Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
HOMESTEAD HILLS #1 BLK 3 LT 16
Homesteod Hills Block 3 Lot #015-173-38 Municipality of Anchorage Page 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: '~ ~x/t~O/~ ~ PID Number: O/O"'-/~7 ~ -<~ Name: ~/A~~ o~A ~ ~ Wastewater System: ~ New D Upgrade Address: ~?0/ ~ ~ ~e~ ABsoRpTIONFIELD Phone: ~9~-~ IN°'°'~dr°°m.: ~DeepTrenoh ~ Shallow Trench ~Bed ~Mound ~Other Total Deplh from original grade: LEGAL DESCRIPTION s°"""""O:O. ~ GPD/Sq. Ft. ~/' Lot: /~ Block: ~~ Subdiv~lon:~ ~ ~ Depth to pipe bottom~ ~,lr°mo°riginal grad.: Ft. Gravel depth ~.beneath~ pipe Ft. · o~,,,,:,i..n..:_ I Section:__ ;Fill added abo~:ri~nal, grade: Ft. Gravel length: WELL: ~ New D Upgrade ~rav~wi~m: /~ ~t. I Yield: ~ ~ GPM ~ Pump 8el~ Vat~ FI, ~ Casing Height~ Abow Ground:Fl. TANK SEPARATION DISTANCES ~ s...~ ~ Ho~.. ~s.~.~... To Abso~tio~ UII Holding Publl~/Prival. Manufacturer: ~ r capaclty in gallons: From ~/e(~(L~ Field Station Tank Sewer Lines i~ t DC YC &~ /~'3 / / Material: Number of Comp~ments: SudaCewater/~8~ /~o ~ /oo ~ LIFT STATION Lot ~ Size in gallons: ~ Manufacturer: "Pump off' level at: J "Pump off" level at: High water alarm at: Cu~aln Pump Make & Model ~ Electrical Inspections peHormed by: Drain ~ /Jo~ /~.~ ~~ ' '_'. ~'~ ' Remarks: ~'/~' ~.~.~. ~,~,~ BENCHMARK Location and Description: J Assumed Elevation: !7034 Eagle Ri~r Leap R~& N~ . . Q_/~. O~ ~,/:.,/,.j~'./ Inspections pedormed by: ~,~ ~-==~ ~k: ~ ua[es: lm ~,: ~ ~_._~:..~ '* '- ..... 2nd Y-/9-Y~ ~'""T'%:::- :~ ~,~ ,O~,T ............... C. COWA, Department of Heallh,and Human ~e~ces approval . ~, ~,,:" ........ Reviewed and approved bY' ~'~ Date: LO'~¢'~ I 72-O13 (Rev. 9191) MOA 25 PERMIT NO SW980128 PA(;~. 2 OV 3 Municip. o. Li-'c of' Anchor'o,c~e DEPARTIVlENT OF HEA~TH AND HUM'AN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box ]96650 eAnchorage, A_task~ 995Ig-6650eTetephone~ 343-4744 ON-SITE WASTEWATER DISPOSAL ISYSTEM AND/OR WELL INSPECTION REPORT L~.GAL LOT 16, BLOCK 5, HOMESTEAD HILLS #1 100' WELL RAOIUS' NEW BED P.I.D. 1~0. 015-- 173--38 LOT 1 7 N BIOCYCLE UNIT · TH #! SCAL~ t" 40' ROBERT C. COWAN LOT 1 5 CE-Seo~ PBEMI~ N0. $W980128 p,~z 3 O~ 3 Mumicip. a[it_y__.o? AnchoraQe DEPARTMENT OF HEALTHAND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.D. Box 196650 eAnchorage, Alask~ 99519-6650eTeleDhone~ 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LZOAL LOT 16, BLOCK 5, HOMESTEAD HILLS #1 P.I.D. No. 015-175-58 A B FCO .51.0' ,55.5' BIO 55.5' 40.0' MT1 101.5' 49.5' MT2 !124.0' 88.0' WATER FOUND 8~,5' B.0.H. SCAI~ 1" = 40' No.21)O From : RLPINE DRILL 907 545 0202 0ct. 04.1998 11:22 PM ~01 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING & WATER MGMT WATER WELL RECORD BOI~OUGH SUEDIVI~t~. LOT CLOCK SEC*rlON QTRS SECTION ~OWNSHIP ~ANOE MI ~AN LOCATIONISK~CH: WELL OWNER: I DEPTHS M~SURED FROM~cesing top ~ground surface WELL DEPTH: DATE OF COMP[ ~ION M~terial Typo ~n~ ~olor From To DEPTH TO STATIC WATER L~EL: · '~ ~ .... ~ ~ _~ ~ft below ~ ~op of cesi.g D grou~ s ,dace USE OF WELL; ~' domestic ~ i.igafion ~ moni~ Depths of openings: to ft SCRE~ TYPE: Clam; tn, GRAVEL PACK TYPE: ,., MHni~pali~ o,f Anch?; qe Dopth: from fi to ft .... Dept. Health & Human ~e PUMPING L~EL AN~D; PUMP INTAKE DEPTH: ft Horsepower; ..... ~j WELL, DISINFECTED UPON ~pMPL~ION? ~'YES D NO CONTRACTOR INFORMATI,~N: ., REMARKS; ,egi.s~4~rdd Bus~ness ~ame . ' ~' ' ' / ~.~~/~:.~ ' , <~ ~.~ ~ PLEASE MAIL WHITE COPY OF LOG TO: ~i~ture ~ Autho~ze~ Re~nr~ta.iv:' ' '~ DNR/DIVISION OF MINING & WATER MGMT ~ ...... 3601 C St, Sulte 800 ANCHORAGE AK 9~503.59~5 Phone (9071269-B639, Fax (9071662-13B4 /vlUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 Date Issued: MAP21, 1~39~ Expiration Date: May 21, 1999 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit N umber: SW980128 Design Engineer: 0003 S & S Engineering Owner Name: Brian Monaghan Owner Address: 8901 Jewel Terrace Anchorage, AK 99502- Parcel ID: 015-173-38 Legal Description: HOMESTEAD HILLS #1 BLK 3 LT 16 Site Address: 004521 TRAPLINE CIR Lot Size: 45643 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Privy [] Private Well [] Holding Tank [] 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. Received By: ,ssu o : Date: Date: ROBERT C. COWAN, P.E. June 23, 1998 CIVIL ENGINEERS (907) 694,2979 FAX (907) 694-1211 HEALTH AUTHORI~ APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE W/~STEWATER DISPOSALSYSTEM DESIGN MUNICIPALITY OFANCHORAGE Department ofHealthandHumanServices P.O. Box 196650 Anchorage, AK. 99519 RECEIVED JUN 2 4 1998 Municipality otAnchorage Dept. Health & Human Services REFERENCE: Lot 16, Block 3, Homestead Hills Subdivision This is to provide a design change for permit # SW980128 for the referenced property. Upon removing the organic layer in the area of test hole #1, it was discovered the shallow soils do not meet percolation rate requirements. Another shallow percolation test was performed about 25 feet southwest of test hole #2 (see attached soils log - TH # 2A). This confirms the soils are suitable in this area. Therefore, the attached Biocycle wastewater treatment system design allows sufficient area around test hole #2 for both the primary and alternate sites. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas, or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future developement on any of the adjacent properties. There are no points of contamination within the proposed well radius that can be seen on the attached site plan. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/mg Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 1" = 100' SITE PLAN DESIGN ~ ~m ~oc ~ / /~ / / ~ ~ ~ /~ / / ~ / v ~~-~'-'/ /"~/ / ............. ~-- i~~~1 . ;~ X , , L -- m £~t~t~I£S [tglODSdlq 'J. Iq$3 '3393 ~ '393m W w C) © z 0 ~ t2l .t o"/ 39V05 91V130 N91530 ,Og = ,,L 91~30 391-10~d I 'S'I'N ~.~ ~o /;. . ~ ~ ~o~ ~1 _~ ~Z 0 I ~ I o o ~ z o o ~ I ~ I ~ I- L J ~i ~ ~__ J , 3~VOS ~ ~1~30 038 'S'~'N Municipality of Anchorage. DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST Township, Range, Section: 1 2 3- 4- 5- 6- 7 8 9- 10- 11 12 13- 14- 15- 16- 17- 18- 19- 20; COMMENTS SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, ATWHAT / DEPTH? / __ Depth lo Wat. F,.'After Monitorin,~?' Dale: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop '/ ' I "~ " PERCOLATION RATE J '~ (minutes/inch) PERC HOLE DIAI~ETER TEST RUN BETWEEN I FT AND--"~' FT ,: PERFORMED BY:1~0~4 Eagle ~;v,~r: C,C,~ ~G&~ ~',[G. ~,~,'~ I,v~FZ"~_// ~--- 4~'1,u~ .... CERTIFY THAT(o/~THIS/TESTq WAS PERFORMED IN ACCORDANCE 'V~'I~J~LP~-i~J~T'~JJ~I~IIv~3t~PAL GUIDELINES IN EFFECT on THIS DATE. DATE: Iii.- ~ 72-008 (Rev. 4185) ROBERT C. COWAN, P.E. CIVIL ENGINEERS HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST S~TE PLANS ROAD DESIGN SOiL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS (907) 694-2979 FAX (907) 694-1211 REFERENCE: Lot 16, Block 3, Homestead Hills Subdivision June 23, 1998 GENERAL: The scope of this project includes the installation of an "innovative" Biocycle Wastewater Treatment System and a drainfield bed to serve the four bedroom residence located on the referenced property. o Construction shall be in accordance with the approved site plan and design drawings, M.O.A. certificate with any special provisions or conditions, and all applicable State Wastewater Disposal RegUlations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. o Contractors installing wastewater disposal systems must be familiar with construction practices in this area and either certified by the Municipal Health Department or have been previously certified under the D.E.C. certification program. Owners installing their own systems must also receive prior approval from the M.O.A. PRESSURIZED MOUND SYSTEM INSTALLATION: o Any peat or organic matter must be removed from the elevated mound site. The bottom of the basal bed area as well as the top of the sand filter is to be within two inches of level. The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. The side slopes of the top layer of the mound system must not be steeper than 33% (3:0. 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 16, Block 3, Homestead Hills Subdivision June 23, 1998 The top of the mound shall be covered with a minimum of 6 inches of topsoil and vegetated sufficiently to prevent erosion. The distribution pipes are to be embedded in sewer rock. Care should be taken to back- fill in such a way as to prevent damage to the piping system. o Silt barrier material must be installed between the final gravel layer and the native soil back-fill. Ensure the silt barrier covers the entire gravel surface before placing back-fill. Back-fill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the depth is less than thirty-six (36) inches above distribution pipe. ABSORPTION BED/DRAINFIELD INSTALLATION: o Excavate the proposed bed to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the side walls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. 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 back- fill. Ensure the silt barrier covers the entire gravel surface before placing back-fill. Monitor tubes shall be 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. Back-fill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfield 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, i ~. Page Three Lot 16, Block3, Homestead Hills Subdivision June 23, 1998 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: T_vpe 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. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable non-toxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil back-fill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during thC lhstaliation of the wastewater disposal system. These inspections will occur as follows: ' . Page Four Lot 16, Block 3, Homestead Hills Subdivision June 23, 1998 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. 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 back-fill. 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. 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 mnq ROBERT C. COWAN, P,E. HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN April 13, 1998 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 16, Block 3, Homestead Hills S/D Request you issue a permit to install a septic system~to serve the proposed four bedroom house on the referenced property. Two test holes were excavated and percolation tests were performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation, groundwater was encountered in the test hole #1 at 14.5 ft. After seven day groundwater monitoring, the monitoring tube was checked and groundwater was found a+q ~. ft. In test hole #2, at the time of excavation, the groundwater level was at 11 ft. After seven day groundwater monitoring, the water level was at 3 ft. 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. Sincerely, Robert C. Cowan, P.E. RCC/jlm Enclosure 17034 NORTH EAGLE RIVER LOOP" SUITE 204" EAGLE RIVER, AI.ASKA 99577 oo~ 1 IMM}lAS [{140OSdlq i NOlS3(] o I-- 0 -J o NVgd 311S 'l~S3 '0393 ~ '393/ q ,00!, = ,,[ ,, Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 625 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DATE PERFORMED:~ Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12- 13- 14- 15- 16- 17- 18- 19- 20- COMMENTS was GROUND WATER ENCOUNTERED? SLOPE SITE PLAN s~ IF YES, AT WHAT ~ O Monitoring?Depth lo Water After,, ¥' V~, Date: 3/~,~/R ~" Reading Date Gross Net Depth to Net Time Time Water Drop y;~7 ~ ~,. ~" '1~" ~:0 5= ~ ,, V~ " PERCOLATION RATE I ~t. (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN (~ FT AND "7 FT PERFORMED BY: 1~;4 ~at~l* ~¥ei- [~p ~ ~ ~ I ..... CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE ~I~L~i~I~PAL GUIDELINES IN EFFECT ON THIS DATE. DATE'. 3 /~ q / ~ ~ 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~'-~1C.~. ~P~-(-~V~._ ~ 0 ~. ~-~- ~-ok- )~, fJ~o c~ 3 LEGAL DESCRIPTION:~O/~1~-~$ 7~-,~- ~'~ ROBERT C · cowA~ ,., ¢'~ 880! DATEPERFORMEO:,' , I'', t% Township, Range, Section: 1 2 3 4 5- 6- 7 8 9 10 11 12 13 14- 15 16 17 18 19 20 COMMENTS PI/_ SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT iL/ DEPTH? Dept, to Water After Data. Monitoring? I ~ ~ . SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop i3-O '~ PERCOLATION RATE ~ (rninutes/inch),PER,[C HOLE DIAMETER z¢ ' /A ' ,,g'- TEST RUN BETWEEN } ~/~. ! FT AND i~, ~/A. FT S& ~" ' ''- /' S ENGINEERING _...~//~y ,//~_ PERFORMED BY: ........ I ...... I. /~? / /~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN 72-008 (Rev. 4/85) HEALTH AUTHORITY APPROVALS SEWER&WATER MAiN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL iNSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOiL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL iNSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN ROBERT C. COWAN, P.E. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 REFERENCE: Lot 16, Block 3, Homestead Hills S/D May 5, 1998 GENERAL: The scope of this project includes the installation of a 1500 gallon wastewater S.T.E.P. system (septic tank) and three pressurized absorption trenches to serve the proposed four bedroom residence located on the referenced property. 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. The contractor shall be responsible for obtaining any necessary underground utility locates: Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 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: A septic tank is to be construCted by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 16, Block 3, Homestead Hills S/D May 5, 1998 o All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 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 fi. 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. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. PRESSURIZED MOUND SYSTEM INSTALLATION: 1. Any peat or organic matter must be removed from the elevated mound site. The bottom of the basal bed area as well as the top of the sand filter is to be within two inches of level. o The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. The side slopes of the top layer of the mound system must not be steeper than 33% (3:1). o The top of the mound shall be covered with a minimum of 6 inches of topsoil and vegetated sufficiently to prevent erosion. The distribution pipes are to be embedded in sewer rock. Care should be taken to backfill in such a way as to prevent damage to the piping system. Silt barrier material must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Page Three Lot 16, Block 3, Homestead Hills S/D May 5, 1998 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. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: T.vpe 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. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 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. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. o 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 Lot 16, Block 3, Homestead Hills S/D May 5, 1998 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: 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. 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. 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 CRMED FOR,.Wes Hartl ieb �✓ _ Q4TE- w PERFORMED: 7/19 - 7/2 IL DESCRIPTION: LoC� 1 t; 8104Ck_ a Subdivision unMrcmran c FORM REPORTS. O Visual Solis Examination O Percolot.on Test—""T"T"i S H SOIL 7"1 Tan Topsoil Brown Gravelly Sandy Silt 7' NJ ML I 16 Brown Sandy Silt Relatively Dry BOTTOM OF HOLE NOTES 0 c (COPY GROUND WATER ENCOUNTERED Yes S. WHAT DEPTH 16' NO Pert rove Ado:) Sampletaken Frozen tone Water table NG I DATE I GROSS TIME I NET TIME GENERAL SITE SLOPE DEPTH TO H20 S 7/1Aw —B 11/16w 0 a/lcw NET DRAINAGE In 1/40 l!w /I w OLATION RATE: 120/Kin/in, DRAINAGE REQUIREMENTS' ' OSED INSTALLATION: 0 SEEPAGE PIT m DRAIN FIELD O OTHER ICNTS : PERFORMED BY: Liza Sims ` OATA CERTIFIED 8Y: James R cstad P F DATE/Zl/80COPY Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 015-173-38 GENERAL INFORMATION Complete legal description COSA# Expiration Date: HOMESTEAD HILLS #1 BLOCK 3, LOT 16 Location (site address) 4521 TRAPLINE CIRCLE ANCHORAGE, AK 99516 Current Property owner(s) RAINER & BEATE LUDWIG Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 4 Day phone 4521 TRAPLINE CIRCLE ANCHORAGE, AK 99516 Day phone Day phone TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class __ Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site [~] Public Sewer r---J 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 sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or 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, 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 ARCTERRA CONSULTING, INC. Phone 868-3792 Address 204,11 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 07/15/2011 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and Septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, loCal soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. DSD SIGNATURE ___J/" Approved for J'7j Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date:~,~-/./_ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: HOMESTEAD HILLS #1 BLOCK 3, LOT 16 A. WELL DATA Well type PRIVATE IfA, B, or C provide PWSID # __ Date completed 5/28t1998 Sanitary seal (Y/N) Y Total depth 79 f. Cased to 79 ft. FROM WELL LOG Date of test 5/28/1998 Static water level 37 ft. Well production 30 g.p.m. WATER SAMPLE RESULTS: Coliform /~/~'~colonies/100mL Nitrate ~,~'/Y/ mg/L Arsenic: _A//)mg/I Date of sample: 7/7/11 B. SEPTIC/HOLDING TANK DATA Parcel ID: 015-173-38 Well Log (Y/N) Wires propedy protected (Y/N) Casing height (above ground) 24 in. AT INSPECTION 7/8/2011 28 4.19 g.p.m. Collected by: ArcTe~'a Tank Type/Material STEP - BIOCYCLE/FIBERGLASS Date installed 9/19/1998 Tank size 1532 Number of Compartments _~ Cleanouts (Y/N) X Foundation cleanout (Y/N) __Y Depression over tank (Y/N) High water alarm (Y/N) Y Date of pumping NA Pumper ATTACHED BIOCYCLE REPORT C. ABSORPTION FIELD DATA Date installed 9/19/1998 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.45 System type Bed Length 46 ft. Width 1~5 ff. Gravel below pipe 0.5 ff. Total depth 2.5 ff. Depression over field N Results (Pass/Fail) Pass For_4 bedrooms __in. Water added 650 .gal. New depth 0 in. __ in. Absorption rate >= 600+ g.p.d. Eft. absorption area 690 ft2 Monitoring tube Y Date of adequacy test 7/8/2011 Fluid depth in absorption field before test 0 Elapsed Time: 0__ min. Final fluid depth 0 Any rejuvenation treatment (past 12 mo.) (YIN & type) N__lf yes, give date --- gal. LIFT STATION Date installed 9/1 9/98 "Pump on" level at 62 in. Datum TOP OF TANK SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 1_00'+ Absorption field on lot Public sewer main 75'+ Sewer/septic service line 25'+ Animal containment areas 50'+ Size in gallons 1 5 3 2 "Pump off" level at 80 in. Cycles tested_~3 Manhole/Access (Y/N) Y__ High water alarm level at 5 8.5 _in. Meets alarm & circuit requirements? _Y On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100% Holding tank 100'+ Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main 10'+ Water service line 10'+ Wells on adjacent lots 1_00'+ Absorption field 5'+ Surface water 100'+ Water main 1-0'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water Service line 10'+ Surface water 1-00'+ Curtain drain 50'+ (None Known) COMMENTS 100~+ Driveway, parking/vehicle storage 10'+ Wells on adjacent lots 100'+ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name KENNETH M. DUFFUS Date 7/15/2011 COSA Fee $490.00 Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number BioCycle Alaska 4971 Thompson Drive Homer, AK 99603 226-2476 office 399-0331 cell Email: bioc:yclealaska(3gci, net Customer Rainer and Beathe Ludwig 4521 Trapline Anchorage, AK 99510 646-1994 2nd Qtr Maintenance 2010 BioCycle Location H uffms~l Install Date: August-98 Tank #: 43 MAINTENANCE DESCRIPTION PRIMARY CHAMBER SCUM LEVEL ~,.....,_z~. HI(',H AERATION CHAMBER & AERATION SYSTEM '. BLCg,x,~R. SIZE 6&-~8~'') 120 L[~ No~S'F~ ~...E'VaL ~{r mO.H GE~ CONDITION j~¢ POOR PP~'O SYSTEM: ~ L~S f~., LE~S ~ DWFUS~U~ S'~PI.Y ~O~, POOR ~m~L~q't~o'~ commoN' O~OR '}'~i({C. CLARIFICATION CHAMBER SL'OI_3GE ACCI.IM IX HOPPER CL.~LITY OF EFi;'LLr£N'I' LOW '~.. HIGH C:LE.APJ FAiR DISCHARGE CI-La._MBER DISCHAR()E POMP OPEt(.&TINO .M. AILMS CHECKED AND OPEtL&TING' .. ,~POW~R /'YES ~6'H WATER {.xYES NO NO NO COMMENTS 2nd Qtr 2010 Maintenm~ce was performed today BY: LARRS/" BETTS DATE: q0,,"~,0 sgvd C, HI Vi~.c_;V-1V 3-1,9/.,.:Z}OI.'E 9.Zi'g9,5.'5,LeE, a,-~ :9'[ !I[},.l,...'8li.,.'VO BioCyc!e Alaska 4971 Thompson Drive Homer, AK 99603 226-2476 office 399-033 l eel], Email: biocy, clea ,laska,_.a_~gci,net Customer RaSher a'nd Beathe [.l~lwig 452t Trapline Anchorage, AK 9951B 646-1994 4tl Qtr Mainten .nce _2010 Bio,Cycle Location Huffman lrmtatt Date: ~$t~98 T~_~n k #: 43 MAINTENANCE DESCRIPTION PRIMARY Ct4L~_MBER 8CUM LEVEL AERATION' CI4'AMBER & AE.RATIOJN BLOWER SiZE ~80 120 L/.M~ ~'~'I'ION P~SSU~ ~. ftiGH LOW 'NOISE LEVEL x~ HiGH GEN~. CONDYflON SYSTEM: ~RLE.~ ~ ~S MIKED LIQUOR CONDITION O~R ~ ~ES CLARIFICATION CHAMBER SLUDGE ACCUM 'fN B'OPPER CLA_RtTY OF EFFLUENT \CLEAR/F'AJR CLOUDY DISCHARGE CHAMBER ~? s DISCHi,~.R. GE PUMP OPERAT-IN'G ~VE~3 ~ ALARMS ~HECKED A~D OPERA / YES FIIGgl WATER NO NO COMMENTS 4th Qir 2010 Maintenance was performed today BioCycle Alaska 4971 Thompson Drive Homer, AK 99603 226-2476 office 399-0331 cell Email: bio cyclcalaska(~gci, net Customer Rainer and Beate Ludwig 4521 Tmpline Circle. Anchorage, AK 99516 646-t994 1st Qtr Maintenance 2011 BioCycle Location Huffrnar~ Install Date: August-98 Tank #: 43 COMMENTS MAINTENANCE DESCRIPTION BLOWER SiZE AERATION PP~._'SSI.)I~E NOISE LEVEL OEN'I?,RAL CONDITION SYSTEM: AIR LE2X2C. g A:E~. DI/WUSER/AZR SUPPLY M/XED LIQUOR CONDITION ODOR 'roG.Fi 60("~01 120 L/'lvffN /(~'~K %.-:PClGH LOW '..~.' .) mox CLARIFICATION CHA.IvlI3ER SLUDOE ACCOM ~' HOPPER CLARITY OF EFFLi.~NT (L.~7 ,? o',r- '" DISCI-:iA2RGE C.~4AMBFR DISCHAkGE PUMP OPERA'I'Rq'G NO ALAtLMS CHECKED AND OPEP~&TIN'G /dR/POWER ~(~',\ N'O HIGH WATER 1 st Qtr 2011 Maimenance 'was perfbrmed today BY':__L3:RRY BETTS DATE: ~ '~O-:"--" \-~- BioCycle Alaska 4971 2~aompson Drive Homer, AK 99603 226-2476 office 399-0331 cell Email: biocyelealaska(.~gci.net Customer R~iner and Beate Ludwig 4521 Trapline Circle Anchorage, AK 99516 ~46-1994 2nd. Qtr Maintenance 2011 BioCycle Location Huffman Install Date: August-98 [Tank#: 43 MAINTENANCE DESCRIPTION PRIMARY CHAMBER SCUM LEVEL ,(OKi 1-tIGH AERATION CHAMBER & AERATION SY'STEM AEIL4.TIONI:'R.~.SS'Ui~ &"~i" HIOB LOW NOISE LEVEL Y Q~) HIGH OENERAL CONDITION ~ POOR SYSTEM: A_IR LI~M(S ~ LEAKS AIR DIFFUSER/AIR SUPPLY ~( · POOR MIXED LIQL)'OR CONDITION ODOR O '~ YES CLARIFICATION CHAMBER SLUDGE. ACCUM IN HOPPER CI..ARi't'Y OF EFFLUENT ~ FZLIR CLO'O'DY DISCHARGE CHAMBER DISCHARGE PUMP OPER_ATrNG ALARMS CHECKED AND OPERATING~,'% AIR/POWER HIGH WATER NO 'NO NO COMMENTS 2nd Qn- 2011 Maintenmace was perfbrmed today BY: LARR'Y BETTS DATE: ~t I- 9B,.,"';8 =IDV,=I .3NI tc,'.:,lSV-It¢ 3q:D,&:DOT:~ 9-,"~2,'_-:'.9~,gLSE, 6'[ :8'~ '1;'[0,.'5,."81...",.'8 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage. AK 99519-6650 vc~w, muni,org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL- FOR A SINGLE FAMILY DWE~.LING/{-~5C~-~ Parcel I.D. 015.173.38 1. COSA# 02 q- Expiration Date: ,~---. I ~ - 0 7 GENERAL INFORMATION Complete legal description Lot 16; Block 3: Homestead Hiils Subdivision Location (site address) 4521 Trapline Cir. A~,chorage. AK 99516 Current Property owner(s) eeckyMo~aghan Mailing address same Day phone 440-0818 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless othem, ise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding Tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may be reissued with now water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or 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 vatidation date show~ below, I verify that my investigation, based on procedures outlined in the Ce~flcate 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 end 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 s & s Engineering "~' Address ,586, S. Birchwood Loop Rd~C~/i~ugrak]AK~995(~/--h/~ Engineer's Printed Name?~-~"~/'-//~//~ L ~/~-~.'-//'-~-J" 5. DSD SIGNATURE Approved for Disapproved. Conditional approval for Phone 694.2979 Date Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other '~:~)¢~--C~ OriginalCertificateDate: ~- /'"~ --07 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (9o7) 343-79o4 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST A. WELL DATA Well Date completed .~Z=~/~ Total depth ~ ~ ft. IfA, B, or C provide PWSID iV Sanitary seal~)N) Casedto ~ ft. FROM WELL LOG Date of test Static water level Well preduc~ion WATER SAMPLE RESULTS: Coliform (~ colonies/100 mL Arsenic: (~) mg/l ft.. gp.m. Nitrate t~.O~mg/L Date of sample: I_~ B. SEPTIC/HOLDING TANK DATA Tank Type/Material Tanksize I-~.. gal. Number of Compartments Foundation cleanou~) x~ Depression over tank (Y~_J~ Well LOg(~I) ~'~"~ Wires properly protected(~),l) Casing height (above ground) ]~ in. AT INSPECTION ,~ ' ft. Other bacteria ~ colonies/100 mL Date installed Cleanout~) High water alarm(~) Date of pumping ,~1~//c~ PumpeLpH p...q_E' C. ~SORPTION FIE~ DATA T~I depth ~.~ fl. Eft. a~o~on ar~ ~ MonOlog tu~ ~ ~pr~s~n ~er ¢mld Flu~ de~ in a~o~n fie~ ~m test ~' in. Wamr add~ ~aL N~ delhi"In. E~Time: ~ min. F~lfluiddep~ d' ~. ~o~l~nrale >= ~' gp.d. ~y reju~n tma~ent (~st 12 mo.) ~ ~) ~0 If y~, give date De LIFT STATION 'Pump on' level at ~ in. Datum"rC~ ~o~' E. SEPARATION DISTANCES Size in gallons I ~ ~ ~ 'Pump off' level at n. Cycles tested ~'~ Manhole/Access ~N) High water alarm level at ~;~ VZ. in. Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tenk/tift station on lot Absorption field on lot /~:~ If. Public sewer main Sewer/septic sewice line Animal containment areas On adjacent lets lO~) ~ On adjacent lots (.~) I..~_ Public sewer manhole/cleanout Holding tank /,~/~ Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation //"~ ~ Property line~ e [4- Absorption field Weter main /~/J~ Water servi~ line /0 ~f~ Surface weter Wells on adjacent lets 1~'~ ~' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Water main Properly line /O t4" Building foundation Water Service line /D ~ Surface water Curtain drain ~(.~4~. JOOO~'K~ Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspectk>ns and review of Municipe/ recorda~t /he above sy..~r~$ are ~ conformance with MOA C~.~y~line~ in~.ec~on~is deC. Engineer's PrintedName~['~/.)C/"?/v'~ (,~/~-.-~"~/ COSA Fee $. Waiver Fee $ Ddveway, pmking/vehicie storage [~ ~' Date of Payment Receipt Number (Rev. 11/05) Date of Payment Receipt Number SGS Ref.# Client Name Project Name/# Client Sample ID Matrix 1070141001 S & S Eng~n¢c6ng LI6 B3 I lomcstcad tlills~ / L 16 B3 110mcstcad I l ills:~'~ ] Drinking Water All Dates/Time~ are Alaska Standard Time Printed Date/Time 01/18/2007 16:15 Collected Date/Time 01/08/2007 12:40 Received Date/Time 01/08/2007 13:~5 Technical Director Stephen C. Ede PWSID Allowable Prep Analysis Private Individual Analysis Total Dissolved Solids 268 10.0 mg/L SM20 2540C D (<500) 01/10/07 ACF Zinc 37.1 $.00 ug/L £P200.8 C (<5000) 01/10/07 01/15/07 TK Nickel 2.96 2.00 ug~L EP200.8 C (<100) 01/10/07 01/15/07 TK I-ICO3 Alkalinity Igg 10.0 mg/L SM20 2320B D 01/12/07 PLW CO3 Alkalinity ND 100 mg/L SM202320B D 01/12/07 PLW Ol I Alkalinily ND 10.0 mg/L SM20 2320B D 01/12/07 PLW Conductivity 430 1.00 umhos/cm SM20 2510B D 01/12/07 KP pll 7.79 0.100 pll unils EPA 150.1 D (6.5-8.5) 01/10/07 AZ.5 Alkalinily Ig$ 100 mg/L SM20 2320B D 01/12/I)7 PLW TotalColiform 0 col/100mL SM209222B A (<1) 01/08/07 DPT SCS Re(.# Client Name Project Name/# Client Sample ID Matrix 1070141001 S & S Engineering LI 6 B3 11omestead IlilL't~ ] LI6 B3 110mestead I lills~_./ Drinking Water All Date~/Times are Alaska Standard Time Printed Date/Time 01/1g~2007 16:15 Collected Dare,Time 01/08/2007 12:40 Received Date~l'ime 01/08/2007 13:55 Technical Director Stephen C. Ede PWSID Sample Remarks: 300.0 - The difference between the sample and the duplicate for Ortho Phosphate - P is greater than 20°,4, but less than ha((the PQL. Allowable Prep Analysis Parameter Results POL Units Method Conlainet ID Limits Date Date Init Nitrate-N 407 0.100 mg/L EPA 353.2 B 01/08/07 JDS Nitrite-N ND 0.100 mg/L EPA 353.2 B 01/08/07 JDS ~etals Department I lardness as CaC03 198 5.00 mg/L SM20 2340B C 01/10/07 01/15/07 TK Private Individual Analysis Aluminum 38.8 20.0 ug/L EP200.8 C 01/10/07 01/15/07 TK Antimony ND 1.00 ug/L, EP200.8 C (<6) 01/10/07 01/15/07 TK Arsenic ND 5.00 uglL EP200.8 C (<10) 01/10/07 01/15/07 TIC Barium 11.4 3.00 ug/L EP200.8 C (<2000) 01/10/07 01/15/07 TK Cadmium ND 0.500 ug/L EP200.8 C (<$) 01/10/07 01/15/07 TK Calcium 57500 500 ug/L EP200.8 C 01/10/07 01/15/07 TK Chromium ND 1.00 ug~L EP200.8 C (<100) 01/10/07 01/15/07 TK Copper 71.2 1.00 ug/L EP200.8 C (<1300) 01/10/07 01/15/07 TK Iron ND 250 ug/L EP200.8 C (<300) 01/10/07 01/15/07 TK Lead 0.680 0.200 ug/L EP200.8 C (<15) 01/10/07 01/15/07 TK Magnesium 13100 50.0 ug/L EP200.8 C 01/10/07 01/15/07 TK Manganese 13.3 1.00 ug/L EP200.8 C (<501 01110/07 01/15/07 TK Phosphorus ND 200 ug/L EP200.8 C 01/10/07 01/15/07 TK Chloride 15.2 0.100 mg/L EPA300.0 B (<250) 01/09/07 01/09/07 JDS Fluoride ND 0.100 mg/L EPA300.0 B (<2) 01/09/07 01/09/07 JDS Potassium 1300 500 ug/L EP200.8 C 01/10/07 01/15/07 TK Selenium ND 500 ug/L EP200.$ C (<50) 01/10/07 01115/07 TK Sodium 7230 500 ug/L EP200.8 C (<250000) 01110/07 01115/07 TK Silicon 5510 200 ug/L EP200.8 C 01/10/07 01115/07 TK Silver ND 1.00 ug/L EP200.g C (<100) 01/10/07 01115/07 TK Sulfate 16.3 0.100 mg/L EPA300.0 B (<250) 01109/07 01/09/07 JDS Thallium ND 1.00 ug/L EP200.8 C (<2) 01110/07 01115/07 TK Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-173-38 1. GENERAL INFORMATION Complete legal description Location (site address) 4 5 21 Lot 16; Block 3; Trapline Cir. AnchoraRe, AK 99516 COSA# OL O3t rq- Expiration Date: Homestead {{ills Subdivision Current Properly owner(s) Mailing address Lending agency Becky Mona~han same Day phone 3/~6-4340 Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certiflcatas 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. Certifmates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-sita wastewater disposal and/or water supply system. DSO also issues COSAs upon request to homeowners. Certifmates of On-Site Systems Approval ere valid for 90 days from the date of issue for properties served by a private or Class C wall and may be reissued with new water sample results. (Certificetes 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 walls 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 cerfiTmd by my seal affixed hereto and as of the validation date show~ below, I verify that my investigation, based on procedures o~llined in the Certificate of On-Site Systems App,'oval 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 infarmation obtained from the Municipality of Anchorage files and from my investigation and inspaclion, 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. NameofFirm $ & S l~n~J, neez'J, ng Phone 69/*-2979 Address ].7034 N. F~aR'le Rf~vez- Loop Ste, 204 ~;aF, Ze Ri. vet-, Al( 99577 Engineer's Printed Name j~l~'~,~';-C. ~",~A,-' Date 5. DSD SIGNATURE Approved for Disapproved. Conditional approval for ,,~ ~', ................ -:,'~ ,-,,.~, ..., .~ ? ...... ; . ~ ,., .',, '&'~- "- ct-soot .'?-' ," bedrooms. ~k ~.~,, ... ,%- ,, bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: (Rev. 11,~5) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-79O4 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST ~{~Lt.G '/.~arcel ID: Legal Description: A. WELL DATA Well Date completed ~./~, Total depth ~' ft. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform ~) colonies/100 mL Arsenic: I,a~ mgrl B. IfA, B, or C provide PWSID # cesedto ~'~ ' · FROM WELL LOG ~7' ~,0 ~.p.m. Nitrate q,~ mg/L Date of sample: ~/' V2~,, SEPTIC/HOLDING TANK DATA ~ TankType/Material ~-~.T;,I~,~. ~0OitTJ. E-~/ ~'E./oLR-%~ Tanksize I~gal. Number of Co/npartments q Foundation cleenout~) ~ Depression over tank (Y~ ~ Well LOgaN) Wires properly protecte~3~N) Casing height (above ground) AT INSPECTION ~9 ' ft. ~'~ gp.m. Other bacteria 1,3'b colonies/100 mL Collected by: '~,~ ~--o~ta.~n~lza~..~G Date of pumping ~/R Pumper ~ ~'/rR~h "~ ~OC.--']C--L[" /~ C. ABSORPTION FIE~ DATA D,einstal, ~/1~* Soilmfin~or~rm)~'~ System~,~ Len~ ~ ' fl. W~ I ~ ' fl. Gravel ~1~ ~ ~, ~ fl. T~ldepth ~,Sk. Eff. a~o~fionar~ ~0~ Mon~o~ngtu~ ~ ~pr~s~ over field N~ dep~ Flu~ de~h in a~or~on fie~ ~fom t~t ~" in. Wa~r add~ ~gal. "' Ele~Time: ~ min. Finalflu~dep~ ~"in. A~pti~rate >= ~ g.p.d. Any rejuve~n Eeetment (~st 12 mo.) ~ ~) ~ ~ If yes, give date D. LIFT STATION Date inetelled 'Pump on" level at (~"~n. Datum ***'~ P E. SEPARATION DISTANCES Size in gallons. 'Pump off' leve at ~)~ in. Cycles tested High water alarm level at ~'~ ~" in Meets alarm & circuit requirements? .. ~/E ~ Absorption field on lot Public sewer main Sewer/septic service line Animal containment areas SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot /~X~ t~ On adjacent lots On adjacent lots sewer manhole/cleanout ~/F~ Public Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation. /~) 14- Property line (0/4- Absorption field Water main A~/R, Water sen, ice line IG ~ Surface water Wells on adjacent lots ICX~ ~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line lC) fa- Building foundation /~ ~t Water main Water Service line lc") I-~t- Surface water ! ~ 1.4` Driveway, pad;ingNehicla storage Curtain drain ~ ~ ~ Wells on adjacent lots ~'~ ~- F. COMMENTS G. ENGINEER'S CERTIFICATION I mv~w of Mun~l ~s ~t ~e a~ sys~ am ~a~ w~h MOA CO~ gu~eli~s in eff~ ~ this date. ~'"~~~,~ Engine,s PHn~ Name ~e~,( . COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number HOMESTEAD HILLS SUBDIVISION LOT 16, BLOCK 45,645 S.F. ~0.00' N 89'57'45"£ 1 ,30' 2APLINE :IRCLE AS-BUILT CASTALDI LANO SURV~:YING. LLC JEFF ~ GASTAL01, R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE, ALASKA 99502 PHON~ 248-5454 I HERERY CERTIF~f T~t I HAVE SURVL"Y[D PROPERLY( DEPICTED ABOVE AND THAt NO ENCROACNMENTS ExiSt EXCEPT AS INDICTED, II ~ IHE RESPONSISILI~ OF THE OWNER TO DETERMINE THE EXISTENCE OF A~ ~SEUENIS. C~NANTS OR R~STRICTIONS ~ICH ~ NOT APP~ ON TH~ RECORDED SUB.SION p~T. UNDER NO ClRCUMST~C~S 5H~LO ~ OA~A HEREON BE USED FOR COnTRiTION OR FOR [ST~USHING BOUN~ OR FENCE ~CHO~GE R[CORDtNG D~STRICT. 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 015-] 7.3-38 HAA # '~ ~--~-.C~Om (.-- GENERAL INFORMATION Complete legal description Lot 16, Block 3, Homestead Hills Location (site address or directions) 5421 Trapline Circle Property owner Mailing address Lending agency Mailin. g address Agent Address .:Brian Monaghan Day phone 8901 Jewel Terrace, Anchorage, AK 99502 248-6449 " Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: xxx If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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. $ & S ENGINEERING Name of Firm :7034 Ea~;~= P.!:."_r L-~-~- ~-'-~ N_~ ?n~ Phone ~ Eagle River, Alaska 99577 Address Engineer's signature --~/'~ Z , Date /o /~-~; o DHHs SIGNATURE ,~/ Approved for ~"~.L, ~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments 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. 72-025 (Rev. 1/91) Back MOA ~21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SER JG ,L,,, Environmental Services Division ¢~',,'VIRONMENTAL SERVICES DrvIsIC~ 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist LegalDescription: ~o'F if~ ~l..~ ~ Ho,~,~T~,~,~ H,~tJ ParcelI.D.:. O A. WELL DATA Well type t~ /~i VIt'r f£ Log present J~/N) Total depth Sanitary seal ~/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed 5-- / ;~'/ ~1 ~' Cased to -7 ~ Casing height (above ground) Wires properly protected (~/N) Date of test Static water level Well production FROM WELL LOG g.p.m. AT INSPECTION g.p.m. WATER SAMPLE RESULTS: Coliform O / Date of sample: / o ~/! ~l ~' TANK DATA Date installed d'i/! ~t /'=1 ~ Tank size Nitrate Collected by: Other bacteria $ & $ ENGINEERING ~.703'!. E-*;!~- ~;ve_.' L~-"2 Eagle Rive~, Alaska ~577 Number of Compartments ~/ Cleanouts (Y/N). /~'~ t c w Foundation cleanout C/N) . ¥4~ J Date of Pumping. ~' ! 4 Depression (Y,~ Pumper High water alarm (~N) '~'~' J' ABSORPTION FIELD DATA Date installed ~ J 1 fl / ~ ~' Length ~/6' ~ Width Soil rating ~or fF/bdrm). 0- '~ ~ System type ) 5'~ ~ Gravel thickness below pipe ~)" ~- Total depth Effective absorption area Date of adequacy test ,~/~- Monitoring Tube present ~/N). Yes Depression over field (y~ Results (Pass/Fail) For ~ bedrooms Fluid depth in absorption field before test (in.); Immediately after gal. water added ~ ~--~ Fluid depth (ins) Minutes later: Abso.~g~m~'~E~-~-= ~ g.p.d. Peroxid~ If yes, give date 72-026 (Rev. 3/96)* LIFT STATION Date installed Manhole/Access t~N) High water alarm level at* Size in gallons "Pump on" level at* (~ 3. *Datum "Pump off" level at* T ~' ~.~ Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 1 ,.( ~ Property line (~ o ~4 Absorption field Water main/service line ( Io ~ Surfacewater/drainage /~ 3o Wells on adjacent lots /o ~ SEPARATION ~)ISTANCE FROM ABSORPTION FIELD ON LOT TO: Properbj line 10 + Surface water / ~ o Curtain drain ,tv ~ ,,,- ~.. ! Building foundation 30 --/- Water main/service I/ne ' Driveway, parking/vehicle storage area Wells on adjacent lots / o 0 4 HAA Fee $ Dat, of Payment J'/~' //~r Receipt Number ~9~'~W~? ~ h '~'// ENGINEER'S CERTIFICATION _.~,~.'~ .,." of, I certify that l have determined thru field inspections and review of Mbnicipal rec~~ ,...~Lems are in conformance wit~ M~A ~lA~uidelines in effect on this d~e. ~/%~' .~ Engineer's Name ,, Date · Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)*