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HomeMy WebLinkAboutMEADOW BROOK BLK 3 LT 6Meadow Brook Block Lot 6 #050-192-14 NaAft� / Vany Ph BL3 Ld6 TR.n t, Well: claa.nr.lgn'/ 1j, L � OrAsr �I Municipality of Anchorage Development Services Department .r Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 , www.ci.anehorage.ak.us (907) 043-7904 Page of ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT sr: 5t00g0a67 PID Number: Wastewater System: ❑ New 5dupgrade M.n ,, of Bed,o LEGAL DESCRIPTION swaw.wrc .. , Range ❑ New ❑ Upgrade et Tom Daoee r....r FA SEPARATION DISTANCES To Septic From Tank Absorption Lit Holding Station Tank Well lad+ /FFiie�ld 1007, A ._ Solace Wala'00r , �/ r� 10M-01- hJi aaer FL UA! +• Grand C� �• FL Cunah or orle n � R•mrha /I Y.4T. nn / 4wwL. a..i n.....na.f Tlr O shat Tr•nrdl 0 Bad 17 Mound ❑ onw So RMrq Taral DeM hdn aiahal ¢ad•: P 6, I D•pn b Pip bdram ham ar" ry Growl aspn baro•In pa,e: FI. F/ added abo.a 'a' Growl wee. TdY aDfaplan ar•a: FI air Law[ hJi aaer FL UA! +• Grand �• FL 61 Septic ❑ Holding 'UNdPdval Sewer Line me-icxL��e. . 1 /_emf/ ,r 54. me" . „• aC �(.�d I 'Pump on,d42 in LF11 Nunp r IM• Onbnc. behw•n1/ sT F TANK S.T.E.P. LIFT STATION M at 5 In 13ENCH MARK r / ofi OT Sian" S i S EMINEIRING Inspections performed by:17OU Ea916 Rlwr LeeP ROW, Ne,�4 aces: 10 9'9-0q Developm nt Services Department Approval Reviewed and tlt� 12M)approved by: Date: 1"9 ❑ Other. p ,y: 30013411. 7 d CdnPnh'eda a� F' wale, Ybm al' �f5!Sh. y� ROBERT C. COWAN FL PERMIT ND. SW040267 PACE 2 OF 3 MunicipalitAof Anchora e DEPARTMENT OF HETH AND HU0 N SERVICES P-0- Box 196650 ENVIRONMENTAL SERVICES DIVISION : 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM e, Alaska 99519-6650*Tele e1WELLeINSPECTION. REPORT LEGAL LOT 6 BLOCK 3 MEADOW BROOKS D P.I.D. N0. 050-192-14 r r / rn H / V1LNT7 rn �1; 1 r� ATH YT LOT 8B 'B D CARPORT 20 W V�10� . W 10 C OBl Q C ST _ LOT SEPTIC c AREA WATER 5 p \% na , _DRIVEWAY EXISTING CRIB �\ 1 d DBL2 \4\ N H 1300 GALLON SEPTIC TANK M� _www Kw Box SCALE: 1' . 9t„h ROBERT C. COWAN PERMIT NO. SW040267 PACE 3 OF 3 DEPARTMENT HEALTH AND HUM9AN SERVICES P-0- BOX 196650 0 ENVIRONMENTAL SERVICES DIVISION ON-SITE WASTEWATER DISPOSAL SYSTEMAtQskaS 19-6650 AND/ORT eteWELLhoneeINSPECTION REPORT LEGAL LOT 6 BLOCK 3 MEADOW BROOK S D P.I.D. N0. 050-192-14 FINAL GRADE—, ST1 ST 2" INSULATION NEW 93 2 1300 GALLON POLYETHYLENE SEPTIC TANK FINAL GRADE MT1=94.3' h1T2=94.3' 96.5' n n Cn1MH MTI =102.7' MT2=104.2' ao pmj...*r,o" DIST. PIPE=100.3' NO WATER FOUND 88.3' B.O.H. TOP 2' INSULATED EFFLUENT OUTLET N. T. S. T i ROBERT C. COWAN mac;: C`-8801 Rising Son Electric Ine. 807 622 6777 11/10/04 03i11p p.001 u Al Zsing bon Clecteic, Inc. 4. 1096 Woodland Prive 1 �. Ea-qlzo River.99577 (907)622-6777 August 30, 2004 Tweed Excavating & Construction Richard Tweed 17034 Eagle River Loop Road Eagle River, AK 99577 Re: 18224 Sanctuary - Eagle River, AK 99577 uor b QLe(K 3 fl#409y '13,400K S/Q Dear Richard: The lift station at the above referenced property has been wired in accordance With NEC and State/Local codes. Thank you. Sincerely, KevinT Hombudde, Owner Administration License Number 1284 Specialty Contractor License Number 27285 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water B Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SW040267 Legal Descriptions MEADOW BROOK BLK 3 LT_: 8 '_ 't Design Engineer: 0003 S & S Engineering Owner Name: GREG SMITH Owner Address: 18224 SANCTUARY DRIVE EAGLE RIVER, AK 99577- 9 Date Issued: Jul 15, 2004 Expiration Date: Jul 15, 2005 ParcelID: 050-192-14 Site Address: 018224 SANCTUARY DR Lot Size: 12590 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit Is for the construction of. ❑✓ Disposal Field [D Septic Tank ❑ Holding Tank ❑ PrivyPrivate 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. ALL CONNECTING PIPES OF WASTE WATER DISPOSAL SYSTEM MUST CONFORM WITH THE STADARDS IN AMC 15.65 AND 16.65, 18 AAC 72, AND APPLICABLE PORTIONS OF THE UNIVERSAL PLUMBING CODE. IN PARTICULAR THE CROSSECTION OF THE SEPTIC PLUMBING AND WATER LINE. Received By. 2 Date: _71/_ L/_0 v Issued By. Date: 2/1J o Municipality of Anchorage • Development Services Department Building Safety Division i On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. n SO — 1 C1 i —I I Permit Number SW Property Mailing address Mailing address Legal descriptioi Day phone Legal description (Section, Township & Range) Lot Sizer 590 Acre!O THIS APPLICATION IS FOR: Number of Bedrooms `7 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 19 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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 Sub Municipal Codes. /�4&2 /���_ 4 Eagle River Loop Road No. 4ua I Eagle e River, Alaska 99577 (Signature of property owner or authorized agent) Permit Fees: 3 k1 G O • Waiver Fees: Date of Payment: 7 /-1 /0 y Receipt Number: 0 0a (Rev. 12100) - Date of Payment: Receipt Number: S& July 8, 2004 ROBERT C. COWAN, P.E. CML ENGINEERS (907)694-2979 FAX(907)694.1211 NEALTNALITNORm MUNICIPALITY OF ANCHORAGE APPROVALS Development Services Department P.O. Box 196650 Anchorage, AK 99519 SEMA&WATER IA..,E(TENSIONa REFERENCE: Lot 6, Block 3, Meadow Brook Subdivision SEWERSWATER INSPECTIONexisting It is requested that you issue a permit to install a septic system upgrade to serve the four bedroom dwelling on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of aTLo.Es ANOMPORTS the test hole is located on the attached site plan. At the time of excavation 6/30/04, no water was found. After monitoring, ground water was not found. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve a��TCTION areas 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. SITEPWLS If you require additional information, please contact us. Sincerely, NOAODESIGN - RrtZwan, P.E. SOIL TEST RCC/bjj . Enclosure PERCOLATION TEST STRUCTURALS ►ECHNIM4L WSPECTIONS CNSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 1" = 40' DESIGN SITE -PLAN (.A1 r <�� A W 0) -' x�o O ate( V 1� L7mm ieLa `i• l-4 kv go!3 y (n C0-4 A 00 co\ M �- ... co y z \ NII m o -- -, N 0 NO 1 1N3W3SV3 kina .Ot O v O (A CC) / = oN0 � C" C-) w Y A \ EXISTING µ� 4 H� RO ny • e USE M m� S \ r j co F ios r�i _ �.. �' Op•o.m0 r i <a ZA 5z; .��Fzo Sif Z -A MOA oa � jsp / \ Z O O ,f Ll�' \�(jl�\Jt� �' ^ bm a •tom'% fn � t co as 9 •$�/' �--Z-4 \ \ i�1 FFA a `''+ Municipality of Anchorage Development Services Department Building Safety Division to y,r On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 190850 Anchorage, AK 99519-8850 www.munl.orglonsite (907) 343.7904 Soils Log - Percolation Test Performed For. �7;A 1.1' L1 Legal Description: _ L—OTG ! I!!.O t9 3 : s —1 IP7" 0 •%3 /3 Depth Y Q • 9 6• ( O 7- B- • s :0 10- 11- 12- 13- 14- 0- 11-12-13- 14- 0 15-� - "o 16- WAS GROUND WATER ENCOUNTERED? O e IF YES, ATWHAT DEPTH? r' L Dapthto Water Agar D D/1,� Monitoring? e 3I?0KRT C. COWAN c CE -8801 Performed: L I S 0 rcnccnwrroN ftAiE • t.A+oe / PERC HOLE DIAMETER TEST RUN BETWEEN FT AND 10 FT , COMMENTS �--"' PERFORMED BY: ij S C n+ 4-1'1 fi2..1.✓ (rte I CERTIFY THAT THIS TEST �WA�S� PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GU ' EL NES IN EFFECT ON THIS DATE. DATE: �. NEALTHAUTNORITY APPROJAL9 SEWER &WATER MW EXTEMIONS SEWER& WATER 0SPECTION ENMNEER*n3TLAIES ANDREPORTS WELL WSPECTION A FLOWTEST SITEPWJS PERCOLATION TEST STFLCTUME& MECNMSCAL NSPECTX)m ONSITE WASTEWATER DISPMALS"TEM DES04 ROBERT C. COWAN, P.E. CMLENGINEERS (907)694-2979 ON-SITE WASTEWATER DISPOSAL SYSTEM FAX(907)694-1211 CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 6, Block 3, Meadow Brook Subdivision July 8, 2004 GENERAL: 1. The scope of this project includes the replacement of the existing septic tank with a 1300 gallon HDPE septic tank, and installation of a pump basin and a pressurized drainfield to serve the existing four bedroom residence located on the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 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 final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Ilealth Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK 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 to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RNER LOOP • SUITE 204 • EAGLE RRTER ALASKA 99577 Page 2 Lot 6. BM 3. Meadow Brook SubdFva Juy 8.2004 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. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCIUDRAINFIELD 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 holes faced downward. The distribution piping is to be of PVC (ASTM D3034 or equal). All joints are to be solvent cemented. 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. S. 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 3 Lot 6. Block 3. Meadow Brook Subdiv b Juy 8.2004 MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pine Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 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, Femco, 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 4200 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 specifications applies. Page 4 Lot 6. Block 3, Meadow Brook SubdFJalon J* 8, 2004 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 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 DEF 'TMENT OF HEALTH AND HUMAN SERV 'S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name - ---- — DISTANCES —� TO SEPTIC ABSORPTION —� Address FROM TANK FIELD WELL ` -7 D7- 4� e% f- , le � 5-2 � WELL Z r� ZG� f- Y TRENCH [_7 BED ❑ W. DRAIN ❑ OTHER __ Ph lel//s� Permh No. 7 P ongmal grade //'. Q FT No of Bedrooms LOT LINE Gravel depth beneath pipe 0.6 FT — — _ LEGAL DESCRIPTION —�Block Lot ____�' 3 Subcrvi ion FOUNDATION _ SQ IT Number of Imes Soil rating �— -- Township, Range, Section n / t L- ry YANKS _ - �� AS -BUILT DIAGRAM tShow location of well. septic system, property lines, foundation. onveway. v,ater Undies. etc.I 1-/ Classihcation (A,B,C7 I otat Depth FT Caste to 1 1 1 --F--ATF X SEPTIC ❑ HOLDING pAanumctwc, Gapaaty in gallons ,later a, No- of Compartments TYPE OF SY:3TFM Y TRENCH [_7 BED ❑ W. DRAIN ❑ OTHER Depth tc pipe bottom hom total depth from original grace ongmal grade //'. Q FT l2 Q Fal aodee above ong`innal grade Gravel depth beneath pipe 0.6 FT g • D _ Gravel width Gravel length Total absorpnor, area Distance between lines SQ IT Number of Imes Soil rating Pipe material/ 2 2 5 Sp FT p 30 3 rf tl c _ Installer Date Installed WELLS _ ❑ PRIVATE OTHER (Identillv) Classihcation (A,B,C7 I otat Depth FT Caste to Installc, I Date Installed. I REMARKS: u t9/—i C �4- -7/52 5e S7�'/Pl I SR 6 196X Municipal and tale gillGR.jneRsIVR&Ais d`�?5777 nor Health Department Approval: t2-013 (3,85) FT �� `�' ■ ■■'J� 114, 11 'l s Inspections Fe orrammed by 1 Dam 9//2 /3 /S� certify that this inspection was pod onned according to all AUG 14 I "? -)V-) Date. I11 -47*41! ,•)'*WWF � ✓ + 806 4 b S 0 •� rb.,• b..' wt A. khiii � n 6t�a.• �A 'I WU��I .� ; A ��, -;j I-� 11 � 10 - rAw811: 1 �V 7i�: t!! !!I, !I B I ±�' DEPARTMEN[ HEAL[H IFlo NMENTAL Fs) rut TION "� 825 L SiREET, ANCHORAGE, AKV9*.1 � 264^'4720 ` � ' v WSP_6 V: H - hon 1 R TY TAT Tic V I low [RARM X Y 1701013 NO: 860275 Dl:,TE ISSUED: O8/08/S6 ~~ u ~~ APPL[CANT: BEVERLY BDWERS ADDRESS: P.U. 8OX 770219 EAGLE RlVER, AK 99577 CONTACT PHDNE: 694-9555 LEGAL UESTRIP: SUBDIVISION: MEADOW BROOK LOT: 6 BLOCK: 3 SECT[ON: 12 [OWNSHIP: 14N RANGE: 2W LOT SIl[�: 12590 (SQ.FT, UR ACRES> MAX BEDROOMS: 3 Listed bplow are the options available to you in designing your septic system. Choose the option that best iits your site. � � � � � � 1 it tic in H 41; V r" F.H�� DEPTH TO PIPE BOTTOM (FT .> 4.0 4.0 4,U GRAVEL DEPTH (FT.) 8.0 0.5 3.5 TOTAL DEPTH (FT.} 12.0 4.5 7.5 GRAVEL WlDTH (FT.> 2.5 1V,0 5,0 GRAVEL LENGTH (Fl.) 43^0 36^0 49.0 GRAVEL VOLUME (CU.YDS.) 33.9 25.4 36.3 TANK SIZE (GALS) 1,000.0 1 * SOIL RATlNG (SQ.FT.KIN 225 150 150 ** TANK MUST HAVE Al LEAST TWO COMPARTMENTS l corti�v th�t: {] aill equirements {or on~siLe sewers and wells as set forth by Lhe Municipality oAnchorage (MOA) and the State o� Alaska. 2. i will install Lhe syotem in accordance with all MOA codes and regulations, and in compliance wjth the design criteria o( this permit" 3. I wil1 adhere Lo all MOA and State W Alaska requirements [or the set back distancom any existing we1l, wastewater ditip CIS ai system or public sewerage on this or any adjacent or nearhy lot. 4. l understand that this permit is valid {or a maximum o[ 3 bedrooms and any enlargement will require an additional permit. IF A LIFT STATlLot IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CDDES, THEw (!} AN ELECTRICAL PERMIT AND INSPECTION MUST 8E OBTAINED; (2) AS-8UILTS WlLL NOT BE APPROYED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELE�TR1CAL WORK MUST BE DONE 13" A I ICIF NSED ELECTRIC[AN. APPLICAN ISSU[D B DATE: DATE: �31/ '/ SEAL) Municipality of Anchorage�t p n•t4 ! I: t DEPARTMENT OF HEALTH & HUMAN SERVICES • 825 "L" Street, Anchorage, Alaska 99502-0650 A` ^•°° . ,` a` y.•� C @ < i�. i�ttifaaf S� SOILS LOG o PERCOLATION TEST B ►,s t PERFORMED FOR:�_��DATE PER�f�B��< Township, Range, Section: 2 LEGAL DESCRIPTION:�rrly (�7l�tL.. `aj ��F>7pyJ � 11�'f .��—� SLOPE SITE LAN 2 3 4 ' 5 6 7 8 9. 10 11 12 13 14 15 16 17 18 19 20 COMMENTS S&SEN PERFORMED WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water QIter Manitaring7 111 L� S L O✓ P E Date: �1i2 Reading Date Gross Net Time Time Depth to Water Net Drop (pmt b< JI 10, 1-5 M PERCOLATION RATE D (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN � Q FT AND t, FT SR S � 96X I ACCORDANCE`�WII H ALLLGLE RS ATEEANDIMUNI IP' GUIDELINE 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN FECT ON THIS DATE. DATE: _ _ �., GRF ER ANCHORAGE AREA BO' IGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL. SYSTEM _ NAME_ SCY Ii�1E IAfI � l _ MAILING ADDRESS N I10I 9b 1(11 6_W _ PHONE eO9y 7yy_ LOCATION �00�)G "" :D(21UG LEGAL DESCRIPTION_107 O�b7,i� I4C4G1DUlhY6U1� �_ SEPTIC TANK: UL # ftgH-' DISTANCE (/��NUMBER OF FROM WELL --MANUFACTURER " �� MATE=RIALS COMPARTMENTS _ INSIDE LENGTH INSIDE WIDTH —= LIQUID DEPTH _LIQUID CAPACITY 1000 GALLONS. SEEPAGE PIT: --��� ig' X l�' X 10 //__' I� NUMBER OF PITS �_. DIAMETER __Sly_ OR WIDTH_, LENGTH_, DEPTH LINING MATERIAL " -. CRIB SIZE: DIAMETERVDEPTH_� DISTANCE FROM: WELL _ TOTAL BUILDING FOUNDATION ��' NEAREST LOT LINE ABSORPTION CA EIA (WALL AREA) 372 SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE 60"4NQY4 BUILDING FOUNDATION CESSPOOL CONSTRUCTION NEAREST LOT LINE__ , OTHER SOURCES DEPTH _ NEAREST SEPTIC SEWER LINE _ TANK- APPROVED- ANK_ APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM - -- rN INSTALLED BY: cea& U)Ud V4&- a0UVd PIPE MATERIAL: rrY;r ,LyLow LOT SLOPE: g \a` `y'tn �y y REMARKS: DATE APPROVEDZ7-/,t/i /l' // G.A.A.B. Form No, EQ -031 r,__ 0 & E GEOTECHNICAL & DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russe# Oyster Earl Ellis 694-2774 688-2280 Soils & Foundations Land Development SOIL LOG Performed for: Name:�Tel. No. Mail Ing Address:_ c5�c_ '_ Legal Description 6-: mmr `� 3�m d�tklet Sol Characteristics, G l .�,..��,. (�� , - Z°>� ���� : - �'� . �.; � �t .• o y i- ,,., ,-c ra h��� r y � � iz-6 2 Vic] 6 B 11 12 Ground Water Encountered: Yes_ No_ `/ If yes, what depth®�e Proposed Installation: Seepage Pit _ '� Drain Field �V Performed • • S 6 --M1' ... • c erg Municipality of Anchor: �:, `"�` 4,r,-;,. ` � Eft _ On-Site Water and Wastewater Pro• - .r— .'. /;:ii i i • (907) 343-7904 , JUL 21. 2017 ' s R C 7 CERTIFICATE OF ON—SITE SYSTEM -\PPROVAL w �" �� °I68Lg Parcel I.D. 050-192-14 Expiration Date: 7 _( 3 -If 1. GENERAL INFORMATION Complete legal description MEADOW BROOK BLOCK 3, LOT 6 Location (site address) 18224 SANCTUARY DRIVE, EAGLE RIVER,AK 99577 Current Property owner(s) GREGORY&AMANDA SMITH Day phone Mailing address 18224 SANCTUARY DRIVE, EAGLE RIVER,AK 99577 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ❑ Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class Well ❑ Public Sewer ❑ Public Water System WaiverNariance request for: Distance: Received by: ;La �/���' r� / /iDate: � 7 COSA to be released to the engineer, unless other*, requested by the engineer. / COSA Fee $ Waiver Fee $ _ Date of Payment 1 1 21 ) 11 Date of Payment Receipt Number 014b65D Receipt Number COSA# 'Oe-11 1 CC\ 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 ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 7/13/2017 THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC...ASSOCIATED WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface,changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore,ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments.deficiencies or discrepancies exist. OF 4 j4 1 1 TI f\ * # 6. DSD SIGNATURE / .>*surep �ri>r /�. System #1 Approved for 3 bedrooms. + � KENNETH �I. Gr.%System #2 Approved for bedrooms. c�r _ 16 • ` � Disapproved. \ 0 SS1o. .'tet Conditional approval for bedrooms, with the following stipulations: .06 ON-SITE WATER AND Yri WA 5 1LWATEN PRC;GRAM �= By: Original Certificate Date: Z 1 7 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10-10-12.doc 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: MEADOW BROOK BLOCK 3, LOT 6 _ _ Parcel ID: 050-192-14 A. WELL DATA — PUBLIC WATER Well type If A. B, or C provide PWSID # Well Log (YIN) Date completed Sanitary seal (Y/N) V Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic: ug/L Date of sample: Collected by B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC Wl LS 1 HDPE Date installed 8/9/2004 Tank size 1300 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y , Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumin9 7 ,' 1f iPum t /w 1 C. ABSORPTION FIELD DATA Date installed 8/9/2004 Soil rating (g.p.d./ft2 or ft2/bdrm) 1,2 System type DEEP TRENCH Length 42 ft. Width 3 ft. Gravel below pipe 6 ft. Total depth 9.7 ft. (Measured 7/13/17) Eff. absorption area 504 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7/13/17 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 695 gal. New depth 7 in. Elapsed Time: 40 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) N If yes, give date D. LIFT STATION Date installed 81912004 Size in gallons 280 Manhole/Access (Y/N) Y "Pump on" level at 48 in. "Pump off' level at 51.5 in. High water alarm level at 44.5 in. Datum BOTTOM OF TANK Cycles tested 2 Meets alarm &circuit requirements? Y E. SEPARATION DISTANCES - PUBLIC WATER WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer/septic service line Holding tank Animal containment areas Manure/animal excrete storage areas 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'+ 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 50'+(NONE KNOWN)_ Wells on adjacent lots 200'+ F. COMMENTS 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. OF A4,7 Engineer's Printed Name KENNETH M.DUFFUS � 1- 1 Date 7119117 ` I I 411 1 KENNETH 4. tifir COSA canary sheet_2-6-15.doc 7 Of AirNtle. 1116."40.411P. MUNICIPALITY OF ANCHORAGE • l 4 DEPARTMENT OF HEALTH 14 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.#c124-y­\ 1. GENERAL. INFORMATION Complete legal description --'0 T OLI� 3 HAA # Lo) �/�ckrvrJ 3r Location (site address or directions) �� ZZ�} ��VG�ftr� y 61' Property owner ° -T %3b r (IC>z 5 Day phone G 0 Mailing address /04 UL!�ZJ�/�/ #2� n/Gffy>Z.�Gr C SD Lending agency Day phone Mailing address — Agent. l' f`/ �E/Zsi Gi Day phone 624 - 21Z S_ Address Z14 1)�� D G (C-'�/N 1�L�1 `/ �GL.� �� ✓GSL �K / �S �7� 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 �- 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 x 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 MOAN21 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 furtherverify 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 j C-/ / �67TZ /-1 ('r Phone Address l703y %.4 4,v4A L0r). 4 �jrC C1 tJ`7 Engineer's signature 6. DHHS SIGNATURE Approved for !!'EE bedrooms. Disapproved. Conditional approval for Additional Comments M 1, Date 7 )) G/y�i —+� OF 1%ti 'k r/� L ;n ROBERT C. COWAN I�Q t3 .� CS - 8801'�� (il• F'�'GFtJS1�N L� bedrooms, with the following stipulations: Date 2-.2- qq 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 orderto 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) Beck MOA #21 KEIVE� Municipality of Anchorage C*D DEPARTMENT OF HEALTH & HUMAN SERVICES ,JUL 16 1999 Environmental Services Division c' 825 L Street, Room 502 *Anchorage, Alaska 99501 • (W�itk�At�r4Rv CES DIVISION Health Authority Approval Checklist Legal Description: Lor- !_K 3 ` -?— -W OZ04K Parcel I.D.: A. WELL DATA Well type ��__ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Total depth Cased to _ Casing hei above ground) Sanitary seal (Y/N) Wires perly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well production _ g,p.m. 9 -P.M. WATER SAMPLE RESU Coliform Nitrate Other bacteria Date sample: -Collected by: B. SEPTIC/HFSL MNG TANK DATA Date installed lank size 000 Number of Compartments Cleanouts (Y/N) y� S Foundation cleanout (Y/N) �L� — Depression (Y/N) A/ 0 Fligh water alarm (Y/N) Date of Pumping 61 //-S%W Pumper C. ABSORPTION FIELD DATA J_7 15 Date installed_ _ Soil rating (g�d:/ft2 or 2ft:/bdrm Z25- /" System type rZ2 6 /-4- Length 43 / Width _2(6 Gravel thickness below pipe _Total depth — i Effective absorption area _ Monitoring Tube present (Y/N)Depression over field (Y/N) Jam/ O Date of adequacy test `1 �� Results (Pass/Fail) S For bedrooms / it / u Fluid depth in absorption field before test (in.); _ Immediately after --1S gal. water added (in.):.J F=luid depth 7 (ins) Minutes later:— Absorption rate = _�2_ g.p.d. Peroxide treatment (past 12 months) (Y/N) NO If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed N /ice Size in gallons Manhole/Access (Y/N) High water alarm level at* Cycles teste E. SEPARATION DISTANCES "Pump on" *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: "Pump off" level at* Septic/holding tank on lot P" 0 L/ G/�/{—r2 L On adjacent lots Absorption field on lot Public sewer main Sewer /,5epticlservice line adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation / d '--7L- Property line / �� Absorption field 5 7'-- Water t Water main/service line/l'i Surface water/drainage©./ Q f Wells on adjacent lots A( SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line 10Building foundation /0 �- Water main/service line /0 7`' Surface water /00 '/7( Driveway, parking/vehicle storage area Curtain drain IVOI 6 /—�iVO 11V IV Wells on adjacent lots F. ENGINEER'S CERTIFICATION l certify that l have determined thru field inspections and review of Municipal in conformance with MOA HAA guideli sin effect on this date. Signature �� �'" Engineer's Name r C. (a a✓�y Date 7 / f 6 %q q (j R HAA Fee $ Waiver Fee $ Date of Payment �/ 77 } Receipt Number/ 72-026 (Rev. 3/96)* Date of Payment Receipt Number Time APPLIC VT FILLS OUT UPPER HAL ONLY Property Owner i Time Phone Mailing Address ; Zip Code Buyer Address .J-_ ; i ; ti Zip Code Lending Institution :-. -T µ Phone Address _ Zip Code Realty Co. & Agent loco ^ Phone Field Notes: Address �! Zip Code Legal Description Street Location C N D- ( 3) APPROVED BEDROOMS Type of Residence ( ) DISAPPROVED P Single Family DATE 46 ❑ Multiple Family No. of Bedrooms _ ❑ Other Soils Rating Water Supply o Tank Absorption Area Wwait ell to ReceivedWell Log Septic Tank SizeI 0c??-, ❑ Individual - ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. P Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal (D Individual -\ g (✓t L('. V A( Q1` Year Individual Installed: Public Utility \ When Connected to Public Utility: El Holding Tank t V'IAC� NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Dale Date Date Date Inspector Inspector Inspector Inspector loco Field Notes: MUNICIPALITY Of ANCF!ORAG' is _'.TION ENVIR .i.. .i:.?.. C N D- ( 3) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE 46 Soils Rating Date SewerIrtstalled o Tank Absorption Area Wwait ell to ReceivedWell Log Septic Tank SizeI 0c??-, 72023 (3162) ALASKA h iUIiOnMenTAL COMROL SekulRS, InC. Engineerinq 6 enuironmenlal Studies IST ALASKA MORTAGE & ESCROW 3145 SNTUARY EAGLE RIVER AK 99677 SELLER — ROBERT BRUNER SUBDIVISION—MEADOW BROOK 12/3/82 BUYER—BOWER BLOCK -3 LOT -6 ADEQUACY TEST FOR SEWER SYSTEM MUNICIPALITY OF AN'CHORACdr- EMIR J. 4, THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN AREA OF 372. SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 100 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON 12/3/82 . SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. 44 bt�a Y Irl A/N e 'n eDc.va 4�(jy gtl D�waa egY ao * 1200 fest 33rd Auenue, Suite B v Anchorage, Alasko 99503 • 907) 276-1361 4 —.i 3'� rCn S7. T':. P.`, AnCf.nrirn i.'i -'�!'3 00r!n'. J G52..eCe l I, e , Time of Inspection Inspection REQUEST O;; „i'rur'lL II4D IV IDI;, :L SGti..R U iu'11 R F n��1.__ ,LJ FOR UA 1. Approval reguested_by: Associate Builders Mailing Address: Engle River Af% Prone: 2. Property Oytner: slaw, Phone: Mailing ,Address: 3. Legal Description:: 4. Location: 5. Type of facility to be inspected ;iii,4.11u ilo. of bedrooms 4 G. Wel 1 Data: Coic11;u1n f ;;Y A. Type �— _—� B. D e, e T h---- —� C. Construction D. Bacterial Analysis 7. Sewage Disposal System.: A. Installed _ 1974 _ _ B. Installer, Be rg _LLn-derart,tslui C. Septic Tank: 1. Size100(1 n�l�- 2. i a;, l`= -tures C.rour D. Seepage Pit: 1. Absorption Area '13'x'17x'10x17' 2. Material Log E. Disposal Field: Total length of lines 8. Distances: A. 1r4211 to: Septic tank __, Absorption a: ea S --,,-.ler Lines , Nearest lot line Otf.:r contarl;, a ;i B. Foundation to septic tvn': 5 Absor; ti _;e C. Absorption area to n_resL lot line---------�— —�— — Page 2 of two pages - Re : for Approval of Individual Legal Description Lot 6.0 [dock 3, Meadow Brook Subdivision Comments Approv S` Disapproved & Water Facilities Date 111-19174 Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date