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HomeMy WebLinkAboutNORTH WOODS UNIT 4 BLK 18 LT 5North Woods #4 Block 18 Lot 5 #051-064-41 Municipality of Anchorage Page of DEPARTMENTOF 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: SW 9900? 6)—1)PID Number: OS/' 0& Name: L /.vb A G. FRA,&/ eWastewater System: CK New ElUpgrade Address: //ya/ Oct G4t,v,v ywy, ABSORPTION FIELD Phone: t'o 9y- 8S8S No. of Bedrooms: 13 ElDeep Trench N Shallow Trench ❑ Bed ❑ Mound O Other LEGAL DESCRIPTION Soil Rating: ©• S YS Total Depth from original grade: / 7 GPD/Sq. Ft. W Lot: Block: Subdivision: Subdivision: A ,tf / Depth to pipe bottom from original grade: Gravel depth beneath pipe /�// O NOR7/,I wdowx Ft. 3 Ft. Township: Range: `— Section: Fill added above original grade:Gray( 1• length: 1 .S Ft. ci Ft. WELL: ❑ New ❑ Upgrade Gravel width:Numberoflines: S/ d Distance between lines: /S Ft. Ft. Classification (Private, A,B,C): Total Dep Cased To: Total absorption ares Pipe materi I: 303$///,VO COM i%t Ft. Ft. /000 SO. Ft, S7M Driller: Date Drilled: Static Water Level: Installer: Date inst led: Ft. S0u7i/ FuRhl CoA10.• -/S- 98 Yield: Pump Set at: I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES 1 9 Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: ./ TANTE' Capacity in gallons: /600 From Tank Field Station Tank Sewer Lines ANC AB Rtii G Well­/00/¢ /00 ¢ �' / �b�f Material: STe [L Number of Compartments: eZ SurfaceLIFT Water /d0 f /00 f STATION Lot / Size in gallons: Manufacturer: Line 9 /0'i Foundation "Pump on" level at: p off' level at: High water alarm at: Curtain/odel WORE Electrical Inspections performed by: Drain /c.VOWF/ BENCH MARK Remarks: Location and Description: I-AM = $077-0M a/-- s/D/.v0 A7 t' •r Po /at � • Assumed Elevation: /00 E"`t'. r �B v N4 Af Al It' S & S ENGINEERING % , 17034 Eagle River Loop Road, 04 �°atzes:1st 9-i�•98 Inspections performed by: •;." "` Eagle Iver, Alaska 2nd h?� \ ROBERT C. COWAN We j +��QsfF Department of Health and Human Services approval ,CE*.8... '\ �*��, Reviewed and approved by: ��- r/�~^"— Date: ZZ 9 72-013 (Rev. 9/91) MOA 25 PERMIT NO. SW980262 PAGE 2 OF 3 Municipalit of Anchora e DEPARTMENT OF HEATH AND HUNfAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.D. Box 196650 • Anchorage, Alaska 99519-6650 0 Tetephone; 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 5, BLOCK 18, NORTH WOODS #4 P.I.D. No. 051-064-41 NEW TRENCF \ APPROX. \ WATER SERVICE LOT 7 \ SEPTIC ARE LOT 4 NEW DRIVEWAY CO2 \ \ TH Rip \ \ C A� \\ �col ,y S, TBM ES CO3 FCO A DBLI DBL2 NEW 1000 GAL. SEPTIC LOT 6 SCALE 1• - 40' C,�r._': SEPTIC AREA ROBERT C. COWAN r ,4 �aG�Jl�ti CL -8801 PERMIT NO. SW980262 PAGE 3 OF 3 DEPARTMENT ANDhHUNfAN 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 LEGAL LOT 5, BLOCK 18, NORTH WOODS #4 STi PT2 Vlioz.s �! FINAL GRADE NEW 97.5' 1000 GAL 97.3' S.T. FINAL COI = 97.0' CO2 = 97.1' MT2 = Col = CO2 = MTI COl MT2 CO2 CO3 = 97.1' C04 = 97.1' MT3 = 94.1' MT4 = 94.1' NO WATER FOUND 88.1' B.O.H. P.I.D. NO. 051-064-41 = 101.9' = 101.8' N. T. S. F__A__T B C FCO 11.5' 23.0' - ST 1 22.8' 25.5' - ST2 27.3' 21.0' - DBL1 29.5' 19.3' - DBL2 30.3' 18.8' - 001 - 16.7' 19.0' MT1 - 16.7 17.0 CO2 - 71.8 65.8' MT2 - 71.8 66.0' CO3 - 29.7 33.8 MT3- 28.5 32.5 C04 - 78.2 74.0 MT r - 77.3 73.6 = 101.9' = 101.8' N. T. S. a i9 C 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:SW980262 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:FRANK LINDA G OWNER ADDRESS:11421 OLD GLENN HWY. EAGLE RIVER ALASKA 99577 PARCEL ID:05106441 LEGAL DESCRIPTION: NORTH WOODS UNIT IV BLK 18 LT 5 LOT SIZE: 28828 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: \ PM YY1�m °t — ► y-9 qss PAGE 1 OF 1 %'✓es 9- %.S'v (o pprA web 9-1(0-1?8 1I; 300'wl'.. DATE ISSUED: 7/27/98 EXPIRATION DATE: 7/27/99 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 ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 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: RECEIVED BY: `�ujz zri'm-, DATE: � 1 v7 -9v ISSUED BY: 94A� K/ , do� DATE: 0 7-;2 7- L S&S July 8, 1998 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX(907)694-1211 HEALTH AUTHORITY tilt/CHOltA MUNICIPALITY OF E 1. ANCHORAGE APPROVALS Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 SEWER&WATER MAIN EXTENSIONS REFERENCE: Lot 5, Block 18, North Woods Subdivision #4 SEWER & WATER INSPECTION Request you issue a permit to install a septic system to serve the three bedroom house on the referenced property. T' N, s PQ ,..ars , s s4E,2 q rf o n y 4 ca.Ka V" v y w "+ r4"q % Y s r-1 m, Two test hole were excavated and percolation test performed. The approximate location ENGINEERING STUDIES ANDREPORTS of the test holes are located on the attached site plan. At the time of excavation water was not encountered in the test holes. After seven days the ground water monitoring tube reflected that the tube was found to be dry. WELL INSPECTION & FLOW TEST We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. SITE PLANS ROADDESIGN If you require additional information, please contact us. Sincerely, SOILTEST Robert C. Cowan, P.E. PERCOLATION RCC/mg TEST Enclosure STRUCTURAL& MECHANICAL INSPECTIONS ONSITE nWASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 1 is I = 60' SCALE SITE PLAN •. IP H� m g �m Z low oz�1z mZi�'��t Nmo� r O cp DESIGN b 94 z > � 0 z 2 ,( T ~ f*t O7 Obp� La a 0 n cJ �, .4p 1h� \\ 01 �-] IoW d m-cnWrn c�:.m.,m �(o cn car-Omm o ;0 Z II — ijOmm Z z -i En O I I '�' O < x II � -106DN NLn o0 cow X Ln o o ca1:11JO Ln OD 1�-1 X r o Cl CAzp0N0 i D CzDZC -4m ��z 0c I --1. 0cim 00 — ——E5>mrnDq=N i c0 00 O;omC(nE zzN3mgr 9-w1RD{mz y m z rslmz>x Zmx �m m tmnmvm-a<mz z m n 0 m p O �D? =h N �s o. ��> s � 0ni Zz p z; oN r. z C w C y x O C d In Un 94 z > � 0 z 2 ,( T ~ f*t O7 N ni00 m La a 0 n cJ �, > ,. C w C y x O C d In Un UP mm < MO 40' I DESIGN 9 k SCALE y Xz�: nj>Z7 00 CJ'1 C N C7) � m v Ul CGD ) M Q5 o o ��� m II � Cr��Oo X00-nM ���r+�1 ozm�-o °' ro O Z =j 0< II . ? p r �o x �N.0 m N mN m v VU WVb n I o 40 0 �00 P JA / 00 0 UP mm < MO z a / r r/ r t7 t9 0 UJ O Htzj t7 a0 z . pq C y u / �(D Co t�� bye DETAIL ^l m y o .0 9 k m — cn cA (m y Xz�: �r'� �ti• CGD ) M Q5 ��� m II rn C) m m z a / r r/ r t7 t9 0 UJ O Htzj t7 a0 z . pq C y u / �(D Co t�� bye DETAIL .x 0 t,f T-, JI �\Y C i ,�Y m — cn cA (m y Xz�: �r'� �ti• CGD ) M C7 rn m o TI m ��� m II rn C) m m \ O Z =j 0< II . ? p r �o x �N.0 m N VU WVb n 40 �00 � C---- J Cis! O O O y 00� CA (A m O — � o r 0 y N O N .x 1 t,f T-, JI �\Y C i ,�Y 08 U1 0 O �r'� �ti• CGD ) M r .. II C) I O II . C---- J Cis! O O O y 00� CA (A m O — � o r 0 y N O N .x 1 t,f T-, JI �\Y C i ,�Y 08 O �r'� �ti• S&S nG ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX (907) 694-1211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and HEALTH AUTHORITY MATERIAL SPECIFICATIONS APPROVALS REFERENCE: Lot 5, Block 18, North Woods Subdivision #4 SEWER & WATER Jul 8 1978 MAIN EXTENSIONS GENERAL: SEWER&WATER 1. The scope of this project includes the installation of a 1000 gallon septic tank INSPECTIONe and I leachfield trenchsto serve the proposed three bedroom residence located on the referenced property. ENGINEERING STUDIES 2. Construction shall be in accordance with the appsite ite p lan and design AND REPORTS drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. WELL INSPECTION &FLOWTEST 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for SITE PLANS final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the ROAD DESIGN Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SOILTEST SEPTIC TANK INSTALLATION: PERCOLATION 1. A septic tank is to be constructed by a certified septic tank manufacturer. TEST Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the STRUCTURAL& tank. MECHANICAL INSPECTIONS 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 5, Block 18, North Woods S/D #4 Jul 8, 1998 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 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 cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Two flow dividers shall be installed sending 3/4 flow to longer trench and remaining 1/4 flow to shorter trench. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 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 excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 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. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page Three Lot 5, Block 18, North Woods S/D #4 Jul 8, 1998 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated olid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 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. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Page Four Lot 5, Block 18, North Woods S/D #4 Jul 8, 1998 The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER Municipality of Anchorage 4 Department of Health and Human Services 825 "L" Street Tom Fink, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 July 30, 1992 Northwoods, Inc. 709 West International Airport Road Anchorage, Alaska 99518 Subject: Lot 5 Block 18 North Woods Subdivision #4 Permit #SW910146, PID #051-064-41 The subject permit, issued June 10, 1991 by this office for a single family well and/or on-site wastewater system, has expired as of June 10, 1992. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as -built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $200.00 for an on-site wastewater permit; $75.00 for a well permit and $275.00 for a combined on-site wastewater and well permit. If you have any ques ions, Sinc rely, / 'Vb., VI J Smith, P. E. P gram Ma ager On-site Services enc: Copy of Permit please call this office at 343-4744. 3 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:SW910146 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:NORTHWOODS INC OWNER ADDRESS:709 W. INTL. AIRPORT RD. ANCHORAGE, AK 99518 PARCEL ID:05106441 LEGAL DESCRIPTION: NORTH WOODS UNIT IV BLK 18 LT LT 5, T15N, R1W, SEC 3 LOT SIZE: 28828 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 6/10/91 EXPIRATION DATE: 6/10/92 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: Y: ��(�^\ P �6?'C� DATE: DATE: D ROBERT SHAFER, P.E. ROGERSHAFER CIVIL ENGINEERS (907) 694.2979 FAX 694.1211 June 3, 1991 HEALTH AUTHORITY APPROVALS Municdpatity o6 Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825L Street SEWER&WATER P.O.V- Box 196650 MAIN EXTENSIONS Anchorage, Ataska 99519-6650 REFERENCE: Lot 5; Btock 18; North Woods #4; SEWER & WATER INSPECTION "PERMIT REQUEST NARRATIVE" Request you i6zue a petm.it to .instatt the ptoposed septic system as STUDIES AREPORTS AND REPORTS ,shown .in our attached site of .the to[etenced to etttan 10 U D %� y• Atthough this .C6 cuns.ideted to be a dry pati o4 North Wood's Subdivision and we did not eneountet gtuundwatet within .the test hole we petbotmed, we ptupose the .instattation o4 a shattow absorption bed. WELL INSPECTION & FLOW TEST Th.Us ptopetty is seAved by the North woods Ulaten System with the key box neat ,the toad wheteas out proposed septic system .is neat ,the teat o4 the tat. SITE PLANS Since the 6oit conditions .in the area ate gait and -there ate no .indiv.idua2 weM we anticipate no adve✓cse e66ect on .the neighbot.ing ptope ties by the .instattati.on o6 .the ptopo6ed septic system. ROAD DESIGN Ij you %equ.ite additionat .in4otmation to complete your tev.iew, ptea6e contact u6. S.inc e2y, SOILTEST PERCOLATION RT A. SHAFER, P.E. 4RIgm TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 SCALE 4 m > AP/5 ;, � 1; /lf / e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST A (EIJG - WS 'W H<.4,; zr. No. 145 E t� i'tOtl@ii A. �taal'�C:I' v °sf ° ti F�' PERFORMED FOR: 1 gA `4'C+'T'i> �G-• DATE PERFORMED: LEGAL DESCRIPTION: LS ig �O 1ri Township, Range, Section:1e:5 13 aF.PT ,rya•J�%S �_ SLOPE SITE PL 1 2 3 4 5 6- 7-- 7 8 9 (FLM'Tr Pi2- 1� , Depth to Water Net Drop O� �f`•o v t7 r -8 �i i �7 ;i' O , 10 WAS GROUND WATER A ENCOUNTERED? 11 `, S IF YES, AT WHAT L O �t 'J� J, �-• DEPTH? P 12 E 13 Depth to Water % � 1' Monitoring? flare: 14- 15- 16- 17 4151617 18- 19- Reading 819 Reading Date Gross Time Net Time Depth to Water Net Drop �7 ;i' 20 u PERCOLATION RATE � (minutes/inch) PERC HOLE DIAMETER `iO TEST RUN BETWEEN FT AND S FT COMMENTS PERFORMED BY: � R.Worr, Aleksk.;� ;d"wda ACCORDANCE WITH ALL STATE AND MUNICIPAL GU 72-008 (Rev. 4/85) ON THIS DATE. DATE: THAT THIS TEST WAS PERFORMED IN ALASKA MUIR0MMAL NOR SCRUIUS, IN. Engineering & @nuiroomental Studies November 11, 1986 SOIL INVESTIGATION REPORT Re: Lot 5, Block 18, Northwoods Subdivision 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 GM, a silty gravel. The percolation test results show the soil rating to be 250 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 108 feet long x 8 feet deep with 4 feet of gravel for a total of 864 square feet for a 3 bedroom house. The size would be increased or decreased by 287 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 y: %� e� Leroy i;. Reid Jr., Ph0, PE Presi .nt 1200 blest 33rd Auenue, Suite B • AnAorm, Alaska 99503.(901) 561-5040 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICE'S 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST 1. PERFORMED FOR: (,M&S- 1JI&,47(' DATE PERFORMED: %A 1t w f! 9 Tisa x LEGAL DESCRIPTION:��7 BL�ci� �O ��(/f/���/ Township, Range, Section: / .SE�/ DEPTH SLOPE SITE PLAN (FEET) 2 � I 3 4 5 6. 7 8' 9 10-- 11 12 AA 13 14 15 16 17 18 19 20 COMMENTS OL OH sW-T/ ON 60ftlh- WAS GROUND WATER ENCOUNTERED? �(J S IF YES, AT WHAT L O DEPTH? P E Depthto Water Alter Montt J I S Ff� Monitorinp7 Date: Reading Date Gross Net Time Time Depth to Water Net Drop 30 Hull. .10- 7,1Hi • HIP[. •(� .f •ob PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ' FT AND FT . -W. Fr. / RSACODY f100H 3' Te /7 - PERFORMED BY: /T>=C/ T die I 4e�� AA:_— CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Municipality of Anchorage • Development Services Department Building Safety Division it ° On -Site Water 8 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ok.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. n51-N0Ll-141 HAA# �SrD�PIa 1. GENERAL INFORMATION Expiration Daite-7-7:22:11=-L—� 1111*0 Complete legal description NORTHWOOD 04 SUBDIVISION: LOT 5 BLOCK 18, Community Class Well ❑ Public Water System Location (site address or directions) 23476 BLUE SKIES DRIVE • CHUGIAK, AK 99567 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address SHAWN do ELLEN LUELLEN Day phone 688-6814 23476 BLUE SKIES DRIVE • CHUGIAK, AK 99567 Unless otherwise requested, HAA 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 0 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site N Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B welts 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 Health Authority 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 GARNESS ENGINEERING GROUP, Ltd. Phone Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineers Printed Name JEFFREY A. GARNESS. P.E. Engineers Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines 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 wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for > bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist T Septic System Advisory Well Flow Advisory bedrooms, with the following 337-6179 Date if 7 lor QF,Af,;' tvv ��pSER aSER = •. aRO�RAM Maintenance Agreements Supplemental Engineers Report Other W BY Original Certificate Date: Li- Municipality of Anchorage Development Services Department �J Buildft Safety Division . On -Site Water & Wastewater Program 4700 South Bragaw, St. P.O. Box 196850 Anchorage, AK 99519.66W www.d.andgrageAk.us (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: NORTHWOOD /4 SUBDIVISION. LOT 5. BLOCK 18 Parcel ID: b5i -uA -;ll A. WELL DATA PUBLIC WATER Well typetP ! LIC If A, B, or C provide PWSID# N/A Date completed Sanitary sea) (Y/N)_ Total depth ft. Cased to ft. FROM WELL LOG Date of test Static water level Well production g.p.m. WATER SAMPLE RESdrfr colonies/100 ml. Nitrate mg./L. mg./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Tank size 1000 gal. Number of Compartments 2 Well Log Wires property protected Casing height ground) in. Other bacteria colonies/100 ml. Collected by: Date Installed 9/15/1998 Cleanouts (Y/N) YES Foundation cleanout (Y/N) NS Depressan over tank (Y/N) NO High water alarm (Y/N) _ N/A Date of pumping a/7;Z!)nns Pumper JRS PUMPING C. ABSORPTION FIELD DATA Date installed 9/15/1998 Sop rating(IJ.p.d. ft'/bdnn) 0.45 System type SHALLOW TRENCH Length a1� 116' ft. Width 5' ft. Gravel below pipe 3' ft. Total dep1TP ' 6, ft. Efl. absorption area 1000 ft' Monitoring tube YES Depression over field NO Date of adequacy test 10/27/2005 Results (PasWFail) PASS Forbedrooms Fluid depth in absorption field before test 0 in. Water added 450+gal. New depth DRY in Elapsed Time: 0 min. Final flub depth DRY in. Absorption rete >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) TERRALIFT If yes, give date 9/25/20 ** M"sn v n D. LIFT STATION Date installed "Pump on" level at _in. E. SEPARATION DISTANCES Size in gallons High water alar level at in. Cycles tested Meets alar & circuit requirements?. SEPARATION DISTANCES FROM WELL ON LOT TO: PUBLIC WATER Septic tank/IIfi station on lot Absorption field on lot Public sewer main service line On adjacent On Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water service line *10'+ 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/vehide storage 4'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ F. COMMENTS *PER 1999 S&S 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 HAA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date I41710S HAA Fee E -a Waiver Fee $ _ Date of Payment II 1 71 OS Date of Payment Receipt Number I A I Receipt Number Ia*v. 12J01> i ay%A. Gamess.• 703 Jif h _ AT3BUJtT SMEWARn AMC ^ � - I IM MY CEMIIFY THAT I HAVE SURVt:YEC TH1: �� , r FO{.J DYIlN6 I7GHCAIBED PROAERT'1� _s".'/� , �''+ 30 , fXI T I-��fG1:F'f A13INDICATM IT IS THE RBpCWSJ@IWTYOF THE O *MTOD6TERb F THE EXISTCNCE OP TbAn;ANDTHATNopq�tlMeNTs ANY EAB04MTR QOMANT.9 R REMIOTIONS' , WI41CH Do W APPM pry Ft toff= J3=I- ,fir O ;, VISION PLAT, 4JNDSRNO CIRCt M,nANCES s pt1Lp F& o1Pi 1C L)i�E94R oE5fA8L51 ARIC NN ND l3rn0iIND- ARY LINES. DRAWNi h i_f,(Vtu MUNICIPALITY OF ANCHORAGE FFR 10 1999 • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services vwN UYAL[IY OF ANCHORAGE On -Site Services Section _NVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Z 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 051-06-441 HAA # 1. GENERAL INFORMATION Complete legal description Lot 51 Block 18, Northwoods Unit #`rIV " Location (site address or directions) 23476 Blue Skies Drive Property owner Mailing address z) c y Lending agency Mailing address. r;?4 Day phone 6�y b s"-- .�c �2 ,:,v 1 77 Day phone Agent Target Realty/Debbie Day phone 694-2388 AddressPO Box 774627, Eagle River, AK 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well Community well Public water XXX 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 XXX 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 MOA x21 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. S & S ENGINEERING Name of Firm 17034 Eagle River Loop Road No -904 Phone Address Eagle River, Alaska 99577 Engineer's signature 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments Ey: 6' -1y --)-`l -;�9 Date bedrooms, with the following stipulations: Date Z _ZZ _ 99 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 LCEIVED Municipality of Anchorage' g 10 1999 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division MUNICIPALITY OF ANCHUKAG 825 L Street, Room 502 • Anchorage, Alaska 99501 9J"^'gqF ko 4CEs DIV SI Health Authority Approval Checklist Legal Description: LoT Parcel l.D.: A. WELL DATA Well type �' f �S J If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Total depth Cased to Casing t (above grountl) Sanitary seat (Y/N) es properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. g.p.m. WATER SAMPL SULTS: Coliform Nitrate Other bacteria D e of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed 9h1_/9r Tank size; 1 o o o Number of Compartments Cleanouts 6)N) %f s Foundation cleanout &N) Depression (Y/� r�0 High water;alarm (Y/10 w Date of Pumping )J/19- ^'�w Pumper C. ABSORPTION FIELD DATA Date installed `3 /I S q Soil rating g.p. ./ or ftz/bdrm) D • N� System type i Length I I rtrac Width Gravel thickness below pipe -3-Total depth Effective absorption area % 0-0 0 P-% i_Monitoring Tube present (9/N) Depression over field (YA@ ^� Date of adequacy test N%4 Results (Pass/Fail) For 3 bedrooms Fluid depth in absorption field before test (in.); ediately after_ gal. water added' (in.): Fluid depth (ins) Minutes late Absorption' rate = g.p.d. Peroxide treatment (past 12 m s) (Y/N) If yes, give date 72-026 (Rev. 3/96)"