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HomeMy WebLinkAboutHIGHLAND TERRACE #1 LT 2BHighland Terrace #1 Lot 2B #050-311-10 Jun 06 08 12:57p Sullivan Water Wells 907 688 2759 p.1 Certf f ieb �rftting log by DOC CO dbe SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 -TELEPHONE 688-2759 OWNEROFL.AND:5f4 CofTi=uli! ADDRESS: LEGAL DESCRIPTION: ILA E H44, o / i;e4, 4F DATE: _i"���/ PERMIT NUMBER: 070121 Date of Issue_^2Y O' TAX IDENTIFICATION NUMBER: _&$o _ 3/1 _ 10 Is well located at approved permit location? [LXc"> O No Method of Drilling: rotary ❑ cable tool Depth of well: 4 'D — Casing TypeSZA&Clw Wal I Thickness_r//���To inches Diameter bar Inches, depth -43 feet Liner Type: d o.J Casing Stickup Above Ground: feet Static Water Level: I8 feet Recover Rate: ! gpm Method of Testing: Well Intake Opening Type: ❑ open end Qnpera•hole U Screened; Start feet Stopper feet O Perforations Startfeet Stopped cNiPS Grout Type: 13&J-a'j" E Volume Depth: from D feet, to 413 feet Well Disinfected Upon Completion? lis U No Method of Disinfection: feet Comments: Driller's Name ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. J OJ�CBJ.�/lr.J T .23 N�9� a< -z 6RA7 /kcal,, ooe- (x.-4Ar'SC iAj2Z. — to Driller's Name ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borough: Department of Environmental Conservation. ARCTIC PUMP & WELL INC. Jim Sullivan, CPI PO nos 770197 awmSal mn Eagle River, AK 99577 vu 1 wm ,a (907) 688-2510 (907)258-2510 (907)745.2510 oy%%'iF26nct Pump Installation Log Well Drilling Permit Number: SW070121 Parcel Identification Numbcr:050-311-10 to t Date of Issue:6-25-07 Legal Description:l-Iighland Property Owner Name & Address: Terrace# 1 Sid Costella Lot:2D 4905 Marlin Drive n,-_,.. Now PAO Rirhov P1 U410-AAl f Pump Installation Date:9-4-07 Pump Intake Depth Below Top of Well Casing:360 Feet Pump Manufacturer's Name: Dempster Pump Model:L-75 Pump Size:l 1/2 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name:Cambell Pitless Adapter Installer: Arctic Pump & Well, Inc. Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page 1 of I MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Permit Number: SW070121 Legal Description: HIGHLAND TERRACE #1 LT 2B Design Engineer: 0000 ZZ - NONE NEEDED Owner Name: Sidney Costella Owner Address: 4905 MARLIN DRIVE NEWPORT RICHE, FL 34652-4415 Date Issued: Jun 25, 2007 Expiration Date: Jun 24, 2008 Parcel ID: 050-311-10 Site Address: 011220 STEEPLE DR Lot Size: 141900 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of. ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: Issued By. Date: ` Municipality of Anchorage -� -:z-;.Development Services Department ,< Building Safety Division �._., On -Site Water and Wastewater Program ` 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 _., 0 3 0/ 0 Property phone Cogrk A _7J. J. ' Mailing address Ptd LID G70;t7X ChF•-lGol Zip Code 4 G� Site address 112 :2 10 S y "p e ,o a ICY Zip Code Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Range) Lot Size D 2sq. Ft. THIS APPLICATION IS FOR (®all that apply) Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Er Water Storage ❑ C Y✓u Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade ❑ Renewal ❑ 1 certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. '4a.4,J.r-j LAJ*. S_ 'C_ ECC S (Signature of property owner or authorized agent) Permit/Rush Fees: / 7 5� Waiver Fees: Date of Payment: G — 2 Z- o -7 Date of Payment: Receipt Number. 2-1 Receipt Number: (Rev. 11105) PERMIT No. SW980023 PACE 2 OF 3 DEPARTMENT ANDhHUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.D. Box 196650 *Anchorage, Alaska 99519-6650 0 Tele hone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT WELL LEGAL LOT 2B, HIGHLAND TERRACE S/0 ADDN 01 P.I.D. No. 050-311-10 pQ0Pci11'°\ 1.J C I- /_ L N 89'58'00"E 330.00 (REC) 4 BEDROOM B FCO HOUSE 1 .c, I DELI DBLCO MT TH MT2 Cot SCAU I' 40' eNrl�lv_eMKl913i w.. .�.... _.:..... -o >� ROBERT C. COWAN�� IW , I 0 0 IJ n v 1250 GAL SEPTIC TANK 0 0 Co INs�IRTIJIV I o O STt o ST2 I Z DELI DBLCO MT TH MT2 Cot SCAU I' 40' eNrl�lv_eMKl913i w.. .�.... _.:..... -o >� ROBERT C. COWAN�� WELL K..D & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLA HIGHLAND TERRACE S/D, ADD. #I, LOT 2A -POSCD WELL LOT 2A �.' TOP? It s Q' 4. vacant TOC OE S40 C TOP OE S4D C TRACT 5A 1 1 1 AT ?R I I 1 D ITN DETAILS: 4 BDRM X 150 GPD = 600 GPD APPLICATION RATE = 6 GPD/SO.FT. MIN. ABSORPTION AREA - 600 GPD/ (6 GPD/SQ.FT.) = 100 SOFT. 100 SOFT. / 5' VIDE = 20' TRENCH USE 1 TRENCH 5' V x 20' L x .5' D. TOTAL DEPTH OF EXCAVATION = REMOVE ALL ORGANICS AND REPLACE WITH SAND TOTAL EFFECTIVE DEPTH IS 0.5' THE BOTTOM OF THE EFFECTIVE FIELD SHALL BE 0.5' ABOVE EXISTING GRADE. ORENCO PACKAGE SYSTEM: 1. INSTALL 1500 GAL S.T.E.P. TANK V/ INTEGRATED ADVANTEX SYSTEM. 2. INSULATE TANK, EXCEPT BELOW ADVANTEX PADS TO ALLOW HEAT TRANSFER. 3. NO AIR LINE REQUIRED. 4. TANK WILL BE SIZED PER ANCHORAGE TANK FOR A 4 BDRM RESIDENCE. NO PUBLIC WELLS WITHIN FOC OT PROPOSCO SYSTEM. NO M WA TE VCLLS WITHIN 2E0' Or PROPOSED SYSTEM EXCEPT AS NOTED. MO SEPTIC SYSTEMS WITHIN ZW Or PROMES WELL EXCEPT AS NOTED. /Ar rQ;� OF AL I 1 � essloo, NOTES: 1. INSULATE IF<4' OF COVER. 2. INSULATE ALL LINES, SYSTEM COMPONENTS, TRENCH AND TANK WITH 2' HD BURIAL FOAM. 3. ADDITIONAL FILL VILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 4. THE CONTRACTOR SHALL HAVE THE SYSTEM LAYOUT STAKED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. THE CONTRACTOR SHALL VERIFY ALL SEPERATION 6 SETBACK REQUIREMENTS PRIOR TO CONSTRUCTION. PREPARED FOR: RICHARD RENK 18807 SARICHEF LOOP EAGLE RIVER, AK 99577 Scale: 1'= 100' (907)696-2507 PAGE I OF 4 FIELD BOOKS comPuMM AV !iU ENGINEERING WAR DAARH: KLA 20441 PTARMIGAN BLVD. EAGLE RIVER. AK 99577-6736 STAT-' SEWARD Deaf" KMD ASMALT: WARD RAR' 14 0 oAc TIC: wc: Nw155 _...- -7 .... ._. AM T" E' 99020.DWG J48 "" 99020 (907)696-6111/FAX (907)696-8111 Municipality of Anchorage Page [ 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 10 Permit Number. -7 W gq18 O023PID Number: 65 03)H0 Name: Wastewater System: X New ❑ Upgrade � P�cUt%y 't Address: i w P�2"J/" ij of 0.5 Igor//�n Y 6 ABSORPTION FIELD rf - � Phone: (V 3) � J � _^ j J) No. of Bedrooms: f X Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: p Total Depth from original grade: Lot:Block: D)?A Subdivision: .�- Depth to pipe bottom from original grade: Gravel depth beneath pipe 1 I /cwd fie(%G3<'L r0 Ft. 6.0 Ft. Township: Range: Section: Fill added above original grade: Gravel length: / \ _. (- Ft. Ft. WELL: ® New El Upgrade Gravel width: f Number of lines: Distance between linos: FL Ft. Classification (Private, A,B,C): f'r l vat' e Total Depth: 0 Ft. Cased (T�o: B e I Ft. Total absorption area: _ 6? U SQ. Ft. Pip material: 2 / / Iq s D3 0 J P Driller�u titl StaticWater f� '` ,3J96 Ce't . Ft. S Yield: % G 0 it 22 Pump Set at: asing Height Above Ground: TANK -GfNv1• U F Yio wo Ft. Ft. SEPARATION DISTANCES Aseptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: % Capacity in gallons: � From Tank Field Station Tank Sewer Lines Ftnrh�r�A[� cit j Well' G v _I_ !! 00'+ 5 � Material: � Number of Compartments: 0 I Surfac Watere 100''- 100`t LIFT STATION....--- , Lot, } \ Size in gallons: Manufacturer. Line J_ Foundation �� \ / (i 3 "Pump on" level at: "Pu`mp off" level at: High water alarm at: �� Curtainp'O _ Pump M ke-rModel _ Electrical Inspections performed by: Drain / t/ k, ) W ✓1 Remarks: BENCH MARK Location and Description: s Gari e_ .5,ln b ileal- �0, n r Assumed Elevation: 10C a ENGINEER'S SEAL OF it C� r 7 \ /� by 'I `) ""''' ^' Inspections performed by: s & s ENGINEERING bates: 1st '17034 Eagle River Loop Road No. 204 2nd c C') Eagle River, Alaska 995/7 -3 �, 1 r.� "'` �?� �� :.'s, kOPTRT C. COWAN sa w¢ Department of Health and H an Services al*r&m 4. '. CF: - K3 C)1 ? r'' Reviewed and a roved b Y: Date: 4 -2247 pp = �,� e 72-013 (Rev. 9/91) MOA 25 PERMIT NO. SW980023 PAGE 3 OF 3 MunicipoJltv of Anchora e DEPARTMENT OF HEALTH AND HUKAN SERWCES ENWRONMENTAL SERWCES DIW&ON P.O. Box 196650 • Anchoracge, Alaska 99519-6650 • Telephone: 343-4744 ON-SITIE WASTEWATER DISPOSAL SYSTEM ANO/0R WELL INSPECTION REPORT LEGAL LOT 20, HIGHLAND TERRACE S/D ADDN #1 P.I.D. NO. 050-311-10 STI ST2 Fl 97.3' n NEW 93.7'-//1250 GAL S.T. FINAL GRADE INSvL X rI0,J 93.5' C01 MT2 CO2 MT1 C01 = 96.0' CO2 = 100.5' FINAL GRADE INSv� q 10 'v C01 = 92.1' SR-'"J�CO2 = 92.3' MT2 = 86.3'-� MT1 = 86.3' A a NO WATER FOUND 80.3' B.O.H. N. T. S. PERMIT NO. SW980023 PAGE 2 OF 3 MunicipaUt of Anchora e DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIMI&ON P.O. Box 196650 •Anchorage, Alaska 99519-6650 • TenI^e,,P�hone 343-4744 OVA -SI u E WASTEWATER DISPOSAL SYSTEM AND/OR 99LL WSPECTr ON REPORT LEGAL LOT 2B, HIGHLAND TERRACE S/D ADDN #1 P.I.D. No. 050-311-10 N 89'58'00"E 330.00 (REC) �W w w v Q o ui o G M 1250 GAL SEPTIC TANK I � 4 BEDROOM e FCO I o 0 WELL cc HOUSE INS��/>T o,v o • 0 srt ST2 z �DBL1 A DBLCOtC� �q<T a TH�� '�D MT �qT N J .-a W MT2 CO2 L O vt v N SCALE 1" = 40' ENG 8 F� X48 (!�p �O'y R06FRT C. COWAN; �� dTF a, : • �� p� FROM : MICHAEL QUINN CONSTRUCTION PHONE NO. : 907 6944956 Apr. 07 1999 06:30PM P1 sex i�� rHfi � Avg by DOC cod dbe SULLIVAN AN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 s TELEPHONE 688.2759 OWNER OF LAND Q a C 03 rZ4 4 4j BORE HOLE DATA DEPTH Prorn TO O dry �J A10 x ADDRESS 0 LEGAL DESCRIPTION ��16�.1A••J�% �% �(�(/��� _= ( 4o7 42 PERMIT NUMI3ER--j?Q0Aj?3„ Date of Issue .2. � 074'-$0 TAX INDENTIFICATION NUMBERQrO311 % Q-_ Is well located at approved permit locatio es o No Method of Drilling: it rotary © cable tool Depth of well: Casing Type J r`t t _Wall Thickness r a �� inches Diameter 6 / inches, depth feet Liner Type: _ _ fj Z.4 Z Casing Stickup Above Ground: feet Static Water Level (from ground level): _._%� feet Pumping level: feet after hrs. pumping gpm Recover Rate: Method of Testing; Z41& Well Intake Opening Type: C) Open End S<en Hole O Screened; Start_ feet Stopped feet Q Perforations Start feet Stopped feet Grout Type: ". ro.ui 7- _volume¢1- Depth: from ...... d feet, to Jeet Pump Intake Depth: feet Pump Size Brand Name Well Disinfected Upon Completion? lyres ® No Method of Disinfection: C Na ad rrd-. Comments: 4 17-E )044C A.e6 3�t (o�q C'4J(-J(-, f7-re0tJ)'9 S1.1 711. �A v,Q 6rP.4J c� 17e4'eJC K r - APR I ' 19 9 Muni01po111Y 01 Ailcnoranp mOalth & Human Sery cos Driller's Name :j e AMNTION: It is the responsibility of the property owner to submit;' -copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Deprrtment.of Environmental Conservation, MatSu Borough: Department of F-nvironmental Conservation: S& tnC Date: 17r 9- l8 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX(907)694-1211 HEALTH AUTHORITY APPROVALS RECEIVED Municipality of Anchorage SEWER&WATER JUL X31998 DEPARTMENT OF' HEALTH AND HUMAN SERVICES MAIN EXTENSIONS 825 L Street Municipality VI HiiGn VTEAge P.O. Box 196650 Dept, Health & Human Service;. Anchorage, Alaska 995196650 SEWER & WATER INSPECTION REFERENCE: Lo% ENGINEERING STUDIES ANDREPORTS The septic inspections for the referenced property were performed on and Prior to submitting the Onsite Wastewater Disposal System and/or Well Inspection WELL INSPECTION Report we are waiting for the �`„��� (r�n�E to be &FLOWTEST _ completed. If we may be of further service please contact; us. SITE PLANS Sincerely, ROAD DESIGN 1I&/ z `'% 9 Robert C. Cowan, P.E. SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW980023 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:COSTELLO SIDNEY W OWNER ADDRESS:4905 MARLIN DRIVE NEW PORT RICHEY, FL 34652 PARCEL ID:05031110 LEGAL DESCRIPTION: HIGHLAND TERRACE #1 LT 2B LOT SIZE: 141900 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 2/26/98 EXPIRATION DATE: 2/26/99 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: 1) ENSURE MIN. 50 FT. SETBACK BETWEEN ABSORPTION FIELD AND CUT BA 2) ]NSTALLMONITOR TWE ATEACHEND OF TRENCH AS SHOWN ONJ DESYW(SEE /ATT ED) RECEIVED BY: xt h DATE: `j. GO i t - ISSUED BY: I ��' 0" �a DATE: Municipality ®f Anchorage Department of Health and Human Services �F i Rick Mystrom, 825 "L" Street �11 Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 September 26, 1997 Sidney W Costello 4905 Marlin Drive New Port Richey, FL 34652 4415 Subject: Lot 2B Highland Terrace Subdivision #1 Permit #SW960316, PID #050-311-10 The subject permit, issued September 25, 1996 by this office for a single family well and/or on-site wastewater system, has expired as of September 25, 1997. 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: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sinc ely, 0'/�oJ es Cross, P.E. Program Manager On-site Services enc: Copy of Permit cc: S & S Engineering Y pw4 crK MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960316 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:COSTELLO SIDNEY W OWNER ADDRESS:4905 MARLIN DRIVE NEW PORT 34652-4415 PARCEL ID:05031110 LEGAL DESCRIPTION: HIGHLAND TERRACE #1 LT 2B LOT SIZE: 141900 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 9/25/96 EXPIRATION DATE: 9/25/97 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 ANI) CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: 1.) ENSURE MIN. 50 FT. SETBACK IS MET BETWEEN CUTBANK 2.) AND ABSORPTION TRENCH. INSTALL MONI91OR TUBE AT EACH END OF TRENCH AS ON DES RECEIVED F ISSUED BY: SHOWN DATE: If l 6 /q% DATE: HEALTHAUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN August 27, 1996 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 2B, Highland Terrace SID Addn #1 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX(907)694-1211 Request you issue a permit to drill a well and install a septic system to serve the proposed £our bedroom house on the referenced property. A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation no water was encountered in the test hole and after seven day ground water monitoring, the monitoring tube was found to be dry. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If- you require additional information, please contact us. Sincerely, y4-t1'elz Robert C. RCC/gk Enclosure Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP • SUITE 2.04 • EAGLE RIVER, ALASKA 99577 60' SCALE —i .[ y O ,0 i� > m z SITE PLAN D Fri DESIGN D oho'! zip D z r A N y< m n 0,C caVlZ(l Z MZm o nmA mem oa r -,C z yN 3 I � (A M, z�my� -0o vyi vgt7 N A V• n V -, a Z p c r- �t-az n -.on _ o 0 100' WELL RADIUSMm ➢n mN 1 0A =m o VJ n C > nnz e v.a: 0 r T.r D rl Annz3 CO , ( LJO / n rri N Cb o') N .A Cid ' _ q O 'F 7 TI M L� Ivo VIELLS/SEPTICS D 71 n/ (n C7 b�•1 I o I n6 259°+ � � -o 0 1'l •�� cl)C� �� ri' rr N 0 >I j O G7 p o y (nom _ n F9m „ —I c/) o+'` N I Z CJI A7 omy N "25�°+ a ;;u- n -� 10' UTIL. - --- ESMT• -- -- ----- --- UTIL. ESMT. -p 10'-- 0------ --- - m rr D c CJ p7? W O Ul 3 y Z /c D . EZ �R "ice D ♦f n oyco 31 P mS 10 Xom •-l4 0.aa = 10' DESIGN PROFILE -SCALE _� 11TIN -1�_�-- r III—IIIN > m =III—co Z III==1I ► 0 � m _i O N Oro W 21 m 7 G) e.� D n z - � o 0 C7 m m Fri r� W C) I 00m o D I\ ��D > o I.\ 0 --1-1 m -000 Z \ 0 MOM c: -(A� C znr- � � �—I � I --I I\\�\\\� ';•�" �� 'SSA , U ioil 'o 00 C, •' I�'III-111=11.11 U � �,�ryFF��� ••�.�� Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES til; 82.5 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST c C/ ;n 4 ROBERT C. COWAN rr �. •. rF . AA01 PERFORMED FOR: / _ �G�� G� DATE PERFORMED: 0 'y A/ LEGAL DESCRIPTION: Zoe .ljr-i; /G/ii✓/J Township, Range, Section: '/V, DEPTH jE",�R flGf '` /-{!7Q'oT. ✓S.ton� SLOPE SITE PLAN (FEET N 0 N 0/ 3 0 �s XI 6- 00 /7 4 p 6 0 0, 7 -- 1 8 p 14 v 9 iC) 0 i/ FIE] 10 0 WAS GROUND WATER / ENCOUNTERED? O 11 S _ 0 IF YES, AT WHAT ,� A Q / r7 DEPTH? p 12 e�j E 13 / Depth to Water After .g� o D� Monitoring? p 'V Dale: _ 14 0 Reading Date Gross Net Depth to Net Time Time Water Drop 16 c/ /O /O 17 18 19- 20 PERCOLATION RATE /D _ (minutes/inch)`PERC HOLE DIAMETER S-- - TEST RUN BETWEEN _ FT AND `� — FT COMMENTS S & S ENGINEERING PERFORMED BY: 17034 Eawfu River LOOP I . r OB O,204 ACCORDANCE WIfFKA#AM4N A4*A®RWAL GUIDELINES IN EFFECT ON THIS DATE. 72-008 (Rev. 4/85) CERTIFY TH T THIS TEST WAS PERFORMED IN DATE: �� q r q( S & S1 ROBERT C. COWAN, P.E. �rn��RrnGON-SITE D1SPDB=7SySTEM ROBERTA.SHAFER,RE. EAGLE CIVIL ENGINEERS )A" CONSTRUCTION PRACTICES and FAX 694-2979 FAX (907) 694-1211 MATERIAL SPECIFICATIONS REFERENCE: Lot 2B, HiHEALTH ghland Terrace S/D Ad.dn. 41 August 27, 1996 APPROVALSHORITY GENERAL: SEWER&WATER MAIN EXTENSIONS 1. The scope of this project includes the installation of a 1250 gallon septic tank and a leachfield trench to serve the proposed four bedroom residence located on the referenced property. SEWER & WATER INSPECTION 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 ENGINEERING STUDIES Regulations. AND REPORTS 3. The contractor shall be responsible for obtaining any necessary underground utility locates. WELL INSPECTION &FLOWTEST 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. SITEhuNS 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. ROAD DESIGN SEPTIC TANK INSTALLATION: SOILTEST 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. SGOLAnoN TEST 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 STRUCTURAL& minimum of 12 inches above final grade. MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 2B, Highland Terrace S/D Addn $1 August 27, 1996 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. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/ORAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the 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. Page Three Lot 2B, highland Terrace S/D Addn $1 August 27, 1996 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. 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 Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 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 water -Light 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. Page Four Lot 2B, Highland Terrace S/D Addn #1 August 27, 1996 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: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the 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. Page Five Lot 2B, Highland Terrace S/D Addn $1 August 27, 1996 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 At�C y MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division 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 I.D. # 050-311-10 HAA it r' LQ-)cl \'-1 .) 1. GENERAL INFORMATION Complete legal description Lot 2B, Highland Terrace S/D #1 Location (site address or directions) 1220 Steeple Drive Property owner Mailing address Lending agency Mailing address Agent Address Sidney Costello Day phone 4905 Marlin Drive, New Port Richey/ FL 34652 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water Day phone Day phone 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 R21 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 S & S ENGINEERING Phone 6 C7 `i - � `t -7 c/ 17034 Eagle River Loop Road No. Address Engineer's signature 6. DHHS SIGNATURE Approved for 4 bedrooms. Disapproved. Conditional approval for Additional Comments M aUTIC Date 2I / I -?, / 9 h OF Af4�r`t . •. S._ r!All .. CE,-6sor zr bedrooms, with the following stipulations: Date 4 —2 2 -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. 1M) Back MOA M21 DECEIVED Municipaliiiy of Anchorage APR 12 C*D1999 DEPARTMENT OF HEALTH & HUMAN SERVICESUNICIPALITYOFANCH Environmental Services Division ENVIRONMENTAL SERVICES 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: �-© T oZ ij h% 164 N L A v ✓O T" E d A 4 (-!� of I.D.:_0 6_0 --3 1 / " I 0 A. WELL DATA Well type 10/� t V,41 )"1 If A, B, or C, attach ADEC letter. ADECj water system number ! 1 Log present &N) '/'z- Date completed 3 (. / `l � Total depth 1400 _ Cased to 3 L/ T O 0-1� - Casing height (above ground) I )/a- _ t� Sanitary seal (ON) y &--f _ Wires properly protected (S)N) Y '�_S _ FROM WELL LOG AT INSPECTION Date of test — } / / r„ /6) % `7 // 3 / q `l Static water level _ S"0 Well production _ g p, L% g.p.m. WATER SAMPLE RESULTS: Coliform 0 Nitrate o `l a 3 Other bacteria 0 Date of sample: "3 / a 3 I `l Collected by: S & S ENGINEERING 1703�Iac� a River Loop Road No. 204 B. SEPTICIHOLDING TANK DATA Eagle River, Alaska 99577 Date installed -1 I 9 / `/ Fl Tank size ) a 5'0 Number of Compartments 2– Cieanouts (Yk) Y6_5 Foundation cleanout (Y/N) _%r f -J Depression (YQ High water alarm (Y/&l G Date of Pumping ^J /4 - "11 0 Pumper C. ABSORPTION FIELD DATA Date installed '7 /'1 / 9 $ Soil rating Lg.p.d./ft2� r ft2/bdrm) 0 • � _ System type T n�✓�w c%/ Length 5- / Width a �� / Gravel thickness below pipe / _ Total depth 0 Effective absorption area Iz'' Monitoring Tube present &/N) Y4 J Depression over field (YO N 0 _ (– Date of adequacy test _ N ' N'� Results (Pass/Fail) P—`F For _.bedrooms Fluid depth in absorption field before test (in.); Immediately after_ gal. water added (in.): Fluid depth (ins) Minu ater: Absorption rate = _g.p., Peroxide treatment (p�.��t�f2 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles,t ted—" E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot loo ' f On adjacent lots Absorption field on lot Q 0 t On adjacent lots Public sewer main "Pump off" level at* 14 14 Public sewer manhole/cleanout i /0 0 Sewer /septic service line JL S Lift station T✓ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation H 0 Property line ) 0 0 —Absorption field Water main/service line /0 f Surface water/drainage loo y Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: S' f Property line _ 3 S Building foundation G 3 Water main/service line / Surface water 0 o f _ Driveway, parking/vehicle storage area Curtain drain N 0 J'�- /CNUW N F. ENGINEER'S CERTIFICATION i Wells on adjacent lots�- 1 certify that t have determined thru field inspections and review of Municipal in conformance with MOA HAf ygguidelines in effect on this date. Signatures/'/lJ� — Engineer's Name /L 6 A /4,62.7' C.� aceild Date q/io-/`I`) HAA Fee $ ` Waiver Fee $ Date of Payment Date of Payment Receipt Number l Receipt Number 72-026 (Rev. 3/96)* 4 ROBERT C. COWAN f a e��; CG - 8801"' r'e, are MAR -27-09 23:01 FROM -CTE ENVIRONMENTAL 5615301 /t CT&E Environmental Services Inc. CT&F Ref-# Client Name Project Namem Client Sample A) Matrix Ordered By PWSID 991097003 S & S Engineering N/A Lot 2$ Highland Terr. U1 Drinking Water 0 T-655 P-04/07 F-231 Client PO# Printed Date/Time 03/26/99 13:51 Collected pate/Time 03/23/99 19:30 Received pate/Tinge 03/24/99 16:00 Technical Director: Stephen C. Ede Released By Attoua6te Prep Analysis Parameter Results PQL units Method Limits Date Date Init lotat Coliform 0 c01/10Um1. SM18 92228 03/7,4/99 KAP ritrete-K 0.923 0.500 m9/L EPA 30U.0 10 man 03/26/99 03/25/99 SCL