BOUNDARY - j I � �/' i Pi
PRIVATE I
11 WATER CYx too- = 2
EAGLE SUBDIVISION p/SOUR�G�Ep 1 n p�yATf 3-A-1 ` SQUAW VALLEY
148 �� PLAN YIEYY I i�l WATER I wGIftCLE
/ SOURCE tj
S_IC E: T" = 50'
SEWER SERVICE CONNECT CHART
t _-SB-Ld 8' Dip Ci..50 a 0ami_
285 I t i t IBii l I_I_ __. ;
49+50 50+00 50+50 51+00 51+50 52+00 52+50 53+00
SEWER NOTES
EXISTING CUSTOMERS SHALL E NOTIFIED B N FlED SEV<NJY-TWO (72) HOURS IN ADVANCE OF SAMiARY SEYIEft SERVICE
INTERRUPTIONS. THE CONTRACTOR SHALL BE RESPONSIBLE TO PROVIDE TEMPORARY SANITARY SEWER SERVICE TO
THE EXISTING CUSTOMERS IF DEEMED NECESSARY 6Y THE ENGINEER. -
2. ALL MANHOLES SNAIL HAVE A MINIMUM OF ONE -SIX (6") INCH GRADE RING. MAXIMUM GRADE RING ADJUSTMENT
SHAM. NOT EXCEED EIGHTEEN (181 INCHES.
3. ALL SANITARY SEWER MAINS SHALL BE CLASS 50, DUCTILE IRON PIPE.
4. SEE SHEET T-1 FOR ADDITIONAL CONSTRUCTION REQUIREMENTS.
5, ALL PIPE JOINTS AND FITTINGS WITHIN 75 FEET OF WELLS SHALL Bf ENCAPSULATED WITH SHRINK WRAP. SHRINK
WRAP SHALL BE RAYCHEM WPCT OR APPRO'.0 SUBSTITUTION_ EXTEND SHRINK WRAP A MINIMUM OF 16 INCHES
BEYCND EACH SIDE OF JOINT. INSTALL PER M INUFA.CTURER'S RECOMMENDATIONS,
6. RE)JOY, AND RELOCATE GAS UNE AS REQUIRED FOR INSTALLATION OF UTILITIES, COORDINATE RELOCATION WITH
ENSTAR NATURAL GAS CO.
7, SANITARY SEWER MANHOLES (SSMH) SHALL BE TYPE °A" PER MASS STD DETAIL 50-1.
PROVIDE STEPS PER MASS STO DETAIL 50-7 & 50-8.
8. STATIONING IS ALONG CENTERUNE OF PIPE. ELEVATIONS ARE TO INVERT OF PIPE UNLESS INDICATED OTHERWISE.
9. CONNECTION TO THE EXISTING SSMH SHIM BE SCHEDULED THROUGH AW.YU, PROVIDE A MINIMUM OF 48 HOURS
ADVANCE NOTICE. THE CONTRACTOR IS RESPONSIBLE FOR ALL CODROINATION AND NOTIFICATIONS.
O. ROTATE EXISTING SSMH TOP SECTION & RELOCATE STAIRS TO THE NORM.
1. OWNER WILL ABANDON WELL IN ACCORDANCE WITH THE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION
4
* V N
b � �
h NN.i ��cy1y�N,r,
I i
EXISTING
GRADE & FINISH
----- GRAPE OVER PIPE
t8
1 WATER MA UNE
I ---- I EXTENSION----
';
1
280
275
i
270
53+50 54+00 54+50 55+00 55+50 56+00 56+50
PROFILE VIEW
SCALE: HORiZ i' = 50'
VERT i" = 5'
12. ALL 4" SANITARY SEWER SERVICE STUBOUTS SHALL HAVE A 2.0% MINIMUM SLOPE.
13, SEWER SERVICE SNB -OUT AT STATION 50+40.00 IS TO SERVE THE EXISTING COMMERCIAL BUILDING ON LOT 18A,
EAGLE SUBDIVISION.
0
Op 14 -50 ®?/
TB#3i �
I�
.a a+
SHRINK WRAP, JOINTS 1
57+00 57+50 58+D0 58+50 59+00
ryg v
� 4 b
h aV 4
-.... ...j_. I ;.. .. ...295
----- �� I -285
.I
i
�(rB 0 ,
�i '50
EXISTING\
..__._.._;275
1814
59+50 604W 60+50 61+00 51+500
AWWU PROJECT NUMBER
WS05-010
AWWU SEWER REIMBURSABLE NUMBER
F)an _nnnnnmknA
to
..
to
•
to
I. DATAPROVm�FD ORD DRAWING
BY: Gory E. Skaggs III
T'bn will smc b certify Nat than Rmtd Drawings uc a I- and auwratc
re{KssM.lion 0176. PWM laa-twc:&
CDttTRA UR. Denatui c�scrnntion _
BY 'LE: Owner
DATE
2, DATA TRANSFERRED
BY: Michae' , Fuson P.E
COMPANY: Fnf r isr ,;npineenn0 Inc. _-
DATE:
3. DATA TRANSFER CHECKED
Hued. data p;erid-.d by the cuat,.W, bsnAle sha born cheelrJ fnt
mors and plcparcd b) We Eegia- (a a0 Rdiridatl uodu hiVner but
n.Prnvimj. -
BY. Michael A Fuson, P.E.
COMPANY- Enieryise Eivineerina Inc
BY: '+" ne_@e�TU
DAT2r/�"_�
GRAPHIC SCALES
5 0 5 101 F[
SCALE: 1 = 5'
50 a 50 100 FT
SCALE: 1" = 50'
IF SHEET IS LESS THAN
22" X 34"
IS A REDUCED PRINT -
,!,
c ornrnrn xrnnnnn,ry
DIST FROM MAIN
OFFSET FROM
W
�
Z
0
0
SEWER LINE STA MATERIAL TYPE TO PROPERTY
ADJ. PROPERTY
F.a r-zvo:
DEPTH
LEGAL DESCRIPTION
® MAIN SIZE LINE
LINE*
DEPTH CW MAIN
PROPERTY LINE*
�
D
LOT 18A, EAGLE SUBDIVISION
50+84.58 4" TY -SEAL 40.00 LF
84.58 LF
7.59 FF
- 6.00 LF
GOVERNMENT LOT 15
55+40.45 4" TY -SEAL 40.00 LF
145.00 LF
9.92 LF
6.50 LF
SEC 11, T.14N R.2W
N
SEWARD MERIDIAN ALASKA
W
t _-SB-Ld 8' Dip Ci..50 a 0ami_
285 I t i t IBii l I_I_ __. ;
49+50 50+00 50+50 51+00 51+50 52+00 52+50 53+00
SEWER NOTES
EXISTING CUSTOMERS SHALL E NOTIFIED B N FlED SEV<NJY-TWO (72) HOURS IN ADVANCE OF SAMiARY SEYIEft SERVICE
INTERRUPTIONS. THE CONTRACTOR SHALL BE RESPONSIBLE TO PROVIDE TEMPORARY SANITARY SEWER SERVICE TO
THE EXISTING CUSTOMERS IF DEEMED NECESSARY 6Y THE ENGINEER. -
2. ALL MANHOLES SNAIL HAVE A MINIMUM OF ONE -SIX (6") INCH GRADE RING. MAXIMUM GRADE RING ADJUSTMENT
SHAM. NOT EXCEED EIGHTEEN (181 INCHES.
3. ALL SANITARY SEWER MAINS SHALL BE CLASS 50, DUCTILE IRON PIPE.
4. SEE SHEET T-1 FOR ADDITIONAL CONSTRUCTION REQUIREMENTS.
5, ALL PIPE JOINTS AND FITTINGS WITHIN 75 FEET OF WELLS SHALL Bf ENCAPSULATED WITH SHRINK WRAP. SHRINK
WRAP SHALL BE RAYCHEM WPCT OR APPRO'.0 SUBSTITUTION_ EXTEND SHRINK WRAP A MINIMUM OF 16 INCHES
BEYCND EACH SIDE OF JOINT. INSTALL PER M INUFA.CTURER'S RECOMMENDATIONS,
6. RE)JOY, AND RELOCATE GAS UNE AS REQUIRED FOR INSTALLATION OF UTILITIES, COORDINATE RELOCATION WITH
ENSTAR NATURAL GAS CO.
7, SANITARY SEWER MANHOLES (SSMH) SHALL BE TYPE °A" PER MASS STD DETAIL 50-1.
PROVIDE STEPS PER MASS STO DETAIL 50-7 & 50-8.
8. STATIONING IS ALONG CENTERUNE OF PIPE. ELEVATIONS ARE TO INVERT OF PIPE UNLESS INDICATED OTHERWISE.
9. CONNECTION TO THE EXISTING SSMH SHIM BE SCHEDULED THROUGH AW.YU, PROVIDE A MINIMUM OF 48 HOURS
ADVANCE NOTICE. THE CONTRACTOR IS RESPONSIBLE FOR ALL CODROINATION AND NOTIFICATIONS.
O. ROTATE EXISTING SSMH TOP SECTION & RELOCATE STAIRS TO THE NORM.
1. OWNER WILL ABANDON WELL IN ACCORDANCE WITH THE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION
4
* V N
b � �
h NN.i ��cy1y�N,r,
I i
EXISTING
GRADE & FINISH
----- GRAPE OVER PIPE
t8
1 WATER MA UNE
I ---- I EXTENSION----
';
1
280
275
i
270
53+50 54+00 54+50 55+00 55+50 56+00 56+50
PROFILE VIEW
SCALE: HORiZ i' = 50'
VERT i" = 5'
12. ALL 4" SANITARY SEWER SERVICE STUBOUTS SHALL HAVE A 2.0% MINIMUM SLOPE.
13, SEWER SERVICE SNB -OUT AT STATION 50+40.00 IS TO SERVE THE EXISTING COMMERCIAL BUILDING ON LOT 18A,
EAGLE SUBDIVISION.
0
Op 14 -50 ®?/
TB#3i �
I�
.a a+
SHRINK WRAP, JOINTS 1
57+00 57+50 58+D0 58+50 59+00
ryg v
� 4 b
h aV 4
-.... ...j_. I ;.. .. ...295
----- �� I -285
.I
i
�(rB 0 ,
�i '50
EXISTING\
..__._.._;275
1814
59+50 604W 60+50 61+00 51+500
AWWU PROJECT NUMBER
WS05-010
AWWU SEWER REIMBURSABLE NUMBER
F)an _nnnnnmknA
to
..
to
•
to
I. DATAPROVm�FD ORD DRAWING
BY: Gory E. Skaggs III
T'bn will smc b certify Nat than Rmtd Drawings uc a I- and auwratc
re{KssM.lion 0176. PWM laa-twc:&
CDttTRA UR. Denatui c�scrnntion _
BY 'LE: Owner
DATE
2, DATA TRANSFERRED
BY: Michae' , Fuson P.E
COMPANY: Fnf r isr ,;npineenn0 Inc. _-
DATE:
3. DATA TRANSFER CHECKED
Hued. data p;erid-.d by the cuat,.W, bsnAle sha born cheelrJ fnt
mors and plcparcd b) We Eegia- (a a0 Rdiridatl uodu hiVner but
n.Prnvimj. -
BY. Michael A Fuson, P.E.
COMPANY- Enieryise Eivineerina Inc
BY: '+" ne_@e�TU
DAT2r/�"_�
GRAPHIC SCALES
5 0 5 101 F[
SCALE: 1 = 5'
50 a 50 100 FT
SCALE: 1" = 50'
IF SHEET IS LESS THAN
22" X 34"
IS A REDUCED PRINT -
,!,
c ornrnrn xrnnnnn,ry
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d` MICHAEL A- PRISON .�
CE-11057`iA'
AS NOTED
aim:��
ENGINEERING, INC
5 1ff1101 S1, 2525 C,AWNU SiR,_T
SUI E 21 SUITC 200
FREEPORT, ME 0"032 artCNORACE, . 99503
TEL. (207) 369-6006 TF.L. (907) SG3-3635
FAX 1207) 969-e015 Fn% ;907) 563-i5/7
O �2`.4WINC TITLE
SEWER MAIN
PLAN & PROFILE
OWG NO.
0C
C-4 5/2005
PN; cEa;c>: I SHEET
Dake Peceivea
I_ GENERAL INFORMATION
Legal Desurrpiidn of the Loc;zrt,uri
STATE OF ALASKA
DEPARTMENT DF ENVIRONMENTAL CONSERVATION
APPLICATION FOR ON-SITE WATER AND SEWER
SYSTEM APPROVAL
Apolica t N me ApplicanL is, (Check one)
}� �.�j Dank ❑Certified Inscalfer No
RR" 11 V Owner/Builder
Address [Streetar (.). Box) nyJj_ Type of Residence Tolal No of Bedrooms
li 1 ❑Single Family )�eMulti•Farnily
City, State and Zip Code Telephone
S:7
Send Approvalto:
XAppl scant Other (Give Name & Address) S & S ENGINEERING _ 2f
1,V34- Eagle R lower 1 ocip Read No. 204
71
Fanlo River. Alaska 94577
II, WATER SUPPLY SYSTEM
Signature s
Source of Water and Containment (Check all that Apply)
Type of Water Supply System
Treatment of
Water (Check all that Apply)lkw—
ell {Drilled or (D•even) ❑ Surface (Identify)
❑Private
lone
rr
❑Chlorination �(}�iI
❑ spoof Catchment �1❑Filtration
LJ other (identify)
Public {Serves more than one
❑Mineral Removal
L
El Holding Tank
familyj- - N .
❑Other,
Well Data
Is the Height of the Well Casing more than 12" above t}he Ground?
>K Yes ❑ No
�r
Is the 7
Yes ❑ d
a sanitary seal installed on well casing? }�
Is drainage directed away from or around the casing within a radius of 10 feet of the well casing?
Y ❑ No
Date Drilled Depth of Well IFe tl
�j
Static Water Level [Feet)
Yield (If Available)
mp Rate (If Available)
�L� (
��
�.�
Gal/M�n �-- G Min
Separation oisrances frorn the WCI! Caving to each of the Following Sources of Cori xam iPatio n
Septic/_o Tank on Lot
Sewer Lines. on Lot
Absorp ilon Area on Lot r
Closest Septic/ Holdrn9 Tank on Adjacent Lot
Closest Sewer Lines on A scent Lot
Closest Edge of anAbsorptlomArea on Adjacent Lot
If toxic materials are stored on the property, including fuel tanks, paints, lubricants and other petroleum
based materials, pesticides, fungicides or herbicides, indicate distance from con tarn inants to well casrng•
bn Lot
On Adjacent Lot
}�
Water Sample Taken by, Name
Sampler Is:
S & S ENGINEERING
❑ Buyera{�pp
j!-1� Engineer
El 1:1
Address 1703 gaRW" Loop moad No. W4
Eagle River, Alaska 99577
Banker Government Official
Water Sample ResuI is:
Satisfactory - Date } t> ❑ unsatisfactory - pate:
Attach Copy
Comments/Recomman datron .
I Certify tUal the a e inform 'o s correc
Signature s
A
Title ❑ate
1
a Qo 1116.
Q04 it
ER&PIli-jVOT AIRSXa 77Jf f
7F: Must be signed by aCar tified Instafler, rafessionaf Engineer, Department of Environmental Conservation or the 0wnerl6uilder
I11. *ASTEWATER DISPOSAL
Septic Tonk/Absorption System
Holding Tank - Capacity of Tank
❑ Specify:
PackageTreatment:
❑ {Specify Brand Name or Process]
Where Waste is Disposed Frequency of Pumping
Septic Tank outfall ^�-�- Other SSpecify]
Discharged To, �n ,r ,t 4 �-1 A _ \ r� ❑ IOuthause, Incinerator, etc.)
nl e... C..ef— ���1V11
Name of Installer/
G
Date Installed
C� ��- 41 C)
E]Certified Installer
El owner/Builder
No
other,
Type/Manufacturer
Septic Tank Size (Gallons) Number of Compartments
Soil Type or Rating
Type Spil bsorption System
Dlmensions/Siz Soil Ahrso7rlon System'
TVpe/O.uantity Backfill Material used for Soil
Ab p it,q' itarn
— y
,y
"�
Percolation T st Results
Percolation Test by. ( mel
-* -5 ,'- �
Minimum 6round Cover over Absorp-
Minimum
Ground Cwer over Septic
Cleanout Pi es/Caps Insial Ied on
Septic TankAbsorption
leanout Pipes/Caps Installed on
System
tion area
Feet
Tank
Feet
�- Yes ❑ No
Yes ❑ No
tion Area Tank
I
Water Supply Source on Lot
N Barest Water Supply Source on Adjacent
Nearest Body of water
Water TaJ�/Berrock Lot LiSeparation
❑istanca tv
' FeetFeet'Feet
Yes ❑ No
r� eex
comments/ Recommendations
Source on Adjacent
I certify Q the ove informatio is correct:
SignaturTyped/Printed
Name _ Title, Reg- /Cert No Inst No
❑aT
S
ENGINEERING S �-
Z3 O
N TE: Must be signed by
x,ss on er
I'll- Exisdina System tiagld MOV-. r - -
Name o n5taller
-•
Date Installed
❑Certified InsIaller ElOther
Type/Manufacturer
El Owner/Builder
No
Septic Tank Size (Gallons) Number of Compartments
Soil Type or Rating
Type Soil Absorption System 0imenCionOSize
Soil Absorption System Type/CuantitV Backfill Material. used for Sod
Absorption System
Adequacy Test Results.
Adequacy Test Performed By, (Attach Copyof Report)
Uate Septic Tank Pumped (Attach Copy of Receipt)
❑ PaSs ❑ Fail
Minimum Ground Cover over Absorp- Minimum Ground Cover over Septic
Cleanout Pipes/Caps Installed on
Cleanout PipeslCaps Installed on
tion Area Tank
I
Septic Tank
Absorption System
Feet
Feer¢
❑ yes ❑ Na
Yes ❑ No
Water supply Source on Loi
Nearest Wat9r SUpply
Source on Adjacent
Nearest Body of Water
Water Table/Bedrock
Lo[ Line
Separation
Lot
Distance to.
Feet
Feet
Feet
Feet
Feet
Com m en t,;/ Reco mm end ati ons
I certify that the above information is correct:
Signature '
Typed/Printed Name
Title, Reg./Cert No-, Inst- No
s
IVO 7E: Musr be srgned 6y a professional engineer.
� •, •� IL =Sh�licx �
It -Z
]} IVerera!
,ceR�ngineer ra'�r
SCALE
�rn
t-4 '05"iset-
m
3
�
�I
d
TM
f
Y '
0
1
ate Received
•
STATE OF ALASKA
DEPARTMENT OF ENV] RONMENTA L CONSERVATION
APPLICATION FOR ONSITE WATER AND SEWER
SYSTEM APPROVAL
4. GENERAL INFORMATION
Source of Water and Containment (Check all that Apply)
Legal DescripL,on of the Location
Treatment of Water (Check ail that Apply)
Lor l _SISI! tiE4
5Qe l ; rlWN, e2 5,1-!.� /4, -
.3
❑ Roof Catchment El Other (Identify)
Applicant Name
I I � /ISL
XFittration JV0 ❑Mineral Removal
(�
Applicant is: [Check one)
❑ Bank ❑Certif ied I nstaller N0.
f'Y /� �
❑fluter
t9 Owner/Builder
Address (Street or P.0. Box)
Type ❑1 Residence
Total No. of Bedrooms
,� FD,3 rra3o4 3
�7
El Single Family Kv Multi -Family
D pth ofWell(Feet)
City, State and Zip Code
Yield (if Available)
Telephone
ANCHOeACE1AK 99
G 4 /
W1111171-6,1766
Send Approval to
El Applicant Other: (Give Name & Address] A CS Ile.
/� ,} v r]
�2D4 W � A SC%/� L /41i�'f%�-(,-r A/0 J9960
Separation Distances from the W4311 Casing to each of the Following Sources of Con tam ination7
Septic/Holding Tank on Lot
II. WATER SUPPLY SYSTEM
Source of Water and Containment (Check all that Apply)
Type of Water Supply System
Treatment of Water (Check ail that Apply)
Weli (Drilled or Driven) ❑ Surface [Identify)
E:1 Private
❑None ❑Chlorination
❑ Roof Catchment El Other (Identify)
us mopbtic (Serves than one
XFittration JV0 ❑Mineral Removal
(�
❑ Holding Tank
family)
❑fluter
eL A 55 "If
Wall Data
Is the Height of the Well Casing more than 12" above the Ground? Yes ❑ No
Is a sanitary seal installed on the well casing? Yes ❑ No
Is drainage directed away from or around the casing within a radius of iD feet of the well casing?
Yes ❑ No
Date Drilled
D pth ofWell(Feet)
Static Water Level {Feet]
Yield (if Available)
Pump Rate (If Available)
/
.1i1-IzJ6g6
G 4 /
19e
/.3 Gal/Min
1,_3 Gal/Min
Separation Distances from the W4311 Casing to each of the Following Sources of Con tam ination7
Septic/Holding Tank on Lot
Sewer Lines on Lot
Absorption Area on Lot
/s'o'
/00,
rsa'
CIasest Septic/ Holding Tank on Adjacent Lot
Closest Sewer Lines on Adjacent Lot
Closest Edge of an Abso(ptlomArea on Adjacent Lot
I74'
/so' a
If toxic materials are stared on the property, including fuel tanks, paints, lubricants and other petroleum
On Lot
On Adjacent Lot
based n)atorials, pesticides, fungicides or herbicides, indicate distance from can lam inants to well casing
Water Sample Taken by Name
Sampler Is:
'JrEV6,r`) ���� S 1 ��Sf ,
❑ Buyer 0 - Engineer
❑ Banker ❑ Government Official
Address
1
!2 ��j �V�r S�L Br ��I ___A ¢ Ilk c7!]�5
r l' „ /7
Water Sample Rest:1Is
❑
Unsatisfactory - Date-
9/
Attach Copy Satisfactory - Date- 7i0
Co(riinenis3 Recornmendauons:
;Z//,,O 7�w
: - ,,r_5skW
I certify that ihp, above informa nn is correct:
Signatcire '���'
TyoedlPrinted�N^ame/
G-f2. L �e
Title����Date
N07' : Musr 6e signed by aCerrified lristaller, Professional Engineer, Department 0f Environmental Conservation or the Owner/BuRder
ALASKA ENVIRONMENTAL
CONTROL SERVICES, INC.
1200 West 33rd Avenue, Suite B
ANCHORAGE. ALASKA 99503
(907) 561-5040
SHEET NO
CA LCULA iE❑ BY
CHECKED BY
SCALE N S
W,47FIC -5-Y57-CIV, 4�5-A64111- 7-
d
:5-
❑F. r ✓
DATE so%�
DATE
PIPING WEr L . >Z71
EX/3r�N_./� Nx p S��JTh�P'DAk' �aN�r.
acv KIEu I
5r4RA-G� sYSTEa-!
C ti
WA,Cy�IC.� CoNTrCDC. WALL
CONTiCDL S PZ/NIP F�iP rAN�c
G�r�L
W6-tre-
200 -sT� rANN
FD,c 1cw-'4B4457 H G -
5y CNK
4zerrc PZ/'rWR V&-ZT [. --Z/PPC y
I'A'; 6.89 - ZS7/6
du4l-,��rz. sto.2y}G� Pss1r,F'� sysr�-I
1S'0 M.Ah< A c'C5-5S f/.4 tC11
SOoSre5r pruA1P GAS
�Np, C'd/VTi�DLGEi�
�JGHAr1PraN ,�oD 2d� � Zoa
P,�Su,C� TRNK
ff
1 G,4G y
PIPE
IFIr/5 rrA14 FTG Tz-z
/z tib,
MUNICIPALITY OF ~ANCHORAGF~-%
He th and Environmental Prot6 .ion
Fourth Floor West
825 L Street
Anchorage, Alaska 99501
264-4720
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING ADDRESS J')(~) J"~O)C- J~:XOO PHONE
SEPTIC TANK:
DISTANCE q o~.l
FROM WELL_
INSIDE LENGTH_
r~,~C) ~1000 NUMBER OF
MANUFACTURER (-~L~c~'' ~ ''('-' MATERIAL .~ '-~ I~ ~- I.-''''~ COMPARTMENTS
TILE DRAIN FIELD:
DISTANCE FROM WELL
~ of Lines
ABSORPTION AREA
DEPTH: TOP OF TILE TO FINISH GRADE
FOUNDATION
DISTANCE BETWEEN LINES
NEAREST LOT LINE
TOTAL LENGTH
OF LINE
TRENCH WIDTH IN. TOTAL EFFECTIVE
SQ. FT.
LENGTH OF EACH LINE
DEPTH OF FILTER
MATERIAL BENEATH TILE
IN. ABOVE TILE IN.
SEEPAGE PIT:
Log Crib Rings
BUILDING FOUNDATION__
DIAMETER OR WIDTH LENGTH--, DEPTH
DIAMETER __~DEFYH- DISTANCE FROM: WELL
Crib
Size:,
TOTAL EFFECTIVE
NEAREST LOT LINE . ABSORPTION AREA (WALL AREA)
SQ. FT.
Class:Se~;& Depth:
Well Distance To: Lot Line '-i
Bldg: ;O ~ Sewer Line: ~OO
Pipe Materials: ~,...~, ~ ~
:1
~ of Bedrooms: ~[~
Installer: ~o,"q~ e r
Remarks:
PEF.!I.'I I T NO.
-F[-L. [ .-I'.,IT
L 3 r.': Fi -f' ] 0 N
LEGFll....
DEPF!R'FMENT OF HEFILTH F:IN.[:, IlEN',,,'IF:ONHENTRL. PROTECTION
825 "L" '_ql'REET., F¢.,IC:HOF:F:1GIlE, R1.C S,950:1.
nZ:~ ["...H --'. f~; Zil: "T" EE :~.; EE il.-.li F_'E IFL:: L.~ F' C5i F-': F:~ E> E F" EE: F.~: I~,11
,:.' l::'800~8 )
-Fh"F:'E OF' SOIL. RE'%OF.'ET]'--I"4 _-,'r_,fE. rl
PO E:[il::": :1.2OO '.995J. E
If:;: ....
FF:.E.N -.H
//,'/=i
;]4:'Pu;:l¢::m'~l '~.;;~III::IF.:E FEE:I'
MFlil<Iil'lUH NUHE:EF4: Cfi:'
S 31 L RFFF I NG "'.E; _.-~ F T,.'"B R ) = 0
,'" "'~' ..., 'L,T E.H
THE Il~:EC,!LIIF:E[:, .:,I,:.E OF THE SOIL FIlE 'E -~F'F'T I ON ':"":'
THE L. ENGTH DIHEN'.:.;ION I:.:.; TFIE: L. EIlI'.,!G'¥H ,.'.tN FEET) uF 1-HE TF:'.ENCH OR DRRINF'IEL..F;,.
THE DEPTH OF Ft TF.'EI'-4CH OR F'IT IS THE [.',ZS.;TRNCE BETIl4EE:N THE E;URFFICE OF:' THE
GROUND RI'.,!D THE BOTTOH L3F' THE E',:qCR',,,'RTION ,.'.'IN FEE'r).
'ilqqERE IS NO E;ET 14IDTH FOR TRENCHES.
THE GI:~:Ff,,,'EL B, EPTH I6 THE HINIIl,IUH DEF'TH OF' GRR',/EL BE-FHEEN TFIE OLIlTFFILL PIPE
Rf'.,I[::, THE BCFf'TOI'd OF THE EIl-(CF:I'v'FFFIEIN ,::IN FEET).
F'EF4:I',I I T HF I:- L ] ..I. II ,! [ HI:~S THE F.:E2;F' Z I'.IS I E~ I L. I-rv TO I NF'ORH TH 1:5 DEPRF.:THEi'.,IT [:,UR I NG THE
!NSTFtLL. FFFION ].14_1' E_.l I..i',L:, OF RN"r' NELL-:, F'I[:,..TFIE:EIl,IT TO THIS FI _[ EF.l ~ F:IF,IE:, THE
NLIHE:ER Oil: F.E.:I£.EII_.E_, l'il:1FFr THE I,.IF:LL. k!ILL .:,ER. E.
........ ,'-, ,,_-' - :' ,. .... ' Fl'{I..,
E,H ...I.. F [ I._~ I I",IG Eft:' FIIq"r' .:,'r _, 1 E. ill t .I l' THOI.JT 1.: ]: NFtL l f'I'=;F'E'F:T 1 ON RN[:, F:IF'PF4:Lq',/FIL E, r "' ' ':'
[)EP1.:11.;FT'Il'lENT 1.41 L.L E',E .::,UE,._ E...T TO F'RO'SECLIlT Z Oil.
Mlil.4IP!UH D_}::5-f'RNCE BE't'NEEN 1.:1 HELL FIN[::, RN"r' OI'4-F]Z'FE E;EHF:IGE DIGF'OSRL 21'¢S;'f'Ef'1 IS
±(~E~ FEET FOR Fl PRI',,,'RTE I.,.tE.'LL..~ OF,.'.'
:L50 TO 20EI FEET FROH R F'UE~LIC 1.4ELL. DEPENDING UF'ON THE TYPE OF PUBLIC HELL_.
OTHER 1.;~:EQUIREP1EF(FS MR'¢ filPPL'¢. %F'ECIFICRTtONS FIND E:ONSTRUCT]:EIN DIRGRF'IFIZ RF:E
Ft',/RILlaBLE TO ]:NSURE PROPER INS'FFILLfl'FION.
_.ER I' ] r 'r THFFF
_. ::,E[-IEF._, Flhl[:' t4ELL.~ I::l~!~; SET
f F:lil'l FFff'!ILIFIF:: HITH THE F4:E:(::!LIIF'.EHENT% F'3F' O['.I-'SITE' "'- -'":
!
F'OI.~:YFH _E',"¥' TFIE MUNtCIF'FILIT"r' O1.:' RNE:HORFtGE.
2: I Iq:ILL IN'_-T, TRLL THE SVL:;TEH IN RC:COF.:[.',Ffi',[CE klZTH THE CODES.
~:: :[ UNDEF'.STRN[) TFIRT THE ON-SITE SEklEF: '.'5'¢'.E;,TEH f'1R"r' REQUIRE EI"~LRF;:C~EHENT ]:F THE
F::ES-:;IDENCE I"2 RE1.qOE:,ELE'[:' TO INE:I._LIDE HOF'.E THFIN r_q BE[>ROOI"IZ.
_,].L.q'~L[... ,,- ~ ..........
FtF'F'L. il:C:lal'.4T ROBEF:T TIl:FI'E
Z .:.,_,U[..[ E r ',' '2'. O
GAAB-HD-I
GRF~TER ANCHORAGE AREA BOROLr~'~I
D~..4FITMENT OF ENVIRONMENTAL O. UALI,.
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
SEPTIC TANK:
MAILING ,J'~J~O //~/.~J~/~'~[/ .~)~-/. PHONE ~577
.ADDRESS
//
LEGAL DESCR PT ON
DISTANCE FROM WELL P~i"Op. ~4'6 '-~
LIQUID CAPACITY
MATERIAl ,5 ;r//~ .¢/'~.~L
GALLONS. INSIDE LENGTH.
NUMBER OF
COMPARTMENTS
/ ~C~'~ LIQUID
INSIDE WIDTH ~ DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL_ /
NEAREST LOT LINE
OUTSIDE DIAMETER ..,r OR WIDTH
O~Je~ DISTANCE FROM WELLPr~OP' /~0
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA}
, LENGTH /..~, i , DEPTH
, BUILDING FOUNDATION"~. '~),
SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL ~~FOUNDAT?N T LINE
NUMBER OF LINES D~~
ABSORPTION AREA // SQ. FT. LENGTH OF EACH LINE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE
TOTAL LENGTH
, OF LINES
IN. TOTAL EFFECTIVE
IN. ABOVE TILE
DISTANCE FROM WATER
WELL:
TYPE /~-~/')./O. DEPTH , BUILDING FOUNDATION.
SAMPLE
NEAREST SEPTIC SEEPAGE
LOT LINE , SEWER LINE . TANK , SYSTEM , CESSPOOl
, NEAREST
OTHER
, SOURCES
DISTANCES:
T~ST: ~s~''
DIAGRAM OF SYSTEM
('-'!ATER ANCHORAGE AREA BOROU/-~
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
ANCHORAGE, ALASKA 99502
CASE #
1
2
3
5
6
7
Performed For
Legal Oescription: Lot Block
This Form Renorts Soils Log
~e~th
Feet Soil Characteristics
9
10--
Date Performed ~- i- 72.
Subdivision
Percolation Test
Was Ground Water Encountered?~
If Yes, At what Depth?
Reading Date Gross Time Net Time Depth to H20 ~ Net Drop
Percolation Rate Minute
Proposed Installation: S,eeDage
Demth of Inlet
CO~ENTS:~~j~,.~
Pit Drain Field
Depth To Bottom Of Pit Or Trench
Test Performed By '7"~ e~_~4~ Data Certified
By:
Date:
Greaier ANChorage Area BOROUGH
DEPARTMIrNT OF ENVIRONMENTAL, QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE, ALASKA 99502
TELEPHONE 279.8686
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
PER"'T
LEGAL DESCRIPTION ~
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE DP FACILITY TO BE SERVED
/ ~ DRAIN FIELD , OTHER
FINANCED THROUGH TO BE ,NSTALL~D .Y /~ ~ ~/~b~~
COMPLETION DATE ANT]CIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY TIlE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE K/~"~)~/ TYPE J~7~'~'uZ~
WeLL TO SEPTIC TANK ~' / . SEEPAGE Pit
SEPTIC TANK, ~' SEEPAGE PIT
SEEPAGE AREA SIZE f'"~"~/~/'"~'//~'~//~/-- TYPE
OF SYSTE"
4 INCH DIAMETER CAST [RON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WiTH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DATE APPLICANT'S SIGNATURE . /I
GE B`
• '� Municipality of Anchorage
U
On -Site Water and Wastewater Program
(907) 343-7904 ! 5 A F E T Y
Certificate of On -Site Systems Approval
Parcel I.D. 050-173-18 Expiration Date:
1. GENERAL INFORMATION:
Complete legal description T14N, R2W, SECTION 11, LOT 3-A-1
FaGtr__
Location (site address) 11139 MAUSEL STREET, E,ArGEI- RIVER, AK 99577
Current Property owner(s) FORECLOSURE Day phone
Mailing address
Real Estate Agent JERI RODRIGUEZ Day phone 441-7194
2. TYPE OF DWELLING:
❑ Single Family (w/wo ADU)
M Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
6
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual
M
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Waiver Fee $
Date of Payment Date of Payment
Receipt Number Receipt Number
COSA # Waiver #
0
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,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507
Engineer's Printed Name: Jeffrey A. Garness Date: I t .7 40
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and
industry practices. The reported results describe the condition of the system/s on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,
groundwater levels (that may fluctuate during the year), quality of construction (materials and
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the person/party that retained GEG to
perform the evaluation. Reliance upon the information provided in this report by any other person or
party (including subsequent property purchasers) is not authorized, nor will it confer any legal right
whatsoever.
6. DSD SIGNATURE
System #1 Approved for (P bedrooms
System #2 Approved for
Disapproved
Conditional approval for
r�
bedrooms
bedrooms, with the fol
............
f d/y A. Garnes
CO
4V� 01
professi000a�
�DO�Ooo��
#AECC884
0�1_ITY�op��i���i
ojV�S�rE
l�ygSTFR q/Vp G
�ula(�� `� T�
4/11
R \o
Original Certificate Date: CI -3 r 2 d
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10-10-12.doc 4
�oS-�
Legal Description: T14N, R2W, SECTION 11, LOT 3-A-1 Parcel ID: 050-173-18
If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 3112186
Total depth *241 ft
Cased to UNK. ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) 18+ in.
Date of flow test for COSA 7/21120
Well production at time of test 4.7 Qpm
Water storage tank volume **300 gallons
Well disinfected for coliform test? ❑ Yes ❑ No
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
Arsenic 7.11 ug/L ❑ Arsenic less than MRL (ND)
Collected by GEG,LTD.
Date of Sample 7122120
Static water level at beginning of test 60.2 ft
Comments *PER ADEC ONSITE WATER AND SEWER SYSTEM APPROVAL DOCUMENTATION
**300 GALLON PLASTIC TANK IN GARAGE. TANK BYPASSED FOR TEST. GEG LTD. DID NOT EVALUATE WATER SYSTEM
B. TANK DATA
Age of tank(s) NEW years
Tank type/material PLASTIC
Measured operating fluid level in septic tank NEW
❑ Standpipes/foundation cleanout per record drawing
Date of pumping NEW
D. ABSORPTION FIELD DATA 5 -WIDE
Which system tested (date installed) 4123190
'57ALL standpipes present per record drawing
Total measured depth from grade 8.2 ft (max)
Measured depth to pipe invert from grade 5.4 ft (min)
❑ NIA — pressurized field
❑ Monitor tubes go to bottom of effective. If not, state
depth into effective 2.7'
❑ Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced 1997 gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
C. LIFT STATION
❑ Required maintenance completed
Age of lift station NEW years
Lift station material PLASTIC
Comments: NEW 1500 GALLON FOLLOWED BY
1000 GALLON STEP TANK INSTALLED ON 10/13/20.
Adequacy test date 7122/20
Results ❑✓ Pass For 6 bedrooms
Fluid depth prior to test 0 in
Water added 1,024 gal
New depth 26.75 in
Elapsed time 372 min
Final fluid depth 0 in
Absorption rate 900+ gpd
Any rejuvenation treatment (past 12 months) LINK.
If yes, enter date FORECLOSURE
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
M✓
Yes
Community Sewer Manhole/Cleanout > 100'
Q Yes
if No
ft
M Yes
if No ft
Neighboring Tank > 100' M Yes
if No
ft
Private Sewer/Septic Line > 25' Yes
if No ft
Absorption Field on Lot > 100' 0 Yes
if No
ft
Holding Tank > 100' Yes
if No ft
Neighboring Absorption Fields > 100'
Yes if No ft
Water Main > 10'
Animal Containment > 50' R Yes
if No ft
❑✓ Yes
if No
ft
Q Yes if No ft
Water Service Line > 10'
✓V
Yes
*35+
Manure/Animal Excreta Storage > 100'
If septic tank is under driveway comment below
Community Sewer Main > 75' ❑ Yes
if No
ft
r✓ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
M✓
Yes
if No
ft
Surface Water > 100'
Q✓ Yes if No ft
Property Line > 5'
0
Yes
if No
ft
Wells on Adjacent Lots:
❑✓
Absorption Field > 5'
E✓
Yes
if No
ft
Private Wells > 100'
Yes if No ft
Water Main > 10'
❑✓
Yes
if No
ft
Community Wells > 200'
Q Yes if No ft
Water Service Line > 10'
✓V
Yes
if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
Gar ess_;'
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
❑✓
Yes
if No
ft
Private Wells > 100' Yes if No ft
Water Service Line > 10'
0
Yes
if No
ft
Community Wells > 200' Yes if No ft
Surface Water > 100'
0
Yes
if No
ft
F. ENGINEER'S COMMENTS
'WELL IS 35'+ FROM AWWU SEWR MAIN. SEPARATION DISTANCE APPROVED BY AWWU. ALL JOINTS WITHIN 75 FEET WERE ENCAPSULATED WITH SHRINK WRAP.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.
COSA Checklist yellow sheet
#AECC884
•,J y .
CE 7
Gar ess_;'
#AECC884
Parcel I.D. 050-173-18Expiration
Date: be C
1. GENERAL INFORMATION:
Complete legal description T14_N, RM SECTION 11, LOT 3-A-1
Location (site address) 11139 MAUSEL STREET EAGEL'RIVER AK 99577
Current Property owner(s) FORECLOSURE
Day phone
Mailing address
Real Estate Agent JERI RODRIGUEZ
Day phone 441-7194
2. TYPE OF DWELLING: -
-
❑ Single Family (w/wo ADU)
Z Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 6
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL.
Individual Well ®
Individual
_
Individual Water Storage ❑
Holding Tank::--, -, ❑'
Community Class Well ❑
Community
Public Water System ❑
Public SewerEl
WaiverNariance request for:
Distance:
Received by:
Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
`COSA Fee $ 6 O COV I p Waiver Fee $
Date of Payment _ %/_3 (1ko Date of Payment
Receipt Number Receipt Number
COSA# OSCZD)3gy Waiver#
149
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,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179
Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 /
Engineer's Printed Name: Jeffrey A. Garness Date: -J 7 v�2r
In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system
in accordance with the guidelines and regulations established by the Municipality of Anchorage and ��v.,.• " y�n,v
industry practices. The reported results describe the condition of the systemis on the date/s of the
evaluation. Separation distances were measured to readily identifiable features. Hidden defects or
encroachments may exist that were not identified during the evaluation. The operational life of all wells
and septic systems depend upon a variety of variables, including but not limited to, soil conditions,""""
groundwater levels (that may fluctuate during the year), quality of construction (materials and r
workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and
are outside the control of GEG. Satisfactory test results do not guarantee future performance of the
system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of Ir. r - 70
the well or septic system. GEG makes no representation whether an alternative well or septic system
can be installed on the property in the event either of the current systems fail to perform adequately in
the future. The content of this report is for the sole benefit of the person/party that retained GEG to 1' Q �.
perform the evaluation. Reliance upon the information provided in this report by any other person ��lltlltt�i( -
party (including subsequent property purchasers) is not authorized, nor will it confer any legal\1Y OF�/�,%j�j
whatsoever.
O #_ECC884
ON-SITE
6. DSD SIGNATURE = WATER AND
System #1 Approved for bedrooms WASTE V `ATER z=1
y pp PROGRAM
System #2 Approved for bedrooms J f -�
Disapproved �iJiJO/Vj
X Conditional approval for bedrooms, with the folio
ro
3e,�
c -ta/r S)
nO 6e- re_p1"_o
r.;1 (05P;z01 aBi) OX -,J
d.bSeA
nto
wP8ale
aS ou Sw1,t I�m �A
\pec a0, "
By: PU 6>-D, axx 1; ni "'c,le /u17 d Original Certificate Date: 3 a 0a D
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10-10�12.dcc
�������� �*&*A���K~�~*��
������� ��`����'�������
Legal Description: T14N, R2W, SECTION 11, LOT 3-A-1
Ifmore than 1septic system onlot: COSA Checklist # 1 Of 1
A. WELL DATA
[] Well log hs filed with Onsite (or attached)
Date drilled *3112/86
Total depth ^241 ft
Cased to UNK ft
�� Sanitary seal iofunctioning correctly
��Wires are properly protected
Casing height (above ground) 18+ n.
Date offlow test for COSA 7121120
Parcel ID: 050-173-18
~
Structure served bythis system |
Well production at time of test 4.7 ~pm
Water storage tank volume *^300 gallons
Well disinfected for coliform test? nYes FNJNo
9Coliform bacteria ioNegative
Nitrate __mg/L �� Nitrate less than MRL (ND)
Arsenic 7-11 ug/L 171Arsenic less than MRL (ND)
Collected by GEG.LT[}.
Date of Sample 7/22/20
Static water level sdbeginning of test 60.2
Comments *PER ADEC ONSITE WATER AND SEWER SYSTEM APPROVAL DOCUMENTATION
**300 GALLON PLASTIC TANK IN GARAGE. TANK BYPASSED FOR TEST. GEG, LTD. DID NOT EVALUATE WATER SYSTEM.
B. TANK DATA
STATION
Age oftank(o) *30+ years 1-71 Requir aintenance completed
Tanhh/pe/mobar�/ �n=��Age of lift station yea10
Measured operating fluid level inseptic tank -Lift station material
E]Stand pipes/fou ndahoncleanout per record drawing
Comments -
Date of pumping *SEE NOTE
*NOTE: THE EXISTING SEPTIC TANK MUST BE UPGRADED. SEE ATTACHED DESIGN PACKAGE. PROPERTY IS IN FORECLOSURE.
REQUESTING CONITIONAL COSA BE ISSUED. FUNDS BEING ESCROWED FOR TANK REPLACEMENT.
D. ABSORPTION FIELD DATA 5 -WIDE
Which system tested (dote installed) 4/23190
F]ALL standpipes present per record drawing
Total measured depth from grade 8.2 ft (max)
Measured depth hopipe invert from grade 54 ft (m/n)
1771N/A — pressurized field -----
Fl Monitor tubes go to bottom of effective. If not, state
depth into effective 2.7'
��Code-required soil cover over field
��System presoaked
(Required ifvacant for greater than 3Odays prior to
date of test)
'
Gallons18S7in�noducmd goUono
Comments/Deficiencies:
COSA Checklist yellow sheet
Adequacy test 7/22/20do�e
Results P(|paae For 6 bedrooms
Fluid depth prior totest u in
Water added 1,024 ��.gm|
New depth 26-75 in
Elapsed time 372 min
Final fluid depth 0 in
Absorption naba gOO+ gpd
Any rejuvenationtreatment (past 12months) LINK.
|fyes, enter date FORECLOSURE
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
Q
Yes
Community Sewer Manhole/Cleanout > 100'
Q Yes
if No
ft
M Yes
if No ft
Neighboring Tank > 100' ❑✓ Yes
if No
ft
Private Sewer/Septic Line > 25'r-71 Yes
if No ft
Absorption Field on Lot > 100' Q✓ Yes
if No
ft
Holding Tank > 100' Yes
if No ft
Neighboring Absorption Fields > 100'
Yes
if No
Animal Containment> 50' Yes
if No ft
M/ Yes
if No
ft
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' [3Yes
if No
*35+ ft
r✓ Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' Yes if No ft
Property Line > 5' ❑ Yes if No ft Wells on Adjacent Lots:
Absorption Field > 5' ❑ Yes if No ft Private Wells > 100' Q Yes if No ft
Water Main > 10' 0 Yes if No ft Community Wells > 200'✓[] Yes if No ft
Water Service Line > 10' [Z] Yes if No ft If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
Q
Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
Yes
if No
ft
Wells on Adjacent Lots:
Water Main > 10'
Yes
if No
ft
Private Wells > 100' Yes if No ft
Water Service Line > 10'
Yes
if No
ft
Community Wells > 200' Yes if No ft
Surface Water > 100'
®
Yes
if No
ft
F. ENGINEER'S COMMENTS
*WELL IS 36+ FROM AWWU SEWR MAIN. SEPARATION DISTANCE APPROVED BY AWWU. ALL JOINTS WITHIN 75 FEET WERE ENCAPSULATED WITH SHRINK WRAP
**THE SEPTIC PIPES FOR THE SEPTIC TANK WERE NOT PRESENT DURING OUR SITE VISITS. HOUSE IS IN FORECLOSURE. SEPTIC TANK NEEDS TO BE
UPGRADED IN ORDER TO OBTAIN A COSA. REQUESTING A CONIDTIONAL COSA BE ISSUED AND MONIES HELD IN ESCROW TO COMPLETE SEPTIC TANK UPGRADE.
,Qp6
G. ENGINEER'S CERTIFICATION
1 certify that l have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date. ........
�O Q
....�e Garn s-
E—
COSA Checklist yellow sheet
�p
o f e s
#AECC884
0
'- APPLI ,NT FILLS OUT UPPER HA'~ ~ ONLY
Property Owner E o I, and Carol A. Williams Phone
Box 103003 ' ~ 694-3562
~ailingAdd'ress A~,~},r~l~. AI~-~ ZipCode 99510. 271--5286
Buyer
Property Address: Mausel Rd.; Eagle River, AK
Lending InstituuonAlaska USA Federal Credit Union
Address 76~O n~R~rr ~,~., A~oh~rmE~ Alaska Zip Code 99508 276-5100
Realty Co. & Agen~/A (This is for an equity extraction loan)
Legal Description Lot 3-A-l, a subdivision of Lot 3-A,~SW~, NE~, Sec 11, TI4N, R2W,
Sewer Disposal Additional septic tank was ' 1971
[] Holding Tank VA requirements, prior to our purchase. .?~" ·
Date Date Date
Inspector Inspector Inspector Inspector
( ~"'APPROVED BEDROOMS
*CONDITIONS
OF
APPROVAL
( ) DISAPPROVEO
( ) CO.D,T[O.A' APPROVAt'
Soils Rating Date Sewer Installed Well TO Absorption Area Well Log Received
Well to Tank Septi(~ Tank Size
72.023 (3182)