HomeMy WebLinkAboutNORTH WOODS UNIT 4 BLK 16 LT 2North Woods Unit 4 Block 16 Lot 2 #051-064-14 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program P❑ Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191082 Work Type: SepticTank Upgrade Tax Code Number: 05106414000 Site Legal Address: NORTH WOODS UNIT 4 BLK 16 LT 2 G:1460 Site Mailing Address: 21931 SHELTERING SPRUCE LOOP, Chugiak Owner: TURNQUIST NATHAN C & MEGAN S Design Engineer: C & M Engineering This permit is for the construction of: Effective Date: Expiration Date: of S' ^• 1)CI)aI-tIII CI]t Lot Size in Sq Ft: Total Bedrooms: 4/11/2019 4/10/2020 32148 ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Wafer Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: _� 3outiQ 'r Date: Date: r 4 O ° ­! �IASS MUHMPAUTi Y OF AHCHOGI RIAGE Development Services Department 1_ Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051 064 14 Property owner(s) Nathan Turnquist Mailing address 21931 Sheltering Spruce Site address 21931 Sheltering Spruce Day phone 315-0911 Legal description (Sub'd., Block & Lot) Norhtwoods Unit 4 Block 16 Lot 2 Legal description (Township, Range & Section) Lot Size 32,148 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑ (w/wo ADU) Septic Tank 0 Upgrade ❑ Duplex (D) ❑ Holding Tank ElRenewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. C&M Engineering (Signature of property owner or authorized agent) Permit/Rush Fees: o< A s Waiver Fees: Date of Payment: gl g! IQI Receipt Number: 6651,3 -b Permit No. e3's P /9 1�?(� a Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 04/05/2019 RE: Proposed Septic System Modification for Northwoods Unit 4 Block 16 Lot 2 Dear Reviewer, The above referenced property is currently served by an older 3 bedroom septic system. The 1250 gallon tank has failed and is in need of immediate replacement. We are proposing that the existing tank be replaced with a new 1250 gallon (minimum) tank constructed and installed in accordance with MOA requirements. A polyethylene or advanced coated tank is recommended. As shown on the plan, the tank will be greater than 10’ from the house foundation. The tank shall be covered with a minimum of 2” moa approved insulation and 3’ of cover. The repair shall be performed by a moa certified installer in accordance with MOA requirements. The engineer will inspect the tank before backfilling. Repair of the proposed system will not negatively impact adjacent lots. Upon completion of the installation, a record drawing will be submitted showing the location of the new tank, leachfield, well, and other applicable features. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini@gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE (04/05/19) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191082, Rebecca Carroll, 04/11/19 n Municipality of Anchorage Page 1 of 3 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: Gw 9dnj26 PID Number: 051-064-14 Name: Wastewater System: flew ❑ Upgrade M M & M Contracting Address: ABSORPTION FIELD 4 Phone: 688-1236 No. of Bedrooms: 4 R Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating Total Depth from origgrade 8.8-9.4' 0.8 GPD/S. Ft. varies. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe U 3.3 Ft. 61 Ft. Township: Range: Section. Fill added above original grade: Gravel leng;h: Ft. Ft. WELL: El New 11 Upgrade Gravel width: t Number- of lines: Distance between lines: FL Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Community Ft. Ft. so. Ft. F810 erf• D3034 Driller: Date Drilled: Static Water Level: Installer: Date installed: Ft. 6-8-94 Yield:Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES � Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines Anch. Tank 1250 Material: Number of Compartments: Well +200' +200' Surface LIFT STATION Water +100' +100' Lot Size in gallons: Manufacturer: Line r r I I P- "Pump on" level at: "Pu f" level at: High water alarm at: Foundation 71 10' Curtain Pump Make el Electrical Inspections performed by: Drain r t BENCH MARK Remarks: Location and Description: house. Assumed Elevation: 100.0 Ft ENGINEER'S SEAL $� �OF pp 4�a..we. Inspections performed by: cAc lKNlb Dates: 1st LZIW/55/ 2nd a ' See 646 soeoe. ",ov .....;... GrtJa� 6-3 '94 Kenneth M.. u�� ry % CF 7116 Department of Healt d Hu Services approval � %*, 7*Of. a,,..�,�� Reviewed and approved b Date: f 72-013 (Rev. 9/91) MOA 25 R A AS -BUILT DETAILS WASTEWATER ABSORPTION SYSTEM LUT 2 BLOCK 16, NORTH WOODS #4 B 63, GO SEPTIC TANK 1250 GALLONS - B' FIRST FLOOR AG = 21' AC = 59' BC = 15' DF = 22' DC = 7' EC = 12' ED = 35' SHELTERING SPRUCE LOOP PREPARED FOR: MM & M CONTRACTING PO BOX 670495 CHUGIAK, AK, 99567 PERMIT #SW940126 P.LD. 051-064-14 AS -BUILT DETAILS WASTEWATER ABSORPTION SYSTEM LUT 2 BLOCK 16, NORTH WOODS #4 B 63, GO SEPTIC TANK 1250 GALLONS - B' FIRST FLOOR AG = 21' AC = 59' BC = 15' DF = 22' DC = 7' EC = 12' ED = 35' SHELTERING SPRUCE LOOP PREPARED FOR: MM & M CONTRACTING PO BOX 670495 CHUGIAK, AK, 99567 PERMIT #SW940126 P.LD. 051-064-14 w D E7 7- 0 ry L� DESIGN DETAILS WASTEWATER ADS❑RPTI❑N SYSTEM LOT 2 BLOCK 16 NORTHW❑ODS 44 SUB PERMIT #SW94026 P.I.D. 051-064-14 CLEANOUTS (TYP) 02, FINISHED GRADE 03,1 UNCLASSIFIED FILL (FROM TRENCH EX) INSULATION 50 GALLOFILTER FABRIC PTIC TANK '9899,7 PIPE BOTTOM SEWER ROCK PIPE BOTTOM 99,7 Z 93.7 TRENCH BOTTOM 63' TRENCH m 87, BOTTOM OF TESTHOLE 97 (MONITOR TUBE OF A jo = Kenneth M. 0 CE 7116 8n ?RA�cecU MM & M CONTRACTING P❑ BOX 670495 CHUGIAK, AK, 99567 KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 907-694-2359 DATE: 6-30-94 DRAWING n NOT TO SCALE AS -BUILT PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940126 Av/5—'p DATE ISSUED: 5/13/94 DESIGN ENGINEER:KND ENGINEERING EXPIRATION DATE: 5/13/95 OWNER NAME:M M & M INC OWNER ADDRESS:21931 SHELTERING SPRUCE LOOP CHUGIAK, AK 99567 PARCEL ID:05106414 LEGAL DESCRIPTION: NORTH WOODS UNIT IV BLK 16 LT 2 LOT SIZE: 32148 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE REVISED DESIGN DATED 5/9/94 IS APPROVED. THIS REVISED PERMIT IS FOR 4 BEDROOMS. THE SYSTEM MUST INSTALLED IN ACCORDANCE WITH THE REVISED DESIGN DATED 5/27/94. RECEIVED B ISSUED BY: ab DATE • L c DATE: 2.3 e SI L _AiN WASTEWATER A.BSORPTEN SYSTEM LOT 2 BLOCK 16 NOR 11-H\,, ❑T1S #4 SUB MEDIFIED SI I E F'LAN-PERMIT # SW940126 TRACT A RAMSEY SUB (UNSUBDIVIDEID SHELTERING SPRUCE LOOP NCI PUBLIC WELL WITHIN 200' OE THIS PPOPOSED SYSTEM NO PRIVATE WELL WITHIN 100' OE THIS PROPOSED SYSTEM THIS SUBDIVISION SERVED BY PUBLIC WATER SYSTEM o eo• °• •o• ee �Q �' Kenneth M. Du © N % C 7116 p � s �/Y ®9��P,90 FESS � 5 DECEIVED MAY 2 71994 Municipality of Anchorage Dept. Health & Human Ss•vices LOT S?ZE X2.148 SF LESS: PERIMETP 6, 9c SF V HOUSEr IETPkihJT AND D='TVEbi ^'Y 7,120 SF TOTAL APEA A'`✓AILA.BLE FOR A KiJRPTION SY^ EM PPE A, RED P� Gur F 7 J4 " J _-7 KL J E 'iNEEP(ING 20441 PTgRMIGA'V EACIi EVER, A ., X3577 OAT4 `i9 i i k MODIFIED I4,i/'ij-:,I(M i -r,4:6 !ESIGN DE T AI _S S rPE , ITER-MRPT -., S TF -M CLEANCUTS 'TYP) -ORIGINAL & r IN1SH'L1) C.R Ki MODIFIED DESIGN --— OWNER REQUESTS 4 BEDR❑❑11 DESIuI'� CHANGES TO EXISTING DESIGN 4 BEDR❑❑MS = 600 GPD 600 GPD - 0.HGPD/SF = 75i SF ABS❑R' 71❑^' A,PEA 750 S' — (2)C(D') = 62.5' TRENCH EXTEND EXISTING DESIGN LEN—TH BY 16_r r49IH pas e�•esaes-ao 7e�6"llp.Aee o ••�Wo�w •CsaO•ee Kenneth M. Duf r 8 % CE 7116 ABS❑RP T 10N SYS T E'ti". S T ?E CALr-1'._AT1D,IJS: TES t` AREA 2 -:?J/Sr Li ARE -kl=(� Si ILS T—" r nu ❑M Or � =1u.0 — -EidCII h i:.. F' 1't 1 CLE N, RAC �tN�l �r•l !� C1 -'T P MILAN rn PATE 5 n�Dl J PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940126 DATE ISSUED: 5/13/94 DESIGN ENGINEER:KND ENGINEERING EXPIRATION DATE: 5/13/95 OWNER NAME:M M & M INC OWNER ADDRESS:21931 SHELTERING SPRUCE LOOP PARCEL ID:05106414 LEGAL DESCRIPTION: NORTH WOODS UNIT IV BLK 16 LT 2 LOT SIZE: 32148 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM 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 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: DATE: DATE: G } MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940126 DESIGN ENGINEER:KND ENGINEERING OWNER NAME:M M & M INC OWNER ADDRESS:20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 PARCEL ID:05106414 LEGAL DESCRIPTION: NORTH WOODS UNIT IV BLK 16 LT LOT SIZE: 32148 (SQ. FT\) NUMBER OF BEDROOMS: 3 TH S PERMIT: 3 THIS PERMIT IS FOR THE CONT UCTION OF: DISPOSAL FIELD /SEPTIC TANK XYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITI 1. 2. 3 4. PAGE 1 OF 1 t . DATE ISSUED: 5/13/94 EXPIRATION DATE: 5/13/95 THE ATTACHED APPROVED DES ALL REQUIREMENTS SPECIFIED ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STAT OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRI KING WATER REGULATIONS (18AAC80). THE ENGINEER MUST NOTIFY DHHS T LEAST 2 HOURS PRIOR TO EACH INSPECTION. PRO DE NOTIFICATION BY CALLING 343-4744 OR 343-4681 A TER BUSINESS HOURS FROM OCTOBER 15 TO APRIL 15 A SU URFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCT ON DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME B. COVERED, SEALED AND HEATED TO 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THE MAXIMUM TOTAL DEPTH OF THE TRENCH MUST FEET UNLESS A SOIL TEST DURING CONSTRUCTION BEDROCK IS BELOW 16._0 FEET. RECEIVED BY: ISSUED BY: FREEZING EXCEED 8.0 FIRMS THAT DATE: DATE: f3 KND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 /FAX (907)696-8111 On -Site Services DHHS 825 L Street Anchorage, AK 99501 Dear Sirs: REF: Lot 2, Blk 16, North Woods #4 RECEIVED MAY 131994 May 10, 1994 Municipality of Anchorage Dept. Health & Human Services On April 26, 1994, you requested that we install to 12' and observe for 10 days a monitoring tube at the above referenced lot. In addition, you recommended that we provide a confirming percolation test in the proposed accepting soils strata. Per your request, on April 29th I completed a new 15 1/2' test hole, installed a monitoring tube, and conducted a new percolation test. No water was found in the test hole and the soils strata was uniform from approximately 2 1/2 feet to 13 feet as identified on the attached soils log. The percolation test was run between 6'-7' with a percolation rate of 12 min./inch. On May 9th, I inspected the monitoring tube and found no water present. In addition, I found that the small pockets of standing water which I observed in the depressed area during my April 21st inspection had disappeared. Based on the new soils log, percolation test, and proposed location we are requesting your approval of a redesigned septic field consistent with the attached supporting documents. Thank you for your consideration of this request. If there are any questions, please call me at 694-2359. Sincerely, Kenneth M. Du us, P.E. KND Engineering Attachments: Wastewater Absorption System Details Site Plan Soils Log/Percolation Test CLEANOUTS (TYP). DESIGN DETAILS WASTEWATER ABS❑RPTI❑N SYSTEM LOT 2 BLOCK 16 N❑RTHW❑❑DS #4 SUB ORIGINAL & FINISHED GRADE UNCLASSIFIED FILL (FROM TRENCH EX) v GALL❑ �w IC TAN SEWER ROCK �¢ coq o w 47' TRENCH (TYP) in OF A-'Qlk • its iN� ioi • •e ia'iMMiiNip®ep °000e ae ® �f • Kenneth M. Du us 8'2 ��'% � rF71I6 ®�900 ABS❑RPTI❑N SYSTEM SIZE CALCULATIONS: TEST AREA 2 S❑ILS RATING = 0.8 GPD/SF 3 BEDROOM = 450 GPD 450 GPD _ 0.8 GPD/SF = 563 SF TRENCH AREA FROM S❑ILS TESTS, BOTTOM OF TRENCH @10.0'= 6' TRENC 563 SF _ (2)(6') = 47' MIN TRENCH USE 1 EACH 47'L x 6'D x 3'W TRENCH FOR 47' LENGTH i PREPARED FOR: KND ENGINEERING 20441 PTARMIGAN BLVD MM & M CONTRACTING EAGLE RIVER, AK, 99577 PO BOX 670495 907-694-2359 CHUGIAK, AK, 99567 DATE 5-9-94 DRAWING # NOT TO SCALE NW 1460/94-S2(M)-0416 SITE PLAN WASTEWATER ABSORPTION SYSTEM LOT 2 BLOCK 16 N❑RTHW❑❑DS #4 SUB TRACT A RAMSEY SUB <UNSUBDIVIDED) SHELTERING SPRUCE LOOP 3 2 SEPTIC UNDEVELOPED UNDEVELOPED NO PUBLIC WELL WITHIN 200' OF THIS PROPOSED SYSTEM NO PRIVATE WELL WITHIN 100' OF THIS PROPOSED SYSTEM THIS SUBDIVISION SERVED BY PUBLIC WATER SYSTEM LOT SIZE: LESS: PERIMETER HOUSE FOOTPRINT AND DRIVEWAY TOTAL AREA AVAILABLE FOR ABS❑RPTI❑N SYSTEM PREPAR MM & M CONTRACTING P❑ BOX 670495 CHUGIAK, AK, 99567 32,148 SF 6,962 SF 7,120 SF 18,066 SF 5 KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 907-694-2359 DATES-,- DRAWING # SCALE: 1` = 100' NW1460/94-SUM)-0416 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: MM&M Contracting Yp � DATEPERFORM qh LEGAL DESCRIPTION: Lt 2,-,�Bl k 16 Northwoods #4i-ownship, Range, Section: S39 T15N2 (DF PTH Organic i [ SLOPE SITE PLAN 1 Red Silty Loam ®L 2 3- 4- 5- 45 Silty Sand w/cobbles to 8" and layers 2" of sand 6 . 13 14- 15- 16- 17- 18- 19 41516171819 20 COMMENTS E F at -Cu ML w/cobbles WAS GROUND WATER ENCOUNTERED? No S IF YES, AT WHAT L DEPTH? O P E Depth to Water After 4/29/ 94 Monitoring? n a gale. 5/9/94 C) e 1 •• Muucu WaL-cr, Nut,c: Flute Nrcavarv=u Nrtvr uu ucautny PERCOLATION RATE 12(minutes/inch) PERC HOLE DIAMETER 61 1 TEST RUN BETWEEN 6 FT AND 7 FT PERFORMED BY: KMS I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFEG&N THIS DATE. DATE: - 4/29/94 72-008 (Rev. 4/85) EVAN �it�L•i •• Muucu WaL-cr, Nut,c: Flute Nrcavarv=u Nrtvr uu ucautny PERCOLATION RATE 12(minutes/inch) PERC HOLE DIAMETER 61 1 TEST RUN BETWEEN 6 FT AND 7 FT PERFORMED BY: KMS I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFEG&N THIS DATE. DATE: - 4/29/94 72-008 (Rev. 4/85) KND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 /FAX (907)696-8111 On -Site Services DHHS 825 L Street Anchorage, AK 99501 Dear Sirs: REF: Lot 2, Blk 16, North Woods #4 Attached is our request for an on-site sewer permit for the above lot. April 21, 1994 This subdivision is serviced by a public water system; the service line enters from Sheltering Spruce Loop. As shown on the site plan, there are no conflicts with existing on-site sewer systems or with potential reserve areas. This lot has a elevation difference, as illustrated on the soils log, across its southern portion generally running southwest to northeast. As a result, the builder is planning on siting the house, as indicated on the site plan, to take advantage of the grade differential, and the sewer system will be installed in the flatter, well drained area to the northwest of the proposed house site. There is adequate area directly south of the proposed sewer site to install a replacement system. The natural slope will provide positive drainage away from the proposed absorption site. During my inspection on April 21st, small pockets of standing water were observed in the depressed area. Probing the area indicated that portions of the organic layer were still frozen. Based on the location of these pockets and the probing conducted, it is anticipated that these pockets will dissipate upon completion of breakup. There is no surface water within 150 feet of any portion of the proposed installation. The design is based upon testing and percolation data performed by AECS in 1986. At that time, no water was encountered. The monitoring tube was not located during field inspections of April 15th or 21st, 1994. There are,Wo-pefcolation rates reflected on the soils test: the C36 between 3' and 6' was rated t 25 /in; the strata between 6' and 9' was rated a in./in. A weighted average soi s rating is calculated at 0.54 gpd/sf. Refer to drawing 94-S1-0416 for computations. The trench depth will be limited to 8' below grade due to the shallow depth test hole. The design will incorporate two parallel trenches, each 42' long, each with 5' of gravel depth. REF: Lot 2, Blk 16, North Woods #4 April 21,1994 Page 2 of 2 Thank you for your consideration of this request. If there are any questions, please call me at 694-2359. Sincerely, Kenneth M. Du s, P.E. KND Engineering Attachments: On -Site Sewer Application Wastewater Absorption System Details Site Plan Soils Log/Percolation Test(2) AECS Soil Investigation Report (11/11/86) AECS Site Plan SITE PLAN WASTEWATER ABS❑RPTI❑N SYSTEM LOT 2 BLOCK 16 N❑RTHWOODS 44 SUB TRACT A RAMSEY SUB (UNSUBDIVIDEW SHELTERING SPRUCE LOOP 3 2 SEPTIC UNDEVELOPED UNDEVELOPED NO PUBLIC WELL WITHIN 200' OF THIS PROPOSED SYSTEM NO PRIVATE WELL WITHIN 100' OF THIS PROPOSED SYSTEM THIS SUBDIVISION SERVED BY PUBLIC WATER SYSTEM OF 44 %bb % ea000�oaoaoee �o� Kenneth M. C �E 7116 pgQFESSIO�P LOT SIZE: 32,148 SE LESS: PERIMETER 6,962 SF HOUSE FOOTPRINT AND DRIVEWAY 7,120 SE TOTAL AREA AVAILABLE FOR ABSORPTI❑N SYSTEM 18,066 SF 'REPARED FOR: MM & M CONTRACTING P❑ BOX 670495 CHUGIAK, AK, 99567 5 KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 907-694-2359 DATE, 4-16-94 DRAWING 0 SCALES I° = 100' NW1460/9a-SI-0416 u v M ABSORPTION SYSTEM SIZE DESIGN DETAILS SOILS RATING = 0.54 GPD/SF WEIGHTED AVERAGE: 3' @ WASTEWATER ABSORPTION SYSTEM 2' @ 36'/' = 2 @ 0,45 GPD/SF LOT 2 BLOCK 16 NORTHW❑❑DS #4 SUB 5 = 2.70 _ 5 = 0.54 GPD/SF OF 4/ 3 BEDROOM = 450 GPD �I Y: 834 SF TRENCH AREA FROM S❑ILS TESTS, BOTTOM OF TRENCH @8,0'= 5' TRENCH 834 SF _ (2)(59 = 83.4' USE 2 EACH 42'L x 5'D x MIN TRENCH 3'W TRENCH FOR 84' LENGTH Kenneth M. Duf A j PREPARED FOR: �®Q�Z`��1�®°°®�c�� IGAN BLVD CLEANOUTS (TYR MM & M CNNTRACTING ORIGINAL & FINISHED -RADE P❑ BOX 670495 z DATDRAWING #NOTNW1460/94-S2-0416 UNCLASSIFIED FILL ","°0 w TF ENCH EX) '✓ TER FABRIC 000 GALLO EPTIC TAN SEWEROOM K �q � ^ Foca z Pap _ o w �^ 42' TRENCH (TYP) xa� ll l •.4k :� iv-��si .. y•: b4 C J a ` J �LenG"�S ��7jol M ABSORPTION SYSTEM SIZE CALCULATIONS: SOILS RATING = 0.54 GPD/SF WEIGHTED AVERAGE: 3' @ 25'/" = 3 @ 0.6 GPD/SF 2' @ 36'/' = 2 @ 0,45 GPD/SF E(3)(0.6) + (2)(,45)] _ 5 = 2.70 _ 5 = 0.54 GPD/SF OF 4/ 3 BEDROOM = 450 GPD 450 GPD = 0.54 GPD/SF = 834 SF TRENCH AREA FROM S❑ILS TESTS, BOTTOM OF TRENCH @8,0'= 5' TRENCH 834 SF _ (2)(59 = 83.4' USE 2 EACH 42'L x 5'D x MIN TRENCH 3'W TRENCH FOR 84' LENGTH Kenneth M. Duf ce X71 0C �`"� PREPARED FOR: �®Q�Z`��1�®°°®�c�� IGAN BLVD MM & M CNNTRACTING ZENGI-NEERINGRING RAK, 99577 P❑ BOX 670495 CHUGIAK, AK, 99567 DATDRAWING #NOTNW1460/94-S2-0416 Municipality of Anchorage (AA46 DEPARTMENT OF HEALTH & HUMAN SERVICES825 "L" Street, Anchorage, Alaska 99502-0650 + 4104.SOILS LOG — PERCOLATION TESTS C. Rif°"�`' 0„ E - 2251 AA C7� 4 �� dlLH07-jt t`C�13�e PERFORMED FOR: / / DATE PERFORMED:--� 3K LEGAL DESCRIPTION: Ldrz 640& id Alex o "J) Township, Range, Section: AE�TFJ. i. T SLOPE SITE PLAN 1 2 3 4 5 6 7' 9 10 11 12 13- 14. 15- 16- 17- 18- 19- 20- COMMENTS 8- 19- 20- COMMENTS o s M s,L-r4 s"b SH 5wL 544 WAS GROUND WATERAA ENCOUNTERED? W SicT,l SA,JD� Cy,P,4-f/ftL s IF YES, AT WHAT L DEPTH? O P E Depth to Water Alter Monitorin0l Date: Reading Date Gross Time Net Time Depth to Water Net Drop 3,0 RfAl W7 -- a o i .U7,:07 ,(o it I PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 3°� FT AND FT PERFORMED BY: .OW5 �• /�� yM: CERTIFY THAT THIS TEST WAS PERFORMED' ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) \ ALASKA RENEWAL COnTROL SERUICCS, Inc. EMin"ring 6 Enuironmental Studies PERCOLATION TEST DATA SHEET CLIENT 6,6rRd1L YorW DATE ADDRESS 707 ZIP CODE a— LEGAL LOCATION Lo%Z NO" i6 WoxTi✓w*0hs 7 ice.✓ 911 ;We -3 TOTAL DEPTH OF HOLE 70s ft. ' ZONE TESTED 7 ft TO 7-.:r ft TH # / TEST HOLE DIAMETER READING #+ CLOCK TIME NET TIME DEPTH TO DATUM NET DROP RATE (min/in) os� - r 30 H>*l otzf - yi8 3o 11fcl . (,7 .so . 0 13AY 3d HIN .%% 010 • /6 , G 3yF - /3 36 30 Hid 14yY 30 vf� .o ,o .07 FINAL PERCOLATION RATE 351.� 7 (min/in) y{o3 SQUARE FOOT/BEDROOM 05904f (o � 7 i . PERFORMED BY ZfLAt ;relb ,r MOA STB3-024 ico'. in lbest 33rd Aurnue Suo..P• Anchorage, Alaska 99503 • (907) 276-1361 ALASKA enUIROnMenTAL COnTROL SRUS, IX Engineering & 6nuironmental Studies November 11, 1986 SOIL INVESTIGATION REPORT Re: Lot 2, Block 16, Northwoods Subdivision L 0 /z t� f A soil test has been performed on the above referenced lot for the development of an on-site sewage disposal system. For design purposes we will assume an average home of 3 bedrooms is to be built on the lot. For smaller or larger size homes, the reserve area for the sewer system can be adjusted. The water supply of this lot is from the Northwoods Community Water System. The type of soil encountered on this lot is ML, a silt and SM, a sandy silt The percolation test results show the soil rating to be 246 square feet per bedroom. No ground water was encountered. The soil log and site plan is included as a part of this report. For this lot we recommend a trench type of system be designed. The approximate size of this system would be 85 feet long x 9 feet deep with 5 feet of gravel for a total of 850 square feet for a 3 bedroom house. The size would be increased or decreased by 281 square feet for a 4 or 2 bedroom system respectively. If you have any questions, please feel free to contact this office. Sincerely, Alan C. Wien Engineering Technician Approved by: ero�r. , PhD, PE Pres 'd t 1200 West 33rd Avenue, Suite IS • Anchoraqe, Alaska 99503 • (907) 561-5040 • Municipality of Anchorage L` 7 8 r417---.0",•ffe On-Site Water&Wastewater Program (907) 343-7904 5..E.. -13 a � 3 CERTIFICATE OF ON-SITE SYSTEMS A" •VAL 68L9S Parcel I . 051-064-14 Expiration Date: l2 —1 C 1. GENERAL INFORMATION Complete legal description NORTHWOODS UNIT 4; BLOCK 16, LOT 2 Location (site address) 21931 SHELTERING SPRUCE LOOP'CHUGIAK,AK 99567 Current Property owner(s) MERAIAH MARVEL Day phone 8$4-8912 Mailing address 21931 SHELTERING SPRUCE LOOP'CHUGIAK,AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: II Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site U Individual Water Storage El Individual Holding tank ❑ Community Class Well ❑ Community On-site El Public Water System • Public Sewer ❑ WaiverNariance request for. N/A Distance: - Received by: Date: G/�dol t COSA to be released - e engineer,unless otherwise requested by the engineer. L COSA Fee$ 52A Waiver Fee$ Date of Payment (,1 a-47 Date of Payment Receipt Number OSS 2-0 61 Receipt Number COSA* Cr-DC11 la 510 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are)in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation_ Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 *ANCHORAGE,AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date L,S 21 11 Engineers Comments: In conducting this evaluation.GEG provided an engineering evaluation of the well and/or septic system in accordance with the 410,,s111111% guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results describe the �t�c OF 4N condition of the systemls on the dates of the evaluation.Separation distances were measured to readily identifiable features. 4,1 t� /•"' (\ �♦ Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic C ;• •,,•14 _�♦ systems depend on a variety of variables including,but not limited to,soil conditions.groundwater levels(that may fluctuate during the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the system's.These conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the Ai 4 systems:therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. •ti ! • GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the 0\ • current systems fail.The content of this report is for the sole benefit of the person'party who retained GEG.Reliance upon the • Cn •: ffrey A'. a mess lkus information provided in this report by any other person or party,including but not limited to subsequent property purchasers.is not 0 G� • J = authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this reportt. ! f� Ct-7953_ '•.��o•.. f z� i. 6. DSD SIGNATURE 'IF 4 ' ROFESS\U* . • System#1 Approved for (l bedrooms. LICENSE • ��»„�r� uLICEN sa System#2 Approved for bedrooms. Q �1 S Y OF,c�� Disapproved. JG\ C, Conditional approval for bedrooms, with the following stipula ns,WA-SITE ERAND m: WASTFWATER ;� PROGRAM 4''cca\r+.f F�'C\ By: t V` � Original Certificate Date: (c) —2-7—/7 The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other rp.,, Intl 7,, If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description• NORTHWOODS UNIT 4. BLOCK 16 LOT 2 Parcel ID: 051-064-14 A. WELL DATA PUBLIC WATER Well type If A, B, or C provide PWSID# Well Log (YIN) Date completed Sanitary seal (Y/N) Wires properly protected (YIN) Total depth ft. Cased to ft. Casing height (abov= • ound) in. FROM WELL LOG AT IN ' TION Date of test Static water level ft ft. Well production g.p.m. g.p m WATER SAMPLE RESULT • Coliform olonies/100 ml. Nitrate mg.IL Collected by Ars-• ug./L Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 6/28-30/94 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (YIN) , NO High water alarm (YIN) N/A Date of pumping 6/16/17 Pumper SANITARY PUMPERS C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE AT MT Date installed 6/28-30/94 Soil rating .p d./ 'or ftZ/bdrm) 0.8 System type DEEP TRENCH Length 63 ft Width 3 ft. Gravel below pipe 6 ft. Total depth '8 16 ft Eff. absorption area 756 ft2 Monitoring tube "YES Depression over field NO Date of adequacy test 6/20/17 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added~**782gal. New depth 17 in. Elapsed Time: 120 min. Final fluid depth 9 in. Absorption rate >= 600+ g.p.d Any rejuvenation treatment(past 12 mo.) (YIN & type) NONE KNOWN If yes. give date - "MT1 ONLY EXTENDS 4.70' INTO EFFECTIVE DEPTH --THE FIRST 239 GALLONS INTRODUCED INTO THE DRAINFIELD CAUSED THE LIQUID TO RISE TO A DEPTH OF 10" IN THE MONITORING TUBE D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off" level at '. — '• a er 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 On adjacent lots Absorption field on lot On adjacent lots �f—~ Jam= Public sewer main P " •- : er manhole/cleanout Sewer/septic service line Holding tank Anim ' ment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line10'+ Surface water 100'+ Wells on adjacent lots 100'+PRIVATE/200'+PUBLIC SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation '10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100.4-PRIVATE/200'+ PUBLIC F. COMMENTS 'PER 1994 INSPECTION REPORT G. ENGINEER'S CERTIFICATION .�,`P� .............OF � • � ` . , /certify that I have determined through field inspections and • 9 '" review of Municipal records that the above systems are in • �) • • conformance with MOA COSA guidelines in effect on this -:-��• *� • ct; date. • -1'. J f : • -Gin rness r ■ Engineer's Printed Name JEFFREY A.GARNESS ••.,-j-* E-79 3 1 ,�,� 1�`,'!!. \i,.4' Date ' •.'4 11 ESS1 t.`. LICENSE lit swicrll #AECC884 fRRv 1n/12/171 Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. D51-064-14 Expiration Date: 7 1 1. GENERAL INFORMATION Complete legal description NORTH WOODS BLOCK 16 LOT 2 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: 21931 SHELTERING SPRUCE LOOP CHUGIAK, AK, 99567 DEBORAH WATSON Day phone 688-3084 21931 SHELTERING SPRUCE LOOP CHUGIAK, AK 99567 Community Class Well ❑ Public Water System 0 D'ETTE OWEN W/ KELLER WILLIAMS Day phone 865-6586 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System 0 TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ Received by: 7 Date COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ —1 l o Date of Payment � Receipt Number (J 13!)F CA COSA # U5G1313 cid Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Address GARNESS ENGINEERING GROUP, Ltd. 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all walls and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSO. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for bedrooms. 0 System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following Phone 337-6179 Date 4!do 017 A .CtaGo�ness 7 53 c`O �J•t.�'' �cAd D f e s co ``\`\G\QP�1TY OFgNcro/: = ON-SITE WATER AND J� WASTEWATER z1 PROGRAIM Original Certificate Date: 5�' _ Cy 1 The 1);fu&cip t� . 3R6horage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the repr enatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 11105) Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: NORTH WOODS S/D #4; BLOCK 16, LOT 2 Parcel ID: 051-064-14 A. WELL DATA Well type Date completed Total depth ft. Date of test Static water level Well production WATER SAMPLE Coliform PUBLIC WATER If A, B, or C provide PWSID# _ Well Log (Y/N) Sanitary seal (Y/N) Cased to ft. FROM WELL LOG colonies/100 ml. ug./L. B. SEPTIC/HOLDING TANK DATA Nitrate mg./L. Date of sample: Wires properly protected Casing height AT Collected by: Tank Type/Material SEPTIC/STEEL Date installed 6/28-30/1994 Tank size 1250 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 7/19/2013 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 6/28-30/94 Soil rating .p.d./ r ft'/bdrm) 08 System type TRENCH in. Length 63 ft. Width 3 ft. Gravel below pipe 6 ft. Total depth 'r9.3 ft. Eff. absorption area 756 ft' Monitoring tube YES Depression over field NO Date of adequacy test 7/24/2013 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 18 in. Water added 950 gal. New depth 33 in. Elapsed Time: 845 min. Final fluid depth 19 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date NOTE: MT ONLY EXTENDS 59" INTO 72" EFFECTIVE. TOTAL DEPTH AND LIQUID LEVELS ARE CALCULATED BASED UPON LATERAL LINE ELEVATION. D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN)_ "Pump on" level at in. "Pump off' level at wa er alarm level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: PUBLIC WATER Septic tank/lift station on lot On adjacent Absorption field on lot On adjacent lots Public sewer main Sewer /septic service areas manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation *10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS *PER 1994 INSPECTION REPORT. 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 JEFFREY A. GARNESS Date (Rev. 11105) JILT SURVEY S 89' _ - - _40,00 Lo Q� 0 z 24' ti &0.0 M.T. l0 9 A N DE K CO. 42 4 B£DR��M > DW£Ll N { 2 m t . ppRLH a t5 6• % 2 ff 0 0 ti 9 �9 QQ S 90° E 140.00 SHELTERING SPRUCE LOOP m cu Cu 0 z I HEREBY CERTIFY THAT A SURVEY OF LOT SUB #9 BLOCK 16 NORT94 A AND H WAS MADE ON DONE 8 ,7994 ,AND THAT THE IMPROVEMENTS D BLS ,.® °�SITUATED �� .Ej�4� THEREON ARE WITHIN THE PROPERTY LINES AND DO NOT OVERLAP OR ENCROACH ON THE PROPERTY LYING ADJACENT THERETO, & ASSOCIATES INC. THAT NO IMPROVEMENTS ON THE PROPERTY LYING ADJACENT THERET ENCROACH ON THE PREMISES IN QUESTION AND THAT THERE ARE NO * ROADWAYS, TRANSMISSION LINES, OR OTHER VISIBLE EASEMENTS 510 W 41ST AVE, SUITE 10 ON SAID PROPERTY EXCEPT AS SHOWN HEREON IT IS THE ANCHORAGE, AK, 99503 RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF TELE 907-562-6050 ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEA m ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES FAX 907-562-6040 ' F. URNEr SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR Ale ,._y4B4® ESTABLISHING BOUNDARY OR FENCE LINES DATE: JUNE 8, 1994 -sstoxnL �" ®� SCALE: 1"=40' ®®® GRID: NW1559 SEC 3 T15N RIW SM' MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES. Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.# 051-064-14 HAA# 1�►���� OIA44 1. GENERAL INFORMATION Complete legal description rat a r Block 1 6 , North WO0r1 s " Location (site address or directions) Sheltering Spruce Loop Property owner, _ Mailing address100"o L ming agency Maili 61acl.dresati Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well Community well XX Public water Day phone 688-1236 Day phone Day phone 61-0 NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(Rev.1/91) Front MOAA21 L: •: 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm KND Engineering, Ken Duffus r P E Phone 694-2359 Address 20441 Pt-armigan Blvd C Eagle u; 17P, Alaska 99577 Engineer's signature zli �� Date 7ZL 6. DHHS SIGNATURE Approved for Disapproved. bedrooms. x«M•►n M. Cf 711 Conditional approval for 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 satlsfy certaln 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) Beck MOA #21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lt 21 Blk 16, North Woods parcel I.D. gg n _ln A. Well Data CONNtUNITY Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test _ Static water level :m -p - l flow _ levell _ If A, B, or C, attach ADEC letter. ADEC water system number Date completed _ Cased to Wires FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Driller (Y/N) AT INSPECTION p.m. 9 -p.m. Septic/holding tank on lot +2001 ; On adjacent lots Absorption field on lot + 2 n n I ; On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: N/A Corrform B. SEPTIC/HOLDING TANK DATA Date installed 6-8-94 Tank size Collected by: 1250 Other bacteria Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression (Y/N) High water alarm (Y/N) A Alarm tested (Y/N) Date of pumping NA L�iW„:_ system Pumper ys, SEPARATION DISTANCESt OM SEPTIC/HOLDING TANK TO: Well(s) on lot N./A On adjacent lots +200' Foundation 7' To property line +50' Absorption field 6 Water main/service line +25 r Surface water/drainage +100' 72-026(3=)•Front CONTINUED ON BACK PAGE m c a^ v rn D G� n N o 4 0� Z To property line +50' Absorption field 6 Water main/service line +25 r Surface water/drainage +100' 72-026(3=)•Front CONTINUED ON BACK PAGE C. LIFT STATION N/A Date insta Size in gallons Vent (Y/N) "Pump on" leve High water alarm level Meets MOA electrical codes (Y/N) SEPARATION lot D. ABSORPTION FIELD DATA LIFT STATION TO: Manhole/Access (Y/N) at On adjacent lots Surface water Date installed 6-8-94 Soil rating (GPD/Ft2) 0-8 System type Trench varies 8.8 - Length 63' Width 3' Gravel thickness 6' Total depth 4' Total absorption area 756 Cleanout present (Y/N) Y Depression over field (Y/N) N Date of adequacy test NA Resufts (pass/fail) Water level in absorption field before test i2 months) (Y/N) for test yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot NA On adjacent lots +2001 Property line 10, To building foundation 10, To existing or abandoned system on lot NA On adjacent lots +50 ' Cutbank +100, Water main/service line + 2 ti ' Surface water +100' Driveway, parking/vehicle storage area +20' Curtain drain +50 ' E. ENGINEER'S CERTIFICATION 1 certify that l have checked, verified, or conformed to all MOA and HAA guidelines in effect ot®oda{,��1�ihis iinspection. �4r ^1D®•„o®®o®Dees e�00n Signature : . Kenneth M. Ouff Engineer's Name ���e�'� ter. ���s �d c �iie � �� Date 7L��9� �9Q9�.,7���W���•� �8 �pRuF�ss�fl�'�� HAA Fee $ 06 Waiver Fee$ Date of Payment �4 /J` �% Date of Payment Receipt Number Receipt Number 72-026 (3(93)' Back