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HomeMy WebLinkAboutTALUS WEST BLK 2 LT 5Talus West Block 2 Lot 5 #015-201-15 Mar 09 22 06:52p Anchorage Well & Pump Ser 9072430742 p.1 MUNICIPALITY OF ANCHORAGE Development Services Departmentt Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Well Drilling Permit Number: Pump Installation Log Parcel Identification Number: 015_201 _ 15 Date of Issue: Legal Description TALUS WEST Block 2 Lot 5 Property Owner Name & Address: RUPERT, CHRISTOPHER R 11935 WILDERNESS DR ANCHORAGE, AK 99516 Pump Installation Date: e3 _ 07 _ 2022 130 Pump Intake Depth Below Top of Well Casing: feet BERKELEY Pump Manufacturer's Name: Pump Modet: B7 P4J P05221-02 Pump Size: '50 hp 15 Pitless Adapter Burial Depth: feet �+ MART N ` ON Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Completion? �( Yes ❑ No Method of Disinfection: PELLETS Comments: Pump Installer Nam ANCHORAGE WELL &PUMP SERVICE - 7640 KING STREET Company: p Y ANCHORAGE, AK 99518 907-243-0740 Mailing Address: City: State: Zip: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Municipality of Anchorage Q*1 Development Services Department Building Safety Division Onsite Water and Waste%ater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage. AK 99519-W50 Page of www.cLanchorage.ak.us (907) 3417904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW 060237 PID Number. 015-201-15 David & Charlotte Eberle Wastewater System: ❑ New ® Upgrade Am... 11955 Wildemess Dr., Anchorage, AK 995162240 ABSORPTION FIELD P 348-0620 K"°` a a'6o"" 3 P Dow Tmxh 17 sero. T aci a a.a o rr.la ❑Oar. LEGAL DESCRIPTION soRa`la 0.6 Tarr 0.911, 11w,argot ar.p.: oP rt 8.4 Fr. 11 tl:2 Las SWawlbl Talus West D.prO b PM Orbe lmm rgnl iy .: 3.4 0r e•pn O«wln pk.. Towr.ha, a.rpf star. Fe Fa.eo.a.eo...lg.rp.e. 5.0 FL a..rLrpat 0.25 Fl. 84.3 FL Well: El New [I Upgrade Dr...l.ill: Zz;,R a.. who 0r..«,a 2.0 F, 2 13 FL clrLrfYrl rPe,r.. AB. Q Tar Dwft ca,.0 b Existing Private Tar Wgpbl.na Py f y Fr. FL 840 FP I PVC Sch 40, ASTM 1785 Qr.r Wr Oa.a Sl.x W.b L.wi Lwr.r Dw lr� FL Dean Construction (Bob Dean) I Sept. 26, 27 8 28, 2006 YW Paro stn CwVF + w. wO,al.n cPu FL FL TANK SEPARATION DISTANCES 0 Septic ❑ Holding ❑ S.T.E.P. ❑ Oar: To Septic Absorption Lift Holding ubhaPrivaw Fmrn Tank Field Station Tank sawar une Anchorage Tank 1250 or. wr >100 >100 >100' N/A r Ste Steel rhnwra 2 " Not>/cV tdaJ/co 1sttJ/Ri WA LIFT STATION 15' 21' 15' NIA 1250 Dr Anchorage Tank Poiid"'°" 8.5' 28' 8.5 WA 'Faro tri b•rr From Boa Strainers h TwV Wbrr From Bolt Strainer 2 n Kpn ar«rrr&L._ / aL Cat.al Dr N/A Pulp rr. a" Oronco GP200511-20 Erralvl O.p.cp«" P«barU by MOA Building Safety (attached) Ft ti BENCH MARK Lamb, rr D.Wgb. Large Rock (311 Dia+) In yard that is the headstone for a pet Rock Is shown on site plan 100 FL Inspections performedby:ST6t'fft ��O //L Dates: 1"9.17f�P G Engineer's Stamp 2^° v mT sat acc6 ��4ucbgga � q eo �E OFA( Development Services Department Approval Conditional Approval Date: * : 9TH .j ' •. 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(D D^ N W C r —1 STEVEN FLODIN, PE PO BOX 671269 CI IUGIAK. AK 99567 Phone/Fax 688-7111 October 26, 2006 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street, PO Box 196650 Anchorage, AK 99519-6650 Subject: Lot 5, Block 2, Talus West Septic System AS -BUILT To Whom It May Concern: The existing 3 bedroom home is served by a private well and a private septic system. The owner originally said the existing system was working and he wished to upgrade since the original system was installed in 1974. We originally planned to keep the existing seepage pit by the use of a diverting valve. Originally I estimated the outlet elevation of the septic tank by measuring the water level in the septic tank pump -out tube. Upon excavation of the tank, we discovered the tank was actually 2.5 to 3 feet deeper than originally anticipated, installed backwards and the septic system was under pressure. We then excavated the original pit and found the leach water was about 3 foot above the leach rock. I contacted Dan Roth with the Anchorage On -Site Water and Wastewater Program and explained the situation and told him that due to the elevation changes, the existing design would not work and a new lift station system would need to be installed. We were in the middle of construction so Dan said he would note our conversation on the permit and to proceed with construction and provide information about the new system on the AS -BUILT documents. The original leach pit tank had basically disintegrated and the pit had collapsed upon itself. The contractor finished collapsing the tank and filled the pit. A new 1250 gal. septic / lift station tank from Anchorage Tank was installed. Pressure pipe installed was 1 '/4 inch sch40 PVC pipe (ASTM D1785) with 3/16 inch distribution holes. The two trench system in the original design was utilized with the exception that we elevated the trench bottom depth and added about 6 inches of additional drain rock (additional effective area). The pipe header and distribution pipe were insulated with 2 inch of insulation even though not technically required. Attached are the AS -BUILT documents and back up information you may require. If you have any questions, please feel free to contact me at 688-2230. Sincerely, � Steven Flodin, P.E. POST IN A CONSPICUOUS PLACE ALL WORK MUST BE INSPECTED A 24-HOUR NOTICE IS REQUIRED FOR INSPECTION SERVICE - �' INSPECTION REQUEST LINE (907) 343-8300 OR FAX REQUEST (907) \ — 249-7777 MUNICIPALITY OF ANCHORAGE BUILDING SAFETY DIVISION 4700 BRAGAW STREET TELEPHONE (907) 343-8211 ELECTRICAL PERMIT RETROFIT SITE ADDRESS: 11935 WILDERNESS DR PERMITEE/OWNER: EBERLE DAVID R & CHARLOTTE A CONTRACTOR: BRICKWELL INC LOT: 5 BLOCK/TRACT: 2 SUBD: TALUS WEST TYPE: RETROFIT PROPOSED WORK R-3 RESIDENTIAL, SINGLE FAMILY WORK DESC. Adding circuit for septic system REMARKS: gjs TOTAL CONSTRUCTION VALUATION: $.00 Total fees for $112.00 this issuance: Total payments for $112.00 this issuance: 0 Men .r 4 n N apartment NO: 06--9193 Date: 10/02/06 Permit Issued By: STULLER, GRETCHEN J. Approvals: ALL WORK IN STRICT CONFORMANCE WITH PLAN INSPECTION REQUIRED OF CHECK REQUIREMENTS AS PER JOB PRINTS. FOUNDATION EXCAVATION PRIOR FIELD INSPECTION REQUIRED TO PLACING ANY CLASSIFIED FILL CONTACT THE UTILITY FOR APPROVAL OF SERVICE EQUIPMENT AND LOCATION PRIOR TO INSTAL- LATION. SERVICE CHANGES MUST BE SCHEDULED IN ADVANCE WITH THE UTILITY COMPANY AND THE BUILDING SAFETY INSPECTION SECTION. I HAVE READ THE ABOVE APPLICATION AND KNOW THE CONTENTS 1 FURTHER AGREE THE ABOVE WORK WILL BE DONE IN ACCORDAN ORDINANCES. .. Signature of pennitee or Agent: Printed Name: THE SAME IS TRUE AND CORRECT. .L STATE. MUNICIPAL LAWS, AND IF WORK IS NOT COMMENCED From ApplledMicrosystems Mon 02 Oct 2_006 0_3:44:2_1 PM AKDT Page 1 of 1 MUNICIPALITY OF ANCHORAGE, BUILDING SAFETY DIVISION 4700 SOUTH BRAGAW INSPECTION INFORMATION & HELP: 343-7962 INSPECTION: VOICE 343-8300 INSPECTION: FAX (907)249-7777 www.muni.org/BSD/Inspections.cfm NAME: Bill PERMIT*. 06-9193 COMPANY: Brickwell; Inc. INSPECT DATE: 10/3!2006 PM PHONE •: 440-9351 PHONE M 34 PHONE r ADDRESS: 11935 WILDERNESS DR LOT 5 BLOCK 2 SUBDIVISION: TALUS WEST GRID 6: SW2736 COMMENTS or DIRECTIONS Septic System... New Circuit S Underground Please Call- Thanks TYPE OF INSPECTION: Retro Electrical COMMENTS: (FOR INSPECTOR USE ONLY) ti PRINTED NAME DATE' �'L=' P(Hai) a H DIWVUAa1 ! - ■- !II f3 f3 Cc Cc .5 | kl,a %2!72§2#2;9 22§=§Q�!-L) u f ! 0. �F a�R | d E ` f i k ; ( It ! k e CL . LM qu0 z kk 32 0 ~– k•�®2'3!>2$!I! �§ !!lkl81 � fEzLD a A ���' ! i $ ( _ J � }f \ �g� t gi — t \ { i k[/ k i j/ P(Hai) a H DIWVUAa1 ! - ■- !II f3 f3 Cc Cc .5 | kl,a %2!72§2#2;9 22§=§Q�!-L) u f ! 0. �F a�R | d E ` f i k ; ( It ! k e CL . LM qu0 z kk 32 0 ~– k•�®2'3!>2$!I! �§ !!lkl81 � fEzLD a A ���' ! i $ ( _ J � }f \ }�/ — — t \ 2 P(Hai) a H DIWVUAa1 ! - ■- !II f3 f3 Cc Cc .5 | kl,a %2!72§2#2;9 22§=§Q�!-L) u f ! 0. �F a�R | d E ` f i k ; ( It ! k e CL . LM qu0 z kk 32 0 ~– k•�®2'3!>2$!I! �§ !!lkl81 � fEzLD a A ���' ! i $ ( _ J � MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW060237 Legal Description: TALUS WEST BLK 2 LT 5 Design Engineer: 0841 FLODIN ENTERPRIES Owner Name: DAVID & CHARLOTTE EBERLE 9/2G/DG � sr PH r4A.k I*v FLA -C E (sv9 GewA, F -,,C• 914 /3�6 Date Issued: Aug 02, 2006 Expiration Date: Aug 02, 2007 oil Parcel ID: 015201-15 qla& 9ia� ���o t Site Address: 011935 WILDERNESS DR 1l�tr Lot Size: 21258 SQ. FT. la� Owner Address: 11955 WILDERNESS DR Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE, AK 99516-2240 This permit is for the construction of: ❑✓ Disposal Field ❑? Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. F. 9.•1 L L PF Rµ19NENTL)' DECOAW137S ION rKE SF PT/G TAO(* THC 1x0;r1A'& SEbPaIfE p/T• Au 4N(N0046E r)9IPk /2SO GAL. $.1.E.� T)4NK k.l&.L OK COA/ST�PtttTliD TD DEI-7�Ele 6FfLllEA1T To PRAlol FIFc.D. Received By: Date: Leh 6 Date: Z. d. Municipality of Anchorage -� Development Services Department ,ea Building Safety Division Onsite Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEPTICMELL PERMIT APPLICATION i FOR A SINGLE FAMILY DWELLING Parcell.D. O1 5-20/—/,S— I Property owners) J/, y j o 4 Gl4A2 t_o f'r'4 E04<1-£ Day phone 2 C+ G -2596 I Mailing address / / 93 W 11_,P6icA1,5 's' PKjyE Zip Code f Site address (�i?"mE i Zip Code Legal description (Sub'd, Block & Lot)I R is yr Wes r a i- K 2 . Lo 7 - Legal Legal description (Township, Section & Range) Lot Size 21, �2� 6 Sq. FL THIS APPLICATION IS FOR (®all that apply): Absorption Feld a Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms .3 i THIS APPLICATION IS AN: Initial ❑ Upgrade I Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single it Dwelling and is In accordance with applicable Municipal Codes. T7) (Signature of properowner or authorized agent) I i Permit/Rush Fees: LI&O Waiver Fees: I� Date of Payment:�3 f/�F'_r Date of Payment: Receipt Number. $� Receipt Number. (Rev. 11105) ; STEVEN FLODIN, PE PO BOX 671269 CHUGIAK. AK 99567 Phone/Fax 688-7111 July 28, 2006 Municipality of Anchorage I Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street, PO Box 196650 Anchorage, AK 99519-6650 Subject: Lot 5, Block 2, Talus West I Septic System Design and Permit Application i To Whom It May Concern: i The existing 3 bedroom home is served by a private well and a private septic system. The owner says to existing system is working however he wishes to upgrade since the original system was installed in 1974. We will keep the existing seepage pit by the use of a diverting valve. A test hole was excavated, monitor tube installed and a perc test performed. The attached Site Plan and backup documentation identify the location and configuration of the new septic system. The lot is fairly level with a little slope from east to west. The test hole was placed as indicated on the site plan. No groundwater or bedrock was encountered in the test hole. The test hole was silty sands with gravel and sand lenses. A water monitor tube was placed to a depth of 16.0 feet and observed for 2 months. No water was observed. I Trench System Data: i a. Percolation Rate: 20 minutes/inch b. Allowable application Rate: 0.6gallons/day/sq.R. c. Number of Bedrooms: 3 I d. Design Flow: 450 gallons per day i e. Minimum Absorption Area: 750 sq. fl. f. Total Depth: 10.0 ft. g. Effective Depth: 4.5 ft. h. Width: 3 ft. i. Minimum Length: 84 lineal feet (2 @ 42 feet long each) j. Effective Absorption Area: 756 sq. ft. We are proposing to install a new 1,000 gallon septic tank and two deep trenches at 42 feet long each. The trenches will be constructed parallel to the property contours. Grading will be accomplished to assure a positive surface drainage away from the new trenches. There are no known surface waters within 100 feet of the proposed septic system. If you have any questions, please feel free to contact me at 688-2230. Sincerel +, Steven Flodin, P.E. a Municipality of Anchorage DEPARTMENT OF HEALTH d HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: 9AVb0 "g<'z6 DATE LEGAL DESCRIPTION: LT is t F'7 /^t LL 2 3 4 5 6 TRfi 8 s 10 11 12 13 14 15 16 17 18 19 20 e,Kc aAi ii:5 Eft) Ge60 4.,[ry sgtvD Cs -) Si�y SAND �Jm�C�`-Yf'�� GRau,�c y .�irrD,�eN) Po�K�Tsr gf'rcT s-4rV 05r") Stery 5�wtoy-A S GROUNDWATER ROU D WATER tv 17V G�L 'ts ND / PC -05r" IF YES, AT WHAT DEPTH? COMMENTS PERFORMED Section: N/A Depth to Water AIIeI 0 NhY Nmitarinp7 .�ytat%E pe[9106 goe.. Awl\ i G 0Cf At C9 9T�IX I n : STEVEN F. FLOWN .•' p 4209.E ' C�Ar 1==MMM- S't4ND H 12( O �. 414-rH srrnu- `Z-8.7Tors of Jwml� COMMENTS PERFORMED Section: N/A Depth to Water AIIeI 0 NhY Nmitarinp7 .�ytat%E pe[9106 goe.. Awl\ i G 0Cf At C9 9T�IX I n : STEVEN F. FLOWN .•' p 4209.E ' C�Ar 1==MMM- WFJAal�r�� -- � wM r PERCOLATION RATE 90 (minutes/inch) PERC HOLE DIAMETER 1419 TEST RUN BETWEEN -7 --FT AND go FT s+. I �rP dBR t 0elf"t CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE: 72 -MB (Rev. 4/851 Dave Eberle Home, 11935 Wilderness Drive, Anchorage Lot 5, Block 2, Talus West, Anchorage, AK Septic System Notes; 1. All materials and workmanship shall meet the Anchorage Development Services Department and the Alaska State Department of Environmental Conservation requirements and standards. 2. All deviations from the plans and notes must be approved by the engineer. 3. Replace existing 1000 Gal. Septic tank. Tank is to be set level with a minimum of 5 foot of separation to the home foundation. (Discuss Tank outlet Invert elevation with Engineer prior to proceeding past this point) 4. All cleanouts are to be 4" approved materials and extend above grade per MOA standards. 5. Pipe from septic tank to leach area is to be approved material and sloped at 2%+/-.! 6. All piping under any driveway and parking area is to be insulated with approved 2 inch rigid insulation. ; 7. The trench bottom must be level within plus or minus 1.5" throughout the trench I length. 8. Trench drain rock must be 1/2" to 2 %s" screened material. j 9. Perforated pipe must be installed level with perforations down. 10. Gravel depth over the perforated pipe must be a minimum of 2". i 11. A filter fabric (silt barrier) must be installed between the gravel layer and the soil backfill. 12. Finish grade over the trench must be mounded. 13. The new septic tank and trench system must not be closer then 100' to any private well or 150' to any class "C" well. 14. Perforated drain pipe to be 4" PVC ASTM D3034 or approved equal. T 0 Q n d , dpi p % 3 j % r m % o r m J 00 ►-�; r- 11 U N II1 O c m a y of n w Z • l0 E C to ♦fir h cu rn .n m / W S0/ y U m O � J J 1 A1C X EI 3 OIf W S W d N N (7 C ; N y y >> O • N II 1 W rUp lUp�=U) It CL CL U% z � CM -T CM V) In V ) cm N .� w a � � U A p cisW N N Y V m O N Y dO Ec,,ml T m N v O CL 'j d — N m 0 j O m p G r^ p 4) Q N E Z daEi Ici E a.= FWCD Lo -trn io w o �J 0 to O m N c, L. .i m N o - O N C6 co d W Y c l6 U CL 0 MEW W :l a w 0 CL ❑ 9 LL R-9 i rUPr � G .r N 0) Q1 Q O Nva N E~ E E 10Y d N O _ � p N y L m U Q CL ,OO p d Q w —i U) ti o - O N C6 co d W Y c l6 U CL 0 MEW W :l a w 0 CL ❑ 9 LL R-9 i rUPr � G co O O M M M �• • • • • • • • • • 1 1 1 1 1 1 1 1 1 1 1 in V f > V C O y ���4� m u O t U � O d� Y Cr N 0. O U N O LL Off' M M M �• • • • • • • • • • 1 1 1 1 1 1 1 1 1 1 1 in V f [.1 0 Ar Y ��' P n• . ���4� m u O �.+0 '� 4� v\ O �4 •� o .'4L Q [.1 UKtA -K ANLHUKAUt ARLA BOR( -`,GH t / Department of Environmental Quality L 3330 C Street Anchorage, Alaska 99503 �r INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LK/ IMNC'-lt`1��7ST MAILING ADDRESS - 0-(' % [yt�t �z PHONE- LOCATION LEGAL DESCRIPTION I L: PZ,(. 2, SEPTIC TANK: DISTANCE OF FROM WELL �-�`� MANUFACTURER Milk `�� 1 - NUMBER M /�MATERIAL�J Li �.L COMPARTMENTS I INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /-I'h GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER OR WIDTH 6/, LENGTH23,/ DEPTH Ij ' LINING MATERIAL'�''�_ Itl,'rl_ CRIB SIZE: DIAMETER �t DEPTH / DISTANCE FROM: WELL ff�'C' 10 / TOTAL EFFECTIVE BUILDING FOUNDATIONNEAREST LOT LINE I ABSORPTION AREA (WALL AREA) W'r=`. SQ. FT. ADDITIONAL ABSORPTION WELL: _%,N TYPE 11U%l V/LY/Ai_ CONSTRUCTION DEPTH `� DISTANCE FROM: BUILDING i NEAREST / - FOUNDATION .30 �- LOT LINE ID '1' NEAREST I /(1 SEWER LINE SEPTIC /- �U S- SEEPAGE TANK SYSTEM CESSPOOL Alc�rLc_ , OTHER SOURCES APPROVED 4--� DISAPPROVED REMARKS DISTANCES:_ X15 .5'f-/Ol/ld DIAGRAM OF SYSTEM INSTALLED BY: bnT t 2 •Y PIPE MATERIAL: G�� (°20'I N)CiYi LOT SLOPE: REMARKS: LY -L G(itz.I( 9 '-7T1 h<cck U,,tc N !II DATE _E{'f APPROVED �tgbAA_C /)f''✓i- /I,fhq; G.A.A.B. Farm No. EQ -031 f' v GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT _r /-y!V X�;Xf41 L /�-�' MAILING ADDRESS ^� "'' � ✓��� PHONE INSTALLATION LOCATION/��✓'/�iC//'_� .,12/�/'I L+%•j s`— LEGAL DESCRIPTIONGf/ INSTALLATION OF: SEPTIC TANK (% SEEPAGE PIT DRAIN FIELyD/ , OTHER , iJ�-%'✓sG/ /�/j"' ��%/�✓-1 ✓' 1i %_. TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS _�/-s��% zz NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE/��L� y7 //. TYPE ` SEEPAGE AREA SIZE /-''�� TYPE MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT -%Z =� DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK =� SEEPAGE PIT �}i1 DRAIN FIELD T TO NEAREST LOT LINE. WELL TO SEPTIC TANK �r/� SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK -��/ / SEEPAGE PIT DRAIN FIELD SEPTIC TANK, �� SEEPAGE PIT //�iJ , DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE /� APPLICANT'S SIGNATURE ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE U. Performed For'JIF:>Q,j at 'Rp S e h �o t�v Date Performed �e�e to e^r l Q, V-4-7- Legal Description: Lot Block Sub vision q L'—' This Fcrm Reports a: Soils Leg,j ercolation Test�_� GREATER ANCHORAGE AREA BOROUGH" J',_.,HEALTH DEPARTMENT / 327 EAGLE STREET ANCHORAGE, ALASKA 99501 CASE 4 Depth Feet Soil. Characteristics o 1SCati $S^ 6 °� S;t�y ��5c• C �j Qr(Lvc>� a^cz�� l� •+� �Y'c�veLl� :v Pods e c�rcwo 1 t n �G VO) �v g Was Ground Water Encountered?--� If Yes, At. What Depth Reading Proposed Depth Of N<rs: c Date ( Gross Time Installation `—Seepage Pit Net Time Depth ToH2O Net Drop ®_ Drain Field fo Bottom Of Pit Or Trench Test Performed B).;vn Data Certified By: Date: (� �S^o�saonct��US� q� y o Ol. a� Illi► hill ; loo .s A�VCj_ I "-P7-1C 1A T?fU< Pp2G P,2ppc)ScD ELE✓��% S �LT�G, G,2fi0� �,p2AGC SLRB — /03.8 It h thr re6 .:p ihrl t,y n[ the m7rnre crr bul)ger -prim bi err lr� uh, I. ir[y pptofu c,t hull) n[ �r r r rr i 1 i to tirr- ishPd grade and of lrt,y innn—tuns nod io deter rrrnre thr t r r o[ ar y ea•e' Cnents, covenant,, or rr..,V-010.r, which do not appear.on t; c.wordrd subdivi- sion plat. P,e(>POSF7� k3 / ✓n9 --- ---------- -- LEGEND: IV Brass Cap Monument LOT SURVEY CERTIFICATION 0 Iron pipe e Steel Pin o Survey Hub 9 Tack Lot Block Anchorage Recording Precinct, Alaska REVISIONS DATE I BY Prepared By: DICOMUN-aWN D-WALCH-LCC Residence of; - ® ENGINEEV ANCHORAGE. ALRSHA - Do/e: BY: z� Sco/e: — W. FB. A' —� Grid: 5. LEGAL DESCRIPTION DATE RECEIVED ' INSPECTION APPOINTMENTS - 7 u STREET LO/CAPTION TIME TIME TIME 6. TYPE OF RESIDENCE (�� -2c7 El One E:1 Four ❑ Other SINGLE FAMILY DATE DATE DATE 7. WATER SUPPLY a�za I�4 INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY INSPECTOR i,7 �/oll INSPECT R INSPECTOR B. SEWAGE DISPOSAL SYSTEM MUNICIPALITY OF ANCHORAGE DEPT. Gr :-::. L:.i S, DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOrfNVIRON)J;Lie L-.,. ,.. 1 _CTION 825 L Street - Anchorage, Alaska 99501 NOTE: THE INSPECTION FEE MUST. ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. I L.dil.� ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 R E C I � / E.D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DI RECTI ONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) - PHONE g7ael a'TE✓E 3QAVa .34zt 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE ©n) MAILING ADDRESS - 91?3 2 "C` 5. LEGAL DESCRIPTION poi- Ldc!L�JS 7 u STREET LO/CAPTION ^� /VesS 7ipr✓ep - 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS El One E:1 Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Xr Three ❑ Six 7. WATER SUPPLY I�4 INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM 5I INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST. ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. L f x - 72-070 (Rev. 6/79) � 1 � - GN �' - '! /) 72-010 ( Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY - 1. TYPE OF RESIDENCE '91 SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS O ONE THREE ❑ FIVE ❑ TWO FOUR ❑ SIX ❑ OTHER 2. WATER SUPPLY -® INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMITNUMBER DEPTH OF WELL DATE DRI LLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM 91INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER PLA1 -0Septic Tank or ❑Holding Tank Size: Ic�il �]i� If Tank is homemade give dimensions: SOILS RATING G4 TYPE OF TALKII _]_Q2 Y MANUFA URER F TOTAL ABSORPTION AREA MATE L 4. DISTANCES WELLTO: Septic/Holding Tank I�� Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [� APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 ( Rev. 6/79) ALASKA MUIR011O1011TAL COIITROL 13npeering & 6nuironmental Studies First National Bank Southcenter Branch Box 4 2090 Anchorage AK 99509 ""i RRUICOS, Inc. MUNICIPALITY OF ANCHORAGE oEPT. cF CTION ENVIRon;�rwT,,� __" I e r"2 3 Iwo December 26, 1980 RECElV SELLER IRAAHHNRNRY SCIE,D:XV:I:S:LON--TALUS WEST DL.(:1CK-2 LOT -5 TFIIE: TYPE OF AB�SORF'TICIN SYSTEM IS A PIT WITH AN AREA OF" 756 Si:1F"To Tru:: SYSTEM IS CAPABLE: CIF" ACCEPTING 4.`S0 GALLONS OF WATER F,ER DAY> THI SOII...S RATING CIF" THS:'. SYSTEM AT CONSTRUCTION WAS 22,15 AND NOW IS 252 SC1F"Ti BE-:DFtiOOM BASED UPON THE: TEST DATA THE SYSTEM IS ACCI_PTABLE. FOR A 3 BEDROOM HOME:: THE SEF'U(�,.XANK WAS PUMPED ON OCTOBER 21 1979 1220 West 25th Auenue • Anchorage, Alaska 99503 9 (907) 276-1361 _ R&M ENG EERING & GEOLOGIC ' CONSULTANTS 229 EAST 51st. AVE. — P.O. BOX 6087 —ANCHORAGE, ALASKA 99503 TELEPHONE 9o7-279-0483 TELEX 090-35419 Civil Engineers Geologists Land Surveyors JAMES W. ROONEY, P. E. RALPH R. MIGLIACCIO MALCOLM A. MENZIES, P.E., L.S. Engineering Geologist JAMES H. WELLMAN, P.E. June 8, 1972 R & M No. 26521 Mr. Howard Nugent Star Route A 1591-N Anchorage, Alaska 99507 RE: Test Hole and Soil Log Report for Sanitary System Lot 7, Block 2, Talus West Subdivision i Dear Mr. Nugent: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This investi- gation was performed in accordance with your request of June 8, 1972, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 7 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor -mounted backhoe and the test hole was extended to a total depth of 12 feet below ground surface. One sample was recovered from the bottom of the test hole and retained for grain size analysis. The sample will be held in storage, up to approximately one month, for possible testing before it is discard- ed. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL COVSULTANTS James W. Rooney JW R: wb Enclosure cc: Greater Anchorage Area Borough ANCHORAGE FAIRBANKS !U':'EAU Municipality of Anchorage • Development Services Department t Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road. i PD, Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 , CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-201-15 COSA# Q5C_ J,,1b6� 1. GENERAL INFORMATION Expiration Date: Complete legal description TALUS WEST S/D; BLOCK 2, LOT 5 Location (site address) 11935 WILDERNESS DRIVE * ANCHORAGE, AK * 99516 Current Property owner(s) DAVE EBERLE Day phone 242-4961 Mailing address P.O. BOX 15379 * FRITZ CREEK. AK * 99603 Lending agency Day phone Mailing address Real Estate Agent SHAWN BABBIT W/ COLDWELL BANKER Day phone 562-7653 Mailing address 3000 C STREET, SUITE 101 * ANCHORAGE, AK * 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site {♦ Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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 structur a indicated herein. /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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date �, Z Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operationsl requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any otherperson or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory / Other By: Original Certificate Date: (Rev. ii Municipality of Anchorage • -� Development Services Department Building Safely Division On -Site Water 8 Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: TALUS WEST S/D; BLOCK 2, LOT 5 Parcel ID: 015-201-15 A. WELL DATA *PER GEG INSPECTION. **PER AAROW PUMP AND WELL INSPECTION. SEE ATTACHED REPORT. Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) NO Date completed -1975 Sanitary seal (YIN) YES Wires properly protected (YIN) YES Total depth *134+ ft. Cased to **40+ ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 8/11/2011 Static water level ft. 86 ft. Well production g.p.m. 4.58+ g,p,m, WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate AdiO_mg./L. Collected by: GEG, Ltd. Arsenic: NO ug./L. Date of sample: I l � >• � B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tank size 1250 gal. 011111M:11111% Number of Compartments E Date installed 9/27-28/2006 Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping 131 1.2-011 Pumper ISAACS PUMPING C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 9/27-28/2006 Soil rating .p.d./ orft2/bdrm) 0_6 System type DUAL TRENCH Length 84.3 TOTAL ft. Width 2/2 ft. Gravel below pipe 5 ft. Total depth *8.3 8.5ft. Eff. absorption area 843 ft' Monitoring tube YES Depression over field NO Date of adequacy test **8/11/2011 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 110 in. Water added 450 gal. New depth 29 in. Elapsed Time: 125 min. Final fluid depth 21 in. Absorption rate >= 450+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date **TESTED SOUTH TRENCH ONLY. EAST TRENCH HAD 12" OF LIQUID AT INSPECTION. D. LIFT STATION *PER ORIGINAL INSPECTION REPORT. Date installed 9/27-28/06 Size in gallons 1250 Manhole/Access (Y/N) YES "Pump on" level at *6 in. "Pump off' level at *2 in. High water alarm level at *18 in. Datum BOTTOM OF PUMP BASKET Cycles tested 3 Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100,+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION o "' ^ U� per.•'• •.. �i i certify that f 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 Q date. r7 ffr A. am ss. - Engineers Printed Name JEFFREY A. GARNESS �O 9, 1CfEf-79x53 ��afm^ tlZ�r'2•' �a�oG Date 'ITZ p10 fessio��oc COSA Fee $ Ll ` b Date of Payment i a Receipt Number Gla�It^, (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number SGS SGS Re£# 1120180001 Client Name Garness Engineering Group, Ltd Project Name/# Talus West L5 B2 Client Sample ID Talus West L5 B2 Matrix Drinking Water Sample Remarks: Printed Date/Time Collected Date/Time Received Date/Time Technical Director 01/24/2012 15:54 01/16/2012 13:23 01/16/2012 13:50 Stephen C. Ede Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date lilt Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 01/17/12 01/23/12 NRB Waters Department Total Nitrate/Nitrite-N ND 0.100 mg/L SM20 4500NO3-F B (<10) Microbiology Laboratory Colony Count 0 col/100mL, SM20 9222B Fecal Coliform 0 col/100mL SM20 9222B Total Coliform 0 col/100tnL SM209222B A (<200) A (<I) A (<1) 01/18/12 CMA 01/16/12 MEM 01/16/12 MEM 01/16/12 MEM Aarow Pump & Well Service LLC {907}346-9355 Inspection Report I ran a camera 55' down the well at 11935 Wilderness Drive and did not find any holes/ cracks in the casing or leaking around the pitless. Beau Maxim