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HomeMy WebLinkAboutSIEFKER #3 LT 7B10 Siefker #3 Lot 7B 1 #015-281-42 Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Mark Begich Anchorage, AK 99507 Mayor www.rnuni.orq/onsite (907) 343-7904 Pump Installation Log Well Drilling Permit Number: SW_ Date of Issue: Parcel Identification Number: Legal Description Property Owner Name & Address: 7�+/-J A YVj; Tu-+FLL 50EFKF� #-3 44to� s+ ...__ s Pump Installation Date: 7141"5— Pump Intake Depth Below Top of Well Casing: i Cil feet Pump Manufacturer's Name: A /Y L e- r'��,,,,v /4e— Pump Model:j% tJ Pump Size 3y hp Pitless Adapter Burial Depth: / 2 feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: / r Well Disinfected Upon Completion'?4, Yes ❑ No Method of Disinfection: GAIon, .e ;.t e to Comments: Pump Installer Name: 4ticAcvz-,e,�< I-L)"J �100& 1_e Attention: The pump installer shall provide a pump installatign log to the DSD within 30 days of pump installation. e r Municipality of Anchorage Development Services Department Building Safety Division - - On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW0900 5 PID Number: 015-281-42 N"'° LES LAVIGNE Wastewater System: ❑ New ® Upgrade Addhthhl ABSORPTION FIELD 12201 AVION ST. ANCHORAGE, AK "516 FI'me Nu t w to Beb $ ® Dep Tre vh O Semon T1VXh O Bed O M O Dew LEGAL DESCRIPTION $Oe Rq n° Total Depth can ond. 0.8 CPn/Fl 12.5 12.5 FI. al rx tat suD . Dope 10 pipe emorn Bora mprw pace Cyte el dope bereeth ppe 7131 SIEFKF,R #3 3.43 Fi. 9.07 Ft TennNp Hacpe swag FY.dped.G OlrWgrace or"Lergh: 0.35.1.98 Ft. 199' 3Z Ft. Well: ❑New ❑Upgrade o e N 1 h Nun of lr.s owilme wan lnee 2 Ft. I Fl clalled".n ('mate. A B, C): Taat Dean. Ce.ed b: Taw •bear'.^ V"ppe Melehel. Private. Fl. Ft 580 Fit I D3034 D. w Dae Dred Sw c Water Leal. ielatM-. Date MIKO d. FI. I11ike Anderson 02/1612009 v.a. Pump s«r Ce.q H.yv Appre Grpma. TANK GPM FI. A SEPARATION DISTANCES I@ Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To 6eplic Absorption Lin Hol0ing u rJnval ,.at cwea.y From Tank Field Station Tank sewer Lie Anchorage Tank 1000 Gel wen 100'+ 100'+ NA NA 25'+ e1p Steel N�o«a 2 s,dacewelat 100'+ 100'+ NA NA LIFT STATION Lau» 5'+ '0'+ NA NA Gal Wa 5'+ 10'+ NA NA unp m ls.el el. ump am r..l at H"Fr a'atar atrm at. Fp bon In in it C, Dren NA " 50'+ NA NA 7 Pump Mace a Madel E. i.pea.r, pacannac by He.... •b1OA waiver issued **none known BENCH MARK Existing septic tank abandoned in place per UPC. Diverter ion ata .apan. Top of deck installed to existing absorption field. " e = 100 Fl Engineer's Stamp OF Ae%%j i�P( ...»...,,,.4s 1� •. Inspections performed by: ArcTerra Engineering R Surveying Dates: '1411/31/09 Aw ,,. j * i4 L 'y9 0;F 4140:441.e 2"" 6/09 ire .gee e. • , Development Services Department Approval % M Kenneth M. Duff, W �� 11� � �� S J �0 Me CE 7116 Reviewed and approved by: Date: %4 /oq.,• ���p 0` a�qF m« )voo) / .e ,1 �%ROFESStONP�%e 3A -C=28.5' B -C=26.3' oA-D=36.2' -B-D=31.3' M -F=56.8' 'B -F=59.2' AS -BUILT SYSTEM DETAILS/SITE PLAN Permit 090005 SIEFKER SUB. NO. 3 LOT 7B1 PID#015-281-42 GRAVEL ID/W WOOD "' I 0 O � v _ m O 3 BR A USE =I I NEW 1000 G m F BM SEPTIC TANK M TH09— /�TF� 0 B O Cn of 0 0 —I F 32'Lx2'Wx9'D D LL RA II N90'00'009 SCALE, 1' = 20' 7.7 7. I I I 11 FINAL GRADE .� 96.6 96.4 96.5 nm r vr¢s d 1000 GAL SEPTIC 93.0 93.0 zr TANK SEWER ROCK ��. 9T. ALV Y % CQ * W :4 TE * '� u, � KENNETH Y. D / o I �.•. CE—'7316 �� ES310HN' AV PREPARED FOR, LES LAVIGNE 12201 AVION ST. ANCHORAGE, AK 99516 907-345-9755 FIELD BOOKS COMPUTED: saw•nnr. BOUNDARI wAwr. BMW surra STAKING "oaD: KMD AwmT.. JLS DATE 02/17/1 Dvr- FXL. OM 2735 Am FML' FILE Joe Th: 08-090 Ba.00 7s.00 a SCALE, NTS v w r, e.an sve`0 y`r. AK 99e11.0,6 I- 3/-o9 Q 5;0� MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jan 20, 2009 Expiration Date: Jan 20, 2010 Permit Number: SWO90005 Parcel ID: 015-28142 Legal Description: SIEFKER #3 LT 761 Design Engineer: 0070 ARC TERRA ENGINEERING & SU Site Address: 012201 AVION ST Owner Name: LAVIGNE LESLIE W & DENISE D Lot Size: 0 SO. FT. Owner Address: 12201 AVION ST Total Bedrooms: 3 Permit Bedrooms: 0 ANCHORAGE, AK 99516-2136 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. 5. The following special provisions. A. Permit Includes waiver #W R090005 , allowing 0' proposed absorption field to south property line separation distance, and 10' proposed absorption field to existing absorption field separation distance. Received I Issued I Date: 1 LC Date: l hD D 0i Municipality of Asichorage � 1!0. IMLC 1103i50 • Anchnmgc, Alaska !7.6519-firZO.47(M) Iilmorc Rwul OOim (9)7) 37:1-Wl • Par: (W7). 3di9M) http://%%im..muni.nq( Mayor Alark Begich Dcvclollrncnt. Services Depu tnlcnt January20, 2009 Kenneth Duffus, P.E. ArcTerra Engineering & Surveying, Inc. Subject: Waiver Request for Siefker #3; Lot 7B1 Waiver Request Number: WR090005 Parcel ID: 015-281-42 Permit Number: SNV090005 Dear Kenneth Duffus, P.E.: QK,ENT SF W DEPARTMENT Your request for the waivers listed below; 1. 0 foot absorption field to south property line separation distance, 2. 10 foot proposed absorption field to existing absorption field separation distance. has been approved. This waiver approval applies to the items listed above only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sinc ely, Jme s "Jay" Crewdson, P.E. Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department Building Safcty Division On -Site Water and Wastewater Program 4700 Bragaw Strmt P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR# 0900005 PID# 015-281-42 Permit# SW090005 Date Received: January 20, 2009 Legal Description: Seifker #3; Lot 7B1 Engineer: Kenneth Duffus, P.E. Applicant: Leslie & Denise Levigne Waivers Requested: 0' absorption field to south property line separation distance, 10' proposed absorption field to existing absorption field separation distance. Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: ,................................................................ 0.0086668 Waiver is Granted: X Waiver is not Granted. List Conditions or Reasons for above: 0' absorption field to south property line separation distance minimizes Impacts to landscaping and does not Interfere with adjacent property's septic system. 10' proposed absorption field to existing absorption field separation distance has minimal Impact because the fields are perpendicular to each other and offset vertically. Date:1201 109 By: Jay Crewdson Name of Reviewer ,...................................0806seesse... seed... ..... ............. Rec#: 05578C Amount: $320 Date Paid: 1120109 Municipality of Anchorage --1 Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907)343-7904 RUSHI r ON-SITE SEWER/WELL PERMIT APPLICATION RI FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-28)-42 Property owner(S) Les Lavigne Day phone 907-345-9755 Mailing address 12201 Avion St. Anchorage, AK Zip Code 99516 Site address 12201 Avian St. Anchorage, AK Zip Code 99516 Legal description (Sub'd., Block & Lot) Siefker No. 3 Lot 7B1 Legal description (Township, Range & Section) Lot Size Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field 0 Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage EN Number of Bedrooms 3 THIS APPLICATION IS AN: Initial ❑ Upgrade El Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. ArcTerra (Signature of property owner or authorized agent) Date of Payment: Date of Payment: Receipt Number: Q'iJ ?9 c' Receipt Number: 00��G (Rev. 11105) Pr Vfl: rtAs� -hes rdt439L 0�� 4 M M.14pN January 19, 2009 ARCIERRA ENGINEERING AND SURVEYING, INC. Dan Roth, Program Manager Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: SIEFKER NO.3 LOT 7B1— SEPTIC SYSTEM UPGRADE LOT LINE & EXISTING SYSTEM SEPARATION WAIVERS Dear Dan, The owner has requested we proceed forward to obtain a septic permit to upgrade the failed septic on the subject lot. On January 17, 2009 one testhole was performed for the proposed system. The results of this test are attached. The general slope of this lot is from east to west at a grade of approximately 1-5%. We have designed our system utilizing the existing testhole that was excavated for the existing 3 -bedroom house. The lot is served by an individual well, located in the north central portion of the lot. We propose to install one T wide deep trench. Water was not encountered during the excavation or monitoring. Due to a berm of mature trees and the location of the existing system, we arc requesting a waiver to lot line of 0' and 10' from proposed to existing fields be granted. The proposed best -fit design takes into account these topographic and existing, stringent conditions. The existing system is 11-15' below grade. The proposed system total maximum depth is 12.5' from existing grade. We do not expect there to be any adverse effect on adjacent lots by the location of this system. Siefker No. 3 Lot 7B1 January 19, 2009 Page 2 of 2 There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111 /FAX 696-8111. Respectfully submitted, AreTerra Engineering & Surveying, Inc. - Mm o,w,1Kenneth M. Dufful Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test Owner/Contractor Specs 20441 PTARMIGAN BLVD • EACLE RIVER, AK 99577-8736 • PII (907) 868-3791 • FAX (907) 868-3793 WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLA SIEFKER SUB. NO. 3 LOT 7B1 LOT 7A WELL RADII, PROPERTY LINE, & EASEMENTS WILL BE STAKED BY A RLS PRIOR TO CONSTRUCTION NO PUBLIC WELLS WITHIN 2W OP PR(]POSED SYSTEM. NO PRIVATE WELLS WITHIN 200' 6 P� ROSED SYSTEM EXCEPT AS NOTE& NO SEPTIC SYSTEMS WITHIN 200' 6 PRCPOSED WELL EXCEPT AS NOTE& OF AZ4 I KENNETH U. DUFFU CE -7116 �� WELL RADII, PROPERTY LINE, & EASEMENTS WILL BE STAKED BY A RLS PRIOR TO CONSTRUCTION Scale: 1'= 100' DESIGN DETAILS PAGE 1 OF 2 3 BDRM X 150 GPD = 450 GPD 450 GPD/.8 GPD PER SO. FT. (8 MIN/IN.)= 562.50 S0. FT (562.50 / 2X9' D GRAVEL) = 31.27 FT. TRENCH USE I TRENCH - 32' (L) X 2' (W) X 9' (D) Total depth of system Is 12.5' max From original grade. Total depth of gravel below distribution pipe Is 9' . INSTALL DIVERTER TO EXISTING FIELD OR ABANDON NOTES, 1. ABANDON EXISTING TANK & INSTALL NEW 1000 GAL SEPTIC TANK INSULATE TANK IF (4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM IF COVER (2'. 3. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS & SEPTICS. PREPARED FOR: LES LAVIGNE 12201 AVION ST. ANCHORAGE, AK 99516 907-345-9755 FIELD BOOKS COMPVT@ 6"U AAY: 13OUNDARY O"AmN M BTA1u14 STAKING bfCKM KMD ""`T' JLS DATE` 01/19/09 DBL. FILL GAO.. 2735 AC1O NBL FILE '0B NO' 08-090 N& TERM e z' b `gym u� a z - 4 'Tt ASL P°sTT-ATl° WASTEWATER DISPOSAL SYSTEM DETAILS SIEFKER SUB. NO. 3 LOT 7B1 r O O O 0 O O z A -C=26.3' B -C=48.7' A -D=66.3' B -D=76.0' low `SSC' �F AL4S � Ar 1z", �r 1 jol * 9 11HI* KENND �+ CE -7118 1 /A �'b' FESSlO�N4 � ABANDON S.T. O o INSTALL mO ? FCO O o CO O "o CO p O 0' 10' UTILITY ESMT PREPARED FOR, LES LAVIGNE 12201 AVION ST. ANCHORAGE, AK 99516 907-345-9755 FlELD BOOKS tawtcu ��'QOQNQARY MA- BMW n"0 G STAKING DECK wsaALt.JLS DATE 01/19/09 0. nc - LL000 AM nr. FILE "" : 08-090 GAL TANK CO •COL A MTbi IVERTEG "" xir Cli x09-1 MT 10' UTILITY ESMT PREPARED FOR, LES LAVIGNE 12201 AVION ST. ANCHORAGE, AK 99516 907-345-9755 FlELD BOOKS tawtcu ��'QOQNQARY MA- BMW n"0 G STAKING p1EO¢° KMD wsaALt.JLS DATE 01/19/09 0. nc - 0w 2735 AM nr. FILE "" : 08-090 Scale= 1'= 20' PAGE 2 OF 2 s-- ARCIERRA ENGINEERING AND SURVEYING, INC. SOILS PERCOLATION TEST �a�\Opp\. Performed for: Les LaVigne Date Performed: 0111712009 Project: SIF.FKFR NO.3 IAT 7111 TEST HOLE # TI► 09-1 Depth (Feet) SEE ATTACHED SITE PLAN ® ORC/OL FOR HOLE LOCATION SAI/gm 'r' SP/gp—bottom I' BOLI 19- 20 - Was Groundwater encountered? NO Whatdepth? NA Depth to water after monitoring,? DRY Date? 1/20/09 Reading Date Gross Time Net Time Depth to Water Net Drop 1 1/1809 1:00 6" - 2 1:30 30 min 2 7/16" 3 9/16" 3 • 1:31 6" 4 2:01 30 min 27/16" 39/16" 5 • 2:02 6" - 6 2:32 30 min 2 8/16" 3 8/16" 7 8 9 10 I 12 • Water Added Percolation Rate 8.57 (min/in) Perc Hole Diameter 6" Test Run Between 7 feet and 8 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. -'a K"....;.. ARClERRA ENGINEERING AND SURVEYING, INC. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: SIEFKER NO.3 LOT 7131 GENERAL: 1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a single-family residence on the referenced property as delineated on the attached Municipality of Anchorage (MOA) permit and site plan. Construction shall be in accordance with the approved site plan and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 2. ArcTerra Engineering & Surveying, Inc. (ArcTerra) assumes no responsibility of the accuracy of the as -built survey provided by the owner or owner's representative. 3. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or use of dwellings on or adjacent to property, nearby public wells, etc. 4. The contractor shall be responsible for locating any necessary underground utilities, easements, property lines and surface water. The owner and/or contractor shall ensure, if deemed appropriate, that a registered land surveyor prior to construction flags all setbacks. The contractor shall be responsible for verifying all pertinent separation distances and component layout. 5. 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. 6. The MOA Development Services Department On -Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK/ HOLDING TANK/ LIFT STATION INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent damaging, settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade. SIEFKER NO.3 L7B1 January 19, 2009 Page 2 of 4 4. Septic tanks installed with less than 4 foot of cover shall be, insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These eleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. 7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy forces in high -groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCII/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed -up) before gravel (sewer rock) placement. 2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitoring tubes shall be 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. 5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturer's specifications and MOA requirements. 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 SIEFKER NO.3 L7B1 January 19, 2009 Page 3 of 4 MINIMUM MATERIAL SPECIFICATIONS: 1. A MOA approved septic tank manufacturer must construct any septic tank proposed for installation. 2. The following pipe materials are MOA approved for use in septic system installations: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. If deemed necessary, a sieve analysis should be performed. 7. When sand is being used as a filter material, its gradation specification must conform to current MOA or ADEC requirements. INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or 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. 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 contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached MOA permit. All materials, components, and construction practices shall comply with the MOA's and the State of Alaska's latest ordinances, regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to notice a material or construction non- compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing between the contractor 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 SIEFKER NO.3 L7B1 January 19, 2009 Page 4 of 4 and ArcTerra. ArcTerra shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the MOA. ArcTerra 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. ArcTerra's inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGE HAVING READ AND ACCEPTED THESE SPECIFICATIONS. 20441 PrARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • Pit (907) 868-3791 • FAX (907) 868-3793 01 \ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE 0 UPGRADE MAILING ADDRESS LEGAL DESCRIPTION -7' LOCATION / n / iQf,, NO. OF BEDROOMS DISTANCE TO: Well Absorption area Dwelling PEHMIT NO. P P Q z WI.- Manufacturer Material No. of Compartments H Liq, capacity in gallons IF HOMEMADE: Inside length Width Liquid depth 6y JVZ DISTANCE TO: Well Dwelling PERMIT NO. G? R S f Manufacturer Material Liquid capacity in gallons O w= DISTANCE TO: Well r Foundation Q NearestI t line Qr PERMIT NO. '&GOS3 2 tZ Z Z W No. of lines �j / 3 O Length of each line .3 / Total length of lines ' Trench widt�I./ / D.stance between lines yJ GH Top of file to finish rade Material beneath the v Total effective absorption area w Length Width Depth PERMIT NO. <F- wd Type of crib Crib diameter Crib depth Total effective absorption area ts' DISTANCE TO: Well - Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. w � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER LEGAL O — PIPE MAT�ERI ` O � I e t SOIL TEST RATING >00 INSTALLER SE �frC , REMARKS / e'fJXr /Z G f� 1u c / I I i APPHO ED q � �� y�7 DATE / O — !J may. CJ 72-013 (Rev. 3178) �� MUr4I C I PFFL I TY OF' F=1 r-4 10F?nC3E DEPARTMENT 0,= -.HEALTH AND ENVIRONMENTAL P-cnTECTION 825 '' STREET. ANCHORAGE, AK. 95 cu 264-4720 OtJ I TE SEWER PERt1 I T PERMIT NO. f 800532 ) APPLICANT LES LEVINE LOCATION AVION ST. NEAR HUFFMAN RD. LEGAL �LT.,,* BLK CAP SIEFKER S/D } i� 2407 E. 86TH ANCH (03) v TYPE OF SOIL BSORPTION SYSTEM IS: TRENCH rr' =.gym 349-3336 LOT SI� 5 15000 SQUARE FEET MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING CSO FT/SR)= 100 J !'3 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEF= -r 1Z5 L_Et+iGTH= 3G (3FZn %.-*EL DEPTH= 4 THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTA14CE BETWEEN THE SURFACE OF',THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). FZEGFFJ I REO SEPT I G TFINK !31=1F9O0 GnILLONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER. OF RESIDENCES THAT THE WELL WILL SERVE. --- TWO <2> FIRE REG!F_F I REa --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER. LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERMIT EXPIRES DECEMBER 3 1 1 8 0 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS P.EMOD D T NCLUDE MORE THAN 3 BEDROOMS. ,(� SIGNED: -/----- ----- ---- ------ -------------- APPL CANT S LEVINE ISSUED BY __ -_R uG _=____ -___DRTE_ �!_—� U v V4.0 SC 0-,-w,� �" u1 • 0 .tet i .a-�-. . a 0 SOILS LOG MUNICIPALITY OF ANCHORAGE ��..' DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ TEST OLATION " Pouch 6.650• Anchors--4lssks 99502 276-2221 051001-77 SOILS LOG, . OLATION TEST PERFORMED FOR: Les Levigne DATEPERFORMED: 9-22-80 LEGAL DESCRIPTION: Lot 7, Block 1 5 Seifeker Subdivision ;DEPTH SLOPE , SITE PLAN EET;III" OVERBURDEN I —FTTI I I 1 Date Gross Time Net Time Depth to Water Net Drop 2 i I 3 I I 4 5 6 7 r�veway I 1 � 9 C 10 11 -- a 12 13 e Isi +_ r —• x sting 'House 14 r' 15 16 17 18 19 20 ---MMENTS PERFORMED2 7008 (7/76) SILTY SAND TO SANDY SILT W/FEW Cobbles SANDY GRAVEL GP (NFS) B.O.H. NO BEDROCK NO GROUNDWATER WASGROUNDWATER NO ENCOUNTERED? IF YES, AT WHAT DEPTH? S E Reading Date Gross Time Net Time Depth to Water Net Drop ' I I i I I I I d Y r�veway I ± 5r a e Isi +_ r —• x sting 'House Not tb S E Reading Date Gross Time Net Time Depth to Water Net Drop JPERCOLATION RATE TEST RUN BETWEEN FT Percolation rate by visual analysis - 3 min/inch CERTIFIED A J. •. r ai n R&M CONSULTANTS. INC. $031 CORDOVA; .1l • ANCNORAGC, ALASKA 91302 0 1N. 101-271-0103 • TLA. 090 23360 •NUINIIQPR GCDLOG�tlT• r PL�NNIRM •YP V.vUnM September 24, 1980 R&M No. 051001-77 Mr. Les Lavigne 2407 East 86th Avenue Anchorage, Alaska 99503 Attention: Les Lavigne Subject: Soil Investigation for Sanitary Sewer System, Lot 7, Block 1, Seifeker Subdivision Dear Les: At your request of September 22, 1980, R&M Consultants, Inc., conducted a subsurface soils investigation at the proposed location of the sanitary sewer drain field on the subject lot. The investigation was performed in com- pliance with the Minicipality of Anchorage requirements. The site topography is gently sloping toward Avion Street. At the time of the investigation the site had been cleared of original vegetation and there was evidence of second growth trees on the lot. Test hole excavation was accomplished by the owner using a backhoe. The test hole was excavated to a depth of fifteen feet below the original ground surface. The approximate location of the test hole is indicated on the attached log. The subsurface soils were inspected after excavation by Dan Cooper, a technician from our office. Grab samples were taken to the laboratory. The description of the soils encountered is given on the attached soils -log. A sieve analysis was run to determine the soil classification according 'to the unified soil classification system. At the time of the inspection, no bedrock, seasonal frost, or permafrost was encountered to the depth excavated. At the time of the inspection, no groundwater was present. It should be noted that the information given in this report displays specific conditions encountered on the date of the investigation. Subsurface con- ditions may vary on other parts of the lot without any apparent superficial evidence of the change. Groundwater level and seasonal frost level may fluctuate both seasonally and from year to year. ^.CNURwGK FAIRU,LNR3 IVNCwu VwLOC! ww3LLL^ Les Lavigne r September 24, 1980 Page 2 No percolation test was performed. However by visual analysis, it is recom- mended that a percolation rate of three (3) minutes per inch be used for the required seepage area calculations. We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this letter or if we can be of additional Service. Very truly yours, R&M CONSULTANTS, INC. W.J. Thompson, P.E. Senior Engineer Enclosure WJT/j/atsi/p 0 Municipality of Anchorage 1f;�1 aw aa .; -- Development Services Department O a Building Safety Division On -Site Water and Wastewater Program r a 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsfte (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-282-42 COSA # 0 C1 0 0 Expiration Date: 6 — 5�— O �j 1. GENERAL INFORMATION Complete legal description SIEFKER N0.3 LOT 7131 Location (site address) 12201 AVION STREET, ANCHORAGE, AK 99516 Current Property owner(s) DANA FAHRNEY Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 12201 AVION STREET, ANCHORAGE, AK 99516 Day phone JENNIFER ZIMMERMAN Day phone 771-9009 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well ED 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 Onsite 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 Onsite 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 Engineering & Surveying Inc Phone 868-3792 Address 20941 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNEFII M. DUFFUS Date 03/05/2009 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 now 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 aOF At %%I system will function satisfactory for current or future •••..»••..••.QS !� occupants or can ArcTerra guarantee that no unseen ,. rq •••'f encroachments, deficiencies or discrepancies exist ;' 5. DSD SIGNATURE Approved for 3 _ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: 0-, ON-SITE WASTEWATER Oma' ,• . Attachments: � • S �� COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: .I n /d'rr /" ��= ' / `y Original Certificate Date: _3 — 5 - O q (Rev. Hq 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: SIEFKER NO.3 LOT 7131 Parcel ID: 015-282112 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID # _ Well Log (Y/N) N Date completed UNKNOWN Sanitary seal (YIN) Y Wires properly protected (YIN) Y Total depth 145+ ft. Cased to 145+ ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION 1 Date of test 1/17/09 Static water level ft. 114 ft. Well production — g.p.m. 3.06 g.p.m. WATER SAMPLE RESULTS: Coliform n colonies/100mL Nitrate 0.974 mg/L Other bacteria 0 colonies/100 mL Arsenic: ND mgll Date of sample: 17/12/2008 Collected by. ArcTerra B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 1/31 Tank size 1000 gal. Number of Compartments 2 Cleanouts (YM) Y Foundation cleanout (YM) Y Depression over tank (Y/N) N High water alarm (YIN) h Date of pumping NA -New Tank Pumper C. ABSORPTION FIELD DATA Date installed 2/1 6/09 Soil rating (g.p.d./fe or ft2/bdrm) 0_8 System type Deep Trench Length 32 ft. Width 2 ft. Gravel below pipe 9.07 ft. Total depth 125 ft. (bottom of effective) Eff. absorption area 580 fe Monitoring tube Y Date of adequacy test NA -New System Fluid depth in absorption field before test In. Depression over field N Results (Pass/Fail) _ For _ bedrooms Water added_ gal. New depth _in. Elapsed Time: min. Final fluid depth _ in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (YIN & type) _If yes, give date _ D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) 'Pump on' level at _in. 'Pump off" level at _in. High water alarm level at _in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 75'+ Sewer/septic service line 251+ Animal containment areas �0 + On adjacent lots 1001+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 51+ Absorption field 51+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line , 0'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage I(Y+ Curtain drain 50'+ (None Known) Wells on adjacent lots ]00'+' F. COMMENTS 'MOA waiver issued with septic upgrade permit Septic system upgraded — non -conditional COSA requested G. ENGINEER'S CER - TIFICATION 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 03105/2009 COSA Fee Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number ur A4g11 V '/•','� Kennaih M. Cu(i y� CE 711610-0 t?k'E�T Wt'lTF1% Municipality of Anchorage • Development Services Department Building Safety Division i On -Site Water and Wastewater Program , ; ITT 4700 Bragaw Street P.O. Box 196650 ' Anchorage, AK 99519-6650 R U www.muni.org/onsite H ! (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING t Parcel I.D. 015-21-42 COSA# U!' 00 Expiration Date: q - — Oct 1. GENERAL INFORMATION Complete legal description SIEFKER NO.3 LOT 7B1 Location (site address) 12201 AVION STREET, ANCHORAGE, AK 99516 Current Property owner(s) LES LAVIGNE Day phone907-345-9755 Mailing address 12201 AVION STREET, ANCHORAGE, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Mailing Address JENNIFER ZIMMERMAN Day phone 771-9009 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site ED 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 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 seat 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 bems and type of structure indicated herein. I further verify that based on the information obtained froality of Anchorage files and from my investigation and inspection, the on-site water supply ater disposal system is(are) in compliance with all applicable Municipal 4r>idxtatgodes, ordinanc d regulations in effect at the time of installation. �; Name of Firm _ArcTerra Engineering & Surveying. Inc Phone 868-3792 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KE.NNETII M. DUITUS Date 01/19/2009 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 now 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 ..�V OF q4 %11 occupants or can ArcTerra guarantee that no unseen P�.••"~••"•a4S encroachments, deficiencies or discrepancies exist. Sa'k : ••.'f ,L 5. DSD SIGNATURE !/ Approved for Disapproved. bedrooms. Conditional approval for 3 bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: (R.v. I WS) 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 1 Legal Description: SIEFKER NO.3 LOT 7131 Parcel ID: 015-28142 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID # _ Well Log (YIN) N Date completed UNKNOWN Sanitary seal (Y/N) Y Wires properly protected (YM) Y Total depth -*-145+ ft. Cased to ' 145+ ft. Casing height (above ground) 12+ in. Date of test Static water level Well production FROM WELL LOG ft. WATER SAMPLE RESULTS: AT INSPECTION ti71:F1� 114 ft. g.p.m. 3.06 g.p.m. Coliform 0 coloniesl100ml- Nitrate 0.974 mglL Other bacteria 0 colonies/100 mL Arsenic: ND mgfl Date of sample: 11=008 Collected by. ArcTerra B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic(Concrete Date installed 4980 Tank size 1250 gal. Number of Compartments 1 Cleanouts (Y/N) " Y Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (Y/N) N Date of pumping 1/1ZL09_ Pumper A+ C. ABSORPTION FIELD DATA Date installed 101OW Soil rating (g.p.d./f? or ft2/bdrm)100 System type Trench Length 38 ft. Width 4 ft. Gravel below pipe 4 ft. Total depth 15 ft. (bottom of effective) Eff. absorption area 300 fe Monitoring tube Y Depression over field N Date of adequacy test 1117/09 Results (Pass/Fail) Fail For 3 bedrooms Fluid depth In absorption field before test To lateral in. Water added_ gal. New depth _in. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) —If yes, give date ... D. LIFT STATION Date installed Sae in gallons Manhole/Access (YIN) 'Pump on' level at _in. 'Pump off" level at _in. High water alarm level at _in. Datum Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanknift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 1001+ Sewer /septic service line 251+ Holding tank 100'+ 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 10'+ Water service tine 101+ Surface water 100'+ Wells on adjacent lots 1001+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 101+ Water main 10'+ Water Service line 10'+ Surface water 1001+ Driveway, parking/vehicle storage 10'+ Curtain drain 50'+ (None Known) Wells on adjacent lots 1001+ F. COMMENTS A4 >t1I G. ENGINEER'S CERTIFICATION = �qP�.••"~•"'••.qS� •.9 �1 I certify that I have determined through field inspections and so :4 j j► review of Municipal records that the above systems are in "• • "• •• conformance with MOA COSA guidelines in effect on this date. .. i >] ��• KeAper A W Engineer's Printed Name KENNETH M. DUFFUS, Date 01/19/2009 Fpp 0 ESSI gA,�`+r COSA Fee JAr ei Fie 't"C. Date of Payment '/-V A9 Date of Payment / 20 Receipt Number _ t 55W(f, Receipt Number Q5 (Rev. 11/05) SCS ReEN 1086251001 Client Name ArcTerra Engineering and Surveying Printed Date/time 12/0112008 13:44 Project NameM Sielker#3 Tr7Ul Collected Date/rime 11/122008 13:00 Client Sample ID Siefker #3 Tract 7131 Received Date/rime 11/122008 13:50 Matrix Drinking Water Technical Director Stephen C. He 1'%N'SID 0 Sample Remarks: Allowable Prep Analysis Paramctcr Resulls ' PQL Units PIM I(XI Comaincr ID Limits Dale Dale Inil M, t::r ty ICP/MS e\1>ru; NI> 51111 ug "I. C (<I III 11 200,4 Ni'li Waters Department 'foal Nitratc'Nitrile•N 0.97.1 O.I00 mg9. �z?1204cOON0', II (<10) 111I'rs 11V. Microbiology Laboratory Colony Count 0 col/100inl. SM209222I1 A (<200) 11/12,'08 DLC Total Coliform 0 col/100mL SM2092221t A (<I) 11/12/08 DLC Fecal Coliform 0 col/100ml. SM20922211 A (<I) 11/12/08 DLC From:comer & associates 12 January 2009 To Whom It May Concern: 9073329000 01/19/2009 17:48 5544 P.002/002 M -W Drilling, Inc. On 09 January 2009 M -W Drilling, Inc. ran a camera down the well located at 12201 Avian Street, Anchorage, Alaska (Lot 7, Block 1, Seifker Subdivision), owned by Les Lavigne. The well has casing down 145 feet. We didnt run the camera down any further because It wasnt applicable. Wade Westberg M -W trilling, Inc. • P.O. ©ox 110389 • Anchorage, AK 99511 • 4 Phone: 907.345.4000 • Fax: 907.345.3187 • mwdriliingincCuhotmail.cocn ♦ www.mwdrilUng.net 0 's are ourbusinessY1 10'd OZOGt;r£1067 SUTA00M a+,euo,,j Wd 40:C0 60-£T-NVr 1 LOT 7C RECORD & HELD N00'07'27"WW 85.04' N00'07'27"W 80.00' 12.0' txo;; 1 y •co c0 LOT 7B2 0 z w m w 03 (A 0 O < p M 0 0) z �10' UTILITY ESMT� 85.04' (R&M) 80.00' (R&M) 0 AVION STREET NOO'12'58"W (N00'07'15"W R) ANCHORAGE RECORDING DISTRICT ASBUILT OF: SIEFKER SUBDIVISION NO.3 LOT 7B1 PLAT 69-143 SURVEY CERTIFICATION: 1, John L Schuller, have conducted e physical survey of this property as shown on this drawing and that the improvements situated thereon are within the property lines and no encroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any casements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORN ORDER NU46ER. MR. aCNy rti1Nr Jan 19, 2009 1.40 k Zgaotn.t 08090 ox•r, ar. o[a+m ar w N.YpoxfW JLS 2735 0804/18 O r7 T OF A `�\\ ,04 RClER i T[.{ A, �•: W ~ r ...l.r........... s �.............................� i •.JOHN L SCHULLER: L 1040 `\ ofessional L? b 4ArD SURA Eye \���\��� l•P AK 99t77.a116 �p 1817 sa o• O O M 1 O 1` FS M W 1 LOT 7B1 Q � E of�p .s 2t 7 tai � O W O 1 $ n Asa to O m z 1 N NZ 1 hU IIS ^1P71 N DECD: 63! ,.. •co c0 LOT 7B2 0 z w m w 03 (A 0 O < p M 0 0) z �10' UTILITY ESMT� 85.04' (R&M) 80.00' (R&M) 0 AVION STREET NOO'12'58"W (N00'07'15"W R) ANCHORAGE RECORDING DISTRICT ASBUILT OF: SIEFKER SUBDIVISION NO.3 LOT 7B1 PLAT 69-143 SURVEY CERTIFICATION: 1, John L Schuller, have conducted e physical survey of this property as shown on this drawing and that the improvements situated thereon are within the property lines and no encroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any casements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORN ORDER NU46ER. MR. aCNy rti1Nr Jan 19, 2009 1.40 k Zgaotn.t 08090 ox•r, ar. o[a+m ar w N.YpoxfW JLS 2735 0804/18 O r7 T OF A `�\\ ,04 RClER i T[.{ A, �•: W ~ r ...l.r........... s �.............................� i •.JOHN L SCHULLER: L 1040 `\ ofessional L? b 4ArD SURA Eye \���\��� l•P AK 99t77.a116